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endovascular graft exclusion

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https://www.readbyqxmd.com/read/27890849/hybrid-treatment-of-a-suprarenal-aortic-aneurysm-with-an-infrarenal-aorto-bifemoral-surgical-graft-and-a-fenestrated-stent-graft
#1
Sebastian Nagel, Athanasios Katsargyris, Kyriakos Oikonomou, Eric L G Verhoeven
PURPOSE: To report a hybrid technique for the treatment of a suprarenal aortic aneurysm (SAA) in a patient with iliac occlusive disease. Initially an infrarenal aorto-bifemoral surgical graft was implanted, followed by deployment of a fenestrated bifurcated stent-graft at the suprarenal part of the aorta. CASE REPORT: A 69-year old man presented with a 51-mm saccular SAA and iliac occlusive disease with intermittent claudication. Both common iliac arteries had been previously treated with kissing stents...
November 24, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27881689/acute-type-a-aortic-dissection-treated-using-a-tubular-stent-graft-in-the-ascending-aorta-and-a-multibranched-stent-graft-in-the-aortic-arch
#2
Tilo Kölbel, Christian Detter, Sebastian W Carpenter, Fiona Rohlffs, Yskert von Kodolitsch, Sabine Wipper, Herrmann Reichenspurner, E Sebastian Debus, Nikolaos Tsilimparis
PURPOSE: To describe the combined use of a tubular stent-graft for the ascending aorta and an inner-branched arch stent-graft for patients with acute type A aortic dissection. TECHNIQUE: The technique to deploy these modular, custom-made stent-grafts is demonstrated in 2 patients with acute DeBakey type I aortic dissections and significant comorbidities precluding open surgery. Both emergent procedures were made possible by the availability of suitable devices manufactured for elective repair in other patients...
November 23, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27843111/a-comprehensive-review-of-in-situ-fenestration-of-aortic-endografts
#3
REVIEW
M Glorion, R Coscas, R G McWilliams, I Javerliat, O Goëau-Brissonniere, M Coggia
OBJECTIVE: Despite technical advances of fenestrated and branched endografts, endovascular exclusion of aneurysms involving renal, visceral, and/or supra-aortic branches remains a challenge. In situ fenestration (ISF) of standard endografts represents another endovascular means to maintain perfusion to such branches. This study aimed to review current indications, technical descriptions, and results of ISF. METHOD: A review of the English language literature was performed in Medline databases, Cochrane Database, Web of Science, and Scopus using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines...
November 11, 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27807319/combined-brachial-embolectomy-and-stent-graft-endovascular-exclusion-in-the-treatment-of-acute-arm-ischemia-due-to-subclavian-artery-aneurysms-thrombosis-or-distal-embolization
#4
Andrea Siani, Federico Accrocca, Gennaro De Vivo, Luca Maria Siani, Federica Mounayergi
AIM: Purpose of this study is to report our results after simultaneous transbrachial embolectomy and endovascular aneurysm exclusion with stentgraft in the treatment of upper limb acute ischemia due to subclavian artery aneurysm thrombosis and embolization . METHODS: From January 2010 to December 2015, seven consecutive patients (6 men; mean age 71.5, range 44-85) underwent to emergent revascularization for upper limb ischemia due to thrombosis/embolization of SAA by means of brachial embolectomy and endovascular exclusion...
October 14, 2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27776696/preservation-of-hypogastric-flow-and-control-of-iliac-aneurysm-size-in-the-treatment-of-aortoiliac-aneurysms-using-the-nellix-endovascular-aneurysm-sealing-endograft
#5
Dainis K Krievins, Janis Savlovskis, Andrew H Holden, Kaspars Kisis, Andrew A Hill, Marcis Gedins, Natalija Ezite, Christopher K Zarins
OBJECTIVE: The purpose of this study was to determine the long-term effectiveness of endovascular aneurysm sealing (EVAS) in the treatment of complex aortoiliac aneurysms with preservation of hypogastric artery flow. METHODS: We reviewed all patients with abdominal aortic aneurysms (AAAs) and common iliac aneurysms (CIAs) enrolled and treated in prospective studies of EVAS using the Nellix endograft (Endologix, Irvine, Calif) at two centers from 2008 to 2014. Patients with 1 year or more of computed tomography follow-up underwent quantitative morphometric assessment by two independent vascular radiologists blinded to clinical outcome results...
