| Access complications during endovascular aortic repair. | |
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MedLine Citation:
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PMID: 20081761 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Endovascular repair is becoming the mainstay of treatment for aneurysmal disease of the abdominal and thoracic aorta. Access related issues comprise a major reason for failure or conversion to open repair and can contribute to a significant amount of morbidity and mortality. This article will discuss a multitude of access related complications and their treatment. Preoperative imaging is paramount to the success of endovascular procedures. Intraoperative adjuncts, such as iliac artery angioplasty/stenting, the "pull-down" technique, and aorto mono iliac/femoral systems will be discussed. Occasionally, challenging iliac or femoral anatomy may preclude access through these vessels and the endovascular specialist may need to gain direct access through the aorta or via the carotid artery. In addition, the advantages and disadvantages of an entirely percutaneous technique will be discussed. Finally, peri-operative complications such as rupture, dissection, pseudoaneurysm and infection will be discussed and various treatment modalities reviewed. As stent graft technology and our own skill sets and experience continue to improve, fewer patients will be refused an endovascular repair based on access issues alone. |
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Authors:
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T L Berland; N S Cayne; F J Veith |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 51 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-18 Completed Date: 2010-05-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: Italy |
Other Details:
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Languages: eng Pagination: 43-52 Citation Subset: IM |
Affiliation:
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NYU Langone Medical Center, New York, NY, USA. toddberland@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Aneurysm, Abdominal
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pathology,
surgery* Aortic Aneurysm, Thoracic / pathology, surgery* Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation / adverse effects*, instrumentation Humans Prosthesis Design Stents Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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