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aortic aneurysm, endo vascular

Fuminori Kasashima, Kengo Kawakami, Yasushi Matsumoto, Masamitsu Endo, Satomi Kasashima, Atsuhiro Kawashima
Immunoglobulin G4-related diseases (IgG4-RD) are systemic inflammatory conditions, characterized by high serum IgG4 concentrations, and pathologically IgG4-positive plasmacytes infiltrations and storiform fibrosis. We described IgG4-related inflammatory abdominal aortic aneurysm in 2008, and revealed the existence of vascular lesions. IgG4-related vascular lesions frequently occur in the aorta and branching medium-sized arteries with or without aneurysmal change. The inflammatory lesion mainly involves in the adventitia, indicating remarkable adventitial fibrous thickening with infiltration of inflammatory cells...
March 25, 2018: Annals of Vascular Diseases
H H Yin, M Wang, Z L Li, C Yao, Z J Hu, J S Wang, G Q Chang, S M Wang
OBJECTIVE: To summarize our experience in the management of stent-graft infection after endo-vascular aortic repair (EVAR) of abdominal aortic aneurysm (AAA). METHODS: Data of patients who were diagnosed as endo-graft infection following EVAR and admitted in our center between January 2000 and December 2015 were reviewed. Clinical records including causes of infection, medical history, re-operative procedures, and prognostic data were analysed. RESULTS: A total of 10 male patients, aged 45-72 years (averaged 62...
August 9, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Dinh Dong Nghi Phan, Frank Meyer, Maciej Pech, Zuhir Halloul
OBJECTIVE: To evaluate the predicting factors for the development of endoleak type II, its frequency and influencing factors after elective endovascular repair (EVAR) of infrarenal abdominal aortic aneurysms (AAA). METHODS: Data were prospectively collected in a unicenter observational study (tertiary center of [endo-] vascular surgery) and retrospectively evaluated in patients who had undergone elective EVAR of AAA. Vascular (lumbar arteries (LA) and inferior mesenteric artery, aneurysm) and general patient (habits, medication, basic diseases) as well as procedural characteristics, were analyzed for their association with the development of endoleak type II...
November 2015: Wiener Klinische Wochenschrift
Vito Cantisani, Hektor Grazhdani, Dirk-André Clevert, Roberto Iezzi, Luca Aiani, Alberto Martegani, Fabrizio Fanelli, Luca Di Marzo, Andrea Wlderk, Carlo Cirelli, Carlo Catalano, Nicola Di Leo, Mattia Di Segni, Flavio Malpassini, Ferdinando D'Ambrosio
Endo vascular aortic repair [EVAR] is performed with low peri-operative morbidity and mortality rate and short hospital stay. However, EVAR needs a close and lifelong imagining surveillance for a timely detection of possible complications including endoleaks, graft migration, fractures, and enlargement of aneurysm sac size with eventual rupture. Contrast enhanced computed tomography [CTA] is actually considered the gold-standard in EVAR follow-up, but it is accompanied with radiation burden and renal injury due to the use of contrast media...
September 2015: European Journal of Radiology
Young Il Kim, Young Ho Choi, Jin Wook Chung, Hyo-Cheol Kim, Young Ho So, Hyun Beom Kim, Seung-Kee Min, Jae Hyung Park
OBJECTIVE: We evaluated the effect of close contact between the stent and the graft on the induction of endothelial covering on the stent graft placed over an aneurysm. MATERIALS AND METHODS: Saccular abdominal aortic aneurysms were made with Dacron patch in eight dogs. The stent graft consisted of an inner stent, a expanded polytetrafluoroethylene graft, and an outer stent. After sacrificing the animals, the aortas with an embedded stent graft were excised. The aortas were inspected grossly and evaluated microscopically...
September 2014: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
Masatoshi Komooka, Shinichi Higashiue, Keiji Matsubayashi, Hisashi Tonda, Norihiko Hiramatsu, Onichi Furuya
A 77-year-old woman was admitted to a hospital with complaints of back pain, nausea and vomiting for 4 days. She underwent enhanced aortic computed tomography (CT) and was diagnosed with Stanford type A acute aortic dissection. Then she was transferred to our hospital. CT showed aortic dissection spreading from the ascending aorta up to the abdominal aorta and an intimal tear located at the descending thoracic aorta. Although the false lumen of the ascending aorta was thrombosed, emergency ascending aorta replacement and aortic valve replacement were performed, because pericardial effusion and severe aortic regurgitation were found by echocardiography...
