keyword
https://read.qxmd.com/read/38535106/radiation-exposure-and-contrast-agent-use-during-endovascular-aortic-repair-using-mobile-versus-fixed-angiography-systems
#1
JOURNAL ARTICLE
Amir Arnautovic, Waseem Garabet, Reinhold Thomas Ziegler, Joscha Mulorz, Sönke Maximilian Braß, Alexander Oberhuber, Hubert Schelzig, Markus Udo Wagenhäuser, Philip Dueppers
BACKGROUND: For (thoracic) endovascular aortic repair ((T)EVAR) procedures, both mobile (standard operating room (SOR)) and fixed C-arm (hybrid operating room (HOR)) systems are available. This study evaluated differences in key procedural parameters, and procedural success for (T)EVAR in the SOR versus the HOR. METHODS: All patients who underwent standard elective (T)EVAR at the Clinic for Vascular and Endovascular Surgery at the University Hospital Duesseldorf, Germany, between 1 January 2012 and 1 January 2019 were included...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38534614/hydrogels-for-cardio-and-vascular-tissue-repair-and-regeneration
#2
REVIEW
Ilenia Motta, Michelina Soccio, Giulia Guidotti, Nadia Lotti, Gianandrea Pasquinelli
Cardiovascular disease (CVD), the leading cause of death globally, affects the heart and arteries with a variety of clinical manifestations, the most dramatic of which are myocardial infarction (MI), abdominal aortic aneurysm (AAA), and intracranial aneurysm (IA) rupture. In MI, necrosis of the myocardium, scar formation, and loss of cardiomyocytes result from insufficient blood supply due to coronary artery occlusion. Beyond stenosis, the arteries that are structurally and functionally connected to the cardiac tissue can undergo pathological dilation, i...
March 13, 2024: Gels
https://read.qxmd.com/read/38533777/visceral-aorta-electrocautery-septotomy-to-allow-branched-endovascular-aortic-repair-in-ruptured-chronic-post-dissection-thoraco-abdominal-aneurysm
#3
JOURNAL ARTICLE
Martina Bastianon, Sara Di Gregorio, Caterina Melani, Jorge Miguel Mena Vera, Gaddiel Mozzetta, Fabio Grimaldi, Cristina Pallini, Giovanni Pratesi
PURPOSE: Endovascular repair of chronic post-dissection thoraco-abdominal aortic aneurysms (PD-TAAA) presents specific technical challenges due to the presence of chronic septum. Small true lumen diameter and false lumen visceral vessel origin can make branched endograft prohibitive. Septotomy may allow to overcome these challenges in cases of high complex anatomy. TECHNIQUE: We describe the application of electrocautery septotomy to the visceral aorta segment to deploy an off-the-shelf branched endograft in a chronic PD-TAAA rupture with true lumen collapse...
March 27, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38533578/aortic-events-and-relative-survival-in-patients-with-moderately-dilated-proximal-thoracic-aorta
#4
JOURNAL ARTICLE
Emelie Carlestål, Anders Franco-Cereceda, Christian Olsson
Objectives. This study describes growth, local and remote aortic events, and survival in patients with proximal (root, ascending) aortic diameters just below threshold for operation. Methods. Patients with proximal aortic diameter of 4.5 to 5.4 cm at baseline, were followed with serial computed tomography studies and data collected retrospectively. Aortic growth rate was estimated using mixed effects modelling. Clinical and radiological features associated with outcomes (all-cause death, aortic death, local or remote aortic events (dissection, rupture, intramural hematoma, or intervention)) were assessed with Cox analysis...
December 2024: Scandinavian Cardiovascular Journal: SCJ
https://read.qxmd.com/read/38533167/suture-based-vascular-closure-versus-surgical-closure-of-large-bore-arteriotomies-a-real-world-experience
#5
JOURNAL ARTICLE
Keshava Murthy, Ratheesh Kumar J, Navjyot Kaur, Amitoj Chadha, Rajeev Chauhan, Davinder Chadha
INTRODUCTION: With the introduction of transcatheter aortic valve implantation (TAVI), endovascular abdominal aortic aneurysm repair (EVAR), thoracic endovascular aortic aneurysm repair (TEVAR), and frequent use of left ventricular assist devices in complicated percutaneous coronary interventions, the use of large bore arterial access has become a necessity. In the index study, we compared the percutaneous closure of large arteriotomies with open surgical (OS) closure. METHODS: It was a prospective study in which we compared the technical success and vascular complication rate associated with the use of a suture-based vascular closure device (VCD): Perclose ProGlide (PP) with that of OS closure...
February 2024: Curēus
https://read.qxmd.com/read/38532333/early-and-mid-term-outcomes-of-open-thoracoabdominal-aortic-aneurysm-repair-after-thoracic-endovascular-aortic-repair
#6
JOURNAL ARTICLE
Ji Lin, Wei Liu, Cheng-Wei Yang, Kaitao Jian, Yu Xia, Hao Peng, Bin You, Li-Zhong Sun
OBJECTIVE: To evaluate the early and mid-term outcomes of open repair in patients with thoracoabdominal aortic aneurysm (TAAA) after thoracic endovascular aortic repair (TEVAR). METHODS: This was a retrospective single center study. Data were retrospectively collected and analyzed for consecutive patients undergoing open TAAA repair (TAAAR) after TEVAR from November 2016 to June 2021. Indications for TAAAR included aneurysm progression due to endoleak, persisted false lumen perfusion, proximal/distal disease progression, and aorta rupture...
