keyword
https://read.qxmd.com/read/38545357/acute-kidney-injury-after-surgical-treatment-of-failed-endovascular-aneurysm-repair
#1
JOURNAL ARTICLE
Ünal Aydın, Zihni Mert Duman, Muhammed Bayram, Emre Yaşar, Ersin Kadiroğulları, Ali Kemal Arslan, Sefa Eltutan, Muhammed Onur Hanedan
BACKGROUND: This study aims to report the incidence of acute kidney injury following surgical reconstruction after a failed endovascular aneurysm repair (EVAR) in patients with abdominal aortic aneurysms. METHODS: This retrospective study included 44 patients (39 males, 5 females; mean age: 70±11.3 years; range, 35 to 84 years) who underwent emergency or elective surgical reconstruction after failed EVAR between February 2015 and January 2019. Patients were divided into two groups: acute kidney injury group and no acute kidney injury group...
January 2024: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/38545342/the-impact-of-endovascular-stents-types-on-perioperative-outcomes-of-ruptured-abdominal-aortic-aneurysms-a-single-center-experience
#2
JOURNAL ARTICLE
Huibo Ma, Xueyi Wang, Yangshuo Liu, Yongxin Li, Mingjin Guo
INTRODUCTION: Ruptured abdominal aortic aneurysm (rAAA) represents a critically urgent vascular surgical condition, and endovascular aneurysm repair (EVAR) is a clinically effective treatment option. This study aims to investigate whether the type of intravascular graft used for ruptured abdominal aortic aneurysms has an impact on perioperative outcomes of EVAR. METHODS: A retrospective analysis was conducted on patients who underwent EVAR for ruptured abdominal aortic aneurysm at a single medical center from 2019 to 2022...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38541795/association-between-pet-ct-scan-findings-treatment-and-cancer-incidence-in-a-cohort-of-aaa-patients
#3
JOURNAL ARTICLE
Natzi Sakalihasan, Samuel Bruls, Roland Hustinx, Vincent Tchana-Sato, Sarah Sakalihasan, Rebecka Hultgren, Nicos Labropoulos, Alain Colige, Rodolphe Durieux, Pierre Drion, Adelin Albert, Jean-Olivier Defraigne, Lucia Musumeci
Background: Abdominal aortic aneurysm (AAA) is a chronic inflammatory disease that poses several challenges. Given the increasing evidence that AAA patients are more likely to develop cancer and the importance of its early detection, we strived to develop a non-invasive tool based on serial FDG-PET/CT scan examinations to identify, among AAA patients, those at risk of cancer. Methods: Between 2006 and 2011 we recruited 149 AAA patients, free of cancer at baseline, and followed them until the end of 2021. All patients underwent an FDG-PET/CT scan at inclusion and possibly more scans during follow-up...
March 9, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38537880/systematic-review-examining-the-association-of-angiotensin-converting-enzyme-inhibitor-and-angiotensin-receptor-blocker-prescription-with-abdominal-aortic-aneurysm-growth-and-events
#4
REVIEW
Kevin Tian, Shivshankar Thanigaimani, Kate Gibson, Jonathan Golledge
OBJECTIVE: Whether angiotensin II blockade is an effective medical treatment for abdominal aortic aneurysms (AAAs) has not been established. This systematic review and meta-analysis aimed to determine the association of angiotensin converting enzyme inhibitor (ACEi) and angiotensin receptor blocker (ARB) prescription with AAA growth and events. DATA SOURCES: MEDLINE, Embase, Scopus, Web of Science, and the Cochrane Library databases were searched from their inception to 4 January 2024, with no language restrictions...
