The role of the inferior mesenteric artery in predicting secondary intervention for type II endoleak following endovascular aneurysm repair

We examined the hypothesis that a functionally occluded inferior mesenteric artery (IMA) before EVAR was associated with fewer secondary interventions for EL-2.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research

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CONCLUSION: TF-TAVI can be performed successfully in patients with aortic disease or previous endovascular aortoiliac intervention. Simultaneous and sequential (T)EVAR is feasible. PMID: 31416046 [PubMed - as supplied by publisher]
Source: The Journal of Invasive Cardiology - Category: Cardiology Tags: J Invasive Cardiol Source Type: research
The implication of haemodynamics in the occurrence of complications after endovascular aneurysm repair (EVAR) has been raised in the literature. Different aortic stent graft configurations may lead to different haemodynamic properties. The current study deals with the post-operative haemodynamic variability between four stent graft systems with different structure, material, and type of fixation.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
Authors: Froelich JJ, Cheung N, de Lange JA, Monkhorst J, Carr MW, DeLeacy R Abstract OBJECTIVE: Incomplete aneurysm occlusions and re-treatment rates of 52 and 10-30%, respectively, have been reported following endovascular treatment of intracranial aneurysms, raising clinical concerns regarding procedural efficacy. We compare residual, recurrence and re-treatment rates subject to different endovascular techniques in both ruptured and unruptured intracranial aneurysms at a comprehensive state-wide tertiary neurovascular centre in Australia. METHODS: Medical records, procedural and follow-up imaging studies of ...
Source: Interventional Neuroradiology - Category: Radiology Tags: Interv Neuroradiol Source Type: research
Juxtarenal Aortic Aneurysm: Are We Ready for a Randomised Trial on Open versus Endovascular Repair? Commentary on "Durability of Open Repair of Juxtarenal Abdominal Aortic Aneurysms. A Multicentre Retrospective Study in Five French Academic Centres". Eur J Vasc Endovasc Surg. 2019 Aug 09;: Authors: Lepidi S, Squizzato F PMID: 31405728 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - Category: Surgery Authors: Tags: Eur J Vasc Endovasc Surg Source Type: research
In the last two decades, advances in endovascular aneurysm repair (EVAR) technology have led to the introduction of fenestrated (fEVAR) and branched (bEVAR) stent grafts for the treatment of juxta- and suprarenal abdominal aortic aneurysms (JRAAAs and SRAAAs), extending the proximal sealing zone from the infrarenal to the suprarenal aorta and expanding the EVAR indications to complex abdominal aortic aneurysms (AAAs).
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Invited Commentary Source Type: research
k M Abstract OBJECTIVES: Abdominal compartment syndrome (ACS) is a serious complication after abdominal aortic aneurysm (AAA) repair. The aim was to investigate outcome among subgroups and factors associated with outcome, with emphasis on the duration of intra-abdominal hypertension before treatment. METHODS: Since 2008, ACS and decompressive laparotomy (DL) after AAA repair are registered prospectively in the Swedish vascular registry (Swedvasc). Registry data and case records were reviewed. Subgroups were defined by main pathophysiological finding at DL, timing of DL after AAA repair, and treatment modality...
Source: PubMed: Eur J Vasc Endovasc ... - Category: Surgery Authors: Tags: Eur J Vasc Endovasc Surg Source Type: research
Publication date: Available online 7 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Alexander A. Brescia, Himanshu J. Patel, Donald S. Likosky, Tessa M.F. Watt, Xiaoting Wu, Raymond J. Strobel, Karen M. Kim, Shinichi Fukuhara, Bo Yang, G. Michael Deeb, Michael P. ThompsonAbstractBackgroundAs surgical mortality decreases and endovascular utilization increases, it is unknown whether volume-outcome relationships exist in thoracic aortic dissection repair. We characterized volume-outcome relationships for surgical and endovascular management of thoracic aortic dissection.MethodsPatients>18 years undergoing repa...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Abstract BACKGROUND: As surgical mortality decreases and endovascular utilization increases, it is unknown whether volume-outcome relationships exist in thoracic aortic dissection repair. We characterized volume-outcome relationships for surgical and endovascular management of thoracic aortic dissection. METHODS: Patients>18 years undergoing repair of thoracic aortic dissection in the United States between 2010 and 2014 were identified in seven all-payer state inpatient administrative databases. Patients were divided into groups based on type of repair: surgical repair of type A dissection (TAAD), surgical...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Endovascular aneurysm repair (EVAR) is currently accepted as an alternative to open repair for the treatment of abdominal aortic aneurysm (AAA). Approximately 40-60% of AAA patients are not considered eligible for EVAR due to unfavorable anatomy. There is currently no consensus on the definition of “hostile” aortic neck for EVAR procedure.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
ConclusionsThis is a complex and extremely rare case. It is important to continue with clinical investigations that give more clarity about the onset of anticoagulation, antiplatelet therapy, and management of dual schemes to decrease the risk of complications in this type of surgical procedure.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
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