keyword
Keywords Vascular endovascular endograf...

Vascular endovascular endograft aneurysm repair endoleaks

https://read.qxmd.com/read/38142945/comparison-of-bare-and-non-bare-stent-grafts-during-thoracic-endovascular-aneurysm-repair-of-the-aortic-arch
#21
JOURNAL ARTICLE
Nicola Leone, Luigi Am Bartolotti, André N Capitain, Mattia Migliari, Roberto Silingardi, Martin Czerny, Bartosz Rylski, Stefano Gennai
OBJECTIVES: To compare the outcomes of patients treated with non-bare stents (NBS) and proximal bare stents (PBS) endografts with a proximal landing zone in the aortic arch during thoracic endovascular aortic repair (TEVAR). METHODS: Retrospective cohort, observational, multicenter study. 361 consecutive TEVAR procedures undertaken between November 2005 and December 2021. TEVAR patients with both BS and NBS Relay stent-graft configurations with proximal landing in zones 1, 2, or 3 were enrolled...
December 22, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/38106341/back-table-fenestrated-endograft-limb-inversion-for-type-ia-endoleak-repair
#22
JOURNAL ARTICLE
Fletcher N Pierce, Ahmed Raza, Hilary McKinley, Animesh Rathore
We present a case of a type Ia endoleak from an aortic endograft in close proximity to the renal arteries that was successfully treated with a back-table physician-modified endograft with inversion of the contralateral limb. This modification allowed for deployment of a fenestrated cuff and bifurcated distal main body over the flow divider of the previous endograft, thus avoiding the need for either an open aneurysm repair, physician-made fenestrations, or aorto-uni-iliac repair with femoral-femoral bypass...
December 2023: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38103807/use-of-physician-modified-inverted-limb-in-conjunction-with-zenith-fenestrated-stent-graft-to-rescue-failed-previous-endovascular-and-open-repair
#23
JOURNAL ARTICLE
Jesse Manunga, Larissa I Stanberry, Nedaa Skeik, Hamza Hanif, Muhammad Ali Rana
OBJECTIVE: To evaluate outcomes and performance of inverted limbs (ILs) when used in conjunction with Zenith fenestrated stent grafts (Zfens) to treat patients with short distance between the lowest renal artery (RA) and aortic or graft bifurcation (A/GB). METHODS: This study was a multicenter, retrospective review of prospectively maintained database of patients with complex aortic aneurysms, failed endovascular aneurysm repair (EVAR), or open surgical repair (OSR) with short distance between LRA and A/GB treated using a combination of Zfen and an IL between 2013 and 2023...
December 14, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/38049943/zone-2-aortic-arch-repair-with-single-fenestrated-physician-modified-endografts-at-least-3-years-of-follow-up
#24
JOURNAL ARTICLE
Christoph Bacri, Baris Ata Ozdemir, Kheira Hireche, Pierre Alric, Ludovic Canaud
OBJECTIVE: The aim of this study is to report the efficiency and safety of single-fenestrated physician-modified endografts (PMEGs) in zone 2 aortic arch pathologies with at least 3 years of follow-up. METHODS: All consecutive patients with a pathological aortic arch who underwent aortic repair combined with homemade single-fenestrated stent-graft from 2015 to 2020 were reviewed. The patients with a target vessel different from the left subclavian artery (LSA) were excluded...
December 4, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/38044693/endovascular-repair-of-a-failed-nellix-endograft-proximal-sealing-zone-using-the-altura-stent-graft-a-case-report-and-literature-review
#25
Dimitrios A Chatzelas, Apostolos G Pitoulias, Georgios V Tsamourlidis, Theodosia N Zampaka, Anastasios G Potouridis, Maria D Tachtsi, Georgios A Pitoulias
Endovascular aortic aneurysm sealing (EVAS) with the Nellix endograft was initially considered a groundbreaking and acceptable alternative to conventional endovascular aortic aneurysm repair, with encouraging initial results. However, long-term follow-up has revealed a high incidence of endograft-related complications, such as caudal migration and type Ia endoleaks, indicating the need for reintervention. Managing failed EVAS remains challenging and is an ongoing topic of discussion, especially for high-risk patients...
