Stroke RSS Page 6

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Specialty: Surgery
Procedure: Endovascular Repair (EVAR)

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Total 111 results found since Jan 2013.

TAA2. Different Zones (0-2) of Hybrid Debranching Endovascular Aortic Repair: Outcome and Stroke Analysis
The aim of this study was to summarize our single-center experience of hybrid debranching endovascular repair of arch and proximal descending thoracic aorta (DTA) as regards the midterm outcome with highlight of the rate and risk factors of stroke associated with these procedures.
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ahmed Sameh Eleshra, Woon Heo, Kwang-Hun Lee, Suk-Won Song Source Type: research

Early Outcomes After Branched and Fenestrated Endovascular Aortic Repair in Octogenarians.
CONCLUSIONS: Complex endovascular repair in octogenarians has higher early all cause mortality compared with non-octogenarians. Rupture and higher ASA class of ≥4 are independent predictors for early mortality. Age ≥80 years was found to be an independent predictor for higher early all cause mortality. PMID: 30241980 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 18, 2018 Category: Surgery Authors: Makaloski V, Kölbel T, Rohlffs F, Behrendt CA, Law Y, Debus ES, Tsilimparis N Tags: Eur J Vasc Endovasc Surg Source Type: research

Endovascular Repair of Blunt Thoracic Aortic Trauma: Is Postimplant Hypertension an Incidental Finding?
Blunt thoracic aortic injury (BTAI) is the second most common cause of death in trauma patients. Nowadays, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice because of lower rates of mortality, paraplegia, and stroke. However, concerns have been raised whether graft implantation is related to the development of hypertension in the postoperative period. The aim of this study was to report short- and long-term outcomes of patients undergoing TEVAR for BTAIs at a tertiary hospital and to investigate postimplant hypertension.
Source: Annals of Vascular Surgery - March 7, 2018 Category: Surgery Authors: Konstantinos Tigkiropoulos, Fragiska Sigala, Diamantis I. Tsilimigras, Demetrios Moris, Konstantinos Filis, Nikolaos Melas, Dimitrios Karamanos, Christos Kontogiannis, Ioannis Lazaridis, Nikolaos Saratzis Tags: Clinical Research Source Type: research

Endovascular Repair of Blunt Thoracic Aortic Trauma: Is Post-Implant Hypertension an Incidental Finding?
Blunt thoracic aortic injury (BTAI) is the second most common cause of death in trauma patients. Nowadays, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice due to lower rates of mortality, paraplegia and stroke. However, concerns have been raised whether graft implantation is related to the development of hypertension in the postoperative period.
Source: Annals of Vascular Surgery - March 7, 2018 Category: Surgery Authors: Konstantinos Tigkiropoulos, Fragiska Sigala, Diamantis I. Tsilimigras, Demetrios Moris, Konstantinos Filis, Nikolaos Melas, Dimitrios Karamanos, Christos Kontogiannis, Ioannis Lazaridis, Nikolaos Saratzis Source Type: research

Hybrid and total endovascular repair of the aortic arch.
CONCLUSION: Repair of aortic arch pathology presents a formidable challenge for endovascular technology. Open aortic arch repair remains the standard in younger, fitter patients, but endovascular technology and experience continue to evolve with encouraging early outcomes and expanding indications. PMID: 29488648 [PubMed - in process]
Source: The British Journal of Surgery - March 1, 2018 Category: Surgery Authors: Rudarakanchana N, Jenkins MP Tags: Br J Surg Source Type: research

Hybrid and total endovascular repair of the aortic arch
ConclusionRepair of aortic arch pathology presents a formidable challenge for endovascular technology. Open aortic arch repair remains the standard in younger, fitter patients, but endovascular technology and experience continue to evolve with encouraging early outcomes and expanding indications.
Source: British Journal of Surgery - February 28, 2018 Category: Surgery Authors: N. Rudarakanchana, M. P. Jenkins Tags: Review Source Type: research

Early outcomes of patients transferred with ruptured suprarenal aneurysm or dissection.
Conclusions Although the number of patients with rSRAD is low and those who are transferred alive are a self-selecting group, this study suggests that transfer of such patients to a specialist vascular centre is associated with acceptable mortality rates following emergency complex aortic repair. PMID: 29484940 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - February 27, 2018 Category: Surgery Authors: Rudarakanchana N, Hamady M, Harris S, Afify E, Gibbs R, Bicknell CD, Jenkins MP Tags: Ann R Coll Surg Engl Source Type: research

