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aortoiliac occlusive disease

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https://www.readbyqxmd.com/read/27908824/arteriographic-patterns-of-atherosclerosis-and-the-association-between-diabetes-mellitus-and-ethnicity-in-chronic-critical-limb-ischemia
#1
Jayer Chung, J Gregory Modrall, Martyn Knowles, Qun Xiang, Lawrence A Lavery, Carlos H Timaran, R James Valentine
BACKGROUND: Disparate outcomes in critical limb ischemia (CLI) persist between ethnicities. The contribution of modifiable factors versus intrinsic biologic differences remains unclear. Hence, we aimed to quantify the associations between ethnicity and anatomic patterns of arterial occlusive disease in CLI, adjusting for known atherosclerotic risk factors. METHODS: We performed a retrospective, single-center review of consecutive patients presenting to the vascular surgery service with CLI...
November 28, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27872317/first-in-human-experience-with-the-gore-balloon-expandable-covered-endoprosthesis-in-iliac-artery-occlusive-disease
#2
Andrew Holden, Stephen Merrilees, Brendan Buckley, Brigid Connor, Frances Colgan, Andrew Hill
PURPOSE: To report the first-in-human iliac artery experience of a new balloon-expandable covered endoprosthesis. METHODS: A prospective, single-center pilot study recruited 30 symptomatic patients (mean age 64 years; 18 men) to evaluate the safety and early efficacy of the new Gore balloon-expandable covered endoprosthesis for the treatment of de novo or restenotic common and/or external iliac artery lesions. According to protocol, up to 2 discrete lesions could be treated with a maximum total treated length ≤110 mm...
November 21, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27800205/anterior-rectal-resection-in-a-patient-with-aortoiliac-occlusive-disease-and-coexisting-collateral-pathways-management-and-pitfalls
#3
Floryn Cherbanyk, Jean-Loup Gassend, Olivier Martinet, Snezana Andrejevic-Blant, Henri-Marcel Hoogewoud
Chronic aortoiliac occlusive disease most often affects the common iliac arteries and distal aorta but can progress all the way to the renal arteries, occluding the inferior mesenteric artery. A compensatory collateral network typically develops to preserve lower body perfusion. Inadvertent compression or ligation of such collaterals during surgery can have catastrophic consequences. In this article, we present the case of a 63-year-old patient with aortoiliac occlusive disease, requiring surgery for an adenocarcinoma of the rectosigmoid junction...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27793624/patency-of-the-internal-iliac-artery-after-placement-of-common-and-external-iliac-artery-stents
#4
Margie Vinogradova, Hye Joon Lee, Ehrin J Armstrong, John Laird, Misty Humphries
INTRODUCTION: Treatment of severe AortoIliac Occlusive Disease (AIOD) frequently requires long segment stenting of the common and external iliac arteries. This study aims to analyze the patency of the internal iliac artery after placement of a common and external iliac artery stents across the orifice. METHODS: A retrospective analysis of all patients that underwent de novo ipsilateral stent placement in the CIA and EIAs between 2006 and 2013 was performed. Kaplan Meier analysis was used to analyze patency of the IIA and Cox proportional hazards models were used to identify characteristics associated with occlusion...
October 25, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27793622/tibioperoneal-occlusive-disease-a-review-of-below-the-knee-endovascular-therapy-in-patients-with-critical-limb-ischemia
#5
Kathryn B Muir, Patrick R Cook, Maxwell R Sirkin, Gilbert Aidinian
INTRODUCTION AND OBJECTIVES: Tibioperoneal occlusive disease is one of the most difficult disease processes to successfully treat. Previous studies have attempted to address the outcomes of tibial interventions in this patient population; however, the majority of these study cohorts are composed of patients who have undergone concomitant aortoiliac or femoral procedures. Our objective was to present the outcomes of patients treated with endovascular intervention for isolated below-the-knee atherosclerotic disease causing critical limb ischemia (CLI)...
