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https://www.readbyqxmd.com/read/28918209/treatment-of-postoperative-distal-anastomotic-endoleak-with-the-amplatzer-vascular-plug-ii-in-chronic-aortic-arch-dissection-a-case-report
#1
Iskander Bouassida, Olivier Meyrignac, Bertrand Marcheix, Paul Revel-Mouroz, Hervé Rousseau
No abstract text is available yet for this article.
August 24, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28914176/intraoperative-gutter-leaks-that-merit-our-attention
#2
Adam Tanious, Mathew Wooster, Marcelo Giarelli, Paul A Armstrong, Martin R Back, Murray L Shames
INTRODUCTION: The natural history and potential morbidity of gutter endoleaks are unclear. We present our experience with intraoperative gutter endoleaks and strategies to determine which of these require intervention. METHODS: This is a retrospective review of all patients treated with parallel stent grafts from January 2010 to September 2015. We reviewed all operative records and intraoperative angiograms as well as all postoperative imaging and secondary interventions...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28911963/evolution-of-computed-tomography-imaging-the-first-year-after-endovascular-sealing-of-infrarenal-aortic-aneurysms-using-the-nellix-device
#3
Leo H van den Ham, Thijs G Ter Mors, Johannes T Boersen, Jean Paul P M de Vries, Patrick W Vriens, Jan M Heyligers, Michel M P J Reijnen
INTRODUCTION: The Nellix Endovascular Aneurysm Sealing (EVAS) System is an alternative endovascular treatment option for infrarenal aortic aneurysms (AAA) with a unique appearance on Computed Tomography Angiography (CTA). Normal evolution of post-EVAS CTA appearance follow-up is still largely unknown and important in order to timely detect eventual complications. OBJECTIVE: To assess the normal appearance of CTA images 30 days and 1 year after EVAS in 50 consecutive patients...
September 11, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28903940/secondary-open-aortic-procedure-following-thoracic-endovascular-aortic-repair-meta-analytic-state-of-the-art
#4
REVIEW
Ivancarmine Gambardella, George A Antoniou, Francesco Torella, Cristiano Spadaccio, Aung Y Oo, Mario Gaudino, Francesco Nappi, Matthew A Shaw, Leonard N Girardi
BACKGROUND: Thoracic endovascular aortic repair is characterized by a substantial need for reintervention. Secondary open aortic procedure becomes necessary when further endoluminal options are exhausted. This synopsis and quantitative analysis of available evidence aims to overcome the limitations of institutional cohort reports on secondary open aortic procedure. METHODS AND RESULTS: Electronic databases were searched from 1994 to the present date with a prospectively registered protocol...
September 13, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28902826/-treatment-of-type-ib-endoleak-after-endoprosthetic-repair-of-infrarenal-aneurysm
#5
A A Karpenko, P V Ignatenko, I V Popova
The article deals with a case report regarding successful surgical management of late type IB endoleak caused by dislocation of the leg of the stent graft, occurring three years after endoprosthetic repair of an aneurysm of the aortic infrarenal portion with the COOK stent graft, aneurysmectomy with prosthetic repair of the right common femoral artery using the linear vascular graft Intergard 8Ч20. The patient underwent surgical treatment: endoprosthetic repair of the iliac branch ZSLE-24-90-90 ZT of the Zenith Spiral AAA stent graft...
2017: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/28895447/early-experience-with-endovascular-aneurysm-sealing-in-combination-with-parallel-grafts-for-the-treatment-of-complex-abdominal-aneurysms-the-ascend-registry
#6
Matt Thompson, Marwan Youssef, Rudolf Jacob, Sebastian Zerwes, Michel Reijnen, Piotr Szopinski, Patrick Berg, Grzegorz Oszkinis, Andrew Holden
PURPOSE: To report the results of the ASCEND Registry of cases involving endovascular aneurysm sealing (EVAS) in combination with chimney grafts (chEVAS) for the treatment of para- and juxtarenal aortic aneurysms (AAA). METHODS: A retrospective, multicenter registry established in 8 vascular centers between 2013 and 2016 recorded the treatment results and follow-up of chEVAS procedures for nonruptured AAAs; data were analyzed using standardized outcome measures...