March 25, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38535106/radiation-exposure-and-contrast-agent-use-during-endovascular-aortic-repair-using-mobile-versus-fixed-angiography-systems
#5
JOURNAL ARTICLE
Amir Arnautovic, Waseem Garabet, Reinhold Thomas Ziegler, Joscha Mulorz, Sönke Maximilian Braß, Alexander Oberhuber, Hubert Schelzig, Markus Udo Wagenhäuser, Philip Dueppers
BACKGROUND: For (thoracic) endovascular aortic repair ((T)EVAR) procedures, both mobile (standard operating room (SOR)) and fixed C-arm (hybrid operating room (HOR)) systems are available. This study evaluated differences in key procedural parameters, and procedural success for (T)EVAR in the SOR versus the HOR. METHODS: All patients who underwent standard elective (T)EVAR at the Clinic for Vascular and Endovascular Surgery at the University Hospital Duesseldorf, Germany, between 1 January 2012 and 1 January 2019 were included...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38533777/visceral-aorta-electrocautery-septotomy-to-allow-branched-endovascular-aortic-repair-in-ruptured-chronic-post-dissection-thoraco-abdominal-aneurysm
#6
JOURNAL ARTICLE
Martina Bastianon, Sara Di Gregorio, Caterina Melani, Jorge Miguel Mena Vera, Gaddiel Mozzetta, Fabio Grimaldi, Cristina Pallini, Giovanni Pratesi
PURPOSE: Endovascular repair of chronic post-dissection thoraco-abdominal aortic aneurysms (PD-TAAA) presents specific technical challenges due to the presence of chronic septum. Small true lumen diameter and false lumen visceral vessel origin can make branched endograft prohibitive. Septotomy may allow to overcome these challenges in cases of high complex anatomy. TECHNIQUE: We describe the application of electrocautery septotomy to the visceral aorta segment to deploy an off-the-shelf branched endograft in a chronic PD-TAAA rupture with true lumen collapse...
March 27, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38533167/suture-based-vascular-closure-versus-surgical-closure-of-large-bore-arteriotomies-a-real-world-experience
#7
JOURNAL ARTICLE
Keshava Murthy, Ratheesh Kumar J, Navjyot Kaur, Amitoj Chadha, Rajeev Chauhan, Davinder Chadha
INTRODUCTION: With the introduction of transcatheter aortic valve implantation (TAVI), endovascular abdominal aortic aneurysm repair (EVAR), thoracic endovascular aortic aneurysm repair (TEVAR), and frequent use of left ventricular assist devices in complicated percutaneous coronary interventions, the use of large bore arterial access has become a necessity. In the index study, we compared the percutaneous closure of large arteriotomies with open surgical (OS) closure. METHODS: It was a prospective study in which we compared the technical success and vascular complication rate associated with the use of a suture-based vascular closure device (VCD): Perclose ProGlide (PP) with that of OS closure...
February 2024: Curēus
https://read.qxmd.com/read/38532333/early-and-mid-term-outcomes-of-open-thoracoabdominal-aortic-aneurysm-repair-after-thoracic-endovascular-aortic-repair
#8
JOURNAL ARTICLE
Ji Lin, Wei Liu, Cheng-Wei Yang, Kaitao Jian, Yu Xia, Hao Peng, Bin You, Li-Zhong Sun
OBJECTIVE: To evaluate the early and mid-term outcomes of open repair in patients with thoracoabdominal aortic aneurysm (TAAA) after thoracic endovascular aortic repair (TEVAR). METHODS: This was a retrospective single center study. Data were retrospectively collected and analyzed for consecutive patients undergoing open TAAA repair (TAAAR) after TEVAR from November 2016 to June 2021. Indications for TAAAR included aneurysm progression due to endoleak, persisted false lumen perfusion, proximal/distal disease progression, and aorta rupture...
March 26, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38528653/contrast-free-endovascular-aneurysm-repair-combined-with-fibrin-sealant-filling-for-treating-abdominal-aortic-aneurysm-technical-note
#9
JOURNAL ARTICLE
Longtu Zhu, Wenying Guo, Li Chen, Hao Zhang, Bing Xu, Zhichen Ding, Qingsheng Lu, Lei Zhang
INTRODUCTION: Endovascular aneurysm repair using iodinated contrast agents risks contrast-induced nephropathy, especially in high-risk patients. This technical note describes a contrast-free endovascular aneurysm repair (EVAR) protocol using preoperative imaging measurement and fibrin sealant (FS) filling. TECHNIQUE: Preoperative imaging measurement and intraoperative guidewire manipulation facilitated anatomical identification without contrast. After endograft deployment, the aneurysm sac was filled with FS if endoleak was indicated by pressure fluctuations...
