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Procedure: Endovascular Repair (EVAR)

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Total 259 results found since Jan 2013.

Successful endovascular repair of an unusual right-to-left shunt presenting with cerebral ischemia
We report a 54-year-old man with a stroke due to a unique right-to-left shunt who underwent successful endovascular treatment. This patient developed acute onset of right arm weakness with facial droop and aphasia which improved after intravenous thrombolysis. An MRI showed acute cerebral ischemia in the left middle cerebral artery and left posterior cerebral artery distribution. The patient developed recurrent stroke symptoms during agitated saline injection while undergoing a transthoracic echocardiogram which showed right-to-left shunting. Chest CT scan and conventional angiography revealed near occlusion of the superio...
Source: Journal of Clinical Neuroscience - November 3, 2014 Category: Neuroscience Source Type: research

Multicentre International Registry of Open Surgical Versus Percutaneous Upper Extremity Access During Endovascular Aortic Procedures
CONCLUSIONS: AF and stroke rates during complex aortic procedures employing UEA are non-negligible. Therefore, selective use of UEA is warranted. Percutaneous access with vessel closure devices is associated with similar complication rates, but more adjunctive endovascular procedures are required to avoid surgical exposure.PMID:36740094 | DOI:10.1016/j.ejvs.2023.01.046
Source: PubMed: Eur J Vasc Endovasc ... - February 5, 2023 Category: Surgery Authors: Luca Bertoglio Gustavo Oderich Andrea Melloni Mauro Gargiulo Tilo K ölbel Donald J Adam Luca Di Marzo Gabriele Piffaretti Christopher J Agrusa Wouter Van den Eynde SUPER-AXA Registry Collaborators Source Type: research

Open versus endovascular repair of abdominal aortic aneurysm: Incidence of cardiovascular events in 632 patients in a department of defense cohort over 6-year follow-up.
CONCLUSION: EVAR was associated with lower 30-day mortality rates; however, this benefit was not sustained in longer-term follow-up. There is no difference in the rates of stroke, myocardial infarction, or cardiac arrhythmia at 30 days or in long-term follow-up. PMID: 25134851 [PubMed - as supplied by publisher]
Source: Vascular - August 18, 2014 Category: Surgery Authors: Thomas D, Anderson D, Hulten E, McRae F, Ellis S, Malik JA, Villines TC, Slim AM Tags: Vascular Source Type: research

Long-Term Experience of Endovascular Repair for Thoracic Aortic Aneurysms and Dissections
Conclusion: Thoracic endovascular aortic repair is a relatively safe and effective therapy for different aortic pathologies with good long-term success. The risk of stroke and paraparesis is notable whether the LSA is covered, and strokes clearly accumulate in the emergency setting. A type I endoleak is the most common complication, but there are no predictive factors for its development.
Source: Vascular and Endovascular Surgery - June 9, 2016 Category: Surgery Authors: Väärämäki, S., Suominen, V., Pimenoff, G., Saarinen, J., Uurto, I., Salenius, J. Tags: Original Manuscripts 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

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

Current and future perspectives in the repair of aneurysms involving the aortic arch.
Abstract The repair of aneurysms involving the aortic arch is technically and physiologically demanding. Historically, these aneurysms have been treated using open surgical techniques that require cardiopulmonary bypass and deep hypothermic circulatory arrest. Many patients have been deemed "untreatable" and among those selected for surgery there are reported risks of death of 2 to 16.5% and stroke rates ranging from 2% to 18%. "Hybrid arch repair" combines one of a number of open surgical procedures (to secure a proximal landing zone for an endograft) with subsequent or immediate placement of an endograft in the ...
Source: The Journal of Cardiovascular Surgery - February 3, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Maurel B, Sobocinski J, Spear R, Azzaoui R, Koussa M, Prat A, Tyrrell MR, Hertault A, Haulon S Tags: J Cardiovasc Surg (Torino) Source Type: research