December 4, 2023: Vascular Specialist International
https://read.qxmd.com/read/38031973/three-year-safety-and-efficacy-of-the-incraft-endograft-for-treatment-of-abdominal-aortic-aneurysms-results-of-the-insight-study
#26
JOURNAL ARTICLE
Giovanni Torsello, Luca Bertoglio, Richard Kellersmann, Jan J Wever, Hans van Overhagen, Konstantinos Stavroulakis
PURPOSE: Preliminary results of the INSIGHT study showed that the low-profile INCRAFT Abdominal Aortic Aneurysm (AAA) Stent-Graft System was safe and effective in the endovascular aneurysm repair (EVAR). This study aimed to assess the durability and the midterm effectiveness of EVAR using the INCRAFT System in the framework of a multicenter, prospective, open-label, post-approval study. MATERIALS AND METHODS: Between 2015 and 2016, 150 subjects from 23 European centers treated with the INCRAFT System for an infrarenal AAA were included...
November 30, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37997684/first-in-human-clinical-trial-of-the-weflow-jaaa-endograft-system-in-patients-with-juxtarenal-abdominal-aortic-aneurysms
#27
JOURNAL ARTICLE
Jiang-Ping Gao, Hong-Peng Zhang, Jiang Xiong, Xin Jia, Xiao-Hui Ma, Li-Jun Wang, Yong-Le Xu, Min-Hong Zhang, Wei Guo
OBJECTIVE: To preliminarily evaluate the safety and efficacy of the WeFlow-JAAA endograft, a novel off-the-shelf device designed for the repair of juxtarenal abdominal aortic aneurysms (JRAAAs) and pararenal abdominal aortic aneurysms (PRAAAs). METHODS: This prospective single-arm first-in-human clinical trial included patients with JRAAAs (infrarenal necks ≤10 mm) or PRAAAs with at least a 5 mm sealing zone below the superior mesenteric artery (SMA) who underwent endovascular repair using the WeFlow-JAAA endograft system...
November 24, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37965112/technical-pitfalls-and-proposed-modifications-of-instructions-for-use-for-endovascular-aortic-aneurysm-repair-using-the-gore-excluder-conformable-device-in-angulated-and-short-landing-zones
#28
Andrea Vacirca, Titia A L Sulzer, Thomas Mesnard, Aidin Baghbani-Oskouei, Laura Ocasio, Thanila A Macedo, Hence J M Verhagen, Robert Rhee, Gustavo S Oderich
We describe a case of an abdominal aortic aneurysm (AAA) and angulated proximal neck treated with a Gore Excluder conformable endoprosthesis and show relevant technical pitfalls in the deployment of the graft main body. An 82-year-old man presented with a 71-mm asymptomatic AAA with an angulated infrarenal proximal neck (75°) and was referred to our unit. The patient was treated with a 26-mm Gore Excluder conformable device, which was deployed slightly above the renal arteries after precatheterization of the lowest renal artery...
December 2023: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/37927829/effectiveness-evaluation-of-preventive-embolization-of-the-internal-iliac-artery-in-preventing-type-ii-endoleaks
#29
JOURNAL ARTICLE
Viktor Zemlyanskiy, Natalya Zemlyanskaya, Tokan Sultanaliev, Tairkhan Dautov, Saken Kozhahmetov, Vladimir Openko
Purpose  The aim of this study was to evaluate the effectiveness of the proposed method of preventive embolization of the internal iliac arteries using a liquid tantalum-containing ethylene vinyl alcohol copolymer. Methods  In this nonrandomized clinical study with a retrospective control group, 55 patients with aneurysmal lesions of the infrarenal abdominal aorta participated. In the course of this study, we developed and implemented a method of preventive embolization of the ostia of the internal iliac artery using a liquid tantalum containing ethylene-vinyl alcohol copolymer having viscosity of 34 centipoise...
December 2023: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://read.qxmd.com/read/37926150/off-the-shelf-multibranched-endograft-for-thoraco-abdominal-and-pararenal-abdominal-aortic-aneurysms-a-prospective-single-centre-study-of-the-g-branch-endograft
#30
JOURNAL ARTICLE
Hong Peng Zhang, Yang Yang Ge, Jia Bin Wang, Ting Ting Fan, Wei Guo
OBJECTIVE: To investigate outcomes of a novel, off the shelf multibranched endovascular stent graft for treatment of thoraco-abdominal aortic aneurysm (TAAA) and pararenal abdominal aortic aneurysm (PAAA). METHODS: Prospective, single centre study including 15 patients (mean age, 63.4 ± 10.7 years; 13 male) with TAAA or PAAA treated from October 2019 to March 2021 with a G-Branch endograft featuring a mixed multibranch design with two inner and two outer branches for reconstruction of the visceral and bilateral renal arteries, respectively...
