0000000000650626

AUTHOR

David J. Minion

showing 2 related works from this author

Classification of Chimney EVAR-Related Endoleaks: Insights from the PERICLES Registry

2017

Juxtarenal aortic aneurysms (JAAs) pose significant challenges for endovascular aneurysm repair (EVAR). A short or absent infrarenal neck typically excludes standard EVAR as a viable or reasonable treatment option. In this context, the use of chimney grafts (chEVAR) is gaining in popularity and applicability. These grafts are designed to course in the aortic lumen outside the main stent-graft to maintain normal perfusion to the involved target branches. As such, they may represent a promising and less resource-intensive option for management of JAAs. However, this technical strategy is not without challenges of its own, particularly the inevitable creation of “gutters” that result from the …

medicine.medical_specialtyRadiology Nuclear Medicine and Imagingabdominal aortic aneurysm; chimney graft; chimney technique; endograft; endoleak; stent-graftendoleak610 Medicine & health030204 cardiovascular system & hematologySettore MED/22 - Chirurgia Vascolare2705 Cardiology and Cardiovascular Medicine03 medical and health sciences0302 clinical medicineabdominal aortic aneurysmchimney techniqueNuclear Medicine and Imagingmedicine2741 Radiology Nuclear Medicine and ImagingChimney030212 general & internal medicinestent-graftbusiness.industryChimney graftchimney graftendograftmedicine.diseaseAbdominal aortic aneurysmSurgery10020 Clinic for Cardiac Surgery2746 SurgerygraftSurgerystentRadiologybusinessCardiology and Cardiovascular Medicineabdominal aortic aneurysm; chimney graft; chimney technique; endograft; endoleak; stent-graft; Radiology Nuclear Medicine and Imaging; Cardiology and Cardiovascular Medicine
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Results of chimney endovascular aneurysm repair as used in the PERICLES Registry to treat patients with suprarenal aortic pathologies

2020

Background: The prevailing evidence calls for using chimney/snorkel endovascular repair (ch-EVAR) with one or two chimney grafts. No studies up to now focus on its applicability and results for the treatment of suprarenal aortic pathologies (SRAP). Hence, we evaluated the clinical and radiologic results of ch-EVAR treatment for SRAP placing three or more chimney grafts within the PERICLES Registry. Methods: Data from 517 patients suffering complex aortic pathologies treated by ch-EVAR between 2008 and 2014 at 13 European and U.S. centers were retrospectively reviewed and analyzed. Results: Sixty-seven ch-EVAR-treated patients (12.9% of the entire PERICLES cohort) presented SRAP (83.5% elect…

MaleTime Factorsmedicine.medical_treatmentTechnical success030204 cardiovascular system & hematologyEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolarePostoperative ComplicationsRenal Artery0302 clinical medicineRisk FactorsSuperior mesenteric arteryChimneyRegistries030212 general & internal medicineSuperior mesenteric arteryAged 80 and overTriple chimney EVARIncidence (epidemiology)Endovascular ProceduresChimney graftEuropeSuprarenal aneurysmsTreatment OutcomeCohortFemaleStentsCardiology and Cardiovascular Medicinemedicine.medical_specialtyAortic DiseasesProsthesis DesignBlood Vessel Prosthesis Implantation03 medical and health sciencesAneurysmMesenteric Artery Superiormedicine.arterymedicineHumansComplex aneurysmAgedRetrospective StudiesSuprarenal aneurysmbusiness.industryComplex aneurysms; Multiple chimney EVAR; Superior mesenteric artery; Suprarenal aneurysms; Triple chimney EVARmedicine.diseaseMultiple chimney EVARUnited StatesBlood Vessel ProsthesisSurgerySurgerybusinessComplex aneurysms
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