September 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/28893704/late-complication-after-thoracic-endovascular-aortic-repair-what-is-a-role-of-an-open-surgical-conversion
#7
Lazar Davidovic, Milos Sladojevic, Igor Koncar, Miroslav Markovic, Tulga Ulus, Nikola Ilic, Marko Dragas, Vladimir Cvetic, Zoran Rancic
BACKGROUND: We would like to evaluate causes of Thoracic Endovascular Aortic Repair (TEVAR) failure and conversion to open surgery (COS) in high volume vascular center for open surgery, with low volume TEVAR procedures. METHODS: A total of 8 patients (6 males, mean aged 55.14 years) underwent COS after TEVAR. The indications for conversion to open surgery, intraoperative strategy, as well as early postoperative and mid follow-up results were analyzed. RESULTS: The indications for COS were persistent proximal type I endoleak with progressive aneurysm enlargement in two patients, endoleak type III in one patient, progressive aneurysm enlargement with no endoleak in one patient, stent graft migration in two patients, secondary aorto-esophageal fistula in one patient, secondary aorto-esophageal and aorto-bronchial fistula in one patient, as well as distal progression of the aneurysmal disease in 2 patient...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28890057/endovascular-exclusion-of-hypogastric-aneurysms-using-distal-branches-of-the-internal-iliac-artery-as-landing-zone-a-case-series
#8
D'Oria Mario, Pipitone Marco, Sgorlon Giada, Chiarandini Stefano, Rotelli Alice, Griselli Filippo
PURPOSE: To report an alternative endovascular technique to exclude aneurysms of the internal iliac artery in the setting of abdominal aortic aneurysm (AAA) disease using the anterior division of the hypogastric artery (HGA) or the superior gluteal artery (SGA) as distal landing zone for the stent-graft. CASE-SERIES: 3 patients with hypogastric artery (HGA) aneurysms in the setting of AAA that were excluded with placement of a self-expandable covered stent (SECS)...
September 7, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28888759/impact-of-iliac-artery-anatomy-on-the-outcome-of-fenestrated-and-branched-endovascular-aortic-repair
#9
Enrico Gallitto, Mauro Gargiulo, Gianluca Faggioli, Rodolfo Pini, Chiara Mascoli, Antonio Freyrie, Stefano Ancetti, Andrea Stella
OBJECTIVE: Fenestrated and branched endovascular aneurysm repair (FB-EVAR) is a valid option to treat juxtarenal and pararenal abdominal aortic aneurysms and thoracoabdominal aortic aneurysms. Because successful deployment depends on complex maneuvers, hostile iliac artery anatomy (HIA) can prejudice the FB-EVAR outcome. The aim of the study was to evaluate the impact of HIA on FB-EVAR outcome. METHODS: Between 2010 and 2015, all patients undergoing FB-EVAR were prospectively categorized according to iliac anatomy (friendly iliac artery anatomy [FIA] or HIA)...
September 6, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28885502/outcomes-of-endovascular-repair-for-abdominal-aortic-aneurysms-a-nationwide-survey-in-japan
#10
Katsuyuki Hoshina, Shin Ishimaru, Yusuke Sasabuchi, Hideo Yasunaga, Kimihiro Komori
OBJECTIVE: To analyze data on patients treated with a bifurcated stent graft for abdominal aortic aneurysm (AAA). BACKGROUND: The Japan Committee for Stentgraft Management (JACSM) was established in 2007 to manage the safety of endovascular aortic aneurysm repair (EVAR) in Japan. The JACSM registry includes detailed anatomical and clinical data of all patients who undergo stent graft insertion in Japan. METHODS: Among 51,380 patients treated with bifurcated stent graft for AAA, we identified 38,008 eligible patients (excluding those with rupture or insufficient data)...
