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https://www.readbyqxmd.com/read/28822680/outcomes-of-endovascular-abdominal-aortic-aneurysm-repair-in-octogenarians-meta-analysis-and-systemic-review
#1
REVIEW
Y Han, S Zhang, J Zhang, C Ji, H-H Eckstein
OBJECTIVES: This meta-analysis and systematic review aimed to highlight the results of endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) to assess safety and effectiveness in patients older than 80 years of age compared with younger patients. METHODS: PRISMA guidelines were used; quality was appraised, and data were extracted and analysed following the Cochrane collaboration. The MEDLINE and Embase databases were searched on December 31, 2016...
August 16, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28822664/laparoscopic-ligation-of-inferior-mesenteric-artery-for-the-treatment-of-type-ii-endoleak-after-endovascular-aortic-aneurysm-repair
#2
REVIEW
Konstantinos Spanos, Nikolaos Tsilimparis, Axel Larena-Avellaneda, Athanasios D Giannoukas, Sebastian E Debus, Tilo Kölbel
OBJECTIVE: Type II endoleak after endovascular aneurysm repair (EVAR) is frequently caused by persistent flow from the inferior mesenteric artery (IMA). The aim of this study was to assess the perioperative and midterm efficacy of laparoscopic ligation of the IMA for treatment of endoleak. METHODS: MEDLINE, Cochrane Central Register of Controlled Trials, and Cochrane databases and key references were searched with Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology for studies reporting on laparoscopic ligation of the IMA for treatment of type II endoleak after EVAR...
August 16, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28822662/morphologic-characteristics-and-endovascular-treatment-of-primary-infrarenal-aortic-dissections
#3
Wan Zhang, Zhenyu Shi, Weiguo Fu, Bin Chen, Xin Xu, Daqiao Guo
OBJECTIVE: We report the morphologic characteristics and endovascular treatment of primary infrarenal aortic dissections (PIRADs). METHODS: A retrospective study was conducted with 38 consecutive PIRAD patients between January 2010 and May 2016 in our vascular center. Patient demographics, morphologic characteristics, endovascular modalities, and periprocedural and follow-up outcomes were recorded. Patients with symptomatic PIRADs or asymptomatic PIRADs of a maximum diameter >30 mm were indicated for endovascular aneurysm repair (EVAR)...
August 16, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28820356/a-phantom-study-for-the-comparison-of-different-brands-of-computed-tomography-scanners-and-software-packages-for-endovascular-aneurysm-repair-sizing-and-planning
#4
Juliëtte F Velu, Erik Groot Jebbink, Jean-Paul Pm de Vries, Job Am van der Palen, Cornelis H Slump, Robert H Geelkerken
Objectives Correct sizing of endoprostheses used for the treatment of abdominal aortic aneurysms is important to prevent endoleaks and migration. Sizing requires several steps and each step introduces a possible sizing error. The goal of this study was to investigate the magnitude of these errors compared to the golden standard: a vessel phantom. This study focuses on the errors in sizing with three different brands of computed tomography angiography scanners in combination with three reconstruction software packages...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28818295/total-endovascular-treatment-for-extent-type-1-and-5-thoracoabdominal-aortic-aneurysms
#5
Gabriele Piffaretti, Federico Fontana, Marco Franchin, Alessandro Bacuzzi, Walter Dorigo, Patrizio Castelli, Matteo Tozzi
OBJECTIVE: The study objective was to describe the results of thoracic endovascular aortic repair with the intentional coverage of the celiac artery and distal supramesenteric landing zone for extent type 1 and type 5 thoracoabdominal aortic aneurysms. METHODS: Inclusion criteria were thoracic endovascular aortic repair with celiac artery coverage to treat elective or urgent extent type 1 and 5 thoracoabdominal aortic aneurysms. Primary end points were in-hospital and follow-up survival, freedom from aortic-related mortality, and freedom from reintervention...
