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Iliac artery aneurysm

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https://www.readbyqxmd.com/read/29349440/preservation-of-internal-iliac-arteries-during-endovascular-aneurysm-repair-using-eye-of-the-tiger-technique
#1
Tariq Almerey, W Andrew Oldenburg
Parallel endografts were introduced as a way to expand endovascular repair of aneurysms involving branch vessels. However, endoleaks as a result of the gutters between the parallel endografts made this technique less favorable. The "eye of the tiger" technique was introduced to reduce the gutters between the parallel endografts proximally in the aorta. We report endovascular repair of infrarenal abdominal aortic aneurysm using eye of the tiger technique distally to preserve the internal iliac arteries.
December 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29349429/repair-of-a-mycotic-abdominal-aortic-aneurysm-in-a-neonate-using-an-everted-jugular-vein-patch
#2
Samantha L Ahle, Jonathan A Cardella, Muriel A Cleary, David H Stitelman, Timur P Sarac, Michael G Caty
A 43-day-old boy presented with bacteremia after umbilical artery catheterization. Duplex ultrasound examination revealed a 1.1- × 1.6-cm mycotic infrarenal aortic aneurysm and an incidental asymptomatic occluded right common iliac artery. Resection and repair were completed by creating an everted, double-layered internal jugular vein patch. Screening ultrasound examination 10 months postoperatively demonstrated successful repair.
December 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29349421/large-diameter-inferior-mesenteric-artery-in-a-case-involving-a-ruptured-common-iliac-artery-aneurysm
#3
Shinsuke Kikuchi, Hisashi Uchida, Atsuhiro Koya, Nobuyoshi Azuma
No abstract text is available yet for this article.
December 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29349417/emergent-endovascular-repair-of-a-ruptured-giant-internal-iliac-artery-aneurysm-using-an-inverted-iliac-limb-endograft
#4
Bruce L Tjaden, Rana O Afifi, Hazim J Safi
No abstract text is available yet for this article.
September 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29349372/successful-off-label-use-of-the-gore-excluder-iliac-branch-endoprosthesis-to-preserve-gluteal-perfusion-during-staged-endovascular-repair-of-bilateral-isolated-hypogastric-aneurysms
#5
James W Cornwall, Daniel K Han, Daniel I Fremed, Peter L Faries, Ageliki G Vouyouka
Endovascular repair of iliac artery aneurysms has emerged as an alternative to traditional open surgical repair. Although there is little consensus on indications to preserve hypogastric blood flow during aneurysm repair, it is well understood that complications from bilateral hypogastric occlusion may be significant. The GORE EXCLUDER Iliac Branch Endoprosthesis (W. L. Gore and Associates, Flagstaff, Ariz) received United States Food and Drug Administration approval in March 2016 for treatment of common iliac artery and aortoiliac aneurysms...
March 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29346011/minimally-invasive-management-of-severe-aortoiliac-occlusive-disease
#6
Luigi Pascarella, Maen Aboul Hosn
BACKGROUND: Peripheral arterial disease (PAD) is a complex and highly prevalent pathology. It has been estimated that ∼8.5 million people in the United States are affected by PAD, of which 12%-20% are older than age 60. The TransAtlantic Inter-Society Consensus (TASC) guidelines classified aortoiliac atherosclerotic disease based on morphology and level of lesions. TASC II guidelines recommend bilateral surgical bypass to the femoral arteries for TASC II C and D lesions. The aortobifemoral bypass (ABF) has been considered the gold standard in the treatment of aortoiliac occlusive disease (AIOD)...
January 18, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29320330/cardiovascular-manifestations-and-complications-of-loeys-dietz-syndrome-ct-and-mr-imaging-findings
#7
William W Loughborough, Kishore S Minhas, Jonathan C L Rodrigues, Stephen M Lyen, Helen E Burt, Nathan E Manghat, Marcus J Brooks, Graham Stuart, Mark C K Hamilton
Loeys-Dietz syndrome (LDS) is a recently described genetic connective tissue disorder with a wide spectrum of multisystem involvement. LDS is characterized by rapidly progressive aortic and peripheral arterial aneurysmal disease. LDS and the other inherited aortopathies such as Marfan syndrome have overlapping phenotypic features. However, LDS is characterized by a more aggressive vascular course; patient morbidity and mortality occur at an early age, with complications developing at relatively smaller aortic dimensions...
