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https://www.readbyqxmd.com/read/29342431/comparison-of-access-type-on-perioperative-outcomes-after-endovascular-aortic-aneurysm-repair
#1
Jeffrey J Siracuse, Alik Farber, Jeffrey A Kalish, Douglas W Jones, Denis Rybin, Gheorghe Doros, Salvatore T Scali, Marc L Schermerhorn
OBJECTIVE: Endovascular aneurysm repair (EVAR) can be performed through percutaneous or surgical access. Our goal was to assess the difference in perioperative outcomes based on access type in a real-world setting. METHODS: The Vascular Quality Initiative (VQI) database was queried for EVAR. Univariable analysis and multivariable analysis were used to determine the independent effect of access type. RESULTS: There were 8340 (64%) and 4747 (36%) EVAR procedures performed through percutaneous and surgical access (3395 [72%] transverse and 1352 [28%] vertical incisions)...
January 13, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29342417/a-study-of-the-cost-effectiveness-of-fenestrated-branched-evar-compared-with-open-surgery-for-patients-with-complex-aortic-aneurysms-at-2-years
#2
Morgane Michel, Jean-Pierre Becquemin, Jean Marzelle, Céline Quelen, Isabelle Durand-Zaleski
OBJECTIVES: The aim was to assess the cost-effectiveness of fenestrated and branched stent grafts (f/b EVAR) compared with open surgical repair (OSR) in thoraco-abdominal or complex abdominal aortic aneurysms (TAAA/AAA) at 2 years. METHODS: Two matched cohorts of patients with TAAA or complex AAA were compared after a follow-up of two years. Patients included in the WINDOW French multicentre prospective registry were treated by f/b EVAR, and OSR patients were extracted from the French national hospital discharge database...
January 13, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29334863/totally-percutaneous-fenestration-via-the-cheese-wire-technique-to-facilitate-endovascular-aneurysm-repair-in-chronic-aortic-dissection
#3
Jordan R Stern, Danielle E Cafasso, Darren B Schneider, Andrew J Meltzer
Here, we describe a totally percutaneous technique for longitudinal fenestration of a chronic dissection flap in the setting of endovascular aneurysm repair (EVAR), where the septum would otherwise preclude proper endograft sealing. This technique is demonstrated in a 65-year-old man with a history of open surgical repair of a Stanford type A aortic dissection, with a type B component that was managed nonoperatively. The patient developed aneurysmal degeneration of the infrarenal aorta during follow-up, and his anatomy was well suited for EVAR with the exception of a chronic dissection flap dividing the proximal seal zone...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29334334/mortality-after-endovascular-treatment-of-infrarenal-abdominal-aortic-aneurysms-the-newer-the-better
#4
Aspasia Tzani, Ilias P Doulamis, Ioannis Katsaros, Eirini Martinou, Dimitrios Schizas, Konstantinos P Economopoulos
Although endovascular repair of infrarenal abdominal aortic aneurysms (EVAR) presents a delicate alternative treatment for abdominal aortic aneurysms (AAA) with lower perioperative mortality, its long-term efficacy remains a matter of concern. The purpose of this study was to evaluate the currently reported mortality evidence after EVAR and to examine the possible effect of aneurysm status and the study period on mortality rates. The PubMed and Cochrane bibliographical databases were thoroughly searched for studies reporting on more than 1 000 patients with non-ruptured or ruptured infrarenal AAA, treated with EVAR from August 1991 to September 2016...
January 15, 2018: VASA. Zeitschrift Für Gefässkrankheiten
https://www.readbyqxmd.com/read/29328848/high-risk-endovascular-aneurysm-repair-a-case-report
#5
Samanthi De Silva
Mr AB is a 66-year old gentleman who presented for elective endovascular aneurysm repair (EVAR) following a routine screening scan identifying a 5.5cm abdominal aortic aneurysm (AAA). He had a past history of chronic obstructive pulmonary disease (COPD) with FEV1/FVC ratio of 48% on pre-assessment. He was hypertensive with a history of ischaemic heart disease (IHD), which has remained asymptomatic following coronary artery bypass grafting (CABG) eight years prior to this presentation.