October 25, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27765483/endovascular-treatment-of-transatlantic-inter-society-consensus-d-aortoiliac-occlusive-disease-using-unibody-bifurcated-endografts
#6
Robert M Van Haren, Lee J Goldstein, Omaida C Velazquez, Jagajan Karmacharya, Arash Bornak
OBJECTIVE: Aortobifemoral bypass has been the gold standard treatment for extensive aortoiliac occlusive disease. Endovascular therapy and stenting of aortic and iliac occlusive lesions has proven to be efficacious, especially when dealing with short segment lesions. Endovascular treatment of TransAtlantic Inter-Society Consensus II (TASC) D aortoiliac occlusive lesions remains a challenge, but a valuable treatment option in poor surgical candidates. We present our operative technique and midterm results in treating TASC D aortoiliac occlusive disease using unibody bifurcated endografts...
October 17, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27763313/national-comparison-of-hybrid-and-open-repair-for-aortoiliac-femoral-occlusive-disease
#7
Matthew Mell, Elsie Gyang Ross, Marco Zavatta
No abstract text is available yet for this article.
August 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27751334/comparison-of-transfemoral-vs-transbrachial-approach-for-angioplastic-reconstruction-of-chronic-total-aortoiliac-occlusion
#8
Sheshagiri Rao Damera, Ramachandra Barik, Akula Siva Prasad
The angioplasty of chronic total aortoiliac occlusion using transfemoral is controversial. From March 2014 to December 2015, four consecutive patients (4 males; mean age 58.2±6.8 years; age of range 51-65 years) underwent angioplasty and stenting of TASC-D occlusion. In all the cases, we failed to cross from femoral approach. On switching over to left brachial access, angioplasty was done successfully in all. There was no procedural site complication or clinical evidence cerebral thromboembolism. Self-expandable stents were implanted in all with adequate pre and post dilation...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27743806/hemodynamic-comparison-of-stent-configurations-used-for-aortoiliac-occlusive-disease
#9
Erik Groot Jebbink, Varghese Mathai, Johannes T Boersen, Chao Sun, Cornelis H Slump, Peter C J M Goverde, Michel Versluis, Michel M P J Reijnen
BACKGROUND: Endovascular treatment of aortoiliac occlusive disease entails the use of multiple stents to reconstruct the aortic bifurcation. Different configurations have been applied and geometric variations exist, as quantified in previous work. Other studies concluded that specific stent geometry seems to affect patency. These variations may affect local flow patterns, resulting in different wall shear stress (WSS) and oscillating shear index (OSI). The aim of this study was to compare the effect of different stent configurations on flow perturbations (recirculation and fluid stasis), WSS, and OSI in an in vitro setup...
October 12, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27742898/initial-experience-with-covered-endovascular-reconstruction-of-the-aortic-bifurcation-in-conjunction-with-chimney-grafts
#10
Martijn L Dijkstra, Peter C J M Goverde, Andrew Holden, Clark J Zeebregts, Michel M P J Reijnen
PURPOSE: To show feasibility of the covered endovascular repair of the aortic bifurcation (CERAB) technique in conjunction with chimney grafts in aortic side branches for complex aortoiliac occlusive disease. METHODS: Two European centers and one facility located in New Zealand participated in a retrospective observational study that enrolled 14 consecutive patients (mean age 61.2±8.9 years; 11 men) treated with CERAB in conjunction with chimney graft(s) between December 2012 and May 2015...
October 14, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27713633/comparison-of-the-acute-phase-response-after-laparoscopic-versus-open-aortobifemoral-bypass-surgery-a-substudy-of-a-randomized-controlled-trial
#11
Anne H Krog, Mehdi Sahba, Erik M Pettersen, Irene Sandven, Per M Thorsby, Jørgen J Jørgensen, Jon O Sundhagen, Syed Ss Kazmi
PURPOSE: Minimally invasive surgical techniques have been shown to reduce the inflammatory response related to a surgical procedure. The main objective of our study was to measure the inflammatory response in patients undergoing a totally laparoscopic versus open aortobifemoral bypass surgery. This is the first randomized trial on subjects in this population. PATIENTS AND METHODS: This is a substudy of a larger randomized controlled multicenter trial (Norwegian Laparoscopic Aortic Surgery Trial)...
