Safety and Effectiveness of Single ProGlide Vascular Access in Patients Undergoing Endovascular Aneurysm Repair
To evaluate the safety and effectiveness of single ProGlide use per bilateral access site for Endovascular Aneurysm Repair (EVAR) of Abdominal Aortic Aneurysms (AAA).
Anatomical variations of the renal arteries may complicate endovascular repair of infrarenal abdominal aortic aneurysms (AAA). Occlusion of renal branches may be necessary to seal the aneurysm sac efficiently. Depending on the size of the affected renal arteries and the supplied parenchyma, this can lead to loss of renal function.Iliac branch devices (IBDs) have been created in order to preserve the internal iliac artery in aortoiliac or isolated iliac aneurysms; however, IBDs have the potential to maintain patency of other arteries as well.
To identify candidates undergoing elective endovascular aneurysm repair (EVAR) of asymptomatic infrarenal abdominal aortic aneurysm who are eligible for early ( ≤6 hours) hospital discharge or to have EVAR performed in free-standing ambulatory surgery centers.
Three out of four patients with infrarenal abdominal aortic aneurysm (AAA) are now treated with endovascular aneurysm repair (EVAR). The incidence of secondary procedures and surgical conversions is increasing for a population theoretically unfit for open surgery. The indications and outcomes of late open surgical conversions (LOC) after EVAR in a high volume tertiary vascular unit are reported.
The study by Baderkhan et al.1 is a retrospective analysis of prospectively recorded data of patients having had endovascular abdominal aortic aneurysm repair (EVAR) between 1998 and 2012 at two Swedish centres. The authors reached two conclusions after analysing the cohorts compliant and not compliant with a post-EVAR su rveillance protocol. The compliant protocol required early post-EVAR computed tomographic angiography (CTA) imaging and annual follow up imaging with CTA and/or duplex ultrasound (DUS).
We present a case of ruptured abdominal aortic aneurysm with an aortocaval fistula that was successfully treated with percutaneous endovascular aneurysm repair under local anaesthesia. Despite a persistent type 2 endoleak the aneurysm sack shrank from 8.4cm to 4.8cm in 12 months. The presence of an aortocaval fistula may have depressurised the aneurysm, resulting in less bleeding retroperitoneally and may have promoted rapid shrinkage of the sac despite the presence of a persistent type 2 endoleak. PMID: 32436721 [PubMed - as supplied by publisher]
A ruptured abdominal aortic aneurysm (rAAA) remains one of the most challenging, morbid, and mortal conditions that confronts a vascular surgeon. A number of patient-, surgeon-, and systems-based factors determine whether the optimal approach to care for these challenging patients is endovascular aneurysm repair (EVAR) or open surgical repair (OSR). In this issue of the Journal, Salata et al1 compare the short- and long-term results of EVAR and OSR for rAAA in Ontario between 2003 and 2016. They demonstrate that EVAR is associated with significant benefit in 30-day mortality and a reduction in major adverse cardiac events.
Repair of ruptured infrarenal abdominal aortic aneurysms (rAAA) has shifted from open surgical (OAR) to endovascular (EVAR) over the last decade. However, the long term impact of EVAR vs. OAR for rAAA has not been well described.
To investigate the effect of hostile aortic anatomy on the outcomes of endovascular and open repair for ruptured abdominal aortic aneurysm (AAA).
Type II endoleaks (T2ELs) are the most common type of endoleaks after endovascular abdominal aortic aneurysm repair (EVAR). The iliolumbar artery arising from the hypogastric artery is often a major source of T2ELs, and transarterial embolization of the iliolumbar artery via the hypogastric artery is sometimes performed to interrupt sac expansion during follow-up. Considering the equivocal results regarding an association between hypogastric embolization and T2ELs in previous studies, this topic has re-emerged after the advent of iliac branch devices.
This study evaluates 30-day mortality following endovascular aneurysm repair (EVAR) versus open repair for ruptured complex abdominal aortic aneurysms (cAAA), including juxtarenal, pararenal, suprarenal, and extent IV thoracoabdominal aortic aneurysms (TAAA) in a real-world setting.