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https://www.readbyqxmd.com/read/28537446/clinical-outcomes-of-hypogastric-artery-occlusion-for-endovascular-aortic-aneurysm-repair
#1
Wuttichai Saengprakai, Joost A van Herwaarden, George S Georgiadis, Worawong Slisatkorn, Frans L Moll
PURPOSE: To determine the midterm outcomes of internal iliac artery (IIA) coverage by a stent-graft in endovascular aortic aneurysm repair (EVAR) under specific anatomic and technical circumstances. MATERIAL AND METHODS: From January 2003 until January 2014, 57 patients with aortoiliac aneurysms, including 20 with 24 IIA aneurysms (IIAAs), underwent EVAR with IIA coverage. IIAA diameter change or IIA thrombosis, buttock claudication, type II endoleak, and secondary interventions related to the IIA were studied...
May 24, 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/28535732/duplex-ultrasound-surveillance-after-uncomplicated-endovascular-abdominal-aortic-aneurysm-repair
#2
Jacob S Schaeffer, Irina Shakhnovich, Kyle N Sieck, Kara J Kallies, Clark A Davis, Thomas H Cogbill
OBJECTIVES: Health-care costs and risks of radiation and intravenous contrast exposure challenge computed tomography angiography (CTA) as the standard surveillance method after endovascular abdominal aortic aneurysm repair (EVAR). We reviewed our experience using Duplex ultrasound scan (DUS) as an initial and subsequent surveillance technique after uncomplicated EVAR. METHODS: The medical records of patients who underwent EVAR from 2004 to 2014 with at least 1 postoperative imaging study were retrospectively reviewed...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28528715/embolization-for-persistent-type-ia-endoleaks-after-chimney-endovascular-aneurysm-repair-with-onyx-%C3%A2
#3
C Marcelin, Y Le Bras, F Petitpierre, D Midy, N Grenier, E Ducasse, F Cornélis
PURPOSE: The purpose of this study was to determine retrospectively the safety and technical success rate of embolization using ethylene vinyl alcohol copolymer (Onyx(®)) for persistent type 1A endoleaks after chimney endovascular aneurysm repair (EVAR) for complex aortic aneurysms. MATERIAL AND METHODS: Nine consecutive patients (6 men, 3 women) with a mean age of 78.6 years (range: 62-87 years) presenting with persistent type IA endoleaks after chimney EVAR and an increase of aneurysm size were treated using transarterial embolization with Onyx(®)...
May 18, 2017: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/28527199/the-value-of-contrast-enhanced-ultrasound-ceus-using-a-high-end-ultrasound-system-in-the-characterization-of-endoleaks-after-endovascular-aortic-repair-evar
#4
J Rübenthaler, M Reiser, V Cantisani, D Rjosk-Dendorfer, D A Clevert
PURPOSE: To evaluate the value of contrast-enhanced ultrasound (CEUS) using a high-end ultrasound system in the characterization of endoleaks after endovascular aortic repair (EVAR). MATERIAL AND METHODS: In this mono-center study, 41 patients were retrospectively analyzed after being examined using a modern high-end ultrasound system (RS80A with Prestige, Samsung Medison Co., Ltd., Seoul, Korea). The maximum diameters of the aneurysms were measured in two planes (right-left and ventral-dorsal)...
May 18, 2017: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/28523354/investigation-of-reference-levels-and-radiation-dose-associated-with-abdominal-evar-endovascular-aneurysm-repair-procedures-across-several-european-centres
#5
E Tuthill, L O'Hora, M O'Donohoe, S Panci, P Gilligan, D Campion, R Trenti, E Fox, D Catania, L Rainford
OBJECTIVES: Endovascular aneurysm repair (EVAR) is considered the treatment of choice for abdominal aortic aneurysms with suitable anatomy. In order to improve radiation safety, European Directive (2013/59) requires member states to implement diagnostic reference levels (DRLs) in radio-diagnostic and interventional procedures. This study aimed to determine local DRLs for EVAR across five European centres and identify an interim European DRL, which currently remains unestablished. METHODS: Retrospective data was collected for 180 standard EVARs performed between January 2014 and July 2015 from five specialist centres in Ireland (n=2) and Italy (n=3)...
