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Procedure: Endovascular Repair (EVAR)

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Total 259 results found since Jan 2013.

Subclavian Stump Syndrome Causing a Posterior Circulation Stroke after Thoracic Endovascular Aneurysm Repair (TEVAR) with Adjunctive Carotid to Subclavian Bypass and Endovascular Embolization of the Left Subclavian Artery
Conclusions: Consideration should be given to ligating the subclavian artery immediately proximal to the vertebral artery origin when performing adjunctive carotid subclavian bypass during TEVAR. If this is not done, surveillance computed tomography scans should monitor for the development of propagating thrombus in the subclavian stump.
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Ritesh Patel, Carl Muthu, Kwat Huat Goh Tags: Case Report Abstracts 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

Five-year results for endovascular repair of acute complicated type B aortic dissection
Conclusions: This study confirms the excellent short-term outcomes of TEVAR for acute complicated type B dissection and demonstrates the results to be durable and sustained over long-term follow-up. Although aortic reinterventions were required in one-quarter of patients, no aortic-related deaths were observed. These data support the use of TEVAR for acute complicated type B aortic dissection but also highlight the importance of life-long aortic surveillance by an experienced aortic referral center in order to identify and treat complications of the underlying disease process and treatment, as well as new aortic pathologies, as they arise.
Source: Journal of Vascular Surgery - October 3, 2013 Category: Surgery Authors: Jennifer M. Hanna, Nicholas D. Andersen, Asvin M. Ganapathi, Richard L. McCann, G. Chad Hughes Tags: Clinical research studies Source Type: research

Endovascular Stenting With Open Surgery for Reconstructions of the Ascending Aorta and the Aortic Arch: A Review of Indications and Results of Hybrid Techniques
Hybrid approaches for repair of aneurysms involving the ascending aorta and the aortic arch have been developed to avoid or reduce duration of cardiopulmonary bypass and circulatory arrest and to decrease operative time, blood loss, hospital stay, morbidity, and mortality. These include ascending aorta–based debranching or cervical extra-anatomical bypasses followed by stent-grafting. In patients with associated descending aortic aneurysms, the elephant trunk technique is used followed by stent-grafting of the descending thoracic aorta. A review of the literature of hybrid aortic arch reconstructions, published over ...
Source: Perspectives in Vascular Surgery and Endovascular Therapy - September 19, 2013 Category: Surgery Authors: Rana, M. A., Gloviczki, P., Oderich, G. S. Tags: Featured Articles Source Type: research

297 * conventional thoracoabdominal aortic aneurysm repair after frozen elephant trunk operation
Conclusions: Conventional TAAA repair following frozen elephant trunk operation is a feasible and safe procedure, which is facilitated by the fact of a proximal anastomosis with the endovascular prosthesis in the distal part of the descending aorta and a convenient possibility to clamp the endograft in the middle part of the downstream aorta.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Folkmann, S., Weiss, G., Pisarik, H., Moidl, R., Gorlitzer, M., Grabenwoger, M. Tags: Thoracoabdominal aortic surgery: Proven concepts and new strategies Source Type: research

Practical experience with the TAG and conformable TAG devices: lessons learned in about 100 cases.
Conclusion: This single-center study demonstrates acceptable rates for operative mortality and major adverse events after endovascular repair of various thoracic aortic pathologies with both generations of Gore TAG device. However, a better knowledge in long-term results is necessary to define target populations. PMID: 24002390 [PubMed - in process]
Source: The Journal of Cardiovascular Surgery - September 6, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Georg Y, Schwein A, Lejay A, Tartaglia E, Girsowicz E, Kretz JG, Thaveau F, Chakfe N Tags: J Cardiovasc Surg (Torino) 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

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

Mortality and reintervention following elective abdominal aortic aneurysm repair
Conclusions: Results of this meta-analysis demonstrate that the 30-day all-cause mortality rate is higher with open than with EVAR repair; however, there is no statistical difference in the long-term all-cause and cause-specific mortality between both groups. The reintervention rate attributable to procedural complication was higher in the EVAR group. Because of the equivalency of long-term outcomes and the short-term benefits of EVAR, an endovascular-first approach to AAAs can be supported by the meta-analysis.
Source: Journal of Vascular Surgery - May 29, 2013 Category: Surgery Authors: Mohammad Qadura, Farhan Pervaiz, John A. Harlock, Ashraf Al-Azzoni, Forough Farrokhyar, Kamyar Kahnamoui, David A. Szalay, Theodore Rapanos Tags: Review articles Source Type: research

Treatment of acute visceral aortic pathology with fenestrated/branched endovascular repair in high-surgical-risk patients
Conclusions: Urgent or emergent treatment of acute pathology involving the visceral aortic segment with fenestrated/branched endograft repair is feasible and safe in selected high-risk patients; however, the durability of these repairs is yet to be determined.
Source: Journal of Vascular Surgery - May 23, 2013 Category: Surgery Authors: Salvatore T. Scali, Alyson Waterman, Robert J. Feezor, Tomas D. Martin, Philip J. Hess, Thomas S. Huber, Adam W. Beck Tags: Clinical research studies Source Type: research

Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection
Conclusions: CCAD, due to extension from aortic arch dissection, has a low risk of subsequent stroke after the initial event. Based on current data, there is little evidence to suggest that aortic origin CCAD requires repair in the absence of recurrent symptoms, regardless of the degree of stenosis or false-lumen patency. Recommended optimal medical therapy includes either aspirin or anticoagulation for 6 months after initial presentation. Additional longitudinal studies are needed.
Source: Journal of Vascular Surgery - May 13, 2013 Category: Surgery Authors: Kristofer M. Charlton-Ouw, Ali Azizzadeh, Harleen K. Sandhu, Ali Sawal, Samuel S. Leake, Charles C. Miller, Anthony L. Estrera, Hazim J. Safi Tags: Clinical research studies Source Type: research

Delayed Management of Blunt Traumatic Aortic Injury: Open Surgical Versus Endovascular Repair ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Delayed management of traumatic aortic injury was associated with satisfactory short- and long-term results without significant differences between open surgical and endovascular repair. However, the reduced invasiveness of endovascular repair can optimize operative timing allowing prompt aortic repair in unstable patients, earlier repair in stable patients, and, when indicated, easier concomitant non-aortic surgery.
Source: The Annals of Thoracic Surgery - April 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Di Eusanio, M., Folesani, G., Berretta, P., Petridis, F. D., Pantaleo, A., Russo, V., Lovato, L., Di Bartolomeo, R. Tags: Great vessels ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair: The STABILISE concept
Conclusions: The Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair approach is a feasible endovascular technique that shows promise to achieve complete repair of the dissected aorta by inducing complete false lumen obliteration. The restoration of uniluminal flow in the thoracoabdominal aorta has the potential to improve long-term outcomes. Prospective, multicenter investigations are required to implement this strategy more broadly.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 22, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sophie C. Hofferberth, Ian K. Nixon, Raymond C. Boston, Craig S. McLachlan, Peter J. Mossop Tags: Acquired Cardiovascular Disease Source Type: research