November 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27752387/stent-graft-in-stent-graft-as-a-rescue-technique-for-endovascular-treatment-of-giant-extracranial-internal-carotid-aneurysm
#6
Adenauer Marinho de Oliveira Góes Junior, Salim Abdon Haber Jeha
Endovascular treatment of a giant extracranial internal carotid aneurysm by a stent graft implantation was unsuccessful due to a high flow leak directly through the stent graft's coating. The problem was solved deploying a second stent graft inside the previously implanted one resulting in complete exclusion of the aneurysmal sac and patent carotid lumen preservation. The review of the literature did not provide a case using this endovascular strategy. Follow-up for more than 12 months, using CT angiography, showed confirmed aneurysmal exclusion and carotid patency and no clinical complications have been detected...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27708782/delayed-type-iiib-endoleak-secondary-to-graft-fabric-tear-7-years-following-implantation-of-a-medtronic-talent-endovascular-aortic-device-a-case-report-and-review-of-the-literature
#7
Vinay Kansal, Sudhir Nagpal
OBJECTIVES: To report a rare case of delayed Type IIIb endoleak secondary to fabric tear following implantation of a Medtronic Talent endovascular device. METHODS: A 83-year old gentleman underwent elective endovascular aneurysm repair for infrarenal abdominal aortic aneurysm with a Medtronic bifurcated stent graft in 2008. RESULTS: Seven years after the initial repair, imaging surveillance revealed significant endoleak and brisk aneurysm sac expansion due to Type IIIb endoleak secondary to endograft limb fabric tear...
2016: SAGE open medical case reports
https://www.readbyqxmd.com/read/27625002/free-esophageal-perforation-following-hybrid-visceral-debranching-and-distal-endograft-extension-to-repair-a-ruptured-thoracoabdominal-aortic-aneurysm
#8
Hussam Abou-Al-Shaar, Khaled Juan Zaza, Muhammad Anees Sharif, Samer Koussayer
Free esophageal perforation following a hybrid visceral debranching and distal endograft extension to repair a ruptured thoracoabdominal aortic aneurysm (TAAA) is a rare complication. The authors report a 56-year-old male who underwent elective thoracic endovascular aortic repair of a thoracic aneurysm. Four and a half years later, he presented with a new aneurysm extending from the distal end of the thoracic stent graft to the aortic bifurcation involving all the visceral arterial branches. The TAAA ruptured while he was awaiting an elective repair, and as a result, he underwent an emergency hybrid procedure...
October 2016: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27598471/on-the-complexity-of-screening-detected-abdominal-aortic-aneurysms-a-retrospective-observational-multicenter-cohort-study
#9
Håkan Ohlsson, Anders Gottsäter, Tim Resch, Björn Sonesson, Per Kjellin, Tomas Wetterling, Jan Holst
BACKGROUND: Ultrasound screening for abdominal aortic aneurysms (AAA) has been shown to decrease aneurysm related mortality. Likely by providing an opportunity to intervene while the an- eurysm is still intact, but possibly also when and the anatomy still relatively uncomplicated which would provide a less complex procedure. Our aim was to retrospectively investigate the complexity of repair for screening-detected AAAs in a cohort of 65-year-old men. METHODS: All screening detected AAA cases that underwent repair between Sept 2010 and June 2014 in the most southern region of Sweden were included...
