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https://www.readbyqxmd.com/read/29439891/resuscitative-endovascular-balloon-occlusion-of-the-aorta-using-a-low-profile-device-is-easy-and-safe-for-emergency-physicians-in-cases-of-life-threatening-hemorrhage
#1
Takahiro Shoji, Takehiko Tarui, Takashi Igarashi, Yuki Mochida, Hiroyuki Morinaga, Yasuhiko Miyakuni, Yoshitaka Inoue, Yasuhiko Kaita, Hiroshi Miyauchi, Yoshihiro Yamaguchi
BACKGROUND: Bleeding from hemorrhagic shock can be immediately controlled by blocking the proximal part of the hemorrhagic point using either resuscitative thoracotomy for aortic cross-clamping or insertion of a large-caliber (10-14Fr) resuscitative endovascular balloon occlusion of the aorta (REBOA) device via the femoral artery. However, such methods are very invasive and have various complications. With recent progress in endovascular treatment, a low-profile REBOA device (7Fr) has been developed...
February 10, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29433410/snorkel-technique-for-inferior-mesenteric-artery-during-endovascular-repair-of-abdominal-aortic-aneurysm
#2
Serkan Ertugay, Ahmet Daylan, Halil Bozkaya, Emrah Oğuz, Anıl Apaydın, Mustafa Parıldar, Hakan Posacıoğlu
PURPOSE: The snorkel technique is commonly used to preserve renal arteries in juxta renal aneurysm during endovascular repair. Herein, we present a patient who underwent bifurcated endograft implantation with snorkel technique for inferior mesenteric artery (IMA) in order to preserve the major source of bowel circulation. CASE REPORT: A 69-year-old male patient was diagnosed with abdominal aortic aneurysm. His history revealed that he had bowel resection due to a car accident 30 years ago...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29428533/greater-compliance-within-instruction-for-use-ifu-for-concomitant-iliac-aneurysms-and-adverse-aneurysm-characteristics-initial-experience-with-the-nellix-endovascular-aneurysm-sealing-system-evas-at-a-single-institution
#3
J X Hing, J K Ch'ng, K H Tay, T T Chong
AIM: The Nellix was introduced to Asia in 2014. Data in Asians have been sparse. Two balloon expandable stents, each surrounded by a polymer-filled endobag are deployed in parallel to obliterate and seal the aneurysm. This paradigm shift to treating abdominal aortic aneurysms confers advantages for certain adverse aneurysm morphology that is outside the IFU for standard EVAR devices. We examine outcomes of fifteen Asian patients with concomitant infrarenal aortic and iliac artery aneurysms treated with the Nellix at our institution...
February 8, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29425771/early-outcomes-with-fast-track-evar-in-teaching-and-nonteaching-hospitals
#4
Hiranya A Rajasinghe, Larry E Miller, Zvonimir Krajcer
PURPOSE: To determine feasibility, safety, and effectiveness of a fast-track endovascular aneurysm repair (EVAR) protocol at teaching and nonteaching hospitals. METHODS: Patients underwent a fast-track EVAR protocol comprised of bilateral percutaneous access using a 14 Fr stent graft, avoidance of general anesthesia and intensive care admission, and next-day discharge. Patients were followed through 1 month post-treatment. Participating hospitals were categorized by teaching status (teaching vs...
February 6, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29421425/a-custom-made-treovance%C3%A2-abdominal-aortic-aneurysm-endograft-to-correct-late-failure-of-trombone-technique-with-a-tube-endograft
#5
George S Georgiadis, Christos Argyriou, Christina D Valsamidou, Alexandrina S Nikova, Miltos K Lazarides
PURPOSE: Unfavorable anatomy is one of the major limitations of endovascular aortic aneurysm repair (EVAR) with specifically, adverse proximal neck morphology excluding many patients from receiving the standard endograft devices. Thoracic tube endografts have been used to overcome the issue of wide infrarenal necks, either as a sole device (single tubes or double tubes using the trombone technique) or as the proximal part of a bifurcated device fixed to the aortic bifurcation or infrarenally oriented...
