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https://www.readbyqxmd.com/read/29784901/symptomatic-total-aortic-occlusion
#1
Bogdan Dutu, Dumitru Zdrenghea, Dana Pop, Gabriel Cismaru, Alexandru Martis, Adrian C Iancu
BACKGROUND Aortic occlusion, whether acute or subacute, is a rare but very serious entity with disastrous consequences if not treated in a timely fashion. Rapid diagnosis is crucial in this setting. In surgically treated patients there is a high degree of mortality and morbidity; therefore, percutaneous revascularization, whenever possible and independent of the available techniques, is much more desirable. CASE REPORT A 62-year-old woman with a history of diabetes mellitus, dyslipidemia, hypertension, and peripheral vascular disease, with previous femoral-femoral bypass for right common iliac artery occlusion, and with recent conventional angiography showing near occlusion of the ostial left common iliac artery (the donor vessel for the previous bypass), was referred to our hospital for conventional angioplasty...
May 22, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29784127/endovascular-iliocaval-reconstruction-for-chronic-iliocaval-thrombosis-the-data-where-we-are-and-how-it-is-done
#2
Jeffrey Forris Beecham Chick, Ravi N Srinivasa, Kyle J Cooper, Neil Jairath, Anthony N Hage, Brooke Spencer, Steven D Abramowitz
Iliocaval thrombosis, or thrombosis of the inferior vena cava and iliac veins, is associated with significant morbidity in the form of limb-threatening compromise from phlegmasia cerulean dolens, development of post-thrombotic syndrome, and death secondary to pulmonary embolism. Endovascular iliocaval reconstruction is an effective treatment for iliocaval thrombosis with high levels of technical success, favorable clinical outcomes and stent patency rates, and few complications. It is often able to relieve the debilitating symptoms experienced by affected patients and is a viable option for patients who fail conservative management...
June 2018: Techniques in Vascular and Interventional Radiology
https://www.readbyqxmd.com/read/29780894/multiple-re-entry-closures-after-tevar-for-ruptured-chronic-post-dissection-thoraco-abdominal-aortic-aneurysm
#3
R Kinoshita, F Ganaha, J Ito, N Ohyama, N Abe, T Yamazato, H Munakata, K Mabuni, T Kugai
Introduction: Although thoracic endovascular aortic repair (TEVAR) has become a promising treatment for complicated acute type B dissection, its role in treating chronic post-dissection thoraco-abdominal aortic aneurysm (TAA) is still limited owing to persistent retrograde flow into the false lumen (FL) through abdominal or iliac re-entry tears. Report: A case of chronic post-dissection TAA treatment, in which a dilated descending FL ruptured into the left thorax, is described...
2018: EJVES Short Reports
https://www.readbyqxmd.com/read/29777843/underexpansion-of-wallstents%C3%A2-in-the-treatment-of-nonthrombotic-iliac-vein-lesions
#4
Jacob E Mandel, Yuriy Ostrozhynskyy, Anil Hingorani, Natalie Marks, Enrico Ascher
OBJECTIVE: Iliac vein stenting is increasingly being used in the treatment of venous insufficiency for patients with nonthrombotic iliac vein lesions (NIVL). We have noticed that many stents do not deploy to the expected stent area as designated by the manufactured diameter. The purpose of this study was to evaluate the dynamics of Wallstent® expansion in the iliocaval system. METHODS: Retrospective analysis of all patients with NIVL who were treated with iliac vein stenting using Wallstents®...
May 16, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29772314/urgent-use-of-gore-excluder-iliac-branch-endoprosthesis-ibe-with-left-transaxillary-approach-for-preservation-of-the-residual-hypogastric-artery-a-case-series
#5
D'Oria Mario, Chiarandini Stefano, Pipitone Marco, Calvagna Cristiano, Riccitelli Francesco, Rotelli Alice, Zamolo Francesca, Griselli Filippo
Preservation of the residual hypogastric artery (HGA) in patients with previous endovascular aortic aneurysm repair (EVAR) may require complex operative strategies. We report an alternative technique to preserve the residual HGA with the Gore Excluder Iliac Branch endoprosthesis (IBE) in urgent situations. MethodsWe report the case of two high-risk patients (unfit for open surgery), with previous EVAR and exclusion of one HGA, treated in emergency setting. Both patients met the anatomical requirements for Gore IBE use...
May 14, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29766011/use-of-iliac-branch-device-for-endovascular-treatment-for-abdominal-aorta-aneurysm-with-small-diameter-neck
#6
Umberto G Rossi, Davide Santuari, Raffaello Dallatana, Maurizio Cariati
We present the case of a 78-year-old woman with a 4.5-cm symptomatic abdominal aortic aneurysm with a small diameter (13-mm diameter) infrarenal aortic neck who underwent endovascular treatment using an iliac branch device as a bifurcated aortic stent-graft.