July 22, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28814153/a-systematic-review-of-treatment-modalities-and-outcomes-of-type-ib-endoleak-after-endovascular-abdominal-aneurysm-repair
#6
Claudio Bianchini Massoni, Paolo Perini, Tiziano Tecchio, Matteo Azzarone, Alessandro de Troia, Antonio Freyrie
Objectives To collect specific literature on type Ib endoleak after aorto-iliac endografting for abdominal aortic aneurysm, reporting data on diagnosis, treatment, and follow-up results. Methods Publications about type Ib endoleak after aorto-iliac endografting for abdominal aortic or iliac aneurysm were searched in PubMed, Web of Science, and Scopus. Considered studies were in English and published until 3 November 2016. Research methods and reporting were performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28807381/postoperative-initial-2-day-blood-pressure-management-facilitates-the-shrinkage-of-abdominal-aortic-aneurysm-after-endovascular-aneurysm-repair-by-reducing-the-incidence-of-type-ii-endoleak
#7
Shuhei Miura, Yoshihiko Kurimoto, Kosuke Ujihira, Yutaka Iba, Ryushi Maruyama, Akira Yamada, Masanori Nojima, Katsuhiko Nakanishi
OBJECTIVE: The aim of this study was to evaluate the effect of initial 2-day blood pressure management (BPM) after endovascular aneurysm repair (EVAR) for the incidence of subsequent type II endoleak (T2E) and shrinkage of abdominal aortic aneurysm (AAA) sac diameter. METHODS: We reviewed 136 patients who underwent EVAR for atherosclerotic AAA between July 2008 and July 2014 with one of three stent grafts (Excluder [W. L. Gore & Associates, Flagstaff, Ariz], Powerlink [Endologix Inc, Irvine, Calif], and Endurant [Medtronic Vascular, Santa Rosa, Calif])...
August 11, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28795036/delayed-type-iii-endoleak-caused-by-fabric-erosion-after-endovascular-repair-of-an-abdominal-aortic-aneurysm
#8
Jae Hang Lee, Eung-Joong Kim, Jin-Ho Choi
A 74-year-old patient presented with recurrent aneurysms in the infrarenal abdominal aorta and right common iliac artery 6 years after endovascular aortic repair using endografts in the same location. The patient underwent an aorto-bi-iliac replacement with removal of the stent graft. Two holes measuring 2 mm each were found in the removed graft, and they appeared to have been caused by wear from continuous friction between the endograft and the aortic wall.
August 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28795035/aortopulmonary-fistula-presenting-without-an-endoleak-after-thoracic-endovascular-aortic-repair
#9
Giacomo Sica, Gaetano Rea, Giorgio Bocchini, Romilda Lombardi, Massimo Muto, Tullio Valente
Herein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the descending thoracic aorta. The area of perianeurysmal pulmonary atelectasis reported on the CT scan was not considered. Three months later, he developed an aortopulmonary fistula without endoleaks. Although TEVAR is a relatively safe procedure, no detail should be overlooked in the preoperative evaluation in order to avoid life-threatening complications...
August 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28782415/no-difference-in-neck-enlargement-for-patients-treated-with-double-proximal-self-expandable-suprarenal-fixation-endografting
#10
Andrés Reyes Valdivia, Georgios Pitoulias, África Duque Santos, Martín Fabregate Fuente, Apostolos G Pitoulias, Julia Ocaña Guaita, Claudio Gandarias
INTRODUCTION: Neck enlargement is well described in patients treated with self-expandable endografts for abdominal aortic aneurysms. Double endografting (ie, overlapping of stent grafts) occurs in patients with proximal cuffs or bifurcated to monoiliacal configuration conversions. When the aortic neck of patients receives 2 suprarenal fixation endografts, it may behave differently in terms of radial force and interaction of additional suprarenal stents extending to the visceral aorta...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28779856/renal-complications-after-evar-with-suprarenal-versus-infrarenal-fixation-among-all-users-and-routine-users
#11
S L Zettervall, S E Deery, P A Soden, K Shean, J J Siracuse, M Alef, V I Patel, M L Schermerhorn
BACKGROUND: Previous studies comparing endografts with suprarenal and infrarenal fixation for endovascular abdominal aortic aneurysm repair (EVAR) have found conflicting results and did not account for differences in patient selection. This study aims to evaluate the differences in outcomes among surgeons who routinely use either suprarenal or infrarenal fixation, as well as all surgeons in the Vascular Study Group of New England (VSGNE). METHODS: All patients undergoing EVAR in the VSGNE from 2003 to 2014 were identified...