February 5, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29421424/renal-fenestration-closure-technique-in-fenestrated-endovascular-repair-for-para-renal-aortic-aneurysm
#6
E Gallitto, M Gargiulo, G Faggioli, A Sonetto, C Mascoli, R Pini, M Abualhin, A Stella
PURPOSE: To describe an endovascular technique to close a renal artery fenestration during fenestrated endograft implant for a para-renal aneurysm (p-AAA) without interfering with other visceral vessels REPORT: A 76-year-old-male with p-AAA underwent repair by a four fenestrations custom-made endograft. At the intra-procedural angiography, the right renal artery was occluded. In order to avoid a high-flow endoleak from fenestration, we performed the following technique: a 9F-steerable sheath was used to advance a 7F-sheath through the fenestration into aneurism...
February 5, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29421415/clinical-outcomes-of-total-endovascular-aneurysm-repair-for-aortic-aneurysms-involving-the-proximal-anastomotic-aneurysm-following-initial-open-repair-for-infrarenal-abdominal-aortic-aneurysm
#7
Takeshi Baba, Takao Ohki, Yuji Kanaoka, Koji Maeda, Naoki Toya, Hiroki Ohta, Soichiro Fukushima, Masayuki Hara
PURPOSE: To evaluate initial and midterm clinical outcomes of aortic aneurysms involving the proximal anastomotic aneurysm (AAPAA) following initial open repair for infrarenal abdominal aortic aneurysm. METHODS: Between July 2006 and August 2015, 24 patients underwent elective endovascular repair for the treatment of AAPAAs at our institution. AAPAA classification has been categorized as three types. Type I AAPAA is the most extensive, extending from the descending aorta to the prior proximal anastomosis as similar to Crawford type II or III thoracoabdominal aortic aneurysm (TAAA)...
February 5, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29417985/nationwide-analysis-of-risk-factors-for-in-hospital-mortality-in-patients-undergoing-abdominal-aortic-aneurysm-repair
#8
M Trenner, A Kuehnl, B Reutersberg, M Salvermoser, H-H Eckstein
BACKGROUND: There is increasing awareness that women may have worse outcomes following repair of abdominal aortic aneurysm (AAA). The aim of this study was to analyse the association between sex, age and in-hospital mortality after AAA using hospital episode data collected routinely at the nationwide level. METHODS: Data were extracted from the nationwide statutory Diagnosis Related Group statistics provided by the German Federal Statistical Office. Patients with a diagnosis of intact (non-ruptured) AAA (ICD-10 GM I71...
February 8, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29415193/ten-year-experience-of-the-thoraco-abdominal-aortic-aneurysm-treatment-using-a-hybrid-thoracic-endovascular-aortic-repair
#9
Takashi Shuto, Tomoyuki Wada, Shinji Miyamoto, Noritaka Kamei, Norio Hongo, Hiromu Mori
OBJECTIVES: The treatment of thoraco-abdominal aortic aneurysm continues to have a high mortality and paraplegia rate. In superaging societies, the methods of performing less invasive operations remain a major issue. We reviewed our 10-year experience in the treatment of thoraco-abdominal aortic aneurysm using a hybrid procedure of combined visceral reconstruction and thoracic endovascular aortic repair. METHODS: Sixty patients underwent a hybrid repair for the treatment of the thoraco-abdominal aortic aneurysm between 2007 and 2016...
February 2, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29411065/the-results-of-in-situ-prosthetic-graft-replacement-for-infected-aortic-disease
#10
Youngjin Han, Tae-Won Kwon, Sang Jun Park, Min-Jae Jeong, Kyunghak Choi, Gi-Young Ko, Sang-Oh Lee, Yong-Pil Cho
BACKGROUND: Infected aortic disease is a serious clinical condition associated with significant morbidity and mortality. This study reviewed the outcomes of in situ aortic replacement with a prosthetic graft for infected aortic disease, including primary infected abdominal aortic aneurysms (PIAAA), infected aortic prosthetic grafts (IAPG), and infected aortic stent grafts (IASG). METHODS: Twenty-eight consecutive patients who underwent in situ aortic replacement with a prosthetic graft for PIAAA, IAPG, and IASG at a single center from January 2001 to December 2015 were retrospectively analyzed...
