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Journal of Endovascular Therapy

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https://www.readbyqxmd.com/read/29313455/preliminary-outcomes-of-the-lifestream-balloon-expandable-covered-stent-in-fenestrated-and-branched-thoracoabdominal-endovascular-repairs
#1
Luca Bertoglio, Diletta Loschi, Tommaso Cambiaghi, Daniele Mascia, Andrea Kahlberg, Germano Melissano, Roberto Chiesa
PURPOSE: To evaluate the 1-year outcomes of thoracoabdominal aortic aneurysm (TAAA) repair using fenestrated and branched stent-grafts and a novel balloon-expandable covered stent. METHODS: Between March 2015 and January 2017, 18 patients (median age 74.7 years; 14 men) received 43 LifeStream balloon-expandable covered stents in conjunction with Zenith fenestrated/branched stent-grafts to bridge 11 celiac trunks, 8 superior mesenteric arteries, and 24 renal arteries (total 32 fenestrations and 11 branches)...
January 1, 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29313454/a-multicenter-experience-with-a-new-fenestrated-branched-device-for-endovascular-repair-of-thoracoabdominal-aortic-aneurysms
#2
Marwan Youssef, Sebastien Deglise, Piotr Szopinski, Schäfer Jost-Philipp, Amer Jomha, Christian F Vahl, Ahmed Koshty
PURPOSE: To investigate the outcomes of patients who were treated for thoracoabdominal aortic aneurysms (TAAAs) using custom-made fenestrated-branched stent-grafts. METHODS: A consecutive series of 108 patients (mean age 73.5 years; 73 men) with TAAA were treated with E-xtra Design Engineering customized fenestrated-branched stent-grafts between November 2011 and January 2017. Data on baseline characteristics, procedures, and clinical follow-up were collected from 6 regional European surgical centers for retrospective analysis of endoleaks, reinterventions, and target vessel patency...
January 1, 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29313456/up-and-over-technique-for-implantation-of-iliac-branch-devices-after-prior-aortic-endograft-repair
#3
David L Dawson, Giuliano de Almeida Sandri, Emanuel Tenorio, Gustavo S Oderich
PURPOSE: To describe a modified up-and-over access technique for treatment of iliac artery aneurysms in patients with prior bifurcated stent-grafts for endovascular aneurysm repair (EVAR). TECHNIQUE: This technique uses a coaxial 12-F flexible sheath that is docked with a through-and-through wire into a 7-F sheath advanced from the contralateral femoral approach. This maneuver allows both sheaths to be moved as a unit while maintaining position of the apex of the system as it loops over the flow divider, avoiding damage to or displacing the extant endograft...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29285975/the-significance-of-a-fast-track-evar-procedure-it-s-not-the-years-in-your-life-that-count-it-s-the-life-in-your-years
#4
Gianmarco de Donato, Nikolaos Kontopodis, Carlo Setacci, Christos V Ioannou
No abstract text is available yet for this article.
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29285963/femoropopliteal-in-stent-restenosis-gaining-ground-with-excimer-laser-and-drug-coated-balloons
#5
Nicolas W Shammas
No abstract text is available yet for this article.
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29285955/novel-nitinol-stent-for-lesions-up-to-24-cm-in-the-superficial-femoral-and-proximal-popliteal-arteries-24-month-results-from-the-tigris-randomized-trial
#6
John R Laird, Thomas Zeller, Christian Loewe, Jack Chamberlin, Richard Begg, Peter A Schneider, Aravinda Nanjundappa, Frank Bunch, Scott Schultz, Stuart Harlin, Alexandra Lansky, Michael R Jaff
PURPOSE: To evaluate the safety and effectiveness of the TIGRIS stent for lesions up to 24 cm in the superficial femoral and proximal popliteal arteries (SFA/PPA). METHODS: This prospective, multicenter, randomized study enrolled 274 subjects at 36 sites in the United States and Europe. Subjects were randomly assigned in a 3:1 ratio to treatment with the TIGRIS stent (n=197; mean age 66.7±9.28 years; 141 men) or LifeStent (n=70; mean age 67.9±8.87 years; 49 men)...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29285952/when-bailout-stenting-is-the-only-option-the-difference-lies-in-the-details
#7
Panagiotis M Kitrou, Stavros Spiliopoulos
No abstract text is available yet for this article.