August 2, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28774222/transradial-delivery-of-a-renal-snorkel-during-complex-endovascular-aortic-aneurysm-repair
#12
Jordan R Stern, Sharif H Ellozy
Transradial access has been described in a variety of clinical contexts but has been rarely utilized for visceral artery interventions and during complex endovascular aortic aneurysm repair (EVAR) when upper extremity access is required. This is usually accomplished via brachial artery access, and although brachial access is generally safe and effective, radial access may offer some benefits with regard to patient comfort and potential complications. Here we report a case of successful delivery of a renal snorkel via a radial artery approach during EVAR...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28760581/any-nonadherence-to-instructions-for-use-predicts-graft-related-adverse-events-in-patients-undergoing-elective-endovascular-aneurysm-repair
#13
Christine R Herman, Philippe Charbonneau, Kiattisak Hongku, Luc Dubois, Sajjid Hossain, Kevin Lee, Oren K Steinmetz
BACKGROUND: A variety of devices exist for endovascular aneurysm repair (EVAR). Device-specific instructions for use (IFU) detail anatomic constraints to application and deployment of devices and are developed from rigorous bench testing. Nonadherence to IFU occurs frequently to avoid open surgery. The purpose of this study was to determine if IFU violations are associated with increased risk of graft-related adverse events (GRAEs) during follow-up. METHODS: This multicenter retrospective observational study included patients undergoing elective endovascular repair for abdominal aneurysmal disease with three different devices...
July 28, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28754428/mid-term-results-of-chimney-and-periscope-grafts-in-supra-aortic-branches-in-high-risk-patients
#14
F Pecoraro, M Lachat, N S Cayne, D Pakeliani, Z Rancic, G Puippe, F J Criado, T Pfammatter, F J Veith, B Krüger, T A Neff
PURPOSE: Report mid-term outcomes of thoracic endovascular aneurysm repair (TEVAR) with chimney and periscope grafts (CPG) in supra-aortic branches (SAB). METHODS: Retrospective analysis, from October 2009 to May 2014, of patients with aneurysms requiring TEVAR with zone 0/1/2 proximal landing in association with at least one CPG in the SAB. All patients were considered at high risk for conventional surgery. Peri-operative mortality and morbidity, retrograde type A dissection, maximum aortic transverse diameter (TD) and its post-operative evolution, endoleak, survival, freedom from cardiovascular re-interventions, and CPG freedom from occlusion during the follow-up were analysed...
July 25, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28743654/endografting-under-assistance-of-transapical-body-floss-through-and-through-wiring-technique-and-rapid-ventricular-pacing-for-an-ascending-aortic-tuberculous-pseudoaneurysm
#15
Wan-Chi Chiang, Emily Ling-Lin Pai, Po-Lin Chen, Chun-Che Shih, I-Ming Chen
BACKGROUND: To demonstrate an ascending aortic tuberculosis pseudoaneurysm successfully treated with endografts under assistance of trans-apical body floss wiring technique and rapid ventricular pacing support. METHOD AND RESULT: A 77-year-old woman with a non-healing anteromedial chest wound presented with sudden hypotension and hemoptysis. The computed tomography (CT) scan revealed a 9-cm-diameter pseudoaneurysm of ascending aorta, with sternal erosion close to the wound...