November 3, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37923024/iliac-tortuosity-increases-reinterventions-but-not-adverse-outcomes-following-repair-of-juxtarenal-aneurysms-using-physician-modified-endografts
#31
JOURNAL ARTICLE
Nallely Saldana-Ruiz, Ayumi Tachida, Audrey Mossman, Randy Cure, Allison Larimore, Kirsten Dansey, Benjamin W Starnes, Sara L Zettervall
INTRODUCTION: Increased angulation of the proximal aortic neck has been associated with complications following endovascular repair of infrarenal aortic aneurysms, including increased incidence of endoleaks, stent migration, secondary interventions, and conversions. However, knowledge on the impact of aortoiliac tortuosity on outcomes following fenestrated repair remains limited. This study aims to quantify the effect of aortoiliac tortuosity on outcomes following fenestrated repair. METHODS: A single center, retrospective review of all patients who underwent a physician-modified endovascular repair (PMEG) for the treatment of juxtarenal aortic aneurysms under a single physician sponsored investigation device exemption study from 2011-2021 was performed...
November 1, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37902437/transfemoral-access-to-implant-iliac-branch-devices-after-previous-aortic-grafts
#32
JOURNAL ARTICLE
Jose Torrealba, Alessandro Grandi, Petroula Nana, Giuseppe Panuccio, Fiona Rohlffs, Tilo Kölbel
OBJECTIVE: To report on the outcomes of patients undergoing an iliac branch device implantation after previous open or endovascular aorto-biliac repair, using exclusively femoral access for catheterization and delivery of the covering stent to the hypogastric artery. METHODS: Single-center retrospective study in which all patients in whom an iliac branch device was implanted after previous open or endovascular aorto-biliac repair were identified. Patients in whom the hypogastric artery catheterization and delivery of the bridging cover stent were achieved via exclusive femoral access were included...
October 30, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37902431/physician-modified-endografts-for-the-treatment-of-thoracic-aortic-pathologies-involving-the-aortic-arch
#33
JOURNAL ARTICLE
Qinshu Wen, Guangyan Wu, Ye Ji, Guangmin Yang, Yepeng Zhang, Wendong Li, Xiaolong Du, Xiaoqiang Li, Min Zhou
OBJECTIVE: This study aimed to evaluate the outcomes of physician-modified endografts (PMEGs) for the treatment of thoracic aortic pathologies involving the aortic arch. METHODS: A retrospective single-center study was performed on consecutive patients with thoracic aortic pathologies treated by PMEGs between February 2018 and May 2022. Data on baseline characteristics, operative procedure, and follow-up information were collected. The endpoints included technical success, complications, mortality, overall survival, re-intervention, and target vessel instability...
October 30, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37898359/five-year-post-endovascular-aneurysm-repair-aneurysmal-sac-evolution-in-the-great-registry-an-insight-in-diabetics-using-propensity-matched-controls
#34
JOURNAL ARTICLE
Francisco Álvarez Marcos, José M Llaneza Coto, Lino A Camblor Santervás, Ahmad A Zanabili Al-Sibbai, Manuel Alonso Pérez
OBJECTIVE: To assess differences in 5 year abdominal aortic aneurysm (AAA) sac regression rate after endovascular aneurysm repair (EVAR) in patients with and without diabetes mellitus (DM). METHODS: International prospective registry (Europe, USA, Brazil, Australia, and New Zealand) of patients treated with the GORE EXCLUDER endograft (). All scheduled EVARs for infrarenal AAA between 2014 and 2016 with complete 5 year imaging follow up were included. Emergency procedures, ancillary proximal procedures, and inflammatory/infectious aetiologies were excluded...
October 26, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37858703/clinical-impact-and-determinants-of-fenestration-to-target-vessel-misalignment-in-fenestrated-endovascular-aortic-repair
#35
JOURNAL ARTICLE
Francesco Squizzato, Michele Piazza, Edoardo Forcella, Sofia Coppadoro, Franco Grego, Michele Antonello
OBJECTIVE: This single centre, retrospective study (2014 - 2022) on juxta/pararenal or thoracoabdominal aortic aneurysms treated by fenestrated endovascular aortic repair (FEVAR) was conducted to investigate the clinical impact and determinants of fenestration to target vessel misalignment in FEVAR. METHODS: Pre-operative supracoeliac, pararenal, and infrarenal aortic angles were measured on three dimensional computed tomography angiogram (CTA) reconstructions. Two components of misalignment were measured on the first post-operative CTA: horizontal misalignment (angle between the fenestration and the target vessel ostium on CTA perpendicular cuts) and vertical misalignment (vertical distance between the fenestration and the target vessel at its origin)...
