Search Results
Results 401 - 450 of 2111
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Mertens Renato A - - 2010
Anatomy has been the major challenge to overcome to increase safe and durable applicability of endografting for the treatment of abdominal aortic aneurysm. Bilateral iliac aneurysm preventing an appropriate distal landing zone for the endograft is a common condition and can be managed by (a) increasing the diameter of the ...
Esposito Giovanni - - 2009
For a long time, open surgical repair has been considered the preferred management option for the exclusion of isolated iliac artery aneurysms.The development of transluminally placed endovascular stent grafts, which have been studied extensively for aneurysm exclusion in the abdominal and thoracic aorta, provided a less invasive approach for exclusion ...
Padberg Frank T FT - - 2009
BACKGROUND: Based on randomized, population-based screening protocols, a single ultrasound examination reduces mortality from an abdominal aortic aneurysm (AAA) by facilitating elective surgical intervention before rupture. Ultrasound screening is accurate, noninvasive, inexpensive, and cost effective. By using a comprehensive electronic medical record, we inquired whether an age-prompted clinical reminder would ...
Golledge Jonathan - - 2009
PURPOSE OF REVIEW: Abdominal aortic aneurysm (AAA) is being diagnosed more frequently in older patients due to the increased use of abdominal imaging and the rising average age of western populations. Currently the management of this condition has two important deficiencies: inadequate methods to identify AAAs at risk of progression ...
Hartman V - - 2009
A 73-year-old man was admitted to the emergency department presenting with cramping pain in the left iliac fossa that had persisted for ten days, with diarrhoea and dysuria. A recent onset of high fever had urged him to the hospital. A routine blood sample showed a leukocytosis of 11.9 x ...
Libeer F - - 2009
Isolated iliac aneurysms are uncommon and account for only 2% of all abdominal aneurysms. Typically, patients presenting with this pathology are operated on surgically. In our patient, however, surgery could have been an option but the patient had undergone a laparotomy more than 50 years earlier because of a gun-shot ...
Lee W Anthony - - 2009
Iliac aneurysms can occur concomitantly in 15 to 20% of abdominal aortic aneurysms. The common iliac arteries serve as the distal landing zones for the iliac limbs of abdominal aortic stent grafts, and for most currently available devices, the maximum treatable iliac size is 20 mm. When the iliac artery ...
Huilgol Ravi L - - 2009
BACKGROUND: The iliac bifurcation device (William A Cook Australia, Brisbane, QLD, Australia) is a new endovascular device for iliac aneurysm repair. We review the indications for use, device characteristics, deployment options and the results of our case series. METHODS: The most common indication for deployment is endovascular aortic aneurysm repair ...
Dang Wilfred - - 2010
To examine the relationship between the orientation of the iliac arteries in infrarenal aortic aneurysms and its effect on the cannulation of the contralateral limb of a bifurcated stent graft system (SGS) used for endovascular aneurysm repair (EVAR). This is a retrospective review of prospectively collected data in 100 consecutive ...
Carrafiello Gianpaolo - - 2010
Elective endovascular treatment of thoracic aortic pathology has been applied in a variety of conditions. The complications of thoracic aortic stenting are also well recognized. Endoleak after endovascular repair of thoracic aortic aneurysms is the most frequent complication; among them, type III is the least frequent. Endovascular treatment of type ...
Bellosta Raffaello - - 2010
Endovascular repair of an abdominal aortic aneurysm (AAA) offers hope of improved outcomes in patients presenting with acute rupture. However, a high proportion of such patients have unfavorable proximal neck anatomy and are not suitable for treatment with conventional endografts. In this case report, the authors describe a successful endovascular ...
McCready Robert A - - 2009
Endografts are a common method of treating abdominal aortic aneurysms (AAA) because of the short-term benefits of endovascular aneurysm repair (EVAR). However, the short-term benefits of endovascular repair must be balanced against long-term complications, such as the need for conversion to open repair, device migration, persistent or de novo endoleaks, ...
Eggebrecht H - - 2009
Intramural hematoma (IMH) of the aorta and penetrating aortic ulcer (PAU) are important variant forms of classic double-barrel aortic dissection in patients presenting with acute aortic syndrome. Recent insights provided by modern high-resolution imaging are currently challenging previous pathophysiologic concepts underlying IMH and PAU, suggesting a close relationship of both ...
