keyword
https://read.qxmd.com/read/38527219/use-of-the-gore-comfortmable-excluder-device-in-highly-angulated-aortic-neck-anatomy-mid-term-outcomes
#1
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/38341175/self-made-bovine-pericardial-tube-grafts-in-aortic-infection-a-european-multicentre-study
#2
JOURNAL ARTICLE
Salome Weiss, Maria Hugas Mallorqui, Martin Czerny, Tim Walter, Gabor Biro, Ilaria Puttini, Veronika Almasi-Sperling, Werner Lang, Jürg Schmidli, Thomas R Wyss
OBJECTIVE: This study examines outcome and durability of self made bovine pericardial tube grafts in aortic infections of all anatomic locations. METHODS: This was a retrospective and prospective international multicentre study. Peri-operative and long term outcomes of patients undergoing aortic in situ reconstruction for native or graft infections with self made bovine pericardial tube grafts between January 2008 and December 2020 in four European tertiary referral centres were analysed...
February 8, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37542388/simultaneous-aortoiliac-kissing-endovascular-stenting-for-management-of-isolated-monolateral-common-iliac-artery-aneurysm-with-no-proximal-landing-zone
#3
JOURNAL ARTICLE
Roberto Gabrielli, Andrea Siani, Gianluca Smedile, Anna Rita Rizzo, Roberto Antonelli, Gennaro De Vivo, Federico Accrocca, Stefano Bartoli
BACKGROUND: Isolated iliac artery aneurysm (IIAA) is an uncommon finding. It, accounts for 0.03% of all patients and 2% of all abdominal aneurysm. Endovascular approach represents the treatment of choice for most patients with IIAA. We reported our experience on iliac aneurysm with no proximal landing zone by simultaneous aortoiliac kissing endovascular (S.A.K.E.) covered stenting. METHODS: This is a retrospective analysis of nine consecutive patients with IIAA with no proximal landing zone, who underwent endovascular kissing covered stenting (Gore® Viabahn® VBX) The median aneurysm diameter was 4...
August 5, 2023: Vascular
https://read.qxmd.com/read/37076108/in-hospital-cost-effectiveness-analysis-of-open-versus-staged-fenestrated-branched-endovascular-elective-repair-of-thoracoabdominal-aneurysms
#4
JOURNAL ARTICLE
Luca Bertoglio, Andrea Melloni, Carlotta Bugna, Camilla Grignani, Daria Bucci, Emanuela Foglia, Roberto Chiesa, Anna Odone
OBJECTIVE: To compare costs and effectiveness of elective open (OR) versus fenestrated/branched endovascular (ER) repair of thoracoabdominal aneurysms (TAAA) in a high-volume center. METHODS: This single-center retrospective observational study (PRO-ENDO TAAA Study, NCT05266781) was designed as part of a larger Health Technology Assessment analysis. All electively treated TAAAs between 2013 and 2021 were analyzed and propensity-matched. Endpoints were clinical success, major adverse events (MAE), hospital direct costs, and freedom from all causes and aneurysm-related mortality and reinterventions...
April 17, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/36978289/early-results-and-feasibility-of-total-endovascular-aortic-arch-repair-using-3-vessel-company-manufactured-and-physician-modified-stent-grafts
#5
JOURNAL ARTICLE
K Benjamin Lee, Jesus Porras-Colon, Carla K Scott, Khalil Chamseddin, Mirza S Baig, Carlos H Timaran
OBJECTIVE: Total endovascular repair of aortic arch aneurysms is feasible in select patients. This study aims to evaluate the feasibility and early outcomes of total endovascular arch repair using 3-vessel company-manufactured devices (CMDs) and physician-modified endo grafts (PMEGs). METHODS: Patients unfit for open repair who underwent 3-vessel total arch repair at a single institution from 2018 to 2021 were reviewed. Patients received either 3-vessel inner-branch CMDs or PMEGs...