September 6, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28876596/endovascular-aortic-aneurysm-repair-at-johannesburg-academic-hospitals
#11
K Thomas, R du Toit, A T O Abdool-Carrim
BACKGROUND: Abdominal aortic aneurysm (AAA) is a common disease seen in vascular units. AAA is defined as transverse diameter greater than 3 cm and affects men more than women. Endovascular aortic aneurysm repair (EVAR) is increasingly being used to treat AAA. Renal dysfunction, graft-related endoleaks, graft limb occlusion, device migration and delayed aneurysm rupture are possible complications that have been encountered after EVAR. METHOD: Changes in renal functions after one month, six months and twelve months...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28876593/a-comparison-of-radiation-exposure-during-endovascular-aortic-aneurysm-repair-with-or-without-endostapling
#12
A Ahmed, A Badawy, A Chaudhury
BACKGROUND: Complications of endovascular aneurysm repair (EVAR) include endoleaks, proximal neck dilatation and stent migration, which have a greater likelihood with larger neck angulations. To mitigate against these complications endostapling of the stent-graft to the aortic wall is being implemented. With this extra stage in EVARs, this study aims to establish whether use of endostapling increases patient radiation exposure. METHOD: A retrospective analysis of a prospectively collected database of patients undergoing infrarenal EVAR and EVAR with endostapling was obtained...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28875363/implantation-of-unibody-single-branched-stent-graft-for-patients-with-type-b-aortic-dissections-involving-the-left-subclavian-artery-1-year-follow-up-outcomes
#13
He Huang, Yuanyong Jiao, Yepeng Zhang, Yuelin Zhu, Zhao Liu, Tong Qiao, Changjian Liu, Xiwei Zhang, Min Zhou
OBJECTIVE: To report the early results of castor device, a kind of unibody single-branched stent graft, in the treatment of type B aortic dissection (TBAD) involving the LSA. METHODS: From April 2013 to February 2014, 21 patients with TBADs underwent TEVAR with LSA revascularization by unibody single-branched stent grafts. Three patients with penetrating aortic ulcers in the aortic arch received additional reconstruction of left common carotid artery with chimney technique...
September 5, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28874089/outcome-of-surgeon-modified-fenestrated-branched-stent-grafts-for-symptomatic-complex-aortic-pathologies-or-contained-rupture
#14
Nikolaos Tsilimparis, Franziska Heidemann, Fiona Rohlffs, Holger Diener, Sabine Wipper, E Sebastian Debus, Tilo Kölbel
PURPOSE: To analyze the outcome of surgeon-modified fenestrated and branched stent-grafts (sm-FBSG) in high-risk patients with symptomatic complex aortic pathology or contained rupture. METHODS: A single-center retrospective analysis was conducted of 21 consecutive patients (mean age 70 years, range 58-87; 16 men) treated with a sm-FBSG from April 2014 to September 2016. The indications included 11 thoracoabdominal and 10 pararenal aortic pathologies, which presented as symptomatic in 8 and as contained rupture in 13 patients...
September 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/28867380/homemade-fenestrated-stent-graft-for-thoracic-endovascular-aortic-repair-of-zone-2-aortic-lesions
#15
Ludovic Canaud, Kiyofumi Morishita, Thomas Gandet, Julien Sfeir, Sebastien Bommart, Pierre Alric, Marcello Mandelli
OBJECTIVE: The aim of this retrospective analysis was to evaluate the outcomes of homemade fenestrated stent-grafts for thoracic endovascular aortic repair of zone 2 aortic lesions. METHODS: From November 2013 to January 2017, 24 patients underwent thoracic endovascular aortic repair with left subclavian artery revascularization using a homemade fenestrated stent-graft to preserve the patency of the left subclavian artery. Elective cases accounted for 54% (n = 13) of the sample...