March 26, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38528653/contrast-free-endovascular-aneurysm-repair-combined-with-fibrin-sealant-filling-for-treating-abdominal-aortic-aneurysm-technical-note
#7
JOURNAL ARTICLE
Longtu Zhu, Wenying Guo, Li Chen, Hao Zhang, Bing Xu, Zhichen Ding, Qingsheng Lu, Lei Zhang
INTRODUCTION: Endovascular aneurysm repair using iodinated contrast agents risks contrast-induced nephropathy, especially in high-risk patients. This technical note describes a contrast-free endovascular aneurysm repair (EVAR) protocol using preoperative imaging measurement and fibrin sealant (FS) filling. TECHNIQUE: Preoperative imaging measurement and intraoperative guidewire manipulation facilitated anatomical identification without contrast. After endograft deployment, the aneurysm sac was filled with FS if endoleak was indicated by pressure fluctuations...
March 25, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38528651/real-world-evaluation-of-the-off-the-shelf-precannulated-inner-branched-endograft-for-pararenal-aortic-aneurysms
#8
JOURNAL ARTICLE
Theodosios Bisdas, Neophytos Zambas, Marios Zertalis, Panagiotis Theodorides, Nikolaos Iatrou, Christos Dimopoulos, Nikolas Charalambous
PURPOSE: To analyze the early performance and efficacy of the first commercially available off-the-shelf precannulated multibranched endograft in the endovascular repair of pararenal abdominal aortic aneurysms (PAAAs). The device received European marketing approval in late 2020. MATERIALS AND METHODS: Between January 2021 and June 2023, a retrospective analysis of prospectively collected data from all consecutive patients with pAAAs undergoing implantation of the E-nside precannulated inner-branched endograft was conducted in 2 centers...
March 25, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38528619/the-aria-trial-protocol-a-randomised-controlled-trial-to-assess-the-clinical-technical-and-cost-effectiveness-of-a-cloud-based-artificially-intelligent-image-fusion-system-in-comparison-to-standard-treatment-to-guide-endovascular-aortic-aneurysm-repair
#9
JOURNAL ARTICLE
James Budge, Tom Carrell, Medeah Yaqub, Hatem Wafa, Matt Waltham, Izabela Pilecka, Joanna Kelly, Caroline Murphy, Stephen Palmer, Yanzhong Wang, Rachel E Clough
BACKGROUND: Endovascular repair of aortic aneurysmal disease is established due to perceived advantages in patient survival, reduced postoperative complications, and shorter hospital lengths of stay. High spatial and contrast resolution 3D CT angiography images are used to plan the procedures and inform device selection and manufacture, but in standard care, the surgery is performed using image-guidance from 2D X-ray fluoroscopy with injection of nephrotoxic contrast material to visualise the blood vessels...
March 25, 2024: Trials
https://read.qxmd.com/read/38527946/endotension-following-endovascular-aneurysm-repair-retrospective-review-of-treatment-and-clinical-outcome
#10
JOURNAL ARTICLE
Joon-Young Kim, Sang Ah Lee, Jun Gyo Gwon, Youngjin Han, Yong-Pil Cho, Tae-Won Kwon
PURPOSE: : Endotension is a rare late complication characterized by an increase in sac size without any type of endoleak following endovascular aortic aneurysm repair (EVAR). Due to its rarity, few studies have demonstrated the mechanism behind and the management of endotension. In this study, we aimed to better understand the treatment and the long-term outcome of endotension in a single-center cohort. MATERIALS AND METHODS: : This study was designed for a retrospective review of the patients diagnosed with endotension between January 2006 and December 2017...
March 26, 2024: Vascular Specialist International
https://read.qxmd.com/read/38527519/long-term-outcomes-of-the-gore-excluder-low-permeability-endoprosthesis-for-the-treatment-of-infrarenal-aortic-aneurysms
#11
JOURNAL ARTICLE
Stefan P M Smorenburg, Jorg L de Bruin, Clark J Zeebregts, Michel M P J Reijnen, Hence J M Verhagen, Jan M M Heyligers
OBJECTIVE: This study evaluated the long term outcomes of endovascular aneurysm repair using the Gore Excluder Low Permeability (LP) endoprosthesis across high volume Dutch hospitals. METHODS: A retrospective analysis was conducted of patients treated with the Excluder LP for infrarenal abdominal aortic aneurysm (AAA) in four hospitals between 2004 - 2017. Primary outcomes were overall survival, freedom from re-interventions (overall, inside/outside instructions for use, IFU), and AAA sac dynamics: growth (> 5 mm), stabilisation, and regression (< 5 mm)...
