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https://www.readbyqxmd.com/read/29136140/inaccurate-aortic-stent-graft-deployment-in-the-distal-landing-zone-incidence-reasons-and-consequences
#1
Mikolaj Berezowski, Julia Morlock, Friedhelm Beyersdorf, Marek Jasinski, Tomasz Plonek, Matthias Siepe, Martin Czerny, Bartosz Rylski
OBJECTIVES: The aim of this study was to investigate the accuracy of stent graft deployment in the distal landing zone (LZ) during thoracic endovascular aortic repair (TEVAR). Currently, TEVAR focuses on accurate stent graft deployment in the proximal LZ. Data on landing in the distal LZ are lacking. METHODS: Of 195 TEVAR patients (2005-16) with a non-dissected aortic pathology, 59 [median age 73 years (first quartile 68; third quartile 77), 20 women] patients had a distal LZ shorter than 40 mm...
November 9, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29136132/aortic-events-and-reoperations-after-elective-arch-surgery-incidence-surgical-strategies-and-outcomes
#2
Maximilian Luehr, Sven Peterss, Andreas Zierer, Davide Pacini, Christian D Etz, Malakh Lal Shrestha, Konstantinos Tsagakis, Bartosz Rylski, Giampiero Esposito, Klaus Kallenbach, Ruggero De Paulis, Paul P Urbanski
OBJECTIVES: The true incidence of aortic events (AEs) and reoperations (REDO) following elective total aortic arch replacement remains unknown. The aim of this study was to review the incidence of AEs and surgical REDO, and its respective outcomes after 1232 elective arch repairs at 11 European aortic centres. METHODS: Retrospective chart review (in the absence of prospective data collection) was performed for statistical analysis. Follow-up was conducted during routine clinical examination or in a telephone interview with patients and/or their respective physicians...
November 9, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29119448/total-aortic-arch-replacement-using-frozen-elephant-trunk-technique-with-j-graft-open-stent-graft-for-distal-aortic-arch-aneurysm
#3
Shigeki Koizumi, Atsushi Nagasawa, Tadaaki Koyama
OBJECTIVES: The J Graft Open Stent Graft, the first commercialized stent graft in Japan, has been available since February 2014, and we have used this new device as a frozen elephant trunk technique for distal aortic arch aneurysm. Here, we present our surgical method and result with this new device. METHODS: Between October 2014 and October 2016, 30 patients (26 males, mean age 74.3 ± 9.7 years) underwent total aortic arch replacement using the frozen elephant trunk technique with the J Graft Open Stent Graft for distal aortic arch aneurysm...
November 8, 2017: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29105814/late-onset-type-i-endoleak-characterized-by-contrast-enhanced-ultrasound-after-endovascular-repair-of-aortic-aneurysm
#4
John Nathan Gifford, Hsueh Wen Cheong, Wey Chyi Teoh
We report in the case of a patient with an intra-abdominal aortic aneurysm treated with endovascular aneurysm repair (EVAR) who developed renal impairment during the period of follow up. The repair was complicated with an early-onset type II endoleak which later evolved into a late-onset type I endoleak. It was treated with proximal extension of stent graft, with treatment success and follow-up documented on contrast enhanced ultrasound (CEUS). This case illustrates the usefulness of CEUS in post-EVAR surveillance and emphasizes the need for life-long monitoring as late-onset complications are not uncommon...
November 4, 2017: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/29105676/-endovascular-treatment-of-a-celiac-trunk-aneurysm-a-case-report-and-review-of-the-literature
#5
Nicola Pellizzari, Luca Ferretto, Davide Lanzellotti, Filippo Marzot, Sandro Irsara, Carlo Cernetti
Celiac trunk aneurysms are uncommon vascular lesions; treatment is usually an open surgical operation; in the medical literature, only few cases of celiac aneurysm treated with endovascular technique are reported; coil positioning or stent-graft placement are described using a femoral vascular access as first choice.Here we describe the case of a 57-year-old man with an asymptomatic large celiac trunk aneurysm involving the origin of the splenic, left gastric and hepatic arteries. The patient was treated in an elective clinical setting with a totally endovascular procedure performed through the left radial artery...
