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Ulrik Hjerpsted, Jes Sandermann, Nikolaj Grøndal
No gold standard exists in the treatment of mycotic aorto-iliac aneurysms. Surgical debridement and revascularization with bypass remain as the most definitive surgical solution, but also carry a relatively high risk of perioperative morbidity as compared to an endovascular approach. We present a case story with a mycotic a. iliac aneurysm treated successfully with an endoluminal covered stent graft. The patient had severe co-morbidity that ruled out open surgery.
July 7, 2014: Ugeskrift for Laeger
Lazar Davidović, Miodrag Jevtić, Djordje Radak, Dragan Sagić, Ivan Marjanović, Igor Koncar, Momcilo Colić, Sinisa Rusović, Zelimir Antonić
BACKGROUND/AIM: Endovascular treatment of thoracic aortic diseases is an adequate alternative to open surgery. This method was firstly performed in Serbia in 2004, while routine usage started in 2007. Aim of this study was to analyse initial experience in endovacular treatment of thoracic aortic diseses of three main vascular hospitals in Belgrade - Clinic for Vascular and Endovascular Surgery of the Clinical Center of Serbia, Clinic for Vascular Surgery of the Military Medical Academy, and Clinic for Vascular Surgery of the Institute for Cardiovascular Diseases "Dedinje"...
January 2013: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
C V Riga, A Rolls, R Rippel, C Shah, M Hamady, C Bicknell, N Cheshire
Carotid artery stenting (CAS) is an important development in the treatment of carotid artery stenosis and prevention of stroke. However, despite advances in technology, including embolic protection devices (EDPs), there are concerns that the embolic stroke risk is still too high in many reports, including a number of randomized controlled trials. Robotic technology has the potential to reduce the embolic risk by facilitating accurate and safe navigation to place sheaths in the common carotid artery, reducing the embolic load during this phase of the procedure prior to EDP placement...
December 2012: Journal of Cardiovascular Surgery
Arash M Padidar, Stephen T Kee, Mahmood K Razavi
Femoral artery pseudoaneurysms, a complication of femoral arterial puncture, is increasing in frequency with the proliferation of endovacular interventions. Pseudoaneurysms have historically been treated by open surgical repair, and more recently by ultrasound-guided compression. Ultrasound-guided compression is painful, and has a relatively low success rate of 51% to 73%. Since 1991, ultrasound-guided thrombin injection has become a treatment option. During injection of thrombin into a pseudoaneurysm, immediate thrombosis can be demonstrated within seconds...
June 2003: Techniques in Vascular and Interventional Radiology
R Casana, G Nano, I Dalainas, S Stegher, P Bianchi, D G Tealdi
AIM: The aim of this retrospective, single institution study was to describe our 4-year experience with the endovascular repair of isolated iliac artery aneurysms. METHODS: Between May 1997 and June 2001, 16 patients (15 males; mean age 64+/-9 years), were treated with covered stent grafts. Twelve of the endovascular procedures were performed under epidural and 4 under local anaesthesia. The percutaneous approach was employed in 13 cases and the femoral artery had to be exposed in 3 cases that demanded simultaneous revascularization of the peripheral circulation (n=2) or required a 16 F sheath to employ a Baxter Lifepath stent graft (n=1)...
March 2003: International Angiology: a Journal of the International Union of Angiology
Jean Raymond, France Berthelet, Anne-Cécile Desfaits, Igor Salazkin, Daniel Roy
BACKGROUND AND PURPOSE: Cyanoacrylates are effective occlusive agents in neurovascular interventions. To study their potential to improve long-term results of endovascular treatment of aneurysms, we conducted experimental studies in canine aneurysm models. METHODS: Venous pouch carotid aneurysms were constructed in dogs. Results of coil embolization of lateral wall and bifurcation aneurysms were compared. A lateral wall model of embolization with gelatin sponges was used to study the effects of coating sponges with cyanoacrylate on angiographic results and neointima thickness at 3 and 12 weeks...
January 2002: AJNR. American Journal of Neuroradiology
M Kubo, N Kuwayama, Y Hirashima, M Ohi, M Takami, S Endo
A 79-year-old female presented with subarachnoid hemorrhage due to rupture of a rare true posterior communicating artery (PCoA) aneurysm and with poor general condition. Endovascular therapy was performed in the chronic stage. Right carotid angiography just before embolization demonstrated unusual multiple aneurysms of the internal carotid artery (ICA)-PCoA complex. Superselective angiography and aneurysmography using microcatheter revealed two separate aneurysms arising from the PCoA and the ICA-PCoA junction...
September 2000: Neurologia Medico-chirurgica
S E Abrams, K P Walsh
We studied the angiographic morphology of the arterial duct in neonates with congenital heart diseases. We defined the variations in ducto-aortic angle, number of tortuosities and site of insertion into the aorta of the duct in five diagnostic groups: (i) patent arterial duct (unobstructed) (n = 27), (ii) coarctation of the aorta (n = 24), (iii) pulmonary stenosis (n = 23), (iv) pulmonary atresia (n = 19) with or without ventricular septal defect, (v) hypoplastic left heart syndrome (n = 3). In the patent arterial duct group the angles ranged from 80 to 139 degrees, mean 107 degrees; in the coarctation group, 76 to 136 degrees, mean 104 degrees; in the pulmonary stenosis group, -60 to 111 degrees, mean 43 degrees; in the pulmonary atresia group, -55 to 115 degrees, mean 25 degrees; in the hypoplastic left heart syndrome 92 to 105 degrees, mean 98 degrees...
June 15, 1993: International Journal of Cardiology
G Wikholm, P Svendsen, H Herlitz, T Ranch
Renal arteriovenous (AV) shunts of unknown origin are rare clinical findings. When symptomatic they can as other renal AV shunts and malformations cause hypertension, congestive heart failure and hematuria. During the last few years the treatment has tended to go from surgery to the more gentle and renal parenchyma sparing but yet effective endovacular embolization techniques. Two cases of renal vascular malformations with severe clinical symptoms necessitating treatment are presented. Treatment was successfully performed with tissue adhesive and coils...
March 1994: Scandinavian Journal of Urology and Nephrology
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