January 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29313456/up-and-over-technique-for-implantation-of-iliac-branch-devices-after-prior-aortic-endograft-repair
#8
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/29299625/initial-experience-with-the-e-liac%C3%A2-iliac-branch-device-for-the-endovascular-aortic-repair-of-aorto-iliac-aneurysm
#9
Susanne Anton, Marcus Wiedner, Erik Stahlberg, Fabian Jacob, Jörg Barkhausen, Jan Peter Goltz
PURPOSE: Occlusion of internal iliac arteries during endovascular treatment (EVAR) of abdominal aortic (AAA) and common iliac artery aneurysms might be associated with ischemic pelvic complications. This study evaluates technical and clinical success, safety and mid-term results of a novel iliac branch device (IBD) for revascularization of the internal iliac artery (IIA) during EVAR. MATERIALS AND METHODS: Retrospectively, we identified 21 men (mean age 73.3 ± 6...
January 3, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29251205/novel-endovascular-approach-using-the-gore-iliac-branch-endograft-for-short-iliac-anatomy
#10
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/29242068/hybrid-repair-of-abdominal-aortic-aneurysm-in-a-patient-with-poliomyelitis-related-deformities
#11
Shin-Seok Yang
A 63-year-old man presented with an asymptomatic infrarenal abdominal aortic aneurysm. He had scoliosis and atrophic right leg change as sequelae of poliomyelitis. The patient was not a candidate for endovascular aneurysm repair because of anatomic unsuitability. An open surgical repair was performed by the retroperitoneal approach because of severe scoliosis and left lateral aneurysm deviation. To minimize contralateral exposure, the Viabahn stent graft (W. L. Gore & Associates, Flagstaff, Ariz) was inserted in the right external iliac artery and anastomosed with the right expanded polytetrafluoroethylene graft limb...
December 11, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29224942/fenestrated-endovascular-aortic-aneurysm-repair-using-physician-modified-endovascular-grafts-versus-company-manufactured-devices
#12
Shernaz S Dossabhoy, Jessica P Simons, Julie M Flahive, Francesco A Aiello, Parth Sheth, Edward J Arous, Louis M Messina, Andres Schanzer
OBJECTIVE: Fenestrated endografts are customized, patient-specific endovascular devices with potential to reduce morbidity and mortality of complex aortic aneurysm repair. With approval from the U.S. Food and Drug Administration, our center began performing fenestrated endovascular aneurysm repair through a physician-sponsored investigational device exemption (IDE #G130210), using both physician-modified endografts (PMEGs) and company-manufactured devices (CMDs). Because these techniques are associated with specific advantages and disadvantages, we sought to investigate differences in outcomes between PMEG and CMD cases...
December 7, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29221957/endovascular-repair-of-complex-juxtarenal-aortic-aneurysm-using-a-combined-fenestrated-endograft-and-chimney-technique
#13
REVIEW
Zaher Fanari, Nilesh J Goswami
Chimney EVAR (CHEVAR) and Fenestrated EVAR (FEVAR) are two options for management of very complex abdominal aortic aneurysm (AAA). While some anatomical factors may favor one strategy over the other, there are some cases where the anatomical challenges may require using a hybrid approach. We are reporting the case of an 84-year-old male with a 6.8×5.7cm infrarenal abdominal aortic aneurysm that arises immediately below the level of the renal arteries and extends down to just above the iliac bifurcation with occluded celiac and inferior mesenteric arteries and severe bilateral renal artery stenosis with caudally oriented right renal and cranially oriented left renal artery...
November 22, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29221920/treatment-of-infected-aneurysm-with-combined-endovascular-aneurysm-repair-and-abscess-drainage
#14
Ken Nakajima, Noriyuki Kato, Takashi Hashimoto, Shuji Chino, Takatoshi Higashigawa, Takafumi Ouchi, Toshiya Tokui, Yoichiro Miyake, Hajime Sakuma
PURPOSE: To evaluate the clinical utility of combination therapy with endovascular aneurysm repair (EVAR) and abscess drainage for the treatment of infected aneurysms. MATERIALS AND METHODS: Between July 2009 and May 2015, 8 patients underwent combination therapy with EVAR and abscess drainage. There were 5 men and 3 women, with a mean age of 75 years ± 7. Aneurysms were of the thoracic aorta in 5 patients, the abdominal aorta in 2, and the internal iliac artery in 1...