May 18, 2017: European Radiology
https://www.readbyqxmd.com/read/28514895/outcomes-after-use-of-aortouniiliac-endoprosthesis-versus-modular-or-unibody-bifurcated-endoprostheses-for-endovascular-repair-of-ruptured-abdominal-aortic-aneurysms
#6
Prateek K Gupta, Kelly Kempe, Reshma Brahmbhatt, Himani Gupta, Jorge Montes, R Armour Forse, Shaun M Stickley, Michael J Rohrer
OBJECTIVES: Outcomes after endovascular repair (EVAR) of ruptured abdominal aortic aneurysms (rAAAs) have been widely published. There is, however, controversy on the role of the use of aortouniiliac endoprosthesis (AUI) versus modular or unibody bifurcated endoprosthesis (MUB) for repair of rAAAs. We study and compare 30-day outcomes after use of AUI and MUB for all rAAAs focusing specifically on patients with instability. MATERIALS AND METHODS: Patients who underwent EVAR for rAAA (n = 425) using AUI (n = 55; 12...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28511226/contrast-enhanced-ultrasound-in-the-follow-up-of%C3%A2-endoleaks-after-endovascular-aortic-repair-evar
#7
Johannes Rübenthaler, Hanna Zimmermann, Marco Armbruster, Katharina Müller-Peltzer, Florian Bogner, Maximilian Reiser, Dirk-André Clevert
Endovascular aortic repair (EVAR) has become established in the treatment of abdominal aortic aneurysms and shows potential benefits such as a low perioperative morbidity and a short hospitalization duration. The follow-up after EVAR primarily consists of lifelong postinterventional imaging of the aneurysm size in order to detect complications such as endoleaks or stent dislocation. Computed tomography angiography, an imaging modality that uses ionizing radiation and that relies on a contrast medium which is dependent on thyroid and renal function, is widely used for follow-up...
May 16, 2017: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/28506561/the-consequences-of-real-life-practice-of-early-abdominal-aortic-aneurysm-repair-a-cost-benefit-analysis
#8
S M Tomee, E Bastiaannet, M L Schermerhorn, J Golledge, J F Hamming, J H Lindeman
BACKGROUND: The reported 54 mm median intervention diameter for endovascular aneurysm repair (EVAR) in the Vascular Quality Initiative and European data from the Pharmaceutical Aneurysm Stabilisation Trial (PHAST) implies that in real life the majority of abdominal aortic aneurysm (AAA) repairs occur at diameters smaller than the consensus intervention threshold of 55 mm. This study explores the potential consequences of this practice. METHODS: The differences between real life AAA repair and consensus based intervention threshold were explored in reported data from vascular quality initiatives and PHAST...
May 12, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28504225/egypt-coronary-and-structural-heart-interventions-from-2010-to-2015
#9
Ahmed Magdy, Ahmed Shawky, Ahmed Mohanad, Sameh Shaheen
Interventional cardiology procedures are constantly increasing in numbers and in quality, especially in developing countries such as Egypt. The numbers and types of procedure now available have driven development in the field and in its accompanying services. The aim of this short report is to present a review of the development of interventional cardiology in Egypt during the period 2010-2015 and the demographic, economic and educational factors that have affected this process. We collected and analysed data provided by different centres and from the distributors of intervention tools for the years 2010 to 2015...
May 15, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28502551/variation-in-hospital-costs-and-reimbursement-for-endovascular-aneurysm-repair-a-vascular-quality-initiative-pilot-project
#10
Gary W Lemmon, Dan Neal, Randall R DeMartino, Joseph R Schneider, Tej Singh, Larry Kraiss, Salvatore Scali, Apostolos Tassiopoulos, Andrew Hoel, Jack L Cronenwett
OBJECTIVE: Comparing costs between centers is difficult because of the heterogeneity of vascular procedures contained in broad diagnosis-related group (DRG) billing categories. The purpose of this pilot project was to develop a mechanism to merge Vascular Quality Initiative (VQI) clinical data with hospital billing data to allow more accurate cost and reimbursement comparison for endovascular aneurysm repair (EVAR) procedures across centers. METHODS: Eighteen VQI centers volunteered to submit UB04 billing data for 782 primary, elective infrarenal EVAR procedures performed by 108 surgeons in 2014...