September 6, 2016: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/27554701/endovascular-management-of-concomitant-thoracic-and-abdominal-aortic-ruptures-resulting-from-brucellosis-aortitis
#10
Samuel L Chen, Isabella J Kuo, Roy M Fujitani, Nii-Kabu Kabutey
INTRODUCTION: Acute aortic symptomatology is an unusual manifestation of Brucella melitensis infection. We present a rare case of acute multifocal thoracic and abdominal aortic ruptures arising from Brucellosis aortitis managed exclusively with endovascular surgery. METHODS: A 71 year-old Hispanic male with a history of atrial fibrillation and prior stroke on chronic anticoagulation, presented with shortness of breath and malaise. In addition, he had been treated approximately one year previously in Mexico for Brucella melitensis bacteremia after eating fresh unpasteurized cheese...
August 20, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27554687/hybrid-procedure-with-debranching-from-the-descending-aorta-for-aortic-arch-aneurysm-after-previous-open-repair
#11
Juergen Zanow, Martin Breuer, Eric Lopatta, Christoph Schelenz, Utz Settmacher
Aortic arch aneurysms can be treated with hybrid procedures by endovascular exclusion and prior debranching of supraaortic arteries. We report on a case of symptomatic arch aneurysm following previous supracoronary ascending aorta and hemi-arch replacement with a very short proximal landing zone. A successful reconstruction was performed by retrograde revascularization of supraaortic vessels from the descending aorta and subsequent endovascular repair deploying a proximal stent graft directly above the sinotubular junction with good results in the four-year follow up...
August 20, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27530412/endovascular-stent-grafting-of-the-ascending-aorta-for-symptomatic-parietal-thrombus
#12
Andrea Kahlberg, Matteo Montorfano, Tommaso Cambiaghi, Luca Bertoglio, Germano Melissano, Roberto Chiesa
PURPOSE: To present stent-graft treatment of parietal thrombus in the ascending aorta. CASE REPORT: A 64-year-old man with no history of vascular disease developed a right cerebral hemisphere transient ischemic attack and was diagnosed with mural thrombosis of the ascending aorta involving the greater curvature just proximal to the origin of the innominate artery. He was treated for 2 months with anticoagulants, but new imaging studies showed significant increase in the size of the thrombus and an irregular aspect...
August 16, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27457833/inner-branched-endografts-for-the-treatment-of-aortic-arch-aneurysms-after-open-ascending-aortic-replacement-for-type-a-dissection
#13
Charles P E Milne, Mau Amako, Rafaelle Spear, Rachel E Clough, Adrien Hertault, Jonathan Sobocinski, Wendy Brown, Stéphan Haulon
BACKGROUND: The development of a postdissection aortic arch aneurysm after open ascending aortic replacement for type A dissection places the patient at increased risk for an open operation due to the need for redo sternotomy and total arch replacement. We conducted a computed tomography-based feasibility study to assess what proportion of these patients would be anatomically suitable for branched endograft repair of an arch aneurysm. We also aimed to identify ways to tailor the index operation to increase suitability for future endovascular repair...
December 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27427353/endovascular-repair-of-an-aortic-arch-aneurysm-with-triple-chimney-stent-grafts-a-case-report
#14
Oscar A Mendiz, Hugo Fraguas, Carlos M Fava
The treatment of an aortic arch aneurysm in high-risk individuals poses a significant challenge. We present a surgical patient with a patent left internal mammary artery (LIMA) graft and a large aortic arch aneurysm who underwent aortic stent-graft implantation and complete endovascular branching to preserve the LIMA inflow, with successful exclusion of the aneurysm. A moderate flow, proximal type I endoleak was observed after deployment that disappeared at two-year follow-up.
July 14, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27346443/in%C3%A2-vivo-evaluation-of-customized-aortic-repair-using-a-novel-survival-model
#15
B M Doorschodt, H L Brom, A C de Vries, C Meers, M J Jacobs
OBJECTIVE: The aim of the study was to evaluate the feasibility and mid-term biological behavior of the novel customized aortic repair (CAR) method for endovascular aneurysm treatment. METHODS: CAR consists of exclusion of an aneurysm from the circulation using a custom-designed dog bone-shaped balloon, followed by aneurysm sac filling with an in situ curing polymer. After curing and balloon deflation, the circulation is restored through a patent cast neolumen. A liquid two-component polymer was injected via a small bore catheter under X-ray control into a surgically created aneurysm...