December 5, 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29203041/-management-of-isolated-iliac-aneurysms-a-tunisian-center-experience
#15
H Jmal, H Ben Jmaà, S Masmoudi, T Cherif, H Cheikhrouhou, A Maalej, N Elleuch, A Jemel, I Frikha
Isolated aneurysms of the iliac arteries are rare. The diagnoses of these aneurysms become easier with non-invasive radiologic investigations. The development of endovascular treatment is a recent alternative to surgical treatment. We report our experience in the management of 8 cases of isolated iliac aneurysms in the department of cardiovascular and thoracic surgery of the Habib Bourguiba Hospital of Sfax.
December 2017: Journal de Médecine Vasculaire
https://www.readbyqxmd.com/read/29197608/use-of-double-barrel-gore-excluder-bifurcated-endografts-for-renal-artery-incorporation-in-an-urgent-endovascular-repair-of-a-thoracoabdominal-aortic-aneurysm
#16
Cali E Johnson, Sung W Ham, Kenneth Ziegler, Fred A Weaver, Vincent L Rowe, Sukgu M Han
Total endovascular repair of a thoracoabdominal aortic aneurysm (TAAA) in an urgent setting requires an advanced endovascular skill set and an innovative approach. We describe a novel technique of treating a symptomatic Crawford extent 4 TAAA with a combination of multi-layered parallel endografting and double-barrel Gore Excluder bifurcated endografts to achieve complete aneurysm exclusion with visceral and bilateral renal artery incorporation. A 75-year-old male presented with a symptomatic 10cm Crawford extent 4 TAAA...
November 29, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29197602/continuous-flow-perfused-cadaver-model-for-endovascular-training-research-and-development
#17
Amrita Sarkar, Richa Kalsi, Joseph D Ayers, Charles B Drucker, Vaidehi Kaushal, William Sutton, Robert S Crawford
BACKGROUND: Endovascular simulation employing computer, animal, and static models are common and useful adjuncts for teaching endovascular procedures and developing novel, complex endovascular techniques. Unfortunately, these models lack realistic haptic feedback and thus do not faithfully replicate many of the technical challenges associated with clinical endovascular procedures (e.g., arterial calcification, rigidity, and stenosis). We sought to develop a realistic and reproducible perfused cadaver model for endovascular training, device development and research...
November 29, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29192601/infectious-aneurysm-of-the-two-primary-iliac-arteries-rare-localization-of-salmonella-typhimurium-infection
#18
Anass Rochdi, Othman Zahdi, Karim Souly, Youssef Tijani, Youness Mechal, Nada Benjelloun, Brahim Lekehal, Yassir Sefiani, Abbes El Mesnaoui, Younes Bensaid, Mimoun Zouhdi
Infectious aneurysm is a severe entity of the aneurysmal pathology, due essentially to a bacterial agent. The most frequently implicated organisms are salmonella and staphylococci. We report the case of an infectious aneurysm of the two primitive iliac arteries with Salmonella typhimurium in a 70-year-old man.
December 1, 2017: Annales de Biologie Clinique
https://www.readbyqxmd.com/read/29162027/nonenhanced-mri-planning-for-endovascular-repair-of-abdominal-aortic-aneurysms-comparison-with-contrast-enhanced-ct-angiography
#19
Filippo Piacentino, Federico Fontana, Camilla Micieli, Maria G Angeretti, Larissa Nocchi Cardim, Andrea Coppola, Valeria Molinelli, Gabriele Piffaretti, Raffaele Novario, Carlo Fugazzola
BACKGROUND: To assess whether noncontrast-enhanced magnetic resonance imaging (NC-MRI) is an alternative to contrast-enhanced computed tomography angiography (CTA) for aortoiliac measurements before endovascular abdominal aortic aneurysm repair (EVAR). METHODS: This study encompasses 30 patients admitted for elective EVAR (27 men and 3 women). Two expert readers (vascular radiologist and vascular surgeon) reviewed CTA images in consensus and chose the proper endograft for each patient...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29162025/atypical-endoleak-associated-with-inadvertent-cannulation-of-the-ipsilateral-gate-in-an-ovation-trimodular-stent-graft
#20
Geert Maleux, Sabrina Houthoofd, Lien Poorteman, Inge Fourneau
We report on a 54-year-old man who presented with an atypical, proximal, intraoperative endoleak after endovascular aortic repair with an Ovation endograft for a 65-mm-diameter abdominal aortic aneurysm. The endografting was complicated by inadvertent bilateral iliac limb insertion into the right gate without cannulation of the left gate. The endoleak was treated by brachial approach: Through the open left gate, the outflow inferior mesenteric artery was coil embolized and the inflow left gate was closed with an Amplatzer plug...
January 1, 2017: Vascular and Endovascular Surgery
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