May 11, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28502545/durability-of-iliac-artery-preservation-associated-with-endovascular-repair-of-infrarenal-aortoiliac-aneurysms
#11
Behzad S Farivar, Mohammad N Abbasi, Agenor P Dias, Yuki Kuramochi, Corey S Brier, F Ezequiel Parodi, Matthew J Eagleton
OBJECTIVE: This study evaluated and compared the long-term clinical outcomes of endovascular repair of infrarenal aortoiliac aneurysms (EVAR) vs EVAR with preservation of antegrade internal iliac artery (IIA) perfusion using iliac branched devices (EVAR-IBDs). METHODS: From October 1998 to August 2015, patients with infrarenal aortoiliac aneurysmal (AIA) disease at high risk for conventional open surgery were enrolled in a prospective physician-sponsored investigational device exemption trial...
May 11, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28501665/a-dedicated-surveillance-program-improves-compliance-with-evar-follow-up
#12
Jade Cohen, Akila Pai, Timothy M Sullivan, Peter Alden, Jason Q Alexander, Andrew Cragg, Jesse M Manunga, Stephenson, Nedaa Skeik, Jessica M Titus
INTRODUCTION: Current recommendations suggest lifetime followup for EVAR patients to avoid consequences associated with endoleak and aneurysm enlargement. Followup compliance has been reported between 43-92%, with most single-center studies citing successful followup surveillance at less than 60%. We investigated followup completeness with a defined surveillance program and subsequent secondary intervention prevalence from a single center. METHODS: Our surveillance program notified patients of the need for followup imaging and surgeon review...
May 10, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28501663/under-utilization-of-routine-ultrasound-surveillance-after-endovascular-aortic-aneurysm-repair
#13
Matthew W Mell, Trit Garg, Laurence C Baker
INTRODUCTION AND OBJECTIVES: Since 2009 the Society for Vascular Surgery has advocated annual surveillance imaging with ultrasound (US) after the first post-operative year for uncomplicated endovascular aneurysm repairs (EVAR). We sought to describe diffusion of US into long-term routine surveillance and to estimate potential cost savings among Medicare beneficiaries after EVAR. METHODS: Using Medicare claims data we identified patients receiving EVAR from 2002 to 2010 and included only those who did not subsequently have re-interventions, late aneurysm-related complications or death...
May 10, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28501657/effects-of-mentorship-on-graduating-vascular-surgery-trainees
#14
Matthew R Smeds, Cindy Huynh, Carol R Thrush, Mohammed M Moursi, Kwame S Amankwah
OBJECTIVE: Mentorship within surgery, particularly vascular surgery, has not been extensively evaluated. This study sought to examine mentorship experiences in graduating vascular trainees. METHODS: An anonymous electronic survey examining current mentor relationships, ideal characteristics, academic productivity and operative comfort level was emailed to all U.S. graduating 2015 (n=141) and 2016 (n=144) vascular trainees (VTs) during their last year of training...
May 10, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28499863/innovative-procedure-for-inferior-mesenteric-artery-embolization-using-the-amplatzer-vascular-plug-4-during-endovascular-aneurysm-repair
#15
Noriyasu Morikage, Makoto Samura, Yuriko Takeuchi, Yuya Tanaka, Koshiro Ueda, Takasuke Harada, Osamu Yamashita, Kotaro Suehiro, Kimikazu Hamano
PURPOSE: To present an easy and quick technique for embolization of the inferior mesenteric artery (IMA) during endovascular aneurysm repair (EVAR). TECHNIQUE: We performed IMA embolization using a conventional EVAR device alone with the femoral artery approach during EVAR, which has not been reported previously. First, a 16F or 18F DrySeal Sheath is inserted from the femoral artery into the site around the IMA. Second, cannulation is performed in the IMA with an angiography catheter having a 0...