August 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27333262/endovascular-placement-of-an-extraluminal-arterial-bypass-graft-in-vitro-feasibility-study
#16
Markus Zimmermann, Jochen Pfeffer, Hong-Sik Na, Martin Liebl, Maximilian Schulze-Hagen, Christiane K Kuhl, Peter Isfort, Philipp Bruners
PURPOSE: A novel approach for arterial bypass grafting using exclusively endovascular techniques was established in-vitro in a phantom model. MATERIAL AND METHODS: The experimental setting consisted of a gel-wax phantom with two embedded parallel fluid-filled silicon tubes simulating the superficial femoral vessels. Through an 8-French sheath, a re-entry catheter (OUTBACK(®), Cordis) was placed in the simulated artery and used to puncture the vascular wall. Then a 0...
June 22, 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/27324231/management-of-true-visceral-artery-aneurysms-in-31-cases
#17
S Regus, W Lang
INTRODUCTION: True visceral artery aneurysms (VAA) should be treated under elective conditions in dependency on maximum diameter. In this respect, the traditional accepted threshold is 2cm, whereas VAA sizing less than 2cm should conservatively be observed without invasive treatment. The aim of this study was to review differences in the treatment outcome over three decades. MATERIAL AND METHODS: This was a retrospective review of all treated VAAs at one institution from 1985 to 2015...
June 17, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27289256/-isolated-true-aneurysm-of-the-deep-femoral-artery
#18
L Salomon du Mont, T Holzer, C Kazandjian, F Saucy, J M Corpataux, S Rinckenbach, S Déglise
Aneurysms of the deep femoral artery, accounting for 5% of all femoral aneurysms, are uncommon. There is a serious risk of rupture. We report the case of an 83-year-old patient with a painless pulsatile mass in the right groin due to an aneurysm of the deep femoral artery. History taking revealed no cardiovascular risk factors and no other aneurysms at other localizations. The etiology remained unclear because no recent history of local trauma or puncture was found. ACT angiography was performed, revealing a true isolated aneurysm of the deep femoral artery with a diameter of 90mm, beginning 1cm after its origin...
July 2016: Journal des Maladies Vasculaires
https://www.readbyqxmd.com/read/27266684/-massive-hemorrhage-caused-by-fungal-infections-after-donation-after-cardiac-death-kidney-transplantation-clinical-features-prevention-and-treatment-experience
#19
D D Zhao, Z Y Huang, L Q Hong, T Liao, Y E Tang, N Na, H Li, B Miao, X F Hua, Q Q Sun
OBJECTIVE: To study the characteristics and prevention and treatment strategies of massive hemorrhage caused by fungal infections after donation-after-cardiac-death (DCD) kidney transplantation. METHODS: A total of 91 cases of DCD kidney transplantation between August 25, 2013 and June 30, 2015 in Third Affiliated Hospital of Sun Yat-sen Univservity were retrospectively analyzed. The characteristics of and prevention and treatments strategies for postoperative massive hemorrhage caused by fungal infections were summarized...
May 31, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27265222/thoracic-stent-graft-versus-surgery-for-thoracic-aneurysm
#20
REVIEW
Iosief Abraha, Carlo Romagnoli, Alessandro Montedori, Roberto Cirocchi
BACKGROUND: Thoracic aortic aneurysm (TAA) is an uncommon disease with an incidence of 10.4 per 100,000 inhabitants. It occurs mainly in older individuals and is evenly distributed among both sexes. There are no signs or symptoms indicative of the presence of the disease. Progressive but unpredictable enlargement of the dilated aorta is the natural course of the disease and can lead to rupture. Open chest surgical repair using prosthetic graft interposition has been a conventional treatment for TAAs...
June 6, 2016: Cochrane Database of Systematic Reviews
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