October 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29327576/is-evar-a-durable-solution-indications-for-re-interventions
#6
Louise de la Motte, Mårten Falkenberg, Mark J Koelemay, Lars Lönn
AIM: Indications for re-interventions after endovascular aneurysm repair (EVAR), as well as their occurrence in number and time, are important to establish in order to optimize patient selection, post-procedure surveillance and also to guide improvements in endograft designs. The aim of this report was to present an overview of current data on re-interventions after elective EVAR. METHODS: Qualitative review of studies reporting on re-interventions after elective EVAR, identified by a systematic literature search in MEDLINE, EMBASE and the Cochrane Library for publications from 2010 to 13th of November 2017...
January 9, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29327565/durability-of-fenestrated-endovascular-aortic-repair-for-juxta-renal-abdominal-aortic-aneurysm-repair
#7
Konstantinos Spanos, George Α Antoniou, Athanasios D Giannoukas, Fiona Rohlffs, Nikolaos Tsilimparis, Sebastian E Debus, Tilo Kölbel
BACKGROUND: The aim of this study was to evaluate the long term durability of fenestrated endovascular aortic aneurysm repair (F-EVAR) of juxta-renal aortic aneurysms (JAAAs) in terms of mortality, target visceral vessel (TVV) patency and re-intervention rates. EVIDENCE ACQUISITION: A systematic review and meta-analysis was performed. MEDLINE, CENTRAL, and Cochrane databases were searched with PRISMA methodology for studies reporting on F-EVAR of JAAA presenting follow up > 36 months...
January 9, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29327561/hostility-of-proximal-aortic-neck-anatomy-in-relation-to-abdominal-aortic-aneurysm-size-and-its-impact-on-the-outcome-of-endovascular-repair-with-the-new-generation-endografts
#8
Christos Karathanos, Konstantinos Spanos, George Kouvelos, Athanasios Athanasoulas, Stylianos Koutsias, Miltiadis Matsagkas, Athanasios D Giannoukas
BACKGROUND: To assess the relation of abdominal aortic aneurysm (AAA) diameter with the proximal neck anatomy (PNA) hostility and to evaluate its impact on the endovascular aneurysm repair (EVAR) outcomes with the use of newer generation endografts. METHODS: Retrospective analysis of single institution's recorded data from February 2009 to April 2016. Patients' characteristics, co-morbidities, aortic morphology, perioperative characteristics and outcomes were analyzed...
January 9, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29313456/up-and-over-technique-for-implantation-of-iliac-branch-devices-after-prior-aortic-endograft-repair
#9
David L Dawson, Giuliano de Almeida Sandri, Emanuel Tenorio, Gustavo S Oderich
PURPOSE: To describe a modified up-and-over access technique for treatment of iliac artery aneurysms in patients with prior bifurcated stent-grafts for endovascular aneurysm repair (EVAR). TECHNIQUE: This technique uses a coaxial 12-F flexible sheath that is docked with a through-and-through wire into a 7-F sheath advanced from the contralateral femoral approach. This maneuver allows both sheaths to be moved as a unit while maintaining position of the apex of the system as it loops over the flow divider, avoiding damage to or displacing the extant endograft...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29310518/endovascular-treatment-of-acute-and-chronic-isolated-abdominal-aortic-dissection
#10
Dongqing Wang, Tao Ma, Daqiao Guo, Xin Xu, Bin Chen, Junhao Jiang, Jue Yang, Zhenyu Shi, Ting Zhu, Yun Shi, Zhihui Dong, Weiguo Fu
Objective To discuss the strategies and clinical outcomes of endovascular aortic repair (EVAR) for acute and chronic isolated abdominal aortic dissection (IAAD). Methods From January 2012 to June 2017, 33 patients with IAAD were retrospectively reviewed. Patients were classified into acute and chronic groups based on the time to EVAR from IAAD onset (acute: ≤90 days; chronic: >90 days). Patient demographics, clinical parameters, procedural factors, and clinical outcomes were evaluated and compared between the two groups...