Intraoperative cone beam computed tomography-guided endovascular recanalization of an interrupted aorta
We report a case of real-time image-guided endovascular repair to highlight the value of preprocedural planning and intraprocedural cone beam computed tomography. Two-dimensional fluoroscopy enhanced with three-dimensional landmarks from cone beam computed tomography was used to direct a Nykanen radiofrequency wire (Baylis Medical, Montreal, Quebec, Canada) through the interruption, avoiding critical adjacent structures.
Source: Journal of Vascular Surgery - February 17, 2018 Category: Surgery Authors: Philip L. Auyang, Ponraj Chinnadurai, Thomas MacGillivray, Alan B. Lumsden, John P. Breinholt, C. Huie Lin Tags: Case report Source Type: research

Right brachial access is safe for branched endovascular aneurysm repair in complex aortic disease
The risk of perioperative cerebrovascular events in endovascular repair of thoracic and thoracoabdominal aneurysms is reported from 2% to 15%. The unavoidable use of an upper extremity access during branched endovascular aneurysm repair (b-EVAR) may play a role in embolic brain injuries. For this reason, some advocate the use of a left-sided upper access to avoid crossing the origin of supra-aortic vessels. However, the assumption that right brachial access has a higher risk for stroke during b-EVAR has not been confirmed in the literature.
Source: Journal of Vascular Surgery - March 3, 2017 Category: Surgery Authors: Beatrice Fiorucci, Tilo K ölbel, Fiona Rohlffs, Franziska Heidemann, Sebastian Eike Debus, Nikolaos Tsilimparis Source Type: research

Combined brachial embolectomy and stent graft endovascular exclusion in the treatment of acute arm ischemia due to subclavian artery aneurysms thrombosis or distal embolization.
CONCLUSION: Endovascular repair is a less invasive alternative to open repair especially in high risk patients. long term results must still be confirmed in further studies. KEY WORDS: Arm ischemia, Endovascular treatment, Subclavian aneurysm. PMID: 27807319 [PubMed - as supplied by publisher]
Source: Annali Italiani di Chirurgia - November 5, 2016 Category: Surgery Tags: Ann Ital Chir Source Type: research

Comparison of Total Arch and Partial Arch Transposition During Hybrid Endovascular Repair for Aortic Arch Disease.
CONCLUSION: Morbidity and mortality were high within the first year of hybrid endovascular therapy for aortic arch disease, implying that candidates for hybrid procedures need to be selected carefully. Hybrid endovascular repair with TAT was found to have peri-operative mortality, stroke, and long-term survival rates comparable with PAT, so hybrid endovascular repair may be considered, irrespective of type of arch reconstruction, when clinically indicated. PMID: 27346445 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - June 22, 2016 Category: Surgery Authors: Kang WC, Ko YG, Oh PC, Shin EK, Park CH, Choi D, Youn YN, Lee DY Tags: Eur J Vasc Endovasc Surg 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

Pararenal Aortic Ulcer Repair.
CONCLUSION: Encouraging results of endovascular treatment of pararenal PAUs were observed. One major and fatal complication was encountered, which underlines the complexity and risks of the techniques. Another patient required re-intervention owing to an endoleak following off label use of covered stents for Ch-EVAR. FEVAR, which generally requires a custom made graft, was increasingly applied over the study period, potentially because of an increased awareness of this distinct pathology allowing for elective procedure planning. Ch-EVAR and hybrid procedures were predominantly used in symptomatic patients, whereas FEVAR wa...
Source: PubMed: Eur J Vasc Endovasc ... - February 10, 2016 Category: Surgery Authors: Taher F, Assadian A, Strassegger J, Duschek N, Koulas S, Senekowitsch C, Falkensammer J Tags: Eur J Vasc Endovasc Surg Source Type: research

Subsequent Results for Arch Aneurysm Repair with Inner Branched Endografts.
CONCLUSIONS: The early outcomes associated with this technology are favorable. Branched endografting of aortic arch aneurysms should be considered in patients unfit for open surgery. PMID: 26818022 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 23, 2016 Category: Surgery Authors: Spear R, Haulon S, Ohki T, Tsilimparis N, Kanaoka Y, Milne CP, Debus S, Takizawa R, Kölbel T Tags: Eur J Vasc Endovasc Surg Source Type: research

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