October 17, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37846164/-late-open-semi-conversion-with-endograft-preservation-for-type-ii-endoleaks-with-late-aneurysm-sac-enlargement-after-evar-indications-method-and-results-in-our-own-patient-collective
#36
JOURNAL ARTICLE
Mikolaj Walensi, Iuri Krasniuk, Nikolaos Tsilimparis, Johannes N Hoffmann
EVAR (endovascular aortic repair) is the most common method for treating an abdominal aortic aneurysm, but according to the latest findings it carries the risk of subsequent complications. These can be caused by (late) aneurysm sac growth. If conservative and surgical therapies fail to treat the aneurysm sac growth, open conversion is necessary to prevent aneurysm rupture. There are several options for open conversion, in which the EVAR prosthesis can be completely preserved or is (partially) removed. Late open semi-conversion with complete in-situ preservation of the EVAR-prosthesis and gathering of the aneurysm sac are a less invasive method than complete conversion and may be performed instead for selected patients...
October 2023: Zentralblatt Für Chirurgie
https://read.qxmd.com/read/37846076/single-center-experience-with-inner-branched-endograft-for-the-treatment-of-pararenal-abdominal-aortic-aneurysms
#37
JOURNAL ARTICLE
Ozan Yazar, Michaël Huysmans, Mathieu Lacquet, Pieter B Salemans, Chun-Yu Wong, Lee H Bouwman
PURPOSE: To report a single-center result of patients with pararenal aneurysms treated with inner-branched endograft. MATERIALS AND METHODS: This retrospective study analyzed prospectively collected data of patients treated with elective inner-branched endovascular aneurysm repair (iBEVAR) using an Artivion® E-xtra custom-made endograft. Primary endpoints were clinical and technical success after iBEVAR. Secondary endpoints were overall survival, target vessel patency during follow-up, aneurysm-related mortality, and freedom from reintervention...
October 16, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37837310/is-there-a-role-for-heli-fx-endoanchors-in-treating-type-1b-common-iliac-artery-endoleaks
#38
JOURNAL ARTICLE
Erin C Saricilar, Krystal Dinh, Juanita N Chui, Igor Banzic, Vikram Puttaswamy
OBJECTIVES: The management of type 1B endoleaks following endovascular aortic aneurysm repair (EVAR) can be challenging. The Heli-FX Endoanchor system effectively treats proximal type 1A endoleaks but has not been used for type 1B common iliac artery endoleaks. This study demonstrates that it is both safe and effective in being used in the common iliac artery (CIA) limb of an EVAR. METHODS: A retrospective review of patients identified through coding and medical records was performed to extract information on demographics, aneurysmal features, operative features, and postoperative outcomes...
October 14, 2023: Vascular and Endovascular Surgery
https://read.qxmd.com/read/37822947/aortic-arch-endovascular-branch-and-fenestrated-repair-initial-canadian-experience-with-novel-technology
#39
JOURNAL ARTICLE
Mark Rockley, Kenton L Rommens, R Scott McClure, Eric J Herget, Holly N Smith, Randy D Moore
OBJECTIVE: The objective is to describe the initial Canadian experience using novel aortic arch branched endograft technologies. METHODS: We performed a retrospective consecutive case series of all patients undergoing aortic arch branched repair with newly available endograft technology since 2020 at our site. We describe the patient characteristics, treatment characteristics, and postoperative outcomes. RESULTS: Eleven patients received arch branched endografts, indicated for penetrating aortic ulcer in seven patients (64%), arch degeneration after prior aortic dissection repair in three (27%), and acute aortobronchial fistula in one patient (9%)...
December 2023: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/37734570/prevalence-of-type-2-endoleak-after-elective-endovascular-aneurysm-repair-with-polytetrafluoroethylene-or-polyester-based-endografts
#40
JOURNAL ARTICLE
M Kuijpers, S Holewijn, J D Blankensteijn, M M P J Reijnen
OBJECTIVE: Type II endoleak is the most frequent complication after endovascular abdominal aneurysm repair. Polytetrafluoroethylene and polyester are the two most commonly used graft materials in EVAR-devices. Biological properties of the material might influence the appearance and persistence of type II endoleak. Therefore, the aim of this study was to evaluate potential differences in the prevalence of Type II endoleak after EVAR between polytetrafluoroethylene and polyester endografts in patients electively treated for an infrarenal AAA...
September 19, 2023: Journal of Vascular Surgery
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