February 2014: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Hugo Rodrigues, João Monteiro Castro, Hugo Valentim, Alvaro Laranjeira, Maria Emília Ferreira, João Albuquerque E Castro, José Fragata, Luís Mota Capitão
OBJECTIVES: To retrospectively review the hybrid treatment of the aortic arch with supra-aortic debranching and endo- vascular stent-graft repair in a single institution. METHODS: From 2007 to 2010, all patients submitted to aortic debranching procedures were entered into a prospective database analysis. For the present study, only patients with sealing zones 0 and 1, according to the Ishimaru classification, were included. Procedure-related morbimortality was analysed for the open and endovascular procedures...
July 2012: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
Masafumi Noda, Yoshinori Okada, Yoshikatsu Saiki, Tetsu Sado, Yasushi Hoshikawa, Chiaki Endo, Akira Sakurada, Sumiko Maeda, Hisashi Oishi, Takashi Kondo
A 44-year-old man with Eisenmenger's syndrome due to ventricular septal defect (VSD) was listed for lung transplantation. The patient's condition was complicated by a giant pulmonary artery (PA) aneurysm. Concurrent VSD closure and total reconstruction of the recipient PA with the donor aorta were planned. When the patient underwent bilateral lung transplantation, the aortic graft obtained turned out to be too short to complete the reconstruction. A PA graft made of the recipient's pericardium was successfully interposed between the donor's PA and the donor's aortic graft...
July 2013: Annals of Thoracic Surgery
Karla Diaz, Diego Maselli, Manuel Rivera, Stephanie Levine
SESSION TYPE: Pleural Cases IPRESENTED ON: Tuesday, October 23, 2012 at 11:15 AM - 12:30 PMINTRODUCTION: The most common cause of hemothorax is trauma. Non-traumatic hemothorax is uncommon and can be caused by malignancy, tuberculosis, blood dyscrasias, pulmonary embolism, thoracic aortic aneurysm, pulmonary artery aneurysm, arteriovenous fistula, connective tissue disease, and catamenial hemothorax. We present the case of a patient who developed a hemothorax as a result of a costal exostosis: a rare cause of spontaneous hemothorax...
October 1, 2012: Chest
Denise van der Linde, Hence J M Verhagen, Adriaan Moelker, Ingrid M B H van de Laar, Isabelle Van Herzeele, Julie De Backer, Harry C Dietz, Jolien W Roos-Hesselink
OBJECTIVE: Aneurysms-osteoarthritis syndrome (AOS), caused by SMAD3 mutations, is a recently described autosomal-dominant syndrome characterized by arterial aneurysms, tortuosity, and aortic dissections in combination with osteoarthritis. Our objective was to evaluate the AOS-related vascular consequences in the visceral and iliac arteries and raise awareness for this aggressive syndrome among vascular specialists. METHODS: All AOS patients were monitored regularly according to our clinical AOS protocol...
January 2013: Journal of Vascular Surgery
Hiroshi Kubota, Hidehito Endo, Mio Noma, Hiroshi Tsuchiya, Akihiro Yoshimoto, Mitsuru Matsukura, Yu Takahashi, Yusuke Inaba, Kenichi Sudo
Resection of the infected aorta, debridement of the surrounding tissue, in situ graft replacement, and omentopexy is the standard procedure for treating infected aortic aneurysms, but the question of which graft material is optimal is still a matter of controversy. We recently treated a patient with an infected thoracic aortic aneurysm. The aneurysm was located in the proximal aortic arch. Because the patients had previously undergone abdominal surgery, the aortic arch were replaced in situ with a branched equine pericardial roll grafts...
2012: Journal of Cardiothoracic Surgery
Toshihiro Tsuruda, Kinta Hatakeyama, Shigeki Nagamachi, Yoko Sekita, Sumiharu Sakamoto, George J Endo, Masanori Nishimura, Masakazu Matsuyama, Koichi Yoshimura, Yuko Sato, Toshio Onitsuka, Takuroh Imamura, Yujiro Asada, Kazuo Kitamura
OBJECTIVE: The mechanisms underlying abdominal aortic aneurysm development remain unknown. We hypothesized that acceleration of glucose metabolism with the upregulation of glucose transporters is associated with abdominal aortic aneurysm development. METHODS AND RESULTS: Enhanced accumulation of the modified glucose analogue 18 fluoro-deoxyglucose by positron emission tomography imaging in the human abdominal aortic aneurysm was associated with protein expressions of glucose transporters-1 and -3, assessed by Western blot...
June 2012: Arteriosclerosis, Thrombosis, and Vascular Biology
J D Blankensteijn, J L De Bruin, A F Baas
With data from four randomized trials on elective endovascular abdominal aortic aneurysm repair and many more additional post-hoc publications, the evidence can be somewhat overwhelming for the surgeon, let alone the patient. This chapter aims to present the most recent and relevant data for decision making in abdominal aortic aneurysm (AAA) repair in a comparative and concise format. After a comparison of the short- and long-term survival data of the randomized trials, the following post-hoc analyses of the four randomized trials will be presented: causes of death, reinterventions, renal function, prediction of complications, and quality of life...