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29264999/drug-coated-balloon-vs-standard-percutaneous-transluminal-angioplasty-for-the-treatment-of-atherosclerotic-lesions-in-the-superficial-femoral-and-proximal-popliteal-arteries-one-year-results-of-the-mdt-2113-sfa-japan-randomized-trial
#8
Osamu Iida, Yoshimitsu Soga, Kazushi Urasawa, Shigeru Saito, Michael R Jaff, Hong Wang, Hiroko Ookubo, Hiroyoshi Yokoi
PURPOSE: To assess the safety and effectiveness of the MDT-2113 (IN.PACT Admiral) drug-coated balloon (DCB) for the treatment of de novo and native artery restenotic lesions in the superficial femoral and proximal popliteal arteries vs percutaneous transluminal angioplasty (PTA) with an uncoated balloon in a Japanese cohort. METHODS: MDT-2113 SFA Japan ( ClinicalTrials.gov identifier NCT01947478) is an independently adjudicated, prospective, randomized, single-blinded trial that randomized (2:1) 100 patients (mean age 73...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29264998/endovascular-distal-plantar-vein-arterialization-in-dialysis-patients-with-no-option-critical-limb-ischemia-and-posterior-tibial-artery-occlusion-a-technique-for-limb-salvage-in-a-challenging-patient-subset
#9
Roberto Gandini, Stefano Merolla, Jacopo Scaggiante, Marco Meloni, Laura Giurato, Luigi Uccioli, Daniel Konda
PURPOSE: To detail a percutaneous technique for distal plantar venous arterialization in diabetic, end-stage renal disease (ESRD) patients with no-option critical limb ischemia (CLI). TECHNIQUE: After failure of standard intraluminal recanalization attempts, a subintimal approach through the posterior tibial artery (PTA) is begun using a 0.014-inch, 190- or 300-cm-long guidewire supported by a 2-×20-mm, low-profile balloon catheter positioned a short distance behind the narrow "U-shaped" loop in the guidewire...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29264997/thoracic-endovascular-aneurysm-sealing-of-a-complex-thoracoabdominal-aneurysm
#10
Emiliano Chisci, Guido Bellandi, Stefano Michelagnoli
PURPOSE: To report bailout treatment of a thoracoabdominal aortic aneurysm using a single Nellix stent and parallel stents. CASE REPORT: A 74-year-old man with multiple comorbidities and a previous fenestrated Anaconda stent-graft for a 60-mm juxtarenal aneurysm was diagnosed with a type IV thoracoabdominal aneurysm on the 2-year computed tomography angiography (CTA) scans. The imaging showed >10-mm downward migration of the proximal Anaconda stent with a massive type Ia endoleak and aneurysmal evolution of the distal descending thoracic aorta; the superior mesenteric artery (SMA) and renal artery covered stents were patent and intact...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29254461/impact-of-lesion-morphology-on-durability-after-angioplasty-of-failed-arteriovenous-fistulas-in-hemodialysis-patients
#11
Kotaro Suemitsu, Tatsuya Shiraki, Osamu Iida, Hiroki Kobayashi, Yuki Matsuoka, Masaaki Izumi, Takeshi Nakanishi
PURPOSE: To investigate if morphological patterns of arteriovenous fistula (AVF) venous lesions affect primary patency after percutaneous transluminal angioplasty (PTA). METHODS: From July 2014 to June 2015, 262 patients underwent PTA for failed AVFs. A total of 104 patients were excluded owing to (1) calcification or AVF occlusion precluding ultrasound examination, (2) central venous or arterial lesions, and (3) no follow-up, leaving 158 patients (mean age 71±12; 96 men) for analysis...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29251207/perioperative-outcomes-from-the-prospective-multicenter-least-invasive-fast-track-evar-life-registry
#12
Zvonimir Krajcer, Venkatesh G Ramaiah, Esteban A Henao, D Chris Metzger, Wayne K Nelson, Mohammed M Moursi, Hiranya A Rajasinghe, Raed Al-Dallow, Larry E Miller