February 6, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29395427/computed-tomography-angiography-fluoroscopy-image-fusion-allows-visceral-vessel-cannulation-without-angiography-during-fenestrated-endovascular-aneurysm-repair
#11
Adeline Schwein, Ponraj Chinnadurai, Greg Behler, Alan B Lumsden, Jean Bismuth, Carlos F Bechara
BACKGROUND: Fenestrated endovascular aneurysm repair (FEVAR) is an evolving technique to treat juxtarenal abdominal aortic aneurysms (AAAs). Catheterization of visceral and renal vessels after the deployment of the fenestrated main body device is often challenging, usually requiring additional fluoroscopy and multiple digital subtraction angiograms. The aim of this study was to assess the clinical utility and accuracy of a computed tomography angiography (CTA)-fluoroscopy image fusion technique in guiding visceral vessel cannulation during FEVAR...
January 30, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29395253/financial-impact-of-pevar-compared-with-standard-endovascular-repair-in-canadian-hospitals
#12
Graham Roche-Nagle, Maureen Hazel, Dheeraj K Rajan
OBJECTIVES: The percutaneous endovascular abdominal aortic repair (PEVAR) approach is a minimally invasive technique that has demonstrated clinical benefit over traditional surgical cut down associated with standard endovascular abdominal aortic aneurysm (AAA) repair (EVAR). The objective of our study was to evaluate the budget impact to a Canadian hospital of changing the technique for AAA repair from the EVAR approach to the PEVAR approach. METHODS: We examined the budget impact of replacing the EVAR approach with the PEVAR approach in a Canadian hospital that performs 100 endovascular AAA repairs annually...
January 23, 2018: Canadian Association of Radiologists Journal, Journal L'Association Canadienne des Radiologistes
https://www.readbyqxmd.com/read/29384470/the-uk-endovascular-aneurysm-repair-evar-randomised-controlled-trials-long-term-follow-up-and-cost-effectiveness-analysis
#13
Rajesh Patel, Janet T Powell, Michael J Sweeting, David M Epstein, Jessica K Barrett, Roger M Greenhalgh
BACKGROUND: Short-term survival benefits of endovascular aneurysm repair (EVAR) compared with open repair (OR) of intact abdominal aortic aneurysms have been shown in randomised trials, but this early survival benefit is soon lost. Survival benefit of EVAR was unclear at follow-up to 10 years. OBJECTIVE: To assess the long-term efficacy of EVAR against OR in patients deemed fit and suitable for both procedures (EVAR trial 1; EVAR-1); and against no intervention in patients unfit for OR (EVAR trial 2; EVAR-2)...
January 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29382272/mycotic-aortic-aneurysms-treated-by-endovascular-repair-initial-experience-in-a-single-center
#14
Miguel Bouzas, Charlotte Ponte, Bernard Van Houte, Cesar Vasquez
INTRODUCTION: Mycotic aortic aneurysm (MAA) is an uncommon cause of aneurysmal aortic disease. However, it may have an aggressive presentation and a complicated early outcome. Endovascular aneurysm repair (EVAR) of MAA is emerging as an alternative to open repair (OR) for the treatment of these aneurysms, particularly in high-risk surgical patients. We report a single-center experience with the endovascular management of mycotic aortic aneurysms. MATERIAL AND METHODS: Two mycotic abdominal aortic aneurysms were treated with an endovascular stent graft at Centre Hospitalier Régional du Val de Sambre, Belgium...
January 30, 2018: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29380655/status-of-endovascular-aneurysm-sealing-after-5-years-of-commercial-use
#15
Michel M P J Reijnen, Andrew Holden
Endovascular aneurysm sealing (EVAS) using the Nellix Endovascular Sealing System was introduced commercially in 2013 with the aim of reducing the incidences of reintervention and late complications observed after conventional endovascular aneurysm repair (EVAR). In the 5 years since its commercial launch, the Nellix system has evolved in terms of its structure, instructions for use, and delivery technique. Complications, including migration and proximal endoleak, have been recognized and treatment strategies developed, although durability remains to be demonstrated...