January 1, 2018: Vascular
https://www.readbyqxmd.com/read/29307756/the-implications-of-non-compliance-to-endovascular-aneurysm-repair-surveillance-a-systematic-review-and-meta-analysis
#11
REVIEW
Matthew Joe Grima, Mourad Boufi, Martin Law, Dan Jackson, Kate Stenson, Benjamin Patterson, Ian Loftus, Matt Thompson, Alan Karthikesalingam, Peter Holt
OBJECTIVE/BACKGROUND: Increasingly, reports show that compliance rates with endovascular aneurysm repair (EVAR) surveillance are often suboptimal. The aim of this study was to determine the safety implications of non-compliance with surveillance. METHODS: The study was carried out according to the Preferred Items for Reporting of Systematic Reviews and Meta-Analyses (PRISMA) guidelines. An electronic search was undertaken by two independent authors using Embase, MEDLINE, Cochrane, and Web of Science databases from 1990 to July 2017...
January 4, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29307168/evar-follow-up-traumas-could-facilitate-late-high-flow-endoleaks
#12
Carlo Setacci, Mariagnese Mele, Domenico Benevento, Umberto Ruzzi, Giovanni Giannace, Gianmarco de Donato, Giancarlo Palasciano, Francesco Setacci
No abstract text is available yet for this article.
January 2, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29306626/mid-term-outcomes-of-endovascular-repair-of-ruptured-thoraco-abdominal-aortic-aneurysms-with-off-the-shelf-branched-stent-grafts
#13
Kiattisak Hongku, Björn Sonesson, Katarina Björses, Jan Holst, Timothy Resch, Nuno V Dias
OBJECTIVE: To assess the mid-term outcomes and feasibility of branched endovascular repair (b-EVAR) of ruptured thoracoabdominal aortic aneurysms (rTAAAs). METHODS: All patients undergoing b-EVAR of rTAAAs between 2011 and 2016 were included. Pre-, intra and postoperative imaging was reviewed to assess technical success, outcomes, and feasibility of b-EVAR in the emergent setting. RESULTS: Eleven emergency b-EVAR of rTAAAs (10 aneurysms and 1 chronic dissection) were performed using off-the-shelf (OTS) branched stentgrafts...
January 3, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29304034/femoral-artery-closure-versus-surgical-cutdown-for-endovascular-aortic-repair-a-single-center-experience
#14
Lin Yang, Jianlin Liu, Yanzi Li
BACKGROUND To compare the outcome and complication rates of femoral artery closure and surgical cutdown for endovascular aortic repair procedures (EVAR). MATERIAL AND METHODS Patients underwent either percutaneous femoral artery closure (PA group) or surgical cutdown (SC group) for EVAR between July 2011 and June 2016 and EVAR procedures were used for all cases. Data on outcomes and complications were collected and compared. RESULTS The SC group contained 55 patients and the PA group contained 60 patients and the technical success rates were 100...
January 5, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29299625/initial-experience-with-the-e-liac%C3%A2-iliac-branch-device-for-the-endovascular-aortic-repair-of-aorto-iliac-aneurysm
#15
Susanne Anton, Marcus Wiedner, Erik Stahlberg, Fabian Jacob, Jörg Barkhausen, Jan Peter Goltz
PURPOSE: Occlusion of internal iliac arteries during endovascular treatment (EVAR) of abdominal aortic (AAA) and common iliac artery aneurysms might be associated with ischemic pelvic complications. This study evaluates technical and clinical success, safety and mid-term results of a novel iliac branch device (IBD) for revascularization of the internal iliac artery (IIA) during EVAR. MATERIALS AND METHODS: Retrospectively, we identified 21 men (mean age 73.3 ± 6...