PURPOSE: To determine the feasibility, perioperative resource utilization, and safety of a fast-track endovascular aneurysm repair (EVAR) protocol in well-selected patients. METHODS: Between October 2014 and May 2016, the LIFE (Least Invasive Fast-track EVAR) registry ( ClinicalTrials.gov identifier NCT02224794) enrolled 250 patients (mean age 73±8 years; 208 men) in a fast-track EVAR protocol comprised of bilateral percutaneous access using the 14-F Ovation stent-graft, no general anesthesia, no intensive care unit (ICU) admission, and next-day discharge...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29251206/temporal-changes-in-intraluminal-thrombus-volume-within-abdominal-aortic-aneurysms-implications-for-planning-endovascular-aneurysm-sealing
#13
Kosmas I Paraskevas, Francesco Torella, Charles Swaelens, Andrew England, Tze Y Chan, Usman Shaikh, Richard G McWilliams, Robert K Fisher
PURPOSE: To explore whether or not there are temporal changes in the abdominal aortic aneurysm (AAA) and intraluminal thrombus (ILT) volumes between planning and implantation of the endovascular aneurysm sealing (EVAS) device and how these changes influence lumen volume. METHODS: A retrospective review was conducted of 51 AAA patients (mean age 76±7.1 years; 36 men) in whom 2 serial preoperative computed tomography angiograms (CTAs) had been performed within 1 to 18 months before EVAS...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29251205/novel-endovascular-approach-using-the-gore-iliac-branch-endograft-for-short-iliac-anatomy
#14
Kejia Wang, Laura Dunkley, Michael Neale
PURPOSE: To report the use of a branched iliac endograft to maintain internal iliac artery (IIA) patency in a patient with an infrarenal aortic aneurysm and short common iliac arteries (CIA). CASE REPORT: A 74-year-old man presented with an asymptomatic, fusiform, 67-mm infrarenal aortic aneurysm confirmed on computed tomography. The right CIA was funnel shaped and only 15 mm in length, providing no appropriate stent-graft landing zone. The left CIA measured 14 mm in diameter and 25 mm in length...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29251204/directional-atherectomy-with-antirestenotic-therapy-vs-drug-coated-balloon-angioplasty-alone-for-common-femoral-artery-atherosclerotic-disease
#15
Konstantinos Stavroulakis, Arne Schwindt, Giovanni Torsello, Efthymios Beropoulis, Arne Stachmann, Christiane Hericks, Leonie Bollenberg, Theodosios Bisdas
PURPOSE: To report an experience using directional atherectomy (DA) with antirestenotic therapy (DAART) in the form of drug-coated balloon (DCB) angioplasty vs DCB angioplasty alone in common femoral artery (CFA) occlusive lesions. METHODS: A retrospective review was conducted of 47 consecutive patients (mean age 71 years; 26 men) treated between October 2011 and July 2016 using either DCB angioplasty alone (n=26) or DAART (n=21) for CFA lesions. The majority of patients had lifestyle-limiting claudication (14 DCB and 15 DAART)...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29235388/early-outcomes-of-the-t-branch-off-the-shelf-multibranched-stent-graft-in-urgent-thoracoabdominal-aortic-aneurysm-repair
#16
Konstantinos Spanos, Tilo Kölbel, Myrto Theodorakopoulou, Franziska Heidemann, Fiona Rohlffs, Eike Sebastian Debus, Nikolaos Tsilimparis
PURPOSE: To assess the short-term outcomes of the multibranched off-the-shelf t-Branch stent-graft for urgent thoracoabdominal aortic aneurysm (TAAA) repair and to evaluate the impact on outcomes of the learning curve and adherence to the instruction for use (IFU). METHODS: Between 2014 and 2017, 42 patients (mean age 73.3±7 years; 26 men) underwent urgent TAAA treatment using the t-Branch stent-graft [18 in the early (2014-2015) period and 24 in the late (2016-2017) period]...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29235384/technique-for-fenestrated-stent-graft-implantation-as-a-proximal-extension-to-a-previous-fenestrated-endovascular-repair-for-abdominal-aortic-aneurysm
