Read by QxMD icon Read

Aorto iliac occlusion

Wonho Kim, Ramon Quesada, Melanie B Schernthaner, Raul E Herrera, Juan-Carlos Zevallos, Victor N Becerra, Juan M Acuña, Barry T Katzen
OBJECTIVE: We investigated whether successful revascularization of total occlusion of a large lower-extremity artery is associated with improvement of left ventricular (LV) diastolic function. BACKGROUND: Total occlusion of a large lower-extremity artery might affect the systemic vascular resistance and increase the afterload, because the left ventricle must work harder to eject blood into a smaller vascular bed. Chronic elevation of afterload is a cause of LV diastolic dysfunction...
October 15, 2016: Journal of Invasive Cardiology
G N Kouvelos, A Katsargyris, G A Antoniou, K Oikonomou, E L G Verhoeven
AIM: The aim was to conduct a systematic review of the literature investigating outcomes after interruption or preservation of the internal iliac artery (IIA) during endovascular aneurysm repair (EVAR). METHODS: A systematic review was undertaken using the MEDLINE and EMBASE databases to identify studies reporting IIA management during EVAR. The search identified 57 articles: 30 reported on IIA interruption (1468 patients) and 27 on IIA preservation (816 patients)...
September 2, 2016: European Journal of Vascular and Endovascular Surgery
S-H Heo, Y-W Kim, S-Y Woo, Y-J Park, D-K Kim, D-R Chung
OBJECTIVE: To evaluate treatment outcomes of in situ abdominal aortic reconstruction with cryopreserved arterial allograft (CAA) for patients with abdominal aortic infection. MATERIALS AND METHODS: A retrospective review of prospectively collected data was conducted of patients who underwent in situ aortic reconstruction using CAA for primary, secondary, or prosthetic infection of the abdominal aorta between May 2006 and July 2015, at a single institution. Clinical presentation, indications for treatment, procedural details, early post-operative mortality and morbidity, late death, and graft related complications during the follow up period were investigated...
September 1, 2016: European Journal of Vascular and Endovascular Surgery
Erin P Ward, Daniele Shiavazzi, Divya Sood, Allison Marsden, John Lane, Erik Owens, Andrew Barleben
BACKGROUND: Currently, the gold standard diagnostic examination for significant aortoiliac lesions is angiography. Fractional flow reserve (FFR) has a growing body of literature in coronary artery disease as a minimally invasive diagnostic procedure. Improvements in numerical hemodynamics have allowed for an accurate and minimally invasive approach to estimating FFR, utilizing cross-sectional imaging. We aim to demonstrate a similar approach to aortoiliac occlusive disease (AIOD). METHODS: A retrospective review evaluated 7 patients with claudication and cross-sectional imaging showing AIOD...
August 26, 2016: Annals of Vascular Surgery
R Shahverdyan, D Gray, M Gawenda, J Brunkwall
OBJECTIVE: Fenestrated endovascular aneurysm repair (F-EVAR) has increased the number of patients with aneurysmal disease and a short or no existing neck being eligible for endovascular treatment. The aim of the study is to report experience using the Anaconda fenestrated device with special emphasis on target vessel patency and pitfalls with the device. METHODS: Between 2011 and 2016, 48 F-EVAR procedures were performed in 37 males and 11 females under general anaesthesia using the Anaconda custom made device (CMD)...
October 2016: European Journal of Vascular and Endovascular Surgery
Mete Gursoy, Egemen Duygu, Umut Karabulut, Idil Çakir, Abdulkadir F Hokenek
BACKGROUND: Acute aortic occlusion is an uncommon vascular emergency. REPORT: We report an endovascular procedure in a patient with acute aortic occlusion causing critical limb ischemia. Following thrombus debulking with AngioJet System, Aorto-Iliac patency was achieved with bilateral iliac artery stent placement creating new aortic bifurcation. CONCLUSION: Pharmacomechanic thrombectomy may provide effective debulking of thrombus. It may be utilized before stenting, and may also be curative in selected cases...
August 11, 2016: Annals of Vascular Surgery
Abigail H M Morbi, Ian M Nordon
PURPOSE: This case highlights the importance of timely diagnosis and management of acute mesenteric ischaemia and illustrates the compensatory mechanisms of the mesenteric vasculature. CASE REPORT: A 53-year-old female presented with fever, abdominal pain, and vomiting. The patient had no risk factors for atherosclerosis and was a non-smoker in sinus rhythm with no history of coagulopathy. She was initially treated for viral gastroenteritis. Due to lack of clinical improvement and a rising C-Reactive Protein (416), a CT scan was performed...