December 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/29766010/single-stage-endovascular-treatment-of-a-penetrating-aortic-ulcer-with-a-concomitant-isolated-iliac-aneurysm
#7
Haidi Hu, Jianming Guo, Hualong Bai, Alan Dardik
Penetrating aortic ulcer (PAU) is an acute aortic syndrome that can proceed to life-threatening aortic dissection or even aortic rupture. Isolated iliac aneurysms are relatively rare and often asymptomatic due to their deep pelvic location but are frequently associated with high mortality with rupture. We report a case of a 68-year-old man with a symptomatic penetrating ulcer in the descending aorta and an asymptomatic right iliac aneurysm involving the common and internal iliac arteries. The patient was successfully treated by endovascular repair in a single-stage manner using stent grafts in the descending aorta and right common iliac artery after coil embolization of the right internal iliac artery...
December 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/29766009/persistent-buttock-claudication-after-endovascular-abdominal-aortic-aneurysm-repair
#8
Alessandro Robaldo, Stefano Pagliari, Filippo Piaggio, Patrizio Colotto
We describe the successful surgical treatment of a 71-year-old man affected by right buttock claudication after a right internal iliac artery (IIA) coil embolization as an adjunct to endovascular iliac artery aneurysm repair. Computed tomography angiography revealed extensive aortoiliac calcifications and thrombus in the vessel walls. Despite patency of the contralateral IIA and preservation of right distal collateral flow through ipsilateral hypogastric branches, the symptom was persistent and disabling. The high-risk patient underwent an "open" repair of the infrarenal abdominal aneurysm with removal of the entire stent-graft and concomitant revascularization of the right IIA...
December 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/29761842/design-and-performance-evaluation-of-real-time-endovascular-interventional-surgical-robotic-system-with-high-accuracy
#9
Kundong Wang, Bing Chen, Qingsheng Lu, Hongbing Li, Manhua Liu, Yu Shen, Zhuoyan Xu
BACKGROUND: Endovascular interventional surgery (EIS) is performed under a high radiation environment at the sacrifice of surgeons' health. This paper introduces a novel endovascular interventional surgical robot that aims to reduce radiation to surgeons and physical stress imposed by lead aprons during fluoroscopic X-ray guided catheter intervention. METHODS: The unique mechanical structure allowed the surgeon to manipulate the axial and radial motion of the catheter and guide wire...
May 15, 2018: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/29757149/use-of-balloon-expandable-stents-to-support-the-efficacy-of-ultra-low-profile-endografts-in-the-treatment-of-abdominal-aortic-aneurysms-with-challenging-iliac-anatomy
#10
Efstratios Georgakarakos, Andreas Koutsoumpelis
No abstract text is available yet for this article.
March 2018: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/29753523/testicular-transposition-in-children-undergoing-brachytherapy-for-bladder-and-or-prostate-rhabdomyosarcoma
#11
Guenolee de Lambert, Cyrus Chargari, Véronique Minard-Colin, Christine Haie-Meder, Florent Guérin, Hélène Martelli
BACKGROUND/PURPOSE: Fertility preservation is a major goal in treatment of children with cancer. We describe a new technique of testicular transposition (TT) in patients treated with pulse-dose-rate (PDR) brachytherapy as part of the multimodal conservative treatment of bladder neck and/or prostate rhabdomyosarcoma (BP RMS). METHODS: Medical records of consecutive patients treated between September 2016 and August 2017 were studied. These patients underwent a TT performed during BP RMS surgery by the same suprapubic incision...
April 13, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29753382/may-thurner-syndrome
#12
Yub Raj Sedhai, Reshma Golamari, Aliaksei Salei, Joseph Alukal, Soney Basnyat, Sunil Pathak, Santosh Timalsina, Subtain Zia, Suraj Malhan, Priyanka T Bhatacharya
This single-center, retrospective review identified 6 patients (n = 6, 100% female) treated by endovascular therapy for May-Thurner syndrome from June 2013 to September 2015. Patients consisted of 3 African American, 2 Caucasian and 1 Asian; mean age was 53.50 ± 8.31 years, range: 39-63 years. Clinical presentations consisted of left lower extremity deep vein thrombosis in 4, left lower extremity deep vein thrombosis with pulmonary embolism in 1 and pulmonary embolism with left common iliac vein thrombosis in 1 patient...