February 2012: Journal of Cardiovascular Surgery
Mariarosaria Fabrizia Giannoni, Michele Citone, Michele Rossini, Francesco Speziale, Vincenzo David
The treatment of Aortic Aneurysm disease is a growing procedure due to increase of life expectancy in Western Countries and relative incidence. In the past ten years we observed a progressive growth of endovascular over open surgery procedures with a related decline in rupture related deaths. Endo Vascular Aortic Repair [EVAR] is a well known technique of treatment of abdominal aortic aneurysms, that has changed the surgical approach to abdominal aortic aneurysms, as it is performed with low perioperative morbility and mortality rate and shorter hospital stay...
2012: Current Pharmaceutical Design
J L De Bruin, S de Jong, J Pol, M van der Jagt, M Prinssen, J D Blankensteijn
BACKGROUND: The effectiveness of open and endovascular aneurysm repair of aortic abdominal aneurysms (AAAs) can be jeopardised by deterioration of the residual infrarenal neck of the aneurysm. OBJECTIVE: The study aims to determine the length of the residual infrarenal aortic segment after endovascular and open aneurysm repair. METHODS: In a multicentre randomised controlled trial comparing open and endovascular AAA repair, 165 patients were discharged after open AAA repair (OR) and 169 after endovascular repair (EVAR)...
April 2012: European Journal of Vascular and Endovascular Surgery
Hiromichi Yamamoto, Naoya Kuwayama, Nakamasa Hayashi, Michiya Kubo, Shunro Endo
This study evaluated the usefulness of computed tomography (CT) angiography for the detection of high-risk aortas for carotid artery stenting (CAS). We investigated changes in the treatment method and modifications of endovascular techniques according to the information from CT angiography. CT angiography using three-dimensional and multi-planar reconstruction was performed in 43 consecutive patients with carotid artery stenoses intended to undergo CAS. Two neurosurgeons evaluated the images and estimated the risk and difficulties of CAS...
2011: Neurologia Medico-chirurgica
A James O'Malley, Philip Cotterill, Marc L Schermerhorn, Bruce E Landon
BACKGROUND: When 2 treatment approaches are available, there are likely to be unmeasured confounders that influence choice of procedure, which complicates estimation of the causal effect of treatment on outcomes using observational data. OBJECTIVE: To estimate the effect of endovascular (endo) versus open surgical (open) repair, including possible modification by institutional volume, on survival after treatment for abdominal aortic aneurysm, accounting for observed and unobserved confounding variables...
December 2011: Medical Care
Taizo Kimura, Koichi Yoshimura, Hiroki Aoki, Kyoko Imanaka-Yoshida, Toshimichi Yoshida, Yasuhiro Ikeda, Noriyasu Morikage, Hisako Endo, Kimikazu Hamano, Tsutomu Imaizumi, Michiaki Hiroe, Kazutaka Aonuma, Masunori Matsuzaki
Abdominal aortic aneurysm (AAA) is a common disease caused by segmental weakening of the aortic walls and progressive aortic dilation leading to the eventual rupture of the aorta. Currently no biomarkers have been established to indicate the disease status of AAA. Tenascin-C (TN-C) is a matricellular protein that is synthesized under pathological conditions. In the current study, we related TN-C expression to the clinical course and the histopathology of AAA to investigate whether the pattern of TN-C expression could indicate the status of AAA...
October 2011: Pathology International
P Stádler
INTRODUCTION: The feasibility of robotically-assisted laparoscopic aortic surgery has been adequately demonstrated. The authors report on their clinical experience with robot-assisted aortoiliac reconstruction for aorto-iliacocclusive disease, aortic aneurysm and two hybrid procedures performed using the da Vinci system. MATERIALS/METHOD: Between November 2005 and December 2008, we performed 130 robot-assisted laparoscopic aortoiliac procedures. One hundred sixteen patients were prospectively evaluated for occlusive disease, ten patients for abdominal aortic aneurysm, two for a common iliac artery aneurysm and two for hybrid procedures...
May 2009: Acta Chirurgica Belgica
Kristina A Giles, Allen D Hamdan, Frank B Pomposelli, Mark C Wyers, Suzanne E Dahlberg, Marc L Schermerhorn
PURPOSE: To evaluate national outcomes after endovascular and open surgical repair of ruptured abdominal aortic aneurysms (rAAA). METHODS: The Nationwide Inpatient Sample was interrogated to identify all repairs between 2000 and 2005 for rAAA based on ICD-9 codes. In the study period, 2323 patients (1794 men; median age 75 years, range 45-98) with rAAAs had endovascular repair, while 26,106 patients (20,311 men; median age 73 years, range 22-99) had an open procedure...
October 2009: Journal of Endovascular Therapy
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