June 21, 2016: Acta Chirurgica Belgica
George Galyfos, Fragiska Sigala, Gerasimos Basigos, Georgios Karantzikos, Stilianos Katsaragakis, Konstantinos Filis
INTRODUCTION: Severe calcification of the aorta or iliac vessels remains a major concern when planning open or endovascular treatment of an AAA. Therefore, we present a unique case of an AAA with concomitant severe calcification of the entire infrarenal aorto-iliac region and discuss on proper management. CASE REPORT: A 70-year-old patient with a symptomatic abdominal aortic aneurysm (AAA) was scheduled for repair. The diagnostic investigation revealed a 70mm in diameter AAA with severe calcification of the neck as well as the iliac and femoral arteries, raising major concerns regarding the proper repair strategy...
July 13, 2016: Annals of Vascular Surgery
F Lecot, T Sabbe, S Houthoofd, K Daenens, I Fourneau
OBJECTIVES: The aim was to estimate the long-term results and patency rates of totally laparoscopic aortobifemoral bypass in aorto-iliac occlusive disease (AIOD). METHODS: All 87 patients who received a laparoscopic aortobifemoral bypass for AIOD on an intention to treat basis between October 2003 and October 2013 were identified. All operations were performed by the same surgical team using a totally laparoscopic technique. Demographic, pre-operative, peri-operative, and follow up variables were collected and analyzed...
June 23, 2016: European Journal of Vascular and Endovascular Surgery
T S Maldonado, G G Westin, O Jazaeri, M Mewissen, M M P J Reijnen, A J Dwivedi, H E Garrett, A Dias Perera, T Shimshak, V Mantese, C J Smolock, Z M Arthurs
OBJECTIVE/BACKGROUND: Aorto-bifemoral bypass remains the gold standard for treatment of aortoiliac occlusive disease (AIOD) in patients with advanced (TASC D) lesions, but has significant associated morbidity and mortality. Treatment with a unibody stent-graft positioned at the aortic bifurcation is a potential endovascular option for the treatment of AIOD. The current study examines the safety, efficacy, and early patency rates of the Endologix AFX unibody stent-graft for treatment of AIOD...
July 2016: European Journal of Vascular and Endovascular Surgery
J-B Ricco, J Cau, F Biancari, M Desvergnes, N Lefort, R Belmonte, F Schneider
OBJECTIVE/BACKGROUND: To compare the post-operative and mid-term outcomes of laparoscopic aortic surgery with those of conventional aortic surgery performed by a surgical team trained in laparoscopic aortic surgery. METHODS: A prospective study was conducted between January 2006 and December 2011 with 228 consecutive patients having undergone aortic bypass surgery for either an abdominal aortic aneurysm (n = 139) or occlusive aorto-iliac disease (n = 89). Conventional open aortic surgery was carried out in 145 patients, and total laparoscopic repair in 83 patients...
August 2016: European Journal of Vascular and Endovascular Surgery
P Štádler, L Dvořáček, P Vitásek, P Matouš
BACKGROUND: The aim of this study was to evaluate the clinical experience with 310 robot assisted vascular procedures. The da Vinci system has been used by a variety of disciplines for laparoscopic procedures but the use of robots in vascular surgery is still relatively uncommon. METHODS: From November 2005 to May 2014, 310 robot assisted vascular operations were performed. Two hundred and twenty four patients were prospectively evaluated for occlusive disease, 61 patients for abdominal aortic aneurysm, four for a common iliac artery aneurysm, four for a splenic artery aneurysm, one for a internal mammary artery aneurysm, and after the unsuccessful endovascular treatment five for hybrid procedures, two patients for median arcuate ligament release and nine for endoleak II treatment post EVAR...
July 2016: European Journal of Vascular and Endovascular Surgery
Bogdan Ioncioaia, Ioan Teodor Bud, Mircea Muresan
René Leriche (1879-1955) was a 20(th) century French surgeon generally known in medicine for the syndrome that carries his name, namely the Leriche syndrome in the aorto-iliac occlusive disease. This paper is published to mark the commemoration of 60 year since Leriche's death. Although Dr. Leriche's legacy resides in the domain of vascular medicine, his research enclosed bone pathology and surgical management of pain. Having his surgical training done under professors Mathieu Jaboulay and Antonin Poncet, his friendship and association with Alexis Carrel and William Halsted have contributed to René Leriche's development as a surgeon, researcher and thinker...