January 3, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29298371/femorofemoral-crossover-bypass-graft-has-excellent-patency-when-performed-with-evar-for-aaa-with-uiod
#16
Akinfemi A Akingboye, Bijendra Patel, Frank W Cross
OBJECTIVES: To compare the durability of the crossover femorofemoral bypass graft (CFFBG) in combination with aorto-uni-iliac stent graft (AUIS) for abdominal aortic aneurysm with the durability of CFFBG used in the treatment of unilateral iliac occlusive disease (UIOD). METHODS: We analyzed the clinical records of 69 patients who underwent CFFBG from 1992 until 2010. Group I consisted of 34 patients who received CFFBGs in combination with AUIS. Group II consisted of 35 patients treated with CFFBG for UIOD...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29290495/national-trends-in-open-surgical-endovascular-and-branched-fenestrated-endovascular-aortic-aneurysm-repair-in-medicare-patients
#17
Bjoern D Suckow, Philip P Goodney, Jesse A Columbo, Ravinder Kang, David H Stone, Art Sedrakyan, Jack L Cronenwett, Mark F Fillinger
BACKGROUND: Open repair effectively prevents rupture for patients with abdominal aortic aneurysm (AAA) and is commonly studied as a metric reflecting hospital and surgeon expertise in cardiovascular care. However, given recent advances in endovascular aneurysm repair (EVAR), such as branched-fenestrated EVAR, it is unknown how commonly open surgical repair is still used in everyday practice. METHODS: We analyzed trends in open AAA repair, EVAR, and branched-fenestrated EVAR for AAA in Medicare beneficiaries from 2003 to 2013...
December 28, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29289619/high-annual-hospital-volume-is-associated-with-decreased-in-hospital-mortality-and-complication-rates-following-treatment-of-abdominal-aortic-aneurysms-secondary-data-analysis-of-the-nationwide-german-drg-statistics-from-2005-to-2013
#18
Matthias Trenner, Andreas Kuehnl, Michael Salvermoser, Benedikt Reutersberg, Sarah Geisbuesch, Volker Schmid, Hans-Henning Eckstein
OBJECTIVES: The aim of this study was to analyse the association between annual hospital procedural volume and post-operative outcomes following repair of abdominal aortic aneurysms (AAA) in Germany. METHODS: Data were extracted from nationwide Diagnosis Related Group (DRG) statistics provided by the German Federal Statistical Office. Cases with a diagnosis of AAA (ICD-10 GM I71.3, I71.4) and procedure codes for endovascular aortic repair (EVAR; OPS 5-38a.1*) or open aortic repair (OAR; OPS 5-38...
December 27, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29288059/the-safety-of-device-registries-for-endovascular-abdominal-aortic-aneurysm-repair-systematic-review-and-meta-regression
#19
REVIEW
Fran Kent, Graeme K Ambler, David C Bosanquet, Christopher P Twine
OBJECTIVES: New and re-designed stent grafts for endovascular aortic aneurysm repair (EVAR) are released regularly. Manufacturers use data from registries to assess stent graft performance, but little is known about the ability of such registries to detect rates of clinically relevant complications. The aim of this paper was to perform a systematic review and meta-analysis to determine pooled failure rates for EVAR stent grafts, to define an acceptable non-inferiority limit for these devices, and then to calculate the number of patients needed for a new device to achieve non-inferiority against published devices...
December 26, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29285975/the-significance-of-a-fast-track-evar-procedure-it-s-not-the-years-in-your-life-that-count-it-s-the-life-in-your-years
#20
Gianmarco de Donato, Nikolaos Kontopodis, Carlo Setacci, Christos V Ioannou
No abstract text is available yet for this article.
February 2018: Journal of Endovascular Therapy
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