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https://www.readbyqxmd.com/read/28721336/post-endovascular-aneurysm-repair-evar-testicular-ischemia-a-rare-complication
#1
Eric Thomas, Brett L Parra, Shonak Patel
Endovascular aneurysm repair (EVAR) is a common modality of treating abdominal aortic aneurysms (AAA). Common complications include endoleak, bleeding, infection, contrast related injuries, and ischemia. We present the case of a patient who experienced a testicular infarction following repair of an infrarenal AAA. We also discuss the implications for this complication and review the available literature for similar cases and treatment options.
September 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28720226/a-comparative-review-of-open-and-endovascular-abdominal-aortic-aneurysm-repairs-in-the-national-operative-quality-improvement-database
#2
Kanika Kalra, Shipra Arya
Repair of abdominal aortic aneurysms with endovascular techniques has emerged as the first line of therapy, due to procedural ease and excellent patient outcomes. Open aneurysm repair is increasingly used as a secondary option for lesions with anatomic complexity that involve arterial branches. Understanding the impact of endovascular abdominal aortic aneurysms repair on the shift in vascular operation practice for abdominal aortic aneurysms repair, requires a comprehensive and risk-adjusted review of operative outcomes between the 2 repair types...
July 15, 2017: Surgery
https://www.readbyqxmd.com/read/28714620/-management-of-aortic-aneurysms-in-the-endovascular-era
#3
Gino Gemayel, Michel Montessuit, Jorge Sierra, Nadia Lahlaidi Sierra, Marek Bednarkiewicz
Abdominal aortic aneurysm is a disease seen in the elderly. Without intervention, an aneurysm can rupture which leads to death in most cases. Surgical resection was the gold standard treatment for many years but since two decades, endovascular repair has surged drastically. Less invasive and morbid than open repair, this technique has significantly evolved in the recent years. Nowadays the whole aorta can be treated with endovascular techniques in expert hands. This article presents an overview of different endovascular solutions and innovations in the management of aortic aneurysms...
March 1, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28712962/fenestrated-endograft-as-a-new-perspective-for-the-treatment-of-infra-renal-abdominal-aortic-aneurysm-with-a-congenital-pelvic-kidney-a-case-report-and-review-of-literature
#4
Barun Majumder, Anisha H Parera, Neil Browning, Mark MacGregor, Alex Chapman
The coexistence of Abdominal Aortic Aneurysm (AAA) and Congenital Pelvic Kidney (CPK) is infrequent. Various treatment modalities have been reported in literature for treatment of the above condition. We report a complete endovascular modality for the treatment of this association, especially for high-risk patients. Only one such treatment has been reported before. Compared to this previously reported case, we would like to share our experience with additional prototype testing, prior to surgery which provided us with more detailed information about the planning and deployment of the branched endograft...
July 13, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28712695/endoleaks-after-endovascular-aortic-aneurysm-repair-improved-detection-with-noise-optimized-virtual-monoenergetic-dual-energy-ct
#5
Simon S Martin, Julian L Wichmann, Hendrik Weyer, Jan-Erik Scholtz, Doris Leithner, Adam Spandorfer, Boris Bodelle, Volkmar Jacobi, Thomas J Vogl, Moritz H Albrecht
PURPOSE: To assess image quality and diagnostic performance of a noise-optimized algorithm to reconstruct virtual monoenergetic images (VMI+) for the detection of endoleaks after endovascular abdominal aortic aneurysm repair (EVAR) using dual-energy CT angiography (DE-CTA). MATERIALS AND METHODS: Seventy-five patients (42 men; 66.2±11.7years) underwent DE-CTA following EVAR. Arterial phase images were acquired in dual-energy mode for the reconstruction of standard linearly-blended M_0...