Pol Jillis A - - 2009
PURPOSE: To quantify dynamic changes in aortoiliac dimensions using dynamic electrocardiographically (ECG)-gated computed tomographic angiography (CTA) and to investigate any potential impact on preoperative endograft sizing in relation to observer variability. METHODS: Dynamic ECG-gated CTA was performed in 18 patients with abdominal aortic aneurysms. Postprocessing resulted in 11 datasets per ...
Pratesi Giovanni - - 2009
PURPOSE: To describe an alternative reconstruction for bilateral common (CIA) and internal (IIA) iliac artery aneurysms associated with external iliac artery (EIA) occlusion in a patient unfit for open surgery. CASE REPORT: A high-risk 81-year-old man presented with contained rupture of a left CIA aneurysm in the presence of bilateral ...
Yamamoto Masaki - - 2009
Coronary artery disease (CAD) coexists in 40% of cases with abdominal aortic aneurysm (AAA). Previous reports have demonstrated the progression of myocardial ischemia after AAA repair and an increased rate of AAA rupture after coronary artery bypass grafting (CABG). We herein describe the case of a 63-year-old man who underwent ...
Grenon S Marlene - - 2009
BACKGROUND: To decrease the morbidity associated with cut-downs during endovascular aneurysm repair, some authors have suggested the totally percutaneous endovascular repair (PEVAR). The goal of this report is to evaluate and describe our centre's experience with the total percutaneous endovascular aneurysm repair (PEVAR) for aortic abdominal aneurysm (AAA). METHODS: We ...
Rigberg David - - 2009
Inflammatory abdominal aortic aneurysms (IAAA) can present significant challenges to surgeons, especially in the juxtarenal location where they may not be amenable to endovascular repair. The dense, inflammatory component of these lesions can encase adjacent structures including the duodenum, ureters, and inferior vena cava putting them at risk for injury ...
Perdikides Theodossios - - 2009
PURPOSE: To present performance data on the use of the Aorfix stent-graft in patients with hostile infrarenal abdominal aortic aneurysm (AAA) anatomy. METHODS: A study protocol was designed to examine the safety and efficacy of the Aorfix endovascular stent-graft in AAA patients who had a proximal neck diameter between 18 ...
Kim Won Ho - - 2009
PURPOSE: To compare long-term outcomes of endovascular and surgical treatment of arterial aneurysms in patients with vasculo-Beh??et disease (VBD). METHODS: The medical records of 912 patients with Beh??et disease who were seen between May 1995 and January 2007 were reviewed. Among them, 34 (3.7%) patients with 39 non-cerebral aneurysmal lesions ...
VAN KUIJK J P - - 2009
Abdominal aortic aneurysms (AAA) have a prevalence between 1.3-8.9% in men and 1.0-2.2% in women aged above 55 years. Furthermore, AAA cause 1-3% of all deaths among men aged 65-85 years in developed countries. As the disorder is invariably associated with severe atherosclerotic damage of the arterial wall, it has ...
Zipfel Burkhart - - 2009
PURPOSE: To evaluate the feasibility and midterm results of a new stent-graft for infrarenal endovascular aneurysm repair (EVAR) in a non-selected population. METHODS: Nineteen consecutive patients (19 men; mean age 70 years, range 58-87) who presented within an 8-month period with abdominal aortic aneurysms (AAA) suitable for EVAR were treated ...
Greenberg Roy K - - 2009
This article reports the intermediate-term (24-month) outcomes of a prospective multicenter trial designed to evaluate the Zenith Fenestrated AAA Endovascular Graft (Cook Medical, Bloomington, Ind) for treating juxtarenal abdominal aortic aneurysms with short proximal necks. The study goals were to evaluate the safety and preliminary effectiveness of the device and ...
McKenna Adrian J - - 2009
Endovascular aneurysm repair (EVAR) is an established therapy to prevent rupture in large infrarenal abdominal aortic aneurysms (AAA). As experience with this therapy has grown, treatment of more challenging anatomy has led to the identification of several new procedurally related complications. We report the case of a 67-year-old man with ...
R??del S G J - - 2009
INTRODUCTION: This study reports the technical and mid-term clinical results of the second-generation Anaconda AAA Stent Graft System endovascular device for treatment of abdominal aortic aneurysm (AAA). The design of the Anaconda AAA Stent Graft System is characterised by a three-piece system consisting of two proximal independent saddle-shaped nitinol self-expandable ...
