Early and Mid-Term Outcomes of Open Repair, Fenestrated Stent Graft and Chimney Graft in Juxtarenal Abdominal Aortic Aneurysms

Introduction - Juxtarenal abdominal aortic aneurysm (JAAA) is defined as an infrarenal AAA that is adjacent to or involving the lower margin of the renal artery origins1. Recently, promising results have been reported in peer reviewed journals after fenestrated and chimney graft approaches to repair of JAAA2,3. Open repair, fenestrated endovascular aneurysm repair (FEVAR) and chimney endovascular aneurysm repair (Ch-EVAR) are effective methods to treat this condition, but the comparative effectiveness of these treatment modalities is unclear4.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research

Related Links:

Endovascular abdominal aortic aneurysm repair (EVAR) is preferred to open surgical repair (OSR) for the treatment of abdominal aortic aneurysm (AAA) in high-risk patients. We sought to compare perioperative and long-term outcomes for EVAR in patients designated as unfit for OSR using a large national dataset.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Recent data suggests that infrarenal abdominal aortic aneurysm (AAA) endovascular repair (EVAR) with large diameter grafts may have a higher risk of endoleak and reintervention. However, this has not been studied for fenestrated EVAR (FEVAR). We therefore sought to evaluate the outcomes of patients undergoing FEVAR with large-diameter endografts.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Vascular Surgery Source Type: research
This article will provide comprehensive review of a large body of literature comparing endovascular repair to open aortic surgery for the management of AAAs, and it will offer an overview of the open surgical repair technique for AAAs. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Seminars in Interventional Radiology - Category: Radiology Authors: Tags: Review Article Source Type: research
Semin intervent Radiol 2020; 37: 356-364 DOI: 10.1055/s-0040-1715882Endovascular aneurysmal repair (EVAR) has become a prominent modality for the treatment of abdominal aortic aneurysm. Surveillance imaging is important for the detection of device-related complications, which include endoleak, structural abnormalities, and infection. Currently used modalities include ultrasound, X-ray, computed tomography, magnetic resonance imaging, and angiography. Understanding the advantages and drawbacks of each modality, as well available guidelines, can guide selection of the appropriate technique for individual patients. We review ...
Source: Seminars in Interventional Radiology - Category: Radiology Authors: Tags: Review Article Source Type: research
This study sought to assess the impact of intervention on 1 or both renal arteries on survival for patients undergoing endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Vascular surgery Source Type: research
Endovascular repair of abdominal aortic aneurysms (EVAR) is more frequently performed than open surgical repair for aneurysms with suitable anatomy. The majority of available EVAR devices are modular bifurcated grafts consisting of an aortic main body with a variable number of iliac or proximal aortic extension components. To date, no large studies evaluating the effect of number of components used on rate of reintervention have been published. We hypothesized that increasing number of components would lead to an overall increase in complications and need for reintervention.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Vascular surgery Source Type: research
Endovascular aortic repair (EVAR) has become ubiquitous in the elective treatment of abdominal aortic aneurysms (AAA), but studies suggest women may derive less benefit than men. We investigated whether this sex disparity also exists for outcomes after EVAR for ruptured AAA (rEVAR).
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Vascular surgery Source Type: research
Patients can choose between open (OSR) and endovascular repair (EVR) of abdominal aortic aneurysm (AAA), but the factors associated with patient preference for 1 repair type over another are not well characterized.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Vascular surgery Source Type: research
This study aims to compare outcomes between percutaneous femoral access and femoral access with cut down for EVAR for rAAA.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Vascular Surgery Source Type: research
Endovascular repair is the preferred method of treatment for infrarenal abdominal aortic aneurysms with numerous publications from multiple geographic regions showing excellent patient outcomes. Since the original ACE (Anevrysme de l'aorte abdominale: Chirurgie versus Endoprothese) randomised control trial, studies of French specific population have also contributed significantly to the body of evidence in support of endovascular abdominal aortic repair.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
More News: Abdominal Aneurysm Repair | Abdominal Aortic Aneurysm | Aortic Aneurysm | Endovascular Repair (EVAR) | Gastroschisis Repair | Surgery