March 25, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38528651/real-world-evaluation-of-the-off-the-shelf-precannulated-inner-branched-endograft-for-pararenal-aortic-aneurysms
#10
JOURNAL ARTICLE
Theodosios Bisdas, Neophytos Zambas, Marios Zertalis, Panagiotis Theodorides, Nikolaos Iatrou, Christos Dimopoulos, Nikolas Charalambous
PURPOSE: To analyze the early performance and efficacy of the first commercially available off-the-shelf precannulated multibranched endograft in the endovascular repair of pararenal abdominal aortic aneurysms (PAAAs). The device received European marketing approval in late 2020. MATERIALS AND METHODS: Between January 2021 and June 2023, a retrospective analysis of prospectively collected data from all consecutive patients with pAAAs undergoing implantation of the E-nside precannulated inner-branched endograft was conducted in 2 centers...
March 25, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38528619/the-aria-trial-protocol-a-randomised-controlled-trial-to-assess-the-clinical-technical-and-cost-effectiveness-of-a-cloud-based-artificially-intelligent-image-fusion-system-in-comparison-to-standard-treatment-to-guide-endovascular-aortic-aneurysm-repair
#11
JOURNAL ARTICLE
James Budge, Tom Carrell, Medeah Yaqub, Hatem Wafa, Matt Waltham, Izabela Pilecka, Joanna Kelly, Caroline Murphy, Stephen Palmer, Yanzhong Wang, Rachel E Clough
BACKGROUND: Endovascular repair of aortic aneurysmal disease is established due to perceived advantages in patient survival, reduced postoperative complications, and shorter hospital lengths of stay. High spatial and contrast resolution 3D CT angiography images are used to plan the procedures and inform device selection and manufacture, but in standard care, the surgery is performed using image-guidance from 2D X-ray fluoroscopy with injection of nephrotoxic contrast material to visualise the blood vessels...
March 25, 2024: Trials
https://read.qxmd.com/read/38527946/endotension-following-endovascular-aneurysm-repair-retrospective-review-of-treatment-and-clinical-outcome
#12
JOURNAL ARTICLE
Joon-Young Kim, Sang Ah Lee, Jun Gyo Gwon, Youngjin Han, Yong-Pil Cho, Tae-Won Kwon
PURPOSE: : Endotension is a rare late complication characterized by an increase in sac size without any type of endoleak following endovascular aortic aneurysm repair (EVAR). Due to its rarity, few studies have demonstrated the mechanism behind and the management of endotension. In this study, we aimed to better understand the treatment and the long-term outcome of endotension in a single-center cohort. MATERIALS AND METHODS: : This study was designed for a retrospective review of the patients diagnosed with endotension between January 2006 and December 2017...
March 26, 2024: Vascular Specialist International
https://read.qxmd.com/read/38527519/long-term-outcomes-of-the-gore-excluder-low-permeability-endoprosthesis-for-the-treatment-of-infrarenal-aortic-aneurysms
#13
JOURNAL ARTICLE
Stefan P M Smorenburg, Jorg L de Bruin, Clark J Zeebregts, Michel M P J Reijnen, Hence J M Verhagen, Jan M M Heyligers
OBJECTIVE: This study evaluated the long term outcomes of endovascular aneurysm repair using the Gore Excluder Low Permeability (LP) endoprosthesis across high volume Dutch hospitals. METHODS: A retrospective analysis was conducted of patients treated with the Excluder LP for infrarenal abdominal aortic aneurysm (AAA) in four hospitals between 2004 - 2017. Primary outcomes were overall survival, freedom from re-interventions (overall, inside/outside instructions for use, IFU), and AAA sac dynamics: growth (> 5 mm), stabilisation, and regression (< 5 mm)...
March 23, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38527219/use-of-the-gore-comfortmable-excluder-device-in-highly-angulated-aortic-neck-anatomy-mid-term-outcomes
#14
JOURNAL ARTICLE
Raja GnanaDev, Aldin Malkoc, Jeffrey Hsu, Jason Behseresht, Majid Tayyarah, Trung D Vo, Iden Andacheh
INTRODUCTION: Patients with complex aortic anatomy require meticulous surgical planning to optimize intraoperative and postoperative outcomes. The GORE Excluder Conformable Abdominal Aortic Aneurysm Endoprosthesis (CEXC Device, WL Gore and Associates, Flagstaff, AZ) allows for endovascular treatment of highly angulated and short proximal neck abdominal aortic aneurysms (AAA). Owing to its recent approval, short-term clinical outcomes of this device remain scarce. REPORT: In this report, we present a case series of 3 patients who underwent endovascular aortic repair using the GORE Excluder Conformable device with highly angulated (>70°) aortic neck anatomy...
