The Strict Adherence to the Indications for Endovascular Repair of the Popliteal Artery Aneurysm-Guaranteed the long term Success in the Single Center Experience
Introduction: Endovascular exclusion of popliteal artery aneurysm is an attractive and noninvasive alternative to the classical open vascular surgery treatment. It provides an opportunity for treatment of patients with comorbidities who have a high risk associated with an open surgery procedure. Endovascular procedures alleviates complications related with open surgery, in particular it reduces pain and convalescence time. Comparable to the classical open vascular surgery method, the results of endovascular treatment induce vascular surgeons to prefer the less invasive option.
DISCUSSION: A literature review of proper screening, referral timeframe, the most common surgical techniques, potential complications, and postoperative surveillance was conducted. Early detection, referral to vascular surgery, and possible open or endovascular repair are key to limiting the morbidity and mortality associated with AAA. PMID: 31926569 [PubMed - in process]
We report a case of a hybrid surgical treatment of a 71 ‐year‐old fragile female with severe chronic obstructive pulmonary disease with a 5‐year history of progressive back pain and diagnosis of descending thoracic aorta aneurysm (DTAA), but refused operation at first. Since the patient presented with an acute expanding painful pulsatile mass due t o a ruptured DTAA contained by the subcutaneous tissue and had a high‐risk surgical profile, we agreed that the simplest urgent operation should be performed. Cardiopulmonary bypass with or without deep hypothermic circulatory arrest was ruled out as an option. The initi...
This report describes the rapid expansion of a previously excluded abdominal aortic aneurysm (AAA) following type A aortic dissection repair in a 74-year-old male. Following successful hemi-arch replacement, CT angiography (CTA) showed residual dissection throughout the thoracoabdominal aorta which had created a proximal endoleak at the prior endovascular stentgraft resulting in rapid growth of the residual AAA sac. Urgent thoracic endovascular aortic repair (TEVAR) did not fully obliterate false lumen flow allowing further unstable expansion of the AAA and abdominal pain.
Introduction: Advantages of EVAR over traditional open repair includes reduced time under general anaesthesia, elimination of the pain and trauma associated with major abdominal surgery, reduced length of stay in the hospital and intensive care unit, and reduced blood loss. Fenestrated and branched stent grafts have enabled endovascular treatment for a large proportion of patients, which were normally unsuitable for endovascular repair. The cannulation of aortic side branches can be a challenging task.
Post-hospital syndrome (PHS) is an acquired, transient period of health vulnerability that follows hospital admission for acute illness. It is characterized by physiologic deconditioning secondary to stressors from disruption in circadian rhythm, depletion of nutritional reserve, and pain or discomfort associated with hospitalization. PHS is reported as an independent risk factor for readmission and adverse postoperative outcomes. The aim of this study was to investigate whether PHS affects outcomes of elective endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm.
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.
CONCLUSION: The present data underline that ELIB is a non-negligible occurrence during long term EVAR follow up and requires further interventions, most often by endovascular solutions. According to the ELIB risk factors identified in this study, an iliac leg diameter oversize>10% and extensive common iliac artery coverage (
ConclusionThis case highlights the potential complications of using UFH anticoagulation following reversal of factor Xa inhibitors with andexanet alfa and underscores the importance of peri ‐procedural anticoagulation planning. For patients who require intra‐operative anticoagulation, providers should consider anticoagulation reversal with prothrombin complex concentrate instead of andexanet alfa or administration of a parenteral direct thrombin inhibitor, such as argatroban or bi valirudin during the surgical procedure.This article is protected by copyright. All rights reserved.
We report the case of a 59 year-old female treated by endovascular repair with a self-expanding nitinol stent. Clinical data, details of the procedure, and follow-up results are presented. Technical success was achieved and there patient reported no postoperative complications. Short-term, there was relief from symptoms and follow-up imaging tests showed improvement.
An increasing number of therapeutic interventions are via large bore percutaneous femoral access, such as endovascular aneurysm repair (EVAR) and transcatheter aortic valve implantation (TAVI),1 as emphasised by Chen et al.2 As minimally invasive interventions, today it makes little sense to access the femoral artery via open cutdown, with the particular recognition of reduction in complications such as pain,3 seroma formation, and wound infection,4 and increase in benefits such as reduced operating time5 and ear ly return to activity.