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Procedure: Endovascular Repair (EVAR)

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Total 159 results found since Jan 2013.

Final results of the multicenter, prospective Axium MicroFX for Endovascular Repair of IntraCranial Aneurysm Study (AMERICA)
Conclusions In this prospective, multicenter series of 100 aneurysms treated with Axium MicroFX PGLA (polyglycolic/polylactic acid) coils, 3–6 month angiographic occlusion and clinical outcomes were excellent. This study suggests that Axium MicroFX PGLA coils are safe and effective in the treatment of intracranial aneurysms.
Source: Journal of NeuroInterventional Surgery - December 11, 2014 Category: Neurosurgery Authors: Fargen, K. M., Blackburn, S., Deshaies, E. M., Carpenter, J. S., Jabbour, P., Mack, W. J., Rai, A. T., Siddiqui, A. H., Turner, R. D., Mocco, J. Tags: Hemorrhagic stroke Source Type: research

Early and late mortality and morbidity of elective infrarenal aortic aneurysm repair.
CONCLUSION: The early and late mortality was similar after open and endovascular AAA repair. Postoperative complications did not show significant difference between the two groups. We found significant difference in the use of blood products, the prevalence of incisional hernias and the number of reinterventions. According to our results, stent graft implantation is mainly recommended in high risk patients and open aortic repair still has a role in the low-moderate operative risk group. PMID: 25327404 [PubMed - in process]
Source: Magyar Sebeszet - October 1, 2014 Category: Surgery Authors: Kovács H, Fehérvári M, Forgó B, Gősi G, Oláh Z, Csobay-Novák C, Entz L, Szeberin Z Tags: Magy Seb Source Type: research

Embolic complications after endovascular repair of abdominal aortic aneurysms
Conclusions The presence of a shaggy aorta and a history of smoking are independent predictors of embolic complications associated with EVAR.
Source: Surgery Today - September 25, 2014 Category: Surgery Source Type: research

Cerebrovascular complications and utilization of endovascular techniques following transsphenoidal resection of pituitary adenomas: a study of the Nationwide Inpatient Sample 2001–2010
Conclusions Cerebrovascular surgical complications requiring cerebral angiography and endovascular repair are rare among transsphenoidal pituitary resection patients. These occur with higher frequency at low volume centers and are associated with high mortality rates.
Source: Pituitary - September 25, 2014 Category: Endocrinology Source Type: research

044 * open aortic arch replacement in high risk patients: the gold standard
Conclusion: Open TAR can be performed with low mortality and morbidity and excellent long-term results even in high-risk patients. Total endovascular repair may represent an option for patients not suitable for open surgery.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Iafrancesco, M., Ranasinghe, A., Dronavalli, V., Adam, D., Claridge, M., Riley, P., McCafferty, I., Mascaro, J. Tags: Part I: Aortic arch interventions: Debranching, rebranching, stenting and beyond Source Type: research

Early results of the Axium MicroFX for Endovascular Repair of IntraCranial Aneurysm (AMERICA) study: a multicenter prospective observational registry
Conclusions This prospective study of Axium MicroFX coils demonstrates excellent aneurysm occlusion rates. 52% of aneurysms were completely occluded post-procedure. Within the ruptured aneurysm group, post-procedure occlusion rates were 63.6%. Major AE rates were consistent with historical data.
Source: Journal of NeuroInterventional Surgery - August 6, 2014 Category: Neurosurgery Authors: Fargen, K. M., Blackburn, S., Carpenter, J. S., Jabbour, P., Mack, W. J., Rai, A. T., Siddiqui, A. H., Turner, R. D., Mocco, J. Tags: Hemorrhagic stroke Source Type: research

E-007 Unusual Two Cases of Dissecting Cervical Internal Carotid Artery Pseudo-aneurysm with Symptomatic Intracranial Aneurysm
Conclusions In the evaluation of suspected intracranial aneurysm who present with headache with neck pain, a catheter cerebral angiogram not only will clearly define the correct morphology of intracranial aneurysm but also will appropriately identify the presence of life threatening cervical ICA abnormalities. Additionally, presence of an unusual cervical ICA anatomy with DP may warrant further evaluation of intracranial blood vessel of same territory. Using endovascular strategies, both extracranial and intracranial DP could be treated. However, long-term follow-up and outcome is unknown. Further studies are required. Di...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Devasenapathy, A., Chou, J., Shehades, K., Sethi, K., Galyon, D., Bajwa, S. Tags: Electronic poster abstracts Source Type: research

E-009 Dissecting Ruptured and Symptomatic Intracranial Pseudo-aneurysm who Underwent Endovascular Repair-A Case Series
Conclusions Our series demonstrates that dissecting intracranial aneurysm is predominantly present in the Petro-Cavernous junction of the ICA. Most of them could be treated successfully with good clinical outcome using stent-assisted coiling, stent-remodeling or primary coiling. However, the recurrence rate is extremely common; therefore close early follow-up is necessary for all cases especially those located in Petro-cavernous junction of the ICA. Further long-term follow-up study is required. Disclosures Y. Lodi: None. V. Reddy: None. A. Devasenapathy: None. J. Chou: None. K. Shehades: None. K. Sethi: None. D. Galyon: ...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Devasenapathy, A., Chou, J., Shehades, K., Sethi, K., Galyon, D., Bajwa, S. Tags: Electronic poster abstracts Source Type: research