March 23, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38527219/use-of-the-gore-comfortmable-excluder-device-in-highly-angulated-aortic-neck-anatomy-mid-term-outcomes
#12
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/38527213/modified-upside-down-technique-with-gore-tapered-iliac-limbs-for-isolated-iliac-artery-aneurysms
#13
JOURNAL ARTICLE
Federico Francisco Pennetta, Francesco De Santis, Massimiliano Millarelli, Nicolò Diotallevi, Roberto Chiappa
PURPOSE: To describe the off-label use of tapered iliac limbs for the treatment of isolated iliac aneurysms with proximal landing zone significantly larger than distal landing zone. TECHNIQUE: Inversion of a Gore Excluder tapered leg (W. L. Gore & Associates Inc, Flagstaff, Arizona) with a modified upside-down technique is described. The endoprosthesis, with the olive at the tip of the releasing system previously cut, is inserted in a tip-to-tip fashion into a 15 Fr introducer sheath...
March 25, 2024: Vascular
https://read.qxmd.com/read/38525841/rapid-formation-of-aortoesophageal-fistula-complicated-by-mycotic-thoracic-aortic-aneurysm-secondary-to-infective-endocarditis
#14
JOURNAL ARTICLE
Maki Setake, Yasuhiro Uechi, Yuzuru Kinjo, Masaru Miyazato, Noriya Nakachi, Ryosaku Tomiyama, Namio Higa, Akira Hokama
A 73-year-old man was admitted with four weeks of intermittent fever. He had a history of total aortic arch replacement for aortic arch aneurysm four years prior. CT scans showed no abnormalities before admission. Repeated blood cultures yielded Streptococcus anginosus and Prevotella melaninogenica, suggesting infective endocarditis (IE). Transesophageal echocardiography revealed a vegetation on the aortic valve, confirming IE. He suddenly presented with massive hematemesis and hypotension. Endoscopy revealed an elevated lesion with a laceration but no active bleeding in the esophagus...
March 25, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38523961/cleaning-up-the-chimney-early-renal-stent-graft-thrombosis-following-endovascular-treatment-of-a-juxtarenal-aortic-aneurysm-with-the-chimney-technique
#15
Ioakeim Giagtzidis, Marios Theologou, Ioakeim Papoutsis, Christos Karkos, Konstantinos Papazoglou
The endovascular management of juxtarenal aortic aneurysms with the chimney technique (ch-EVAR) has gained popularity in recent years. It provides an alternative to open repair, allowing treatment of challenging anatomies with devices readily available in any vascular suite. The primary drawback persists as the occurrence of type-Ia endoleak from gutters and renal stent thrombosis. We present two cases of early renal stent graft thrombosis following chimney endovascular aneurysm repair. The first patient was an 80-year-old man who underwent single ch-EVAR and came back on the fifth post-op day with renal stent graft thrombosis...
February 2024: Curēus
https://read.qxmd.com/read/38523940/an-unusual-case-of-non-typhoidal-salmonella-bacteremia-causing-life-threatening-aortitis
#16
Fawwad A Ansari, Stefan Gafoor, Mubashira Aftab, Zola Nlandu
Non-typhoidal Salmonella typically presents with gastroenteritis. However, an invasive Salmonella infection, which may be typically seen in immunocompromised patients, has a propensity for aortic involvement, especially in patients with risk factors for atherosclerosis. Here we present a 60-year-old female with multiple comorbid conditions and currently on immunosuppressants for rheumatoid arthritis, who presented with nausea, vomiting, and fever of three weeks duration and was found to have Salmonella bacteremia...
February 2024: Curēus
https://read.qxmd.com/read/38523632/physician-modification-of-the-terumo-aortic-treo-device-for-juxtarenal-or-pararenal-aortic-aneurysms
#17
JOURNAL ARTICLE
Eric Ducasse, Xavier Berard, Caroline Caradu
No abstract text is available yet for this article.
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38522904/dysphagia-aortica
#18
JOURNAL ARTICLE
Aritoshi Kobayashi, Daisuke Miyagishima, Yusuke Ofuka, Toru Tsujibayashi
No abstract text is available yet for this article.
March 25, 2024: Internal Medicine
https://read.qxmd.com/read/38522568/which-endovascular-aneurysm-repair-graft-should-i-have
#19
JOURNAL ARTICLE
Anantha Narayanan, Manar Khashram
No abstract text is available yet for this article.
March 22, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38521631/associations-of-preoperative-nutritional-status-and-sarcopenia-with-mortality-in-patients-with-abdominal-aortic-aneurysm-after-open-and-endovascular-abdominal-aortic-aneurysm-repair-a-retrospective-study
#20
JOURNAL ARTICLE
Jiashu Yao, Yepeng Zhang, Bo Gao, Min Zhou
OBJECTIVE: The effect of preoperative malnutrition and sarcopenia on outcomes in patients with abdominal aortic aneurysm (AAA) after open surgical repair (OSR) and endovascular abdominal aortic aneurysm repair is undefined. The authors conducted the study to address this issue in this population. DESIGN: A retrospective observational study. SETTING: A large tertiary hospital. PARTICIPANTS: Patients with AAA who underwent OSR and endovascular aneurysm repair (EVAR)...
March 5, 2024: Journal of Cardiothoracic and Vascular Anesthesia
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