Plaza-Mart??nez Angel - - 2009
We report a case of an isolated ruptured iliac artery aneurysm that had previously been treated, 25 months before, with iliac endovascular exclusion. Urgent computed tomographic (CT) scan showed the retroperitoneal hematoma and a type IA endoleak. On an emergency basis, at the operating room, an aortouni-iliac graft and femorofemoral ...
Wu Timothy T Section of Vascular Surgery, University of Chicago Pritzker School of Medicine, Chicago, IL, - - 2010
The combination of Trans-Atlantic Intersociety Consensus (TASC) D aortoiliac occlusive disease as well as a symptomatic abdominal aortic aneurysm (AAA) is not a common occurrence. Extensive calcified atherosclerotic disease, occlusions, and small iliofemoral segmental arteries make transfemoral access difficult, if not impossible, for endovascular aneurysm repair (EVAR) in these patients. ...
Rao Atul S - - 2009
Adequate seal at the proximal and distal extent of stent grafts in the aorta is paramount to the success of thoracic endovascular aortic repair (TEVAR). Thoracoabdominal aneurysms pose a formidable challenge given their extension into the arch branches proximally and the visceral segment distally. Extension of the landing zone of ...
Macina Andrija Skopljanac - - 2009
Internal carotid artery (ICA) aneurysms are rare. The symptoms are related to cerebral embolization, local compression and rupture. Options for treatment include open surgery or endovascular treatment with a covered stent. We report a case of a 67 year old woman with bilateral idiopathic internal carotid artery aneurysms, found during ...
Conrad Mark F - - 2009
OBJECTIVE: Endovascular Abdominal Aortic Aneurysm Repair (EVAR) has been criticized because of the need for frequent secondary interventions (2ndINT) to maintain effective abdominal aortic aneurysm (AAA) exclusion. The study goal is to detail such interventions and determine their effect on clinical outcomes. METHODS: From January 1997 to December 2007, 832 ...
Cayne Neal S - - 2009
Improvements in the design of endovascular grafts are based on lessons learned from difficulties encountered with prior-generation devices. The most common difficulties in device design relate to how the device is delivered and how it can safely and durably fix the aneurysm. This concept is especially true in patients with ...
Jonker Frederik H W - - 2009
Type II endoleak is a common phenomenon after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA). Most type II endoleaks are innocuous and transient and therefore do not require intervention. However, particularly persistent endoleaks could lead to aneurysm enlargement and delayed aortic rupture. Decreasing the occurrence rates of type ...
Zheng Yue-Hong - - 2009
OBJECTIVE: To describe a hybrid endovascular procedure for aorta repair with different kinds of bypass followed by concomitant placement of stent graft in the aorta. METHODS: From June 2007 to May 2008, 5 consecutive patients who presented with aortic aneurysm or dissection were treated with a new hybrid aorta repair ...
Rits Yevgeniy - - 2009
This report presents the first reported case of an endovascular repair of a ruptured giant popliteal artery aneurysm. The patient, an 86-year-old man, presented emergently with a free rupture of a 7-cm left popliteal artery aneurysm and a large hematoma in his left thigh of approximately 20 cm in diameter. ...
Hershberger Richard C - - 2009
BACKGROUND: Treatment of traumatic vascular injury using endovascular techniques has evolved as endovascular capabilities have advanced over the past several decades. Several endovascular techniques have been employed to address the challenges of traumatic arterial injury, including coil embolization and the use of stents, which may be either bare metal or ...
Mukherjee Dipankar - - 2009
The true benefits of endovascular therapy will be realized when treatment for common vascular conditions can be performed effectively and safely, with minimal morbidity and in a cost-effective manner. We describe three cases of common iliac artery aneurysm repair performed as an outpatient procedure without problems. This was done in ...
Mehta Manish - - 2009
Endovascular treatment of ruptured abdominal aortic aneurysms is associated with decreased morbidity and mortality when compared to the open surgical approach, yet, there are several fundamental obstacles to our ability to offer these endovascular techniques to many patients with ruptured aneurysms. This article will focus on the technical aspects of ...
Nordon Ian M - - 2009
Atherosclerotic plaques are a feature of abdominal aortic aneurysms (AAAs). Atherosclerosis and AAA appear to share similar risk factors. These observations have led to the conclusion that AAAs are a consequence of advanced atherosclerosis.This review explores current theories regarding the pathogenesis of AAA and their implications for treatment.A systematic literature ...