#17
Konstantinos Spanos, Nikolaos Tsilimparis, Franziska Heidemann, Fiona Rohlffs, Christian-Alexander Behrendt, Eike Sebastian Debus, Tilo Kölbel
PURPOSE: To describe planning and a technique for fenestrated endovascular repair of a large Crawford type IV thoracoabdominal aortic aneurysm after previous 2-fenestration endovascular aneurysm repair (FEVAR). TECHNIQUE: The first FEVAR procedure performed at another center implanted a standard Zenith device with 2 fenestrations and 1 scallop for a juxtarenal abdominal aortic aneurysm. The diameter of the Crawford type IV thoracoabdominal aortic aneurysm had progressed from 68 to 75 mm within a year after the FEVAR...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29219030/laser-atherectomy-combined-with-drug-coated-balloon-angioplasty-is-associated-with-improved-1-year-outcomes-for-treatment-of-femoropopliteal-in-stent-restenosis
#18
Damianos G Kokkinidis, Prio Hossain, Omar Jawaid, Bejan Alvandi, T Raymond Foley, Gagan D Singh, Stephen W Waldo, John R Laird, Ehrin J Armstrong
PURPOSE: To examine whether laser atherectomy combined with drug-coated balloons (laser + DCB) can improve the outcomes of femoropopliteal (FP) in-stent restenosis (ISR). METHODS: A dual-center retrospective study was conducted of 112 consecutive patients (mean age 70.3±10.6 years; 86 men) with Tosaka class II (n=29; diffuse stenosis) or III (n=83; occlusion) FP-ISR lesions. Sixty-two patients (mean age 68.5±10 years; 51 men) underwent laser + DCB while the other 50 patients (mean age 72...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29219029/determination-of-stent-frame-displacement-after-endovascular-aneurysm-sealing
#19
Ruben van Veen, Kim van Noort, Richte C L Schuurmann, Jan Wille, Cornelis H Slump, Jean-Paul P M de Vries
PURPOSE: To describe and validate a new methodology for visualizing and quantifying 3-dimensional (3D) displacement of the stent frames of the Nellix endosystem after endovascular aneurysm sealing (EVAS). METHODS: The 3D positions of the stent frames were registered to 5 fixed anatomical landmarks on the post-EVAS computed tomography (CT) scans, facilitating comparison of the position and shape of the stent frames between consecutive follow-up scans. Displacement of the proximal and distal ends of the stent frames, the entire stent frame trajectories, as well as changes in distance between the stent frames were determined for 6 patients with >5-mm displacement and 6 patients with <5-mm displacement at 1-year follow-up...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29187014/fenestrated-tevar-using-a-guidewire-fixator-for-anchoring-in-aortic-arch-target-vessels
#20
Tilo Kölbel, Linus Bosaeus, Nikolaos Tsilimparis, Franziska Heidemann, Fiona Rohlffs, Krister Liungman
PURPOSE: To report a new facilitated method for securing target vessel access during single fenestrated and branched thoracic endovascular repair using a guidewire fixator. TECHNIQUE: The Liungman Guidewire Fixator (LGF) includes a 0.035-inch guidewire that is fitted with a stopper close to the distal end and a self-expanding anchoring element that is freely movable over the guidewire to the point of the stopper. The technique of using a LGF for anchoring in a target vessel is described in a 75-year-old woman with a 53-mm saccular arch aneurysm...
November 1, 2017: Journal of Endovascular Therapy
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