Endovascular treatment for ruptured abdominal aortic aneurysm.
CONCLUSIONS: The conclusions of this review are currently limited by the paucity of data. From the data available there is no difference in the outcomes evaluated in this review between eEVAR and open repair, specifically 30-day mortality. Not enough information was provided for complications in order to make a well informed conclusion at this time. Long-term data are lacking for both survival and late complications. More high quality, randomised controlled trials comparing eEVAR and open repair for the treatment of RAAA are needed in order to better understand if one method is superior to the other, or if there is no diff...
Source: Cochrane Database of Systematic Reviews - July 21, 2014 Category: Journals (General) Authors: Badger S, Bedenis R, Blair PH, Ellis P, Kee F, Harkin DW Tags: Cochrane Database Syst Rev Source Type: research

Endovascular repair of thoracic aortic pathologies: Postoperative nursing implications
Endovascular stent grafting is increasingly used to manage descending thoracic aortic pathologies. The procedure was introduced at the study hospital in 2001. We sought to examine the short-term clinical outcomes of patients who underwent this endovascular stent grafting, with the aim of using the result as baseline for development of an in-center clinical management protocol. We undertook a single-center, retrospective review of health care records of patients managed with thoracic stent grafts from 2001 to 2009. Patient characteristics, in-hospital data, and procedural data were obtained. SPSS was used to analyze the dat...
Source: Journal of Vascular Nursing - June 1, 2014 Category: Nursing Authors: Tanghua Chen, John A. Crozier Tags: Articles Source Type: research

Variability in Outcome After Elective Cerebral Aneurysm Repair in High-Volume Academic Medical Centers Clinical Sciences
Conclusions— There is notable interhospital heterogeneity in outcomes among even the largest volume unruptured intracranial aneurysm referral centers. Although further regionalization may be needed, mandatory participation in prospective, adjudicated registries will be necessary to reliably identify factors associated with superior outcomes.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Zacharia, B. E., Bruce, S. S., Carpenter, A. M., Hickman, Z. L., Vaughan, K. A., Richards, C., Gold, W. E., Lu, J., Appelboom, G., Solomon, R. A., Connolly, E. S. Tags: Health policy and outcome research, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage Clinical Sciences Source Type: research

Operative Outcomes After Open Repair of Descending Thoracic Aortic Aneurysms in the Era of Endovascular Surgery.
CONCLUSIONS: In the era of endovascular repair of DTAAs, operative death and morbidity outcomes for open repairs are observed to be low. In addition to good long-term survival rates, open repairs are durable, as evidenced by low reintervention rates. PMID: 24636705 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sadek M, Abjigitova D, Pellet Y, Rachakonda A, Panagopoulos G, Plestis K Tags: Ann Thorac Surg Source Type: research

Endovascular repair of abdominal aortic aneurysm.
CONCLUSIONS: In individuals considered fit for conventional surgery, EVAR was associated with lower short-term mortality than OSR. However, this benefit from EVAR did not persist at the intermediate- and long-term follow ups. Individuals undergoing EVAR had a higher reintervention rate than those undergoing OSR. Most of the reinterventions undertaken following EVAR, however, were catheter-based interventions associated with low mortality. Operative complications, health-related quality of life and sexual dysfunction were generally comparable between EVAR and OSR. However, there was a slightly higher incidence of pulmonary ...
Source: Cochrane Database of Systematic Reviews - January 23, 2014 Category: Journals (General) Authors: Paravastu SC, Jayarajasingam R, Cottam R, Palfreyman SJ, Michaels JA, Thomas SM Tags: Cochrane Database Syst Rev Source Type: research

The “Open” Chimney Graft Technique for Juxtarenal Aortic Aneurysms with Discrepant Renal Arteries
Conclusions: OCh-EVAR is a straightforward technique that can be employed in selected cases of JRAA, avoiding the more complex and expensive fenestrated EVAR.
Source: European Journal of Vascular and Endovascular Surgery - December 4, 2013 Category: Surgery Authors: E. Ducasse, S. Lepidi, C. Brochier, S. Deglise, X. Berard, D. Alberti, D. Midy Tags: Aortic Disease Source Type: research

Upper Extremity Access for Fenestrated Endovascular Aortic Aneurysm Repair Is not Associated with Increased Morbidity
Fenestrated endovascular aortic aneurysm repair (FEVAR) is an alternative to open repair in patients with complex abdominal aortic aneurysms, who are neither fit nor suitable for standard open or endovascular repair. Chimney and snorkel grafts are other endovascular alternatives, but require upper extremity access that has been associated to a 3.2%-9.5% risk of stroke. However, because of the caudal orientation of the visceral vessels, upper extremity access is also frequently required for FEVAR. The purpose of this study was to assess the use of upper extremity access for FEVAR and associated morbidity.
Source: Journal of Vascular Surgery - November 28, 2013 Category: Surgery Authors: Martyn Knowles, David A. Nation, David E. Timaran, Luis F. Gomez, M. Shadman Baig, R. James Valentine, Carlos H. Timaran Tags: Abstracts from the 2014 Southern Association for Vascular Surgery Annual Meeting Source Type: research