Thomas Bradley - - 2009
Repair of abdominal aortic aneurysms by endovascular means is the preferred method in most patients. Despite its popularity, questions remain about the long-term efficacy and durability. Proximal migration and endoleak are associated with significant morbidity and mortality, and are two of the most important factors in achieving a successful outcome. ...
Zhang Fan F Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, - - 2009
Rupture of abdominal aortic aneurysms (AAA) is a devastating event potentially preventable by therapies that inhibit growth of small aneurysms. Receptor of advanced glycation end products (RAGE) has been implicated in age related diseases including atherosclerosis and Alzheimer. Consequently, we explored whether RAGE may also contribute to the formation of ...
Fernandez Joss D - - 2009
Inadequate iliac artery diameter, calcification, and tortuosity are associated with increased incidence of iliac injury during abdominal (EVAR) and thoracic endovascular aneurysm repair (TEVAR). Despite careful preoperative assessment and use of iliac conduits, inadvertent iliac rupture is a source of morbidity and mortality. This report details our single-center, 10-year experience ...
Flondell-Sité Despina - - 2010
The etiology of abdominal aortic aneurysm (AAA) includes inflammation and endothelial dysfunction. To evaluate relations between these mechanisms and AAA growth, endothelin (ET)-1, tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and CD40 ligand were related to yearly AAA growth for 2.9 +/- 1.6 years (mean +/- SD) in 178 patients with ...
Kanani Mazyar - - 2010
Incompetence of the left atrioventricular valve remains the final Achilles' heel of repair of atrioventricular septal defects (AVSDs), despite low operative mortality in the modern era. We have analysed the morphological basis for valvar incompetence in our own series of repairs, and in doing so, reviewed the morphology of the ...
Krankenberg Hans - - 2009
BACKGROUND: The Leriche syndrome with contiguous total occlusions of the infrarenal aorta and the iliac arteries is a variant of Trans-Atlantic Inter-Society Consensus (TASC) type D aortoiliac disease, for which surgery is the recommended treatment of choice. We sought to prospectively assess the feasibility and safety of an endovascular therapeutic ...
Drinkwater S L - - 2009
OBJECTIVE: To report the collaborative data of 3 major European Vascular Units using the 'visceral hybrid' procedure for thoraco-abdominal aortic aneurysms and dissections. METHODS: A consecutive series of 107 urgent and elective high-risk patients were included in a prospectively collected database. RESULTS: All stents involved the entire thoracic and abdominal ...
van Keulen J W - - 2009
OBJECTIVE: An overview of the knowledge of thoracic (TAA), and abdominal aortic aneurysm (AAA) dynamics, before and after endovascular repair, is given. METHODS: Medline, EMBASE and the Cochrane database were searched for relevant articles. After inclusion and exclusion, 25 relevant articles reporting on aneurysm dynamics remained, allowing for comparison. Results ...
Murphy Erin H - - 2009
PURPOSE:To report the use of in-situ laser-assisted endograft fenestration during thoracic endovascular aortic repair (TEVAR). CASE REPORT:A healthy 26-year-old man presented to the emergency department after sustaining blunt chest trauma. He was hemodynamically stable, although he subjectively complained of tearing chest pain and pleuritic chest wall pain. Radiography revealed a ...
Gill S S - - 2009
INTRODUCTION: Endovascular aortic repair (EVAR) has gained prominence as a means of treating aortic disease, with lower perioperative morbidity and mortality compared to open surgery. This article aimed to describe the experience of two tertiary hospitals in a Southeast Asian population. METHODS: A retrospective review of 100 consecutive patients undergoing ...
Zhou Tao - - 2009
BACKGROUND: The purpose of the present study was to present a single-institution series of patients with mycotic aneurysms of the aorta treated with endovascular stent-graft technology, and to report the efficacy and short-term durability of this repair. METHODS: A retrospective review of seven consecutive patients with mycotic aneurysms of the ...
Megalopoulos A - - 2009
The authors present the case of a 39-year-old man who underwent endovascular repair of a thoracic aortic disruption. Implantation of a Gore TAG stent-graft achieved total exclusion of the traumatic lesion with no contrast extravasation. However, on the third postoperative day, the patient developed complete anuria necessitating continuous venovenous hemofiltration. ...
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