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Procedure: Endovascular Repair (EVAR)

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Total 259 results found since Jan 2013.

The importance of and current trends in the endovascular program – A single center experience
Conclusion In the AAA group, the percentage of EVAR stabilized during the last 5 years at about 32% of the total number of treated patients. Given the excellent results of open carotid surgery and the unconvincing results of stenting trials, we consider open carotid surgery to be better than carotid artery primary stenting.
Source: Cor et Vasa - April 13, 2015 Category: Cardiology Source Type: research

Transapical Endovascular Aortic Aneurysm Repair in a Patient with Shaggy Aorta Syndrome
We report a case of a 68-year-old man with a large saccular aneurysm (70 mm) of the aortic arch. Although abundant atherosclerotic plaques or mural thrombi are generally considered to be a contraindication for endovascular repair, the patient’s multiple comorbidities and anatomical limitations with a patent internal thoracic artery graft adjacent to the aneurysm made him unfit for open repair. Transapical deployment of the endograft through the less diseased ascending aorta, with a concomitant chimney graft and carotid-carotid bypass, was performed, without evident stroke or embolism.
Source: Annals of Vascular Surgery - February 11, 2015 Category: Surgery Authors: Takashi Murakami, Yohei Kawatani, Yoshitsugu Nakamura, Takaki Hori 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

Endovascular Repair with Chimney Technique for Juxtarenal Aortic Aneurysm: A Single Center Experience.
CONCLUSION: Ch-EVAR can be used to treat JRAAs with suitable anatomical conditions. However, complications of type I endoleak were not uncommon, and, therefore, further studies are required to prove its efficiency for JRAAs. PMID: 25631457 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 24, 2015 Category: Surgery Authors: XiaoHui M, Wei G, ZhongZhou H, XiaoPing L, Jiang X, Xin J Tags: Eur J Vasc Endovasc Surg Source Type: research

Outcomes of Open Repair for Chronic Descending Thoracic Aortic Dissection
Conclusions Open repairs of chronic descending thoracic aortic aneurysm dissections can be performed with respectable morbidity and mortality. Neurologic deficit remains low with the use of adjuncts, and early deaths are directly related to preoperative renal status. Reintervention on the involved aortic segment is low. These results allow comparisons with endovascular repair for chronic aortic dissection.
Source: The Annals of Thoracic Surgery - January 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Open Repair for Chronic Descending Thoracic Aortic Dissection.
CONCLUSIONS: Open repairs of chronic descending thoracic aortic aneurysm dissections can be performed with respectable morbidity and mortality. Neurologic deficit remains low with the use of adjuncts, and early deaths are directly related to preoperative renal status. Reintervention on the involved aortic segment is low. These results allow comparisons with endovascular repair for chronic aortic dissection. PMID: 25617229 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 21, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Estrera AL, Jan A, Sandhu H, Shalhub S, Medina-Castro M, Nguyen TC, Azizzadeh A, Charlton-Ouw K, Miller CC, Safi HJ Tags: Ann Thorac Surg 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

Endovascular reconstruction for progressively worsening carotid artery dissection
Conclusions Endovascular stent reconstruction for the treatment of selected patients with progressively worsening carotid dissection despite medical management is feasible with acceptable immediate and long-term clinical and radiographic outcomes. To be able to draw more robust conclusions, further evaluation with larger number of patients and longer follow-up is needed.
Source: Journal of NeuroInterventional Surgery - December 11, 2014 Category: Neurosurgery Authors: Asif, K. S., Lazzaro, M. A., Teleb, M. S., Fitzsimmons, B.-F., Lynch, J., Zaidat, O. Tags: Ischemic stroke Source Type: research

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

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

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

004 * distal aortic reintervention after surgery for acute type a aortic dissection: open versus endovascular repair
Conclusion: Endovascular intervention for distal aortic pathologies after type A dissection surgical repair is associated with lower in-hospital mortality, better survival and does not increase the need for later reinterventions.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Rylski, B., Beyersdorf, F., Desai, N., Siepe, M., Kari, F., Vallabhajosyula, P., Milewski, R. K., Bavaria, J. E. Tags: EACTS/STS aortic session: How to treat type B aortic dissection: One question, many answers, which solution? 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