May 2018: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/29742989/femoral-artery-aneurysm-repair-in-a-patient-with-a-fibrillin-2-mutation
#13
Thomas Ratschiller, Hannes Müller, Thomas Schachner, Franz Fellner, Gregor Sulzbacher, Andreas Zierer
Degenerative femoral artery aneurysms are uncommon and often associated with aneurysm in other distributions. We report a case of a 68-year-old man with multianeurysmal disease involving the aorta, iliac, femoral, and popliteal arteries managed interdisciplinary by stent-graft placement and open surgical repair. Genetic testing revealed a variant in the FBN2 gene encoding fibrillin-2, an important component of microfibrils. We detail arterial reconstruction of the femoral artery and discuss incidence, diagnosis, and therapy of femoral artery aneurysms...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29730852/iliac-artery-stent-fracture-associated-with-hip-joint-flexion
#14
Takahito Doi, Osami Kawarada, Takeshi Yagyu, Teruo Noguchi, Satoshi Yasuda
No abstract text is available yet for this article.
May 5, 2018: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29716479/iatrogenic-iliofemoral-vein-dissection-a-rare-complication-of-femoral-artery-puncture
#15
Trong Binh Le, Jun Ho Kim, Keun-Myoung Park, Yong Sun Jeon, Kee Chun Hong, Soon Gu Cho
Iatrogenic iliac vein dissection secondary to femoral artery puncture is a rare complication that has not yet been documented. A 55-year-old woman presented to our institution with acute right iliofemoral thrombosis 2 weeks after transfemoral cerebral angiography. She was previously healthy and was not taking any medication. Right iliofemoral vein dissection was diagnosed by computed tomography angiography and confirmed by conventional venography. The patient was treated endovascularly with stent insertion, and the venous outflow was patent on the 6-month follow-up computed tomography angiogram...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29716473/bursting-fracture-of-balloon-expandable-stent-and-pseudoaneurysm-formation-in-the-left-common-iliac-artery-and-endovascular-treatment-with-graft-stent
#16
Min Kim, Dae In Lee, Ju-Hee Lee, Sang Yeub Lee, Jang-Whan Bae, Kyung-Kuk Hwang, Dong-Woon Kim, Myeong-Chan Cho, Sangmin Kim
PURPOSE: To report successful endovascular treatment of a previously implanted balloon-expandable stent bursting fracture with concomitant large pseudoaneurysm formation in the left common iliac artery (LCIA). CASE REPORT: A 72-year-old man had been previously treated with balloon-expandable stents for severe stenotic lesion in the LCIA and left external iliac artery. Seven years later, the patient complained pain in both lower legs and back. Angiography demonstrated a 3...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29715270/nanosecond-pulsed-electric-fields-promoting-the-proliferation-of-porcine-iliac-endothelial-cells-an-in-vitro-study
#17
Yuchen Zhang, Feihong Dong, Zhengxin Liu, Jinsong Guo, Jue Zhang, Jing Fang
Currently, nanosecond pulsed electric fields (nsPEFs) with short pulse duration and non-thermal effects have various potential applications in medicine and biology, especially in tumor ablation. Additionally, there are a few investigations on its proliferative effects in the normal cell. Clinically, proliferation of endothelial cells can perhaps accelerate the stent endothelialization and reduce the risk of acute thrombosis. To explore the feasibility using nsPEFs to induce proliferation of endothelial cells, in this study, porcine iliac endothelial (PIEC) cell line was cultured and tested by CCK-8 assay after nsPEFs treatment...
2018: PloS One
https://www.readbyqxmd.com/read/29712581/common-iliac-arterial-rectal-fistula-managed-with-endovascular-stenting-in-a-patient-with-history-of-pelvic-external-beam-radiation
#18
Jean-Paul Wuilleumier, James K Gable, Phillip B Ham, Asif Talukder, Gregory H Bowers, Adil M O Abuzeid
No abstract text is available yet for this article.
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29709435/arterial-fistula-after-ileal-conduit-urinary-diversion
#19
Alessandro Morlacco, Filiberto Zattoni
Iliac-urinary fistula is a rare cause of severe hematuria after urinary diversion. Indwelling stents and advanced atherosclerosis may be risk factors. Angiography with embolization is usually resolutive.
April 27, 2018: Urology
https://www.readbyqxmd.com/read/29705226/contralateral-deep-vein-thrombosis-after-iliac-vein-stent-placement-in-patients-with-may-thurner-syndrome
#20
Trong Binh Le, Taeg Ki Lee, Keun-Myoung Park, Yong Sun Jeon, Kee Chun Hong, Soon Gu Cho
PURPOSE: To investigate the incidence and potential causes of contralateral deep vein thrombosis (DVT) after common iliac vein (CIV) stent placement in patients with May-Thurner syndrome (MTS). MATERIALS AND METHODS: Data of 111 patients (women: 73%) who had CIV stent implantation for symptomatic MTS at a single center were retrospectively analyzed. Mean patient age was 63.1 ± 15.2 years. Median follow-up was 36 months (range, 1-142 months). Stent location was determined by venogram and classified as extended to the inferior vena cava (IVC), covered the confluence, or confined to the iliac vein...
April 25, 2018: Journal of Vascular and Interventional Radiology: JVIR
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