June 27, 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28711400/thirty-day-outcomes-after-fenestrated-endovascular-repair-are-superior-to-open-repair-of-abdominal-aortic-aneurysms-involving-visceral-vessels
#6
Prateek K Gupta, Reshma Brahmbhatt, Kelly Kempe, Shaun M Stickley, Michael J Rohrer
OBJECTIVE: Although few studies have reported outcomes after branched or fenestrated endovascular aortic aneurysm repair (FEVAR) of abdominal aortic aneurysms involving visceral vessels (AAA-Vs), no multi-institutional study has compared FEVAR with open surgery (OS) for AAA-Vs. Our objective was to compare 30-day outcomes after FEVAR vs OS for AAA-Vs. METHODS: Patients who underwent FEVAR (n = 535) and OS (n = 1207) for elective AAA-Vs were identified from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) 2008 to 2013 database...
July 13, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28711369/predicting-failure-to-rescue-after-abdominal-aortic-aneurysm-repair-in-elderly-patients
#7
Caitlin W Hicks, Anna O'Kelly, Tammam Obeid, Satinderjit Locham, Mahmoud B Malas
BACKGROUND: We aim to describe trends in failure to rescue (FTR) among elderly patients undergoing elective open aortic aneurysm repair (OAR) and endovascular aortic aneurysm repair (EVAR). MATERIALS AND METHODS: All patients aged ≥80 y recorded in the Vascular Quality Initiative database (2002-2014) undergoing nonruptured infrarenal AAA repair were included. Primary outcome was FTR, defined as percentage of deaths in patients who had a complication within 30 d of surgery...
July 12, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28705593/parallel-placement-of-excluder-legs-for-treatment-of-type-iiib-endoleaks-caused-by-fabric-tear-after-endovascular-aneurysm-repair
#8
Takashi Hashimoto, Noriyuki Kato, Toshiya Tokui, Yoichiro Miyake, Michihiro Nasu, Ken Nakajima, Takatoshi Higashigawa, Shuji Chino
A total of 576 patients underwent endovascular aneurysm repair using main body devices for treatment of abdominal aortic aneurysms or iliac artery aneurysms. During follow-up, type IIIb endoleaks caused by fabric tear occurred in six patients (1.0% [6/576]). The device used was Zenith (Cook Medical, Bloomington, Ind) in five cases and Talent (Medtronic, Santa Rosa, Calif) in one case. All endoleaks were close to the flow divider of the main body devices. The distance between the lower renal artery and the top end of the contralateral leg was 53 ± 14 mm...
July 11, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28705444/evar-and-open-treatment-of-abdominal-aortic-aneurysm-what-is-the-role-of-mmp-9-in-the-follow-up
#9
A Ascoli Marchetti, G Pratesi, L Di Giulio, M Battistini, R Massoud, A Ippoliti
INTRODUCTION: The aim of our study is to verify the role of metalloproteinases in endovascular repair (EVAR) and OPEN surgery treatment for abdominal aortic aneurysm (AAA). Postoperatively, these enzymes could represent an important biomarker to adapt diagnostic tests and further investigations during follow-up. MATERIAL AND METHOD: From 2004 to 2008, 55 patients were considered with AAA. Of these, 33 patients (mean age: 70.1 years), (mean AAA diameter: 5.4cm) were treated with OPEN surgery (group A) and 22 (mean age: 74...
February 2017: J Med Vasc
https://www.readbyqxmd.com/read/28697942/outcomes-for-concomitant-common-iliac-artery-aneurysms-after-endovascular-abdominal-aortic-aneurysm-repair
#10
Mohsen Bannazadeh, Christina Jenkins, Andrew Forsyth, Jason Kramer, Ankur Aggarwal, Amy E Somerset, Paul G Bove, Graham W Long
OBJECTIVE: This study evaluated the morbidity of endovascular abdominal aortic aneurysm repair (EVAR) in patients with concomitant common iliac artery aneurysm (CCIAA). METHODS: This was a retrospective review of all patients who underwent elective EVAR from June 2006 through June 2012 at a single institution. Demographics, comorbidities, preoperative presentation, intraoperative details, and postoperative complications were tabulated. Patients with CCIAA were categorized into three groups according to the distal extent of their iliac limb: iliac limb extension into the external iliac artery with internal iliac artery coil embolization (EE); flared iliac limb ≥20 mm in diameter to the iliac bifurcation (FL); and iliac limb ≤20 mm ending proximal to the CCIAA (no-FL)...