March 28, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/36946180/disseminated-intravascular-coagulation-post-endovascular-aortic-repair
#6
REVIEW
Nikolaos Schizas, Georgia Nazou, Constantine Antonopoulos, Dimitrios C Angouras
BACKGROUND: Disseminated Intravascular Coagulation (DIC) after Endo-Vascular Aneurysm Repair (EVAR) is a highly uncommon clinical entity. With only a few case-reports available, its management strategy still remains enigmatic. OBJECTIVES: The purpose of this study was to retrieve, synthesize, and appraise all existing data for DIC after EVAR. MATERIALS AND METHODS: All published articles regarding DIC post-EVAR were identified from 3 major databases and analyzed...
March 22, 2023: Vascular and Endovascular Surgery
https://read.qxmd.com/read/36572322/reconstruction-of-primary-and-secondary-aortic-infections-with-an-antimicrobial-graft
#7
JOURNAL ARTICLE
Caroline Caradu, Benjamin Jolivet, Mathilde Puges, Charles Cazanave, Eric Ducasse, Xavier Berard
INTRODUCTION: In situ reconstruction (ISR) with autologous veins is the preferred method in infectious native aortic aneurysms (INAAs) or vascular (endo)graft infection (VGEI). However, access to biological substitutes can prove difficult and lacks versatility. This study evaluates survival and freedom from reinfection after ISR of INAA/VGEI using the antimicrobial Intergard Synergy graft combining silver and triclosan. METHODS: From February 2014 to April 2020, 86 antimicrobial grafts were implanted for aortic infection...
April 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/35801016/blunt-aortic-injury-traumatic-aortic-isthmus-pseudoaneurysm-with-right-iliac-artery-dissection-aneurysm-a-case-report
#8
Xiao-Xin Fang, Xin-Hui Wu, Xiao-Feng Chen
BACKGROUND: Blunt aortic injury is a special type of aortic disease. Due to its low incidence, high prehospital mortality and high probability of leakage diagnosis, the timely identification of patients with blunt aortic injury who survive the initial injury has always been a clinical challenge. CASE SUMMARY: We report a case of traumatic aortic pseudoaneurysm with right iliac artery dissection aneurysm that was diagnosed 3 mo after a traffic accident. The patient is a 76-year-old male who was knocked down by a fast-moving four-wheel motor vehicle while crossing the road (the damage mechanism was side impact)...
May 26, 2022: World Journal of Clinical Cases
https://read.qxmd.com/read/35705441/successful-transcatheter-aortic-valve-replacement-approached-via-a-simultaneously-implanted-y-graft-vascular-prosthesis
#9
Hiroshi Kawahara, Akihiro Endo, Shoichi Suehiro, Kazuaki Tanabe
Transcatheter aortic valve replacement (TAVR) is mainly performed using the transfemoral (TF) approach. If the TF approach is difficult, the transapical (TA) or transaortic (TAo) approach is used; however, the complication rate is higher in such cases. In this case, abdominal aortic aneurysm (AAA) replacement and TAVR via artificial vessels were performed simultaneously because of anatomical difficulties in stent graft implantation and TF-TAVR for severe aortic stenosis (AS) associated with AAA. Performing TAVR simultaneously with AAA replacement avoids TA- or TAo-TAVR and allows for postoperative management in the absence of AS...
June 10, 2022: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/35351602/contemporary-incidence-outcomes-and-survival-associated-with-endovascular-aortic-aneurysm-repair-conversion-to-open-repair-among-medicare-beneficiaries
#10
JOURNAL ARTICLE
Bjoern D Suckow, Salvatore T Scali, Philip P Goodney, Art Sedrakyan, Jialin Mao, Xinyan Zheng, Andrew Hoel, Kristina Giles-Magnifico, Michol A Cooper, Nicholas H Osborne, Peter Henke, Andres Schanzer, Danica Marinac-Dabic, David H Stone
OBJECTIVE: The widespread application of endovascular abdominal aortic aneurysm repair (EVAR) has ushered in an era of requisite postoperative surveillance and the potential need for reintervention. The national prevalence and results of EVAR conversion to open repair, however, remain poorly defined. The purpose of this analysis was to define the incidence of open conversion and its associated outcomes. METHODS: The SVS Vascular Quality Initiative EVAR registry linked to Medicare claims via Vascular Implants Surveillance and Interventional Outcomes Network was queried for open conversions after initial EVAR procedures from 2003 to 2016...