Open aortic arch replacement in high-risk patients: the gold standard AORTIC SURGERY
CONCLUSIONS 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: European Journal of Cardio-Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Iafrancesco, M., Ranasinghe, A. M., Dronavalli, V., Adam, D. J., Claridge, M. W., Riley, P., McCafferty, I., Mascaro, J. G. Tags: Pericardium AORTIC SURGERY Source Type: research

Endovascular reconstruction of extracranial traumatic internal carotid artery dissections: a systematic review
AbstractExtracranial internal carotid artery dissection (ICAD) is a potential source of morbidity and mortality in trauma patients and requires high degree of suspicion for diagnosis after the initial presentation. Occasionally, if standard therapy is contraindicated, endovascular reconstruction is a treatment option. The aim of this systematic review was to report clinical and radiographic outcomes following endovascular repair of ICAD of traumatic and iatrogenic etiology. A comprehensive systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines...
Source: Neurosurgical Review - March 21, 2019 Category: Neurosurgery Source Type: research

Outcome After Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm: A National Multicentre Study.
CONCLUSIONS: This nationwide multicentre study of patients with rDTAA undergoing TEVAR showed acceptable short- but poor long-term survival. Adequate proximal and distal aortic sealing zones are important for technical success. High risk patients and post-operative complications need to be further addressed in an effort to improve outcome. PMID: 30910493 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 21, 2019 Category: Surgery Authors: Sari H, Thomas L, Rebecka H, Anders W, Kevin M, Timothy R, Mårten F, Claes F, Björn S, Artai P, Håkan R, Tina H, Shazhad K, Jonas H, Carl-Magnus W Tags: Eur J Vasc Endovasc Surg Source Type: research

A 14-year experience with blunt thoracic aortic injury
Conclusions: The incidence of BTAT is low but the mortality associated with it is significant. During the 14-year period studied, there was a clear change in management preference from open repair to endovascular repair at our level 1 trauma center. Outcomes, including stroke, MI, renal failure, paralysis, length of stay, and death, appear to be reduced in the endovascular group.
Source: Journal of Vascular Surgery - June 10, 2013 Category: Surgery Authors: Jennifer Watson, Jeffrey Slaiby, Manuel Garcia Toca, Edward J. Marcaccio, Tze Tec Chong Tags: Clinical research studies Source Type: research

Aortic arch debranching and thoracic endovascular repair
Conclusions: Despite the perioperative mortality risk, the late outcome of endovascular arch repair presents a low rate of aorta-related deaths and reinterventions and acceptable midterm survival. Furthermore, more than one-third of the aneurysms' diameters decrease over 5 years as a measure of the long-term efficacy of treatment. Retrograde type A dissection remains a major concern in the perioperative period and careful arch approach is required.
Source: Journal of Vascular Surgery - September 3, 2013 Category: Surgery Authors: Paola De Rango, Piergiorgio Cao, Ciro Ferrer, Gioele Simonte, Carlo Coscarella, Enrico Cieri, Gabriele Pogany, Fabio Verzini Tags: Clinical research studies Source Type: research

Hybrid Operation for Type B Aortic Dissection Involving Distal Aortic Arch
ConclusionsHybrid operation for Type B aortic dissection involving the distal aortic arch appears safe and effective at mid‐term follow‐up and may extend the application of endovascular repair in the treatment of this pathology.
Source: Journal of Cardiac Surgery - March 29, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Zhang Kefeng, Pan Xudong, Liu Yongmin, Zhu Junming, Huang Lianjun, Zhang Jian, Sun Lizhong Tags: Original Article 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

Investigation of the surgical complications during thoracic endovascular aortic repair: experiences with 148 consecutive cases treated at a single institution in Japan
Conclusions The use of a debranching technique and sternotomy approach in patients with extensive atherosclerotic changes of the aortic arch were risk factors for major complications of TEVAR. Such patients may benefit from open surgery rather than TEVAR.
Source: Surgery Today - December 12, 2014 Category: Surgery Source Type: research