July 8, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28694402/renal-artery-occlusion-in-the-late-postoperative-period-managed-with-renal-artery-stenting-after-endovascular-abdominal-aortic-aneurysm-repair-and-renal-function-salvage
#11
Mustafa Serkan Karakaş, Necmettin Korucuk, Cemal Kemaloğlu, Refik Emre Altekin, İbrahim Demir
Endovascular aneurysm repair (EVAR) of abdominal aorta is a valuable treatment option in selected patients with abdominal aortic aneurysm. Renal artery occlusion is a serious complication after EVAR and may progress to permanent renal injury requiring hemodialysis. In this report, case of unexpected renal artery occlusion after EVAR treated with renal artery stenting in the late postoperative period is described.
July 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28691319/fitness-plus-american-society-of-anesthesiologists-grade-improve-outcome-prediction-after-endovascular-aneurysm-repair
#12
Margaret Boult, Prue Cowled, Mary Barnes, Robert A Fitridge
BACKGROUND: Although the American Society of Anesthesiologists (ASA) grade was established for statistical purposes, it is often used prognostically. However, older patients undergoing elective surgery are typically ASA III, which limits patient stratification. We look at the prognostic effect on early complications and survival of using ASA and self-reported physical fitness to stratify patients undergoing endovascular repair of abdominal aortic aneurysms. METHODS: Data were extracted from a trial database...
July 10, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28691000/late-type-3b-endoleak-mimicking-type-2-endoleak-after-endovascular-aortic-aneurysm-repair
#13
Minji Cho, Chanjoong Choi, Sungsin Cho, Song-Yi Kim, Sang-Il Min, Sanghyun Ahn, Jongwon Ha, Seung-Kee Min
Endovascular abdominal aortic aneurysm (AAA) repair has been widely used for the treatment of AAA as a safe and efficient method, but endoleaks causing persistent expansion of aneurysm sac may cause aneurysmal rupture and death. Type 3 endoleak is rare but a predominant cause of late rupture. Type 3b endoleak can be misdiagnosed as type 2 endoleak, which is more frequent. Here we report two cases of type 3b endoleak mimicking type 2 endoleak, which were successfully treated by open surgery of partial explantation of the stent-graft and endoaneurysmal interposition graft replacement...
June 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/28690999/early-experiences-of-sandwich-technique-to-preserve-pelvic-circulation-during-endovascular-aneurysm-repair
#14
Daehwan Kim, Jung Kee Chung, Hyung Sub Park, In Mok Jung, Taeseung Lee
PURPOSE: To report experiences of the sandwich technique (ST) for preservation of pelvic flow during endovascular repair of complex aortic or aortoiliac aneurysms. MATERIALS AND METHODS: Eight patients underwent elective endovascular aneurysm repair (EVAR) using the ST between March 2013 and February 2017. The anatomic indications for the ST were complex aortoiliac aneurysms (5 cases), abdominal aortic aneurysms (AAA) with non-diseased short common iliac arteries (2 cases) and AAA with unilateral occluded iliac artery (1 case)...
June 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/28690997/endovascular-aneurysm-repair-in-patients-with-conical-neck-anatomy
#15
Jae Hoon Lee, Ki Hyuk Park
PURPOSE: Cone shape neck is regarded as non-instruction for use (IFU) in most commercial stent graft. However, in real practice, liberal application of endovascular aneurysm repair (EVAR) for outside of IFU happens. We investigate non-adherence to conical neck anatomy in terms of early aneurysmal exclusion results. MATERIALS AND METHODS: From January 2010 to December 2013, 105 patients with abdominal aortic aneurysm (AAA) underwent EVAR in Daegu Catholic University Medical Center...