September 2022: Journal of Vascular Surgery
https://read.qxmd.com/read/35067086/differences-in-vasa-vasorum-distribution-in-human-aortic-aneurysms-and-atheromas
#11
JOURNAL ARTICLE
Masaki Sano, Takeshi Sasaki, Satoshi Baba, Kazunori Inuzuka, Kazuto Katahashi, Takafumi Kayama, Yuta Yamanaka, Hajime Tsuyuki, Yusuke Endo, Kohji Sato, Hiroya Takeuchi, Naoki Unno
The pathophysiological difference between aortic atheromas and aneurysms is unknown. We focused on the vasa vasorum (VV), which play a critical role in maintaining aortic homeostasis and are also involved in vascular diseases. We investigated the differences in VV between the atheromas and aneurysms. Human abdominal aortic samples were obtained from patients with abdominal aortic aneurysm during surgery or autopsy cases. Autopsy cases were divided into 2 groups according to atheromas. The VV were evaluated using immunohistochemical staining for von Willebrand factor...
January 23, 2022: Angiology
https://read.qxmd.com/read/34998936/nationwide-experience-with-evas-relining-of-previous-open-or-endovascular-aaa-treatment-in-the-netherlands
#12
JOURNAL ARTICLE
Shirley Ketting, Aleksandra C Zoethout, Jan M M Heyligers, Arno M Wiersema, Kak K Yeung, Geert W H Schurink, Hence J M Verhagen, Jean-Paul P M de Vries, Michel M P J Reijnen, Barend M E Mees
OBJECTIVE: Relining of a previously placed surgical graft or endograft for an abdominal aortic aneurysm (AAA) is a reintervention to treat progression of disease or failure of the primary (endo)graft. Endovascular Aneurysm Sealing (EVAS) relining is a technique with potential advantages due to the absence of a bifurcation, the possibility for a unilateral approach, and sealing concept of the endobags. The purpose of this study was to describe the nationwide experience with EVAS relining of previous AAA repair in the Netherlands...
January 5, 2022: Annals of Vascular Surgery
https://read.qxmd.com/read/34964371/modular-endo-bentall-procedure-using-a-rendez-vous-access
#13
JOURNAL ARTICLE
Thomas Gandet, Dirk Westermann, Lenard Conradi, Giuseppe Panuccio, Franziska Heidemann, Fiona Rohlffs, Tilo Kölbel
PURPOSE: The concept of a single endovascular valve-carrying conduit device was designated endo-Bentall, but published experience is limited to a single case. This technical note describes an alternative modular endo-Bentall technique and a novel access technique to implant it. TECHNIQUE: A 82-year-old woman with chest pain referred for a 10 cm symptomatic aneurysm of the distal arch and descending aorta. An ascending aortic aneurysm of 5.5 cm prevented endovascular aortic arch repair due to lack of a proximal landing zone...
October 2022: Journal of Endovascular Therapy
https://read.qxmd.com/read/34696983/direct-aneurysm-sac-guided-aspiration-a-magic-bullet-for-diagnosing-aortic-endo-graft-infections
#14
COMMENT
Mathilde Puges, Xavier Bérard
No abstract text is available yet for this article.
December 2021: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/34513415/short-term-re-intervention-of-endovascular-abdominal-aortic-aneurysm-repair
#15
JOURNAL ARTICLE
Hesham Soliman, Mohamed Elkorety, Mohamed Abouelazayem, Girish Girish
Background and aim Endovascular aneurysm repair (EVAR) has revolutionized the management of abdominal aortic aneurysm (AAA). The re-intervention rate following EVAR has been a subject of debate in many studies. The study aims to evaluate the short-term outcomes in terms of the early (four-year) re-intervention rate following EVAR at our centre and compare it to the average re-intervention rate of the main studies assessed by the National Institute of Health and Care Excellence (NICE). Methods The EVAR procedures performed over two years (2015 and 2016) were retrieved using the operation codes...