March 25, 2024: Vascular and Endovascular Surgery
https://read.qxmd.com/read/38527213/modified-upside-down-technique-with-gore-tapered-iliac-limbs-for-isolated-iliac-artery-aneurysms
#15
JOURNAL ARTICLE
Federico Francisco Pennetta, Francesco De Santis, Massimiliano Millarelli, Nicolò Diotallevi, Roberto Chiappa
PURPOSE: To describe the off-label use of tapered iliac limbs for the treatment of isolated iliac aneurysms with proximal landing zone significantly larger than distal landing zone. TECHNIQUE: Inversion of a Gore Excluder tapered leg (W. L. Gore & Associates Inc, Flagstaff, Arizona) with a modified upside-down technique is described. The endoprosthesis, with the olive at the tip of the releasing system previously cut, is inserted in a tip-to-tip fashion into a 15 Fr introducer sheath...
March 25, 2024: Vascular
https://read.qxmd.com/read/38525841/rapid-formation-of-aortoesophageal-fistula-complicated-by-mycotic-thoracic-aortic-aneurysm-secondary-to-infective-endocarditis
#16
JOURNAL ARTICLE
Maki Setake, Yasuhiro Uechi, Yuzuru Kinjo, Masaru Miyazato, Noriya Nakachi, Ryosaku Tomiyama, Namio Higa, Akira Hokama
A 73-year-old man was admitted with four weeks of intermittent fever. He had a history of total aortic arch replacement for aortic arch aneurysm four years prior. CT scans showed no abnormalities before admission. Repeated blood cultures yielded Streptococcus anginosus and Prevotella melaninogenica, suggesting infective endocarditis (IE). Transesophageal echocardiography revealed a vegetation on the aortic valve, confirming IE. He suddenly presented with massive hematemesis and hypotension. Endoscopy revealed an elevated lesion with a laceration but no active bleeding in the esophagus...
March 25, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38523961/cleaning-up-the-chimney-early-renal-stent-graft-thrombosis-following-endovascular-treatment-of-a-juxtarenal-aortic-aneurysm-with-the-chimney-technique
#17
Ioakeim Giagtzidis, Marios Theologou, Ioakeim Papoutsis, Christos Karkos, Konstantinos Papazoglou
The endovascular management of juxtarenal aortic aneurysms with the chimney technique (ch-EVAR) has gained popularity in recent years. It provides an alternative to open repair, allowing treatment of challenging anatomies with devices readily available in any vascular suite. The primary drawback persists as the occurrence of type-Ia endoleak from gutters and renal stent thrombosis. We present two cases of early renal stent graft thrombosis following chimney endovascular aneurysm repair. The first patient was an 80-year-old man who underwent single ch-EVAR and came back on the fifth post-op day with renal stent graft thrombosis...
February 2024: Curēus
https://read.qxmd.com/read/38523940/an-unusual-case-of-non-typhoidal-salmonella-bacteremia-causing-life-threatening-aortitis
#18
Fawwad A Ansari, Stefan Gafoor, Mubashira Aftab, Zola Nlandu
Non-typhoidal Salmonella typically presents with gastroenteritis. However, an invasive Salmonella infection, which may be typically seen in immunocompromised patients, has a propensity for aortic involvement, especially in patients with risk factors for atherosclerosis. Here we present a 60-year-old female with multiple comorbid conditions and currently on immunosuppressants for rheumatoid arthritis, who presented with nausea, vomiting, and fever of three weeks duration and was found to have Salmonella bacteremia...
February 2024: Curēus
https://read.qxmd.com/read/38523632/physician-modification-of-the-terumo-aortic-treo-device-for-juxtarenal-or-pararenal-aortic-aneurysms
#19
JOURNAL ARTICLE
Eric Ducasse, Xavier Berard, Caroline Caradu
No abstract text is available yet for this article.
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38522904/dysphagia-aortica
#20
JOURNAL ARTICLE
Aritoshi Kobayashi, Daisuke Miyagishima, Yusuke Ofuka, Toru Tsujibayashi
No abstract text is available yet for this article.
March 25, 2024: Internal Medicine
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