May 9, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28499647/commentary-to-assessment-of-competence-in-evar-procedures-a-novel-rating-scale-developed-by-the-delphi-technique
#16
B Fioole, J P P M de Vries
No abstract text is available yet for this article.
May 9, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28495540/results-of-the-french-multicentric-study-of-anaconda-tm-fenestrated-endografts-in-the-treatment-of-complex-aortic-pathologies-efefa-registry
#17
Dominique Midy, Jean-Pierre Becquemin, Claude Mialhe, Nicolas Frisch, Robert Martinez, Caroline Caradu
BACKGROUND: Most of the experience on fenestrated endovascular aneurysm repair (F-EVAR) involves the custom-made Zenith® endograft (Cook). The fenestrated Anaconda® endograft (Vascutek) was introduced with the potential advantages of complete repositioning and lack of stent material on the main aortic body for more versatility. However, few data are available. Our objective was to assess its mid-term results in the treatment of complex aortic aneurysms. METHODS: Consecutive patients treated with the custom-made Fenestrated Anaconda® Endograft in France and the Principality of Monaco, from December 2010 to October 2015, were included...
May 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28493108/percutaneous-septectomy-in-chronic-dissection-with-abdominal-aortic-aneurysm-creates-uniluminal-neck-for-evar
#18
Mark Colin Gissler, Yukihisa Ogawa, Jason T Lee, Venita Chandra, Michael D Dake
PURPOSE: The intent of this report is to describe the technical details and rationale of endovascular septectomy using a wire saw maneuver in cases of chronic aortic dissection and associated infra-renal aortic aneurysm to allow standard endovascular abdominal aortic graft placement; preliminary clinical experience is also retrospectively reviewed. MATERIALS AND METHODS: Between June 2013 and June 2016, four consecutive patients (mean age 55.3 years; range 52-58 years) with chronic type B aortic dissection and isolated infra-renal abdominal aortic aneurysm (AAA) underwent endovascular aneurysm repair (EVAR) following guidewire septectomy to create a suitable proximal aortic landing zone...
May 10, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28485759/val-av-oar-eller-evar-vid-buk%C3%A2-aorta%C3%A2-aneurysm-%C3%A3-r-inte-givet-randomiserade-studier-har-utv%C3%A3-rderat-%C3%A3-ppen-och-endovaskul%C3%A3-r-kirurgi-%C3%A2-ingen-av-metoderna-%C3%A3-r-i-allt-%C3%A3-verl%C3%A3-gsen-den-andra
#19
Fredrik Lundgren
Endovascular or open surgery for elective abdominal aortic surgery? Evidence from the 5 randomized trials OAR (open aortic repair) can be demanding for fragile patients, but has good long-term durability. EVAR (endovascular aortic repair) is more lenient, but is associated with life-long controls, more life-threatening reinterventions, a remaining threat of rupture and a possibly increased risk of death by cancer. All patients with an AAA (abdominal aortic aneurysm) must recieve a thorough evaluation of medical risk and expected survival before open/endovascular treatment and a discussion of the short- and long-term risks of the different treatment alternatives...
May 8, 2017: Läkartidningen
https://www.readbyqxmd.com/read/28483632/chimney-technique-with-the-incraft%C3%A2-aaa-stent-graft-system-to-treat-pararenal-aortic-aneurysm-in-narrowed-iliac-axes
#20
Nunzio Montelione, Pasqualino Sirignano, Wassim Mansour, Martina Formiconi, Laura Capoccia, Francesco Speziale
To report a case of pararenal aortic aneurysm (PAAA) with narrowed iliac arteries treated by the chimney technique combined with the INCRAFT(®) AAA stent graft system. A 75-year-old man was diagnosed with a 55mm PAAA. Patient was judged unfit for open repair and for standard endovascular repair (EVAR) due to its clinical and anatomical requirements. Custom-made fenestrated device (FEVAR) was excluded due to the presence of narrowed and heavily calcified iliac axes. Consequently, patient underwent auspicious endovascular aneurysm repair with the INCRAFT(®) System and chimney grafts in the superior mesenteric artery and both renal arteries...
May 5, 2017: Annals of Vascular Surgery
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