August 2021: Curēus
https://read.qxmd.com/read/34407713/surgical-5-year-outcomes-of-extra-anatomical-bypass-for-middle-aortic-syndrome-a-case-series
#16
JOURNAL ARTICLE
Taira Yamamoto, Daisuke Endo, Akie Shimada, Hironobu Yamaoka, Atsumi Ooishi, Shizuyuki Dohi, Satoshi Matsushita, Tohru Asai, Atsushi Amano
BACKGROUND: Middle aortic syndrome is a rare disease. Several surgical treatments are available; however, the optimal treatment strategy and long-term outcomes remain unelucidated. We herein report the 5-year outcomes of six patients treated with extra-anatomical bypass surgery for middle aortic syndrome. CASE PRESENTATIONS: Between 2013 and 2016, six patients underwent extra-anatomical bypass for middle aortic syndrome at our institute: three had Takayasu's arteritis, one had vessel vasculitis, and two had middle aortic hypoplastic syndrome of unknown origin...
January 2022: Vascular and Endovascular Surgery
https://read.qxmd.com/read/33899572/iliac-conduits-for-endovascular-treatment-of-aortic-pathologies-a-systematic-review-and-meta-analysis
#17
JOURNAL ARTICLE
Stefanos Giannopoulos, Rafael D Malgor, Marcone L Sobreira, Sammy S Siada, Diego Rodrigues, Mohammed Al-Musawi, Emily A Malgor, Donald L Jacobs
PURPOSE: The treatment of thoracoabdominal aortic aneurysm has largely shifted to endovascular techniques. However, severe iliofemoral arterial disease often presents a challenge during these interventions. As a result, iliac conduits have been introduced to facilitate aortic endovascular therapy. The goal of the current study was to gauge utilization and to analyze iliac artery conduit outcomes to facilitate endovascular therapy to treat aortic pathologies. MATERIALS AND METHODS: A meta-analysis of 14 studies was conducted with the use of random effects modeling...
August 2021: Journal of Endovascular Therapy
https://read.qxmd.com/read/33850623/complications-of-endo-vascular-aortic-repair-for-abdominal-aortic-aneurysm-a-retrospective-single-centre-experience
#18
JOURNAL ARTICLE
Nabil A Al-Zoubi, Zuhair Al-Shawwa
BACKGROUND: Endovascular aortic repair (EVAR) is obviously less invasive than open aortic repair (OAR) for the treatment of infra-renal abdominal aortic aneurysm (AAA). However, it is not free of complications which can potentially result in severe morbidity or even mortality. The purpose of this study was to share our single-center experience with stent-graft related and systemic complications associated with EVAR. METHODS: Patients with infra-renal AAA treated by elective and emergency EVAR between March 2014 and November 2020 were retrospectively identified...
April 2021: Annals of Medicine and Surgery
https://read.qxmd.com/read/33819589/contemporary-experience-with-paravisceral-aortic-aneurysm-pvaaa-repair-in-a-tertiary-center
#19
JOURNAL ARTICLE
Devin S Zarkowsky, Justin T Inman, Thomas A Sorrentino, Jade S Hiramoto, Shant M Vartanian, Charles M Eichler, Linda M Reilly, Warren J Gasper, Michael S Conte
OBJECTIVES: To describe contemporary outcomes from a single center capable of both complex open and endovascular aortic repair for paravisceral aortic aneurysms (PVAAA). METHODS: Data on all patients receiving open or endovascular (endo) treatment for aortic aneurysms with proximal extent at or above the renal arteries and distal to the inferior pulmonary ligament (IPL) were reviewed. Coarsened exact matching (CEM) on age, aneurysm type, gender, coronary artery disease (CAD), previous aortic surgery and symptomatic status created balanced cohorts for outcomes comparisons...
August 2021: Annals of Vascular Surgery
https://read.qxmd.com/read/33568259/the-effects-of-minimum-caseload-requirements-on-management-and-outcome-in-abdominal-aortic-aneurysm-repair
#20
JOURNAL ARTICLE
Matthias Trenner, Michael Salvermoser, Albert Busch, Volker Schmid, Hans-Henning Eckstein, Andreas Kühnl
BACKGROUND: The German quality assurance guideline on abdominal aortic aneurysm (AAA) was implemented by the Joint Federal Committee (Gemeinsamer Bundesausschuss, G-BA) in 2008. The aims of this study were to verify the association between hospital case volume and outcome and to assess the hypothetical effect of minimum caseload requirements. METHODS: The German diagnosis-related groups statistics for the years 2012 to 2016 were scrutinized for AAA (ICD-10 GM I71...
October 20, 2020: Deutsches Ärzteblatt International
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