July 23, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28743219/use-of-a-thoracic-endograft-in-an-acute-abdominal-aortic-setting-case-report-and-literature-review
#16
Sebastiano Tasselli, Paolo Perini, Elisa Paini, Luca Milan, Stefano Bonvini
PURPOSE: We report the case of a thoracic endograft used to achieve exclusion of a ruptured proximal paranastomotic abdominal aortic aneurysm (PAAA) as a consequence of aortic ballooning. CASE REPORT: A type I proximal endoleak was evidenced following endovascular repair of a PAAA with an aortic cuff. The leak was treated with ballooning, which caused distal aortic rupture. A thoracic endograft was deployed inside the cuff, achieving complete exclusion. At 1 year, there are no signs of migration or endoleak with complete PAAA thrombosis, according to computed tomographic angiography...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28739454/parallel-grafts-used-in-combination-with-physician-modified-fenestrated-stent-grafts-for-complex-aortic-aneurysms-in-high-risk-patients-with-hostile-anatomies
#17
Joseph Touma, Dorian Verscheure, Marek Majewski, Pascal Desgranges, Frederic Cochennec
OBJECTIVE: To evaluate the feasibility and early outcomes of complex aortic aneurysm repair in high risk patients with hostile anatomies using both parallel stents and physician-modified stent-graft (PMSG) techniques to address the renovisceral arteries METHODS: Consecutive patients with complex suprarenal (SRA) and thoracoabdominal aortic aneurysms (TAAA) undergoing endovascular repair using combined parallel stents technique and PMSG between September 2013 and November 2015 were evaluated...
July 21, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28739452/-over-sirix-a-new-method-for-sizing-aortic-endografts-in-combination-with-the-chimney-grafts-early-experience-with-aortic-arch-disease
#18
Stefano Fazzini, Sonia Ronchey, Matteo Orrico, Ombretta Martinelli, Vittorio Alberti, Barbara Praquin, Nicola Mangialardi
BACKGROUND: large gutters after chimney procedures are one of the main causes of type I endoleak (EL-I). This study aims to evaluate a new tailored planning named "Over-SIRIX", based on Osirix Imaging Software, to choose the correct main graft oversizing in order to minimize EL-I incidence. METHODS: from 2008 to 2015, 34 patients were treated with parallel grafts for aortic arch diseases at our institution. The study included 22 patients with single stent and antegrade flow configuration; they were divided in two groups (PRE and POST "Over-SIRIX")...
July 21, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28739451/rescue-of-a-failing-endovascular-infrarenal-aortic-repair-using-an-off-the-shelf-branched-endograft
#19
Gino Gemayel, Gabriel Verdon, Nicolas Murith, Christoph Huber
BACKGROUND: Proximal aortic dilation following open and endovascular aortic repair (EVAR) is a well-known phenomenon. If severe enough, it may lead to late onset of type Ia endoleak that jeopardizes the proximal seal. METHODS: We report the case of a patient previously treated by EVAR for an infrarenal aneurysm who developed a type Ia endoleak after proximal aortic dilation. His aneurysms enlarged to 10 cm mandating a rapid repair without the delay for a custom-made device...
July 21, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28737517/intraoperative-detection-of-persistent-endoleak-by-detecting-residual-spontaneous-echocardiographic-contrast-in-the-aneurysmal-sac-during-thoracic-endovascular-aortic-repair
#20
Hidekazu Imai, Nobuko Ohashi, Takayuki Yoshida, Takeshi Okamoto, Nobutaka Kitamura, Takahiro Tanaka, Hiroshi Baba
Persistent endoleaks may lead to adverse events after endovascular aortic repair. We prospectively examined the relationship between intraoperative residual spontaneous echocardiographic contrast (SEC) within the aneurysmal sac and the incidence of postoperative endoleaks in 60 patients undergoing thoracic endovascular aortic repair. Patients with SEC had a higher incidence of postoperative endoleaks than did patients without SEC within a few days postoperatively (60.0% vs 12.5%, respectively; P < .001) and at 6 months postoperatively (40...
August 2017: Anesthesia and Analgesia
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