2016: Vascular Health and Risk Management
https://www.readbyqxmd.com/read/27666807/abdominal-aortic-surgery-in-the-presence-of-inferior-vena-cava-anomalies-a-case-series
#12
Andreja Dimic, Miroslav Markovic, Slobodan Cvetkovic, Ilijas Cinara, Igor Koncar, Lazar Davidovic
BACKGROUND: Left-sided inferior vena cava (LIVC) and duplicated inferior vena cava (DIVC) are rare asymptomatic congenital abnormalities. Unrecognized, these anomalies can be the source of major injuries and cause serious life threatening bleeding complications especially during abdominal aortic surgery. METHODS: Retrospective data for patients with two major inferior vena cava (IVC) anomalies that underwent aortic surgery over a 13-year period were collected. Patient demographics, type of aortic disease and caval anomaly, surgical approach, type of aortic reconstruction associated with procedure on caval vein, postoperative complications and in-hospital mortality were recorded...
September 22, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27586091/the-nellix%C3%A2-endovascular-sealing-system-in-patients-with-abdominal-aortic-aneurysms-in-conjunction-with-iliac-artery-occlusive-disease
#13
Steven Mm van Sterkenburg, Leo H van den Ham, Luuk Smeets, Jan-Willem Lardenoije, Michel Mpj Reijnen
INTRODUCTION: Concomitant abdominal aortic aneurysm formation and aortoiliac occlusive disease is a challenging combination, often requiring open reconstructive surgery. In this study, we have assessed a single center experience of the Nellix EndoVascular Aneurysm Sealing System in the treatment of an abdominal aortic aneurysm in conjunction with iliac artery occlusive disease. METHODS: Retrospectively case files of patients treated with Nellix EndoVascular Aneurysm Sealing System in a single center were reviewed...
August 31, 2016: Vascular
https://www.readbyqxmd.com/read/27586013/the-impact-of-inflow-treatment-for-claudicants-with-both-aortoiliac-and-femoropopliteal-occlusive-disease
#14
Takashi Maekawa, Kimihiro Komori, Akio Kodama, Hiroshi Banno, Hiroshi Narita, Masayuki Sugimoto
PURPOSE: This study evaluated the early and long-term results of the sole use of endovascular treatment in the treatment of inflow lesions in claudicants with both aortoiliac and femoropopliteal (FP) lesions. METHODS: A retrospective study that included 100 limbs in 73 patients was performed. The patency rates of aortoiliac artery stents, the continued clinical improvement rates, the risk factors for persistent disabling claudication after inflow revascularization, and the rates of freedom from additional FP procedures were examined...
September 1, 2016: Surgery Today
https://www.readbyqxmd.com/read/27558461/comparison-of-transradial-vs-transfemoral-access-for-aortoiliac-and-femoropopliteal-interventions-a-single-center-experience
#15
Andrew K Roy, Phillipe Garot, Yves Louvard, Antoinette Neylon, Marco Spaziano, Fadi J Sawaya, Leticia Fernandez, Yann Roux, Raphael Blanc, Michel Piotin, Stephane Champagne, Oscar Tavolaro, Hakim Benamer, Thomas Hovasse, Bernard Chevalier, Thierry Lefèvre, Thierry Unterseeh
PURPOSE: To compare the procedure and safety outcomes of the transradial approach (TRA) with the femoral approach (FA) for treating aortoiliac and femoropopliteal stenoses and occlusions. METHODS: A single-center retrospective study was conducted involving 188 patients (mean age 66.4±10.8 years; 116 men) with lower limb claudication or critical limb ischemia who underwent aortoiliac (131, 62.4%) or femoropopliteal (79, 37.6%) interventions on 210 lesions over a 3-year period...
August 24, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27492764/a-multicenter-12-month-experience-with-a-new-iliac-side-branched-device-for-revascularization-of-hypogastric-arteries
#16
Spyridon N Mylonas, Gerhard Rümenapf, Hubert Schelzig, Jörg Heckenkamp, Marwan Youssef, Jost Philipp Schäfer, Wael Ahmad, Jan Sigge Brunkwall
OBJECTIVE: The aim of this study was to investigate the 1-year safety and efficacy of a new iliac side-branched device (IBD) for revascularization of the hypogastric arteries. METHODS: Patients receiving the E-liac (Jotec GmbH, Hechingen, Germany) side-branched device at six German vascular centers either as a stand-alone procedure or in combination with abdominal aortic aneurysm exclusion were included in a prospectively created data bank. Collected data were analyzed for baseline characteristics, procedural events, and clinical follow-up; variables included endoleaks, reinterventions, and internal iliac artery (IIA) patency...