January 1, 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29380632/model-reduction-methodology-for-computational-simulations-of-endovascular-repair
#16
V A Acosta Santamaría, G Daniel, D Perrin, J N Albertini, E Rosset, S Avril
Endovascular aneurysm repair (EVAR) is a current alternative treatment for thoracic and abdominal aortic aneurysms, but is still sometimes compromised by possible complications such as device migration or endoleaks. In order to assist clinicians in preventing these complications, finite element analysis (FEA) is a promising tool. However, the strong material and geometrical nonlinearities added to the complex multiple contacts result in costly finite-element models. To reduce this computational cost, we establish here an alternative and systematic methodology to simplify the computational simulations of stent-grafts (SG) based on FEA...
January 30, 2018: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/29363893/is-management-of-complex-abdominal-aortic-aneurysms-consistent-a-questionnaire-based-survey
#17
Eleanor Atkins, Nadeem A Mughal, Graeme K Ambler, Ranjeet Narlawar, Francesco Torella, George A Antoniou
BACKGROUND: Complex abdominal aortic aneurysm (AAA) is a relatively common presentation to the vascular specialist. Despite this there is little consensus on how to manage the often co-morbid group of patients. Recent advances in endovascular technology have led to the availability of multiple devices, many of which could be used to treat the same aneurysm. The aim of this study was to quantify this potential variability across vascular specialists from multiple countries. METHODS: An online survey was emailed to members of the Vascular Society for Great Britain and Ireland (VSGBI), the Canadian Society for Vascular Surgery (CSVS) and the Australian and New Zealand Society for Vascular Surgery (ANZSVS)...
January 23, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29356742/18f-fdg-pet-ct-detected-delayed-endoleak-in-an-aortoiliac-endovascular-aneurysm-repair
#18
Byung Jin Kim, Kevin M Bradley, Manil Subesinghe
We present a case of a type Ia endoleak detected using F-FDG PET/CT 10 years after an abdominal aortoiliac endovascular aneurysm repair in an 83-year-old man. The F-FDG PET/CT scan was performed to evaluate a solitary pulmonary nodule but, in addition, demonstrated unexpected blood pool activity outside the stent graft and within the abdominal aortic aneurysm sac, indicating an endoleak; no FDG activity should be present within the aneurysm sac after stent graft placement. A subsequent CT angiogram confirmed the endoleak...
January 19, 2018: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/29354629/rescue-technique-for-malposition-caused-by-mislabeled-stent-graft-in-thoracic-aneurysm
#19
Hyuk Jae Jung, Bong Soo Son, Do Hyung Kim, Sang Su Lee
The aim of this paper is to report a salvage treatment for malpositioned stent graft due to mislabeled product during thoracic endovascular aortic repair (TEVAR) in descending thoracic aneurysm (DTA). A 78-year-old male presented with 6.7×4.1 cm sized saccular DTA and 7.1×7.3 cm sized abdominal aortic aneurysm (AAA). DTA was initially treated by TEVAR and 2 months later AAA was treated by open aortic repair. Unfortunately, although the stent graft was correctly labeled for DTA, the actual size of product wrapped in a box was different contrary to our expectations...
December 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/29354624/comparison-of-clinical-outcomes-between-surgical-repair-and-endovascular-stent-for-the-treatment-of-abdominal-aortic-aneurysm
#20
Jun Ho Yang, Jong Woo Kim, Ho Chul Choi, Hyun Oh Park, In Seok Jang, Chung Eun Lee, Seong Ho Moon, Jeong Hun Byun, Jun Young Choi
Purpose: This study was performed to compare the treatment outcomes between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysms (AAAs) in a South Korean population. Materials and Methods: We performed a retrospective review of the medical records of 99 patients with AAAs who were managed at Gyeongsang National University Hospital between January 2005 and December 2014. We reviewed the demographic characteristics and perioperative treatment outcomes of patients with AAA undergoing EVAR or OSR...
December 2017: Vascular Specialist International
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