August 5, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28865980/aneurysm-sac-expansion-is-independently-associated-with-late-mortality-in-patients-treated-with-endovascular-aneurysm-repair
#16
Sarah E Deery, Emel A Ergul, Marc L Schermerhorn, Jeffrey J Siracuse, Andres Schanzer, Philip P Goodney, Richard P Cambria, Virendra I Patel
BACKGROUND: Patients undergoing endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms can exhibit variations in sac behavior ranging from complete regression to expansion. We evaluated the impact of sac behavior at 1-year follow-up on late survival. METHODS: We used the Vascular Study Group of New England (VSGNE) registry from 2003 to 2011 to identify EVAR patients with 1-year computed tomography follow-up. Aneurysm sac enlargement ≥5 mm (sac expansion) and decrease ≥5 mm (sac regression) were defined per Society for Vascular Surgery guidelines...
August 30, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28861600/imaging-findings-of-atypical-type-ii-endoleak-through-vasa-vasorum-after-abdominal-endovascular-aneurysm-repair
#17
Hideyuki Torikai, Masanori Inoue, Seishi Nakatsuka, Masashi Tamura, Hideki Yashiro, Akihiro Yoshitake, Hideyuki Shimizu, Masahiro Jinzaki
A type II endoleak (T2EL) is the most common endoleak after endovascular aneurysm repair (EVAR), and a persistent T2EL has been occasionally associated with aneurysmal enlargement. Typical findings of a T2EL consist of an endoleak cavity with inflow and outflow arteries of aortic branch vessels. However, an atypical T2EL, in which hypertrophied vasa vasorum and enlargement of a thrombosed aneurysm are observed, has no endoleak cavity. We have seen three cases of continuous aortic aneurysmal growth after EVAR caused by atypical T2ELs without endoleak cavities through developed vasa vasorum...
August 31, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28856901/type-2-endoleaks-in-endovascular-aortic-repair-cone-beam-ct-and-automatic-vessel-detection-to-guide-the-embolization
#18
Anna Maria Ierardi, Filippo Pesapane, Nicola Rivolta, Enrico Maria Fumarola, Salvatore Alessio Angileri, Filippo Piacentino, Gianpaolo Carrafiello
Background Dual-phase cone beam computed tomography (DP-CBCT) and automatic vessel detection (AVD) software are helpful tools for detecting arteries before planned endovascular interventions. Purpose To evaluate the usefulness of DP-CBCT and AVD software in guiding the trans-arterial embolization (TAE) of challenging T2 lumbar endoleaks (T2-L-EL). Material and Methods Ten patients with T2-L-EL were included in this study. The accuracy of DP-CBCT and the AVD software was defined by the ability to detect the endoleak and arterial feeding vessel, respectively...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28844469/a-systematic-review-of-primary-endovascular-repair-of-the-ascending-aorta
#19
REVIEW
Corbin E Muetterties, Rohan Menon, Grayson H Wheatley
OBJECTIVE: Endovascular repair of the ascending aorta is currently limited to patients at high surgical risk with aortic diseases originating above the sinotubular junction. A number of different endovascular technologies and approaches have been used, although no consensus exists regarding a standardized technique. To better understand real-world endovascular approaches to the ascending aorta, we performed a comprehensive review of the types of endovascular aortic stents and associated vascular access used in repair of the ascending aorta...
August 22, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28843790/circulating-biomarkers-are-not-associated-with-endoleaks-after-endovascular-repair-of-abdominal-aortic-aneurysms
#20
Joseph V Moxon, Eugene Ng, Sharon M Lazzaroni, Margaret Boult, Ramesh Velu, Robert A Fitridge, Jonathan Golledge
OBJECTIVE: Endoleak is a common complication of endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) but can be detected only through prolonged follow-up with repeated aortic imaging. This study examined the potential for circulating matrix metalloproteinase 9 (MMP9), osteoprotegerin (OPG), D-dimer, homocysteine (HCY), and C-reactive protein (CRP) to act as diagnostic markers for endoleak in AAA patients undergoing elective EVAR. METHODS: Linear mixed-effects models were constructed to assess differences in AAA diameter after EVAR between groups of patients who did and did not develop endoleak during follow-up, adjusting for potential confounders...
August 23, 2017: Journal of Vascular Surgery
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