August 1, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27439927/recanalization-of-total-aortoiliac-occlusion-via-contralateral-aortofemoral-bypass-graft
#17
Mahmut Tuna Katırcıbaşı, Uğur Özkan
Severe aortoiliac disease is traditionally treated with aortofemoral bypass (AFB). However, certain recurrent problems typically follow this type of treatment, problems which often require surgical intervention. Presently described is the endovascular recanalization of the native aortoiliac arteries in 2 patients who had undergone AFB. One patient with a history of aortounifemoral bypass graft had a newly emerged distal abdominal aorta and contralateral iliac artery occlusion as a result of progressive atherosclerosis...
July 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/27435516/right-minithoracotomy-for-mitral-valve-surgery-impact-of-tailored-strategies-on-early-outcome
#18
Cristina Barbero, Giovanni Marchetto, Davide Ricci, Suad El Qarra, Matteo Attisani, Claudia Filippini, Massimo Boffini, Mauro Rinaldi
BACKGROUND: Interest in right minithoracotomy mitral valve surgery (MVS) is rapidly growing and, to date, different perfusion strategies and aortic clamping techniques are available. However each approach carries specific advantages and drawbacks. This retrospective study analyses our experience in right minithoracotomy MVS with different arterial perfusion and aortic clamping strategies, highlighting the results of a patient tailored approach. METHODS: Between March 2009 and March 2014, 460 patients with a full preoperative work-up that included also aortoiliac-femoral axis' screening underwent right minithoracotomy MVS...
December 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27344435/study-design-and-rationale-of-the-balloon-expandable-cobalt-chromium-scuba-stent-versus-self-expandable-complete-se-nitinol-stent-for-the-atherosclerotic-iliac-arterial-disease-sens-iliac-trial-trial-study-protocol-for-a-randomized-controlled-trial
#19
Woong Gil Choi, Seung Woon Rha, Cheol Ung Choi, Eung Ju Kim, Dong Joo Oh, Yoon Hyung Cho, Sang Ho Park, Seung Jin Lee, Ae Yong Hur, Young Guk Ko, Sang Min Park, Ki Chang Kim, Joo Han Kim, Min Woong Kim, Sang Min Kim, Jang Ho Bae, Jung Min Bong, Won Yu Kang, Jae Bin Seo, Woo Yong Jung, Jang Hyun Cho, Do Hoi Kim, Ji Hoon Ahn, Soo Hyun Kim, Ji Yong Jang
BACKGROUND: The self-expandable COMPLETE™ stent (Medtronic) has greater elasticity, allowing it to regain its shape after the compression force reduces, and has higher trackability, thus is easier to maneuver through tortuous vessels, whereas the balloon-expandable SCUBA™ stent (Medtronic) has higher radial stiffness and can afford more accurate placement without geographic miss, which is important in aortoiliac bifurcation lesions. To date, there have been no randomized control trials comparing efficacy and safety between the self-expanding stent and balloon-expandable stent in advanced atherosclerotic iliac artery disease...
June 25, 2016: Trials
https://www.readbyqxmd.com/read/27322973/a-path-to-avoid-during-transcatheter-aortic-valve-implantation-case-report
#20
Rodney De Palma, Magnus Settergren, Andreas Rück, Anders Svensson, Kari Feldt, Nawsad Saleh
Collateral pathways in vascular disease are important natural "bypass" conduits that protect against ischemia. Endovascular diagnostic and therapeutic procedures via peripheral access sites are performed frequently. This case report underlines the importance of being aware of collateral circulation in patients with chronic aortoiliac occlusive disease undergoing subclavian transcatheter aortic valve implantation to avoid acute limb ischemia. (©) RSNA, 2016.
July 2016: Radiology
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