November 2017: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29101994/acr-appropriateness-criteria-%C3%A2-thoracic-aorta-interventional-planning-and-follow-up
#6
Gregory Bonci, Michael L Steigner, Michael Hanley, Aaron R Braun, Benoit Desjardins, Ron C Gaba, Kenneth L Gage, Jon S Matsumura, Eric E Roselli, David M Sella, Richard Strax, Nupur Verma, Clifford R Weiss, Karin E Dill
Thoracic endovascular aortic repair (TEVAR) has undergone rapid evolution and is now applied to a range of aortic pathologies. Imaging plays a vital role in the pre- and postintervention assessment of TEVAR patients. Accurate characterization of pathology and evaluation for high-risk anatomic features are necessary in the planning phase, and careful assessment for graft stability, aortic lumen diameter, and presence of endoleak are paramount in the follow-up period. CTA is the imaging modality of choice for pre- and postintervention assessment, and MRA is an acceptable alternative depending on patient stability and graft composition...
November 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29097346/preliminary-experience-with-the-use-of-ultra-low-profile-endografts
#7
Daniela Mazzaccaro, Giovanni Malacrida, Bruno Amato, Salvatore Alessio Angileri, Anna Maria Ierardi, Giovanni Nano
PURPOSE: We aimed to report a preliminary single-center experience of elective endovascular aortic repair (EVAR) using ultra-low profile (ULP) endografts of 14 F outer diameter. METHODS: Data of 67 consecutive patients who underwent EVAR using either Ovation (group A, n=30) or Incraft (group B, n=37) endografts were retrospectively analyzed. RESULTS: Aorto-iliac anatomy was significantly different between the two groups, as patients of group A had a greater thrombotic apposition on proximal aortic neck (thrombus thickness: 7...
November 2017: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/29096576/endovascular-treatment-of-aortic-arch-lesions-using-scalloped-endografts
#8
Leopoldo Fernández-Alonso, Sebastián Fernández Alonso, Esther Martínez Aguilar, Estéfana Santamarta Fariña, Jordi Alegret Solé, Marina López San Martín, Margarita Atienza Pascual, Leopoldo Fernández-Domper, Roberto Centeno Vallepuga
OBJECTIVE: To present our early and midterm results using thoracic endovascular aortic repair (TEVAR) with a custom-made proximal scalloped stent graft to accommodate left common carotid artery (LCCA) and innominate artery (IA) in treating aortic lesions involving the arch. MATERIALS AND METHODS: Between February 2014 and April 2017, select patients presenting with aortic arch lesions and short proximal landing zone were treated by proximal scalloped Relay Plus stent grafts...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29089283/occurrence-and-classification-of-proximal-type-i-endoleaks-after-endovascular-aneurysm-sealing-using-the-nellix%C3%A2-device
#9
Leo H van den Ham, Andrew Holden, Janis Savlovskis, Andrew Witterbottom, Kenneth Ouriel, Michel M P J Reijnen
OBJECTIVE/BACKGROUND: Proximal type I endoleaks are associated with abdominal aortic aneurysm (AAA) growth and rupture and necessitate repair. The Nellix™ EndoVascular Aneurysm Sealing (EVAS) system is a unique approach to AAA repair, where the appearance and treatment of endoleaks is also different. This study aimed to analyse and categorise proximal endoleaks in an EVAS treated cohort. METHODS: All patients, treated from February 2013 to December 2015, in 15 experienced EVAS centres, presenting with proximal endoleak were included...
October 28, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29079007/ten-year-outcome-analysis-of-the-italian-excluder-registry-with-the-gore-excluder-endograft-for-infrarenal-abdominal-aortic-aneurysms
#10
Giovanni Pratesi, Gabriele Piffaretti, Fabio Verzini, Giovanni De Blasis, Patrizio Castelli, Carlo Pratesi
OBJECTIVE: The objective of this study was to report the 10-year outcomes of the multicenter Italian Excluder Registry for elective endovascular aneurysm repair (EVAR). METHODS: A retrospective analysis of all patients who underwent elective EVAR using the Gore Excluder (W. L. Gore & Associates, Flagstaff, Ariz) endograft (EG) at four Italian centers between 1998 and 2006 was carried out. Follow-up consisted of duplex ultrasound scan and computed tomography performed at 1 month, 6 months, and 12 months and yearly thereafter...