2016: Clujul Medical (1957)
Matteo Azzarone, Alessandro De Troia, Luigi Iazzolino, Bilal Nabulsi, Tiziano Tecchio
Acute thrombotic or embolic occlusion of the abdominal aorta is a rare vascular emergency associated with high morbidity and mortality rates. Classically, the clinical presentation is a severe peripheral ischemia with bilateral leg pain as the predominant feature. Aortic occlusion presenting as an isolated acute onset of paraplegia due to spinal cord ischemia is very rare and requires improved awareness to prevent adverse outcomes associated with delayed diagnosis. We report the case of a 54-year-old man who presented with sudden paraplegia due to the thrombotic occlusion of the infrarenal aorta involving the first segment of the common iliac arteries on both sides; emergent transperitoneal aorto iliac thrombectomy combined with the endovascular iliac kissing-stent technique were performed achieving perioperative complete regression of the symptoms...
May 2016: Annals of Vascular Surgery
Naritomo Nishioka, Yoshihiko Kurimoto, Ryushi Maruyama, Kosuke Ujihira, Yutaka Iba, Eiichiro Hatta, Akira Yamada, Katsuhiko Nakanishi
Spinal cord ischemia is a well-known potential complication of endovascular aneurysm repair (EVAR), and it is usually manifested by paraplegia or paraparesis. We describe a case in which spinal cord ischemia after EVAR presented by isolated bladder and rectal incontinence without other neurological deficits. A 63-year-old woman presented with intermittent claudication secondary to an infrarenal abdominal aortic aneurysm (AAA), and a left common iliac artery obstruction, for which she underwent EVAR using an aorto-uniiliac (AUI) device and ilio-femoral artery bypass...
December 2016: Surgical Case Reports
Bahaa M Fadel, Rasha Bazari, Aysha Husain, Ahmed Fathala, Ziad Dahdouh, Dania Mohty, Giovanni Di Salvo
Spectral Doppler interrogation of the descending thoracic and abdominal aorta provides valuable information regarding cardiac and vascular hemodynamics. An abnormal aortic Doppler profile is encountered in pathological conditions that affect the aorta and its branches, the aortic valve, the left ventricle, and the pericardium. Characteristic findings on Doppler interrogation of the aorta are often noted in individuals with obstructive atherosclerotic disease of the aorto-iliac system including severe stenosis or occlusion of the distal aorta and/or iliac arteries...
April 2016: Echocardiography
Sanghyun Ahn, Keun-Myoung Park, Young Kyun Kim, Ji Il Kim, In Sung Moon, Kee Chun Hong, Yong Sun Jeon, Jang Yong Kim
BACKGROUND/OBJECTIVE: The aim of this study was to evaluate the technical success rates, primary patency, and complications for TASC C and D aorto-iliac lesions treated by endovascular procedures. Additionally, the influence of the access site and the clinical outcomes were analyzed. METHODS: Between 2008 and 2014, data from 39 patients with 45 chronic iliac artery stenosis and/or occlusion who were treated with endovascular treatment were retrospectively reviewed...
January 16, 2016: Asian Journal of Surgery
Ersan Tatli, Alptug Tokatli, M Bulent Vatan, Murat Aksoy, Yusuf Can, M Turker Pabuccu, M Tarik Agac
Aorto femoral bypass is usually the recommended therapy for diffuse disease involving the aorta and iliac arteries. In this case report, a case involving a chronic endovascular abdominal aortic stent graft occlusion in which percutaneous angioplasty was performed via a transbrachial and transfemoral approach is presented. This case emphasized that occlusion of an endovascular abdominal aortic stent graft can also be treated, primarily, with an endovascular technique.
September 2016: Perfusion
Chaitanya Vadlamudi, Veer Chahwala, Enrique J Moreno, Jane K Yang, Arash Bornak, Lee Goldstein
Aortoiliac occlusive disease coincident with a congenital ectopic pelvic kidney is a rare occurrence. Traditionally, the treatment has been open aortobifemoral repair with reimplantation of the renal artery. We present a patient with Trans-Atlantic Inter-Society Consensus (TASC) D bilateral aortoiliac occlusive disease, an ectopic pelvic kidney, and prohibitive medical comorbidities. We describe a totally endovascular repair using a chronic total occlusion crossing device, a luminal re-entry device, and balloon-mounted covered stents to revascularize the lower extremities and the ectopic pelvic kidney...
February 2016: Annals of Vascular Surgery
Vladimir Starodubtsev, Andrey Karpenko, Pavel Ignatenko
BACKGROUND: The purpose of our study was to compare immediate and long-term results of hybrid repair and open aortofemoral reconstructions in the patients with lower extremity peripheral arterial disease of Trans-Atlantic Inter-Society (TASC) II Type C and Type D iliac lesions in combination with the concomitant lesion of common femoral artery (CFA). METHODS: We have included in this prospective case-controlled study 112 patients with extensive iliac and CFA occlusive disease...
October 2016: International Angiology: a Journal of the International Union of Angiology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"