June 2017: Vascular Specialist International
https://www.readbyqxmd.com/read/28689958/one-stage-endovascular-treatment-of-a-symptomatic-penetrating-ulcer-in-the-lusorian-artery-and-an-aaa-a-challenging-case-in-a-rare-entity
#16
Mirko Esche, Pavel Sebesta, Sven Seifert
INTRODUCTION: We report a case of a 57-year old man with a successful total endovascular treatment of a symptomatic penetrating arterial ulcer (PAU) of a lusorian artery together with a standard endovascular abdominal aortic aneurysm (AAA) repair. The lusorian artery is an aberrant subclavian artery and a congenital aortic arch anomaly with a reported prevalence of 0.4 to 2.6 %. Typical for the base of the lusorian artery is a Kommerell diverticulum making an endovascular approach even more difficult...
July 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28689946/evaluating-the-effectiveness-of-internal-iliac-artery-branched-endovascular-stent-grafts
#17
Faysal Naji, Varun Srivatsav, Mohammed Qadura, John Harlock, Tara Andrinopoulos, Vikram Iyer, Theodore Rapanos
PURPOSE: To describe our institutional experience using iliac branch grafts (IBGs) in aortoiliac aneurysm repair. METHODS: From October 2009 to April 2016, 41 consecutive patients (all men), mean age 71.7 years (range 55-87), underwent IBG implantation. Abdominal aortic aneurysm with common iliac artery involvement (n=21) or bilateral common iliac artery aneurysms (n=20) were indications. Computed tomography was used to evaluate patency and postoperative endoleaks within one month of implantation and after one year...
July 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28689945/chimney-stent-graft-repair-for-concurrent-inferior-mesenteric-artery-aneurysm-and-infra-renal-abdominal-aortic-aneurysm-case-report
#18
Zhen Wei Choo, Zhiwen Joseph Lo, Chun Hai Tan, Sundeep Punamiya, Sriram Narayanan
PURPOSE: To report a rare case of concurrent inferior mesenteric aortic (IMA) aneurysm and infra-renal abdominal aortic aneurysm (AAA) with a novel indication for the use of chimney-stent graft technique in this patient. CASE REPORT: 82-year-old man with an asymptomatic 4.4-cm fusiform AAA and 3.6-cm IMA aneurysm, coupled with chronic occlusion of celiac artery (CA) and superior mesenteric artery (SMA) at the ostia, underwent endovascular repair of both aneurysms...
July 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28689943/real-life-experience-with-ovation-stent-graft-lesson-learned-from-first-hundred-fifty-treated-patients
#19
Pasqualino Sirignano, Wassim Mansour, Chiara Pranteda, Andrea Siani, Federico Accrocca, Alessandro d'Adamo, Laura Capoccia, Francesco Speziale
OBJECTIVES: To report immediate and mid-term results of an unselected population of patients treated for abdominal aortic aneurysms (AAA) by endovascular repair (EVAR) using the Ovation stent-graft. MATERIALS AND METHODS: A double-center retrospective study was conducted on a prospectively collected database between 2012 and 2015. One hundred fifty-six elective patients were included. The outcome measures considered for analysis were primary technical success,30-day and midterm reintervention, and all-cause and AAA-related mortality rates...
July 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28689941/endotension-after-abdominal-aortic-aneurysm-endovascular-repair-in-cirrhotic-patients
#20
Tommaso Cambiaghi, Domenico Baccellieri, Daniele Mascia, Germano Melissano, Roberto Chiesa, Andrea Kahlberg
PURPOSE: Endotension can present a real challenge for the long-term success of EVAR. Sometimes it can be associated to liver dysfunction and consequent plasmatic alterations as in the two cases reported here. CASE REPORT: Significant and progressive AAA sac enlargement, without radiological signs of endoleak, was observed in two patients during a 3-year follow-up after EVAR. The first was a 70-year-old man affected by viral liver cirrhosis; the second was a 71-year-old man with cirrhosis due to alcoholic liver disease...
July 6, 2017: Annals of Vascular Surgery
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