October 24, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29074115/characterization-and-outcomes-of-reinterventions-in-food-and-drug-administration-approved-versus-trial-endovascular-aneurysm-repair-devices
#11
Alexander S Fairman, Grace J Wang, Benjamin M Jackson, Paul J Foley, Scott M Damrauer, Venkat Kalapatapu, Michael A Golden, Ronald M Fairman
OBJECTIVE: Published rates of reintervention after endovascular aneurysm repair (EVAR) range from 10% to 30%. We evaluated a single university center's experience with reinterventions in the context of Food and Drug Administration (FDA)-approved and trial devices. METHODS: Retrospective data collection was performed for patients who underwent infrarenal EVAR and required reintervention from 2000 to 2016. Trial devices included those used in FDA feasibility and pivotal trials...
October 23, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29074113/prospective-cohort-20%C3%A2-years-after-endovascular-treatment-for-abdominal-aortic-aneurysm
#12
Gaudencio Espinosa, Giovanni di Luccio, Marcia Ribeiro Alves, Bianca Gutfilen, Ronir Raggio, Pedro Saad, Lukasz Dzieciuchowicz, Carlos Magliano
OBJECTIVE: To describe the factors associated with survival 20 years after endovascular treatment of an abdominal aortic aneurysm (AAA) in a single center. METHODS: Prospective cohort of asymptomatic patients with an infrarenal aortic aneurysm treated with a bifurcated endovascular graft (Talent) between June 1997 and August 2008. Cox proportional hazard multivariable regression was used for analysis of independent risk factors for survival. Kaplan-Meier curves were done with the long-rank test...
October 23, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29074111/polar-orientation-of-renal-grafts-within-the-proximal-seal-zone-affects-risk-of-early-type-ia-endoleaks-after-chimney-endovascular-aneurysm-repair
#13
Kenneth Tran, Brant W Ullery, Nathan Itoga, Jason T Lee
OBJECTIVE: The objective of this study was to describe the polar orientation of renal chimney grafts within the proximal seal zone and to determine whether graft orientation is associated with early type Ia endoleak or renal graft compression after chimney endovascular aneurysm repair (ch-EVAR). METHODS: Patients who underwent ch-EVAR with at least one renal chimney graft from 2009 to 2015 were included in this analysis. Centerline three-dimensional reconstructions were used to analyze postoperative computed tomography scans...
October 23, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29062457/late-type-iii-endoleak-after-thoracic-endovascular-aneurysm-repair-and-previous-infrarenal-stent-graft-implantation-a-case-report-and-review-of-the-literature
#14
Jerzy Leszczyński, Waldemar Macioch, Witold Chudziński, Zbigniew Gałązka
Thoracic endovascular aortic repair (TEVAR) effectively improved the results of thoracic aortic aneurysm treatment. TEVAR is a less invasive procedure that can be performed under local anesthesia with shorter hospital stay. The perioperative morbidity and mortality rates are lower for endovascular than open repair, but the rate of secondary interventions is higher for TEVAR. We report a case of an elderly man with synchronous abdominal and thoracic aortic aneurysms. A type III dangerous endoleak was recognized 3 years after TEVAR...
September 2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29062382/novel-treatment-approach-to-ascending-aorta-pseudoaneurysms-a-case-report
#15
Seyed Ebrahim Kassaian, Seyed Khalil Forouzannia, Ali Hosseinsabet, Tahereh Davarpasand
The pseudoaneurysm of the aorta is rarely due to trauma and infection but usually is a late complication of previous surgical procedures like coronary artery bypass graft surgery. We describe a 65-year-old woman with the pseudoaneurysm of the ascending aorta due to coronary artery bypass graft surgery. It was revealed in coronary artery angiography after nonspecific symptoms. It was confirmed by multidetector computed tomographic angiography. The patient refused open cardiac surgery, so we decided to use an atrial septal defect occluder device in off-label way to seal the pseudoaneurysm orifice...
July 2017: Journal of Tehran Heart Center
https://www.readbyqxmd.com/read/29056193/laser-assisted-transgraft-embolization-a%C3%A2-technique-for-the-treatment-of-type-ii-endoleaks
#16
Mark W Mewissen, M Fuad Jan, David Kuten, Zvonimir Krajcer
A transgraft embolization (TGE) technique was performed in a patient to treat a type II endoleak. Using a transfemoral arterial approach, the endograft was punctured using a coronary laser catheter aimed toward the type II endoleak nidus, which was treated with Onyx (Medtronic, Minneapolis, Minnesota). TGE resulted in successful embolization, as demonstrated on 1-year follow-up CT angiography, which showed complete elimination of the type II endoleak and shrinkage of the aneurysmal sac. TGE is an alternative to transarterial embolization, translumbar embolization, and transcaval embolization...
November 2017: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29042075/evolution-of-type-ii-endoleaks-based-on-different-ultrasound-identified-patterns
#17
Spyridon Monastiriotis, Ignatius Lau, Shang Loh, John Ferretti, Apostolos Tassiopoulos, Nicos Labropoulos
OBJECTIVE: The objective of this study was to delineate the specific types of waveforms that exist in type II endoleaks (T2ELs) and their effect on aneurysm sac size. METHODS: Patients who underwent an endovascular aneurysm repair and were diagnosed with a T2EL were included in the study. The flow velocity characteristics of the T2ELs were evaluated in detail with duplex ultrasound. Four different flow patterns were identified: high resistance, low flow; low resistance, low flow; low resistance, high flow; and to-fro flow...
October 14, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29034028/endovascular-treatment-for-kommerell-s-diverticulum-with-a-right-sided-aortic-arch
#18
Masanori Hara, Takeshiro Fujii, Muneyasu Kawasaki, Tomoyuki Katayanagi, Shinnosuke Okuma, Noritsugu Shiono, Keiichi Tokuhiro, Yoshinori Watanabe
We report a rare case of type A dissection involving a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum in a 76-year-old woman. Endovascular treatment for Kommerell's diverticulum including intimal tear of the dissection was performed. At the 5-year follow-up, the patient was doing well, with no endoleak or dilatation of the Kommerell's diverticulum.
March 24, 2017: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29034026/invaginated-graft-insertion-anastomosis-for-a-type-ib-endoleak-at-the-supraceliac-aorta-following-thoracic-endovascular-aortic-repair
#19
Takashi Yamauchi, Suguru Kubota, Kosei Hasegawa
Open surgery for a type Ib endoleak after thoracic endovascular aortic repair is associated with some knacks and pitfalls, particularly in cases wherein the distal edge of a stent graft is located at just supraceliac aorta and the renovisceral segment and infrarenal aorta do not require surgical intervention. Here we describe the invaginated graft insertion technique to provide an easy and secure anastomosis in such clinical situations. This procedure may be feasible for anastomosis between a prosthetic vascular graft and a previously deployed stent graft when the location of the anastomosis is distant from the surface of the skin incision with a narrow and limited surgical view...
March 24, 2017: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29034018/bailout-endovascular-stent-grafting-for-an-ascending-aortic-pseudoaneurysm-using-an-infrarenal-aortic-extension-cuff
#20
Yasushi Matsumoto, Fuminori Kasashima, Kengo Kawakami, Masamitsu Endo
We report successful thoracic endovascular repair of a pseudoaneurysm rupture in the ascending aorta using infrarenal endovascular devices after an aortic valve replacement. Complete exclusion of the pseudoaneurysm was achieved with no endoleak or postoperative complications. Despite limitations of the current technology, this endovascular technique was a relatively less invasive, feasible lifesaving surgical option for the repair of a pseudoaneurysm of the ascending aorta with a diameter ≤32 mm.
March 24, 2017: Annals of Vascular Diseases
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