0000000000764097

AUTHOR

Gilbert Puippe

showing 10 related works from this author

Mid-term results of zone 0 thoracic endovascular aneurysm repair after ascending aorta wrapping and supra-aortic debranching in high-risk patients

2017

Objectives Surgical repair of aneurysmal disease involving the ascending aorta, aortic arch and eventually the descending aorta is generally associated with significant morbidity and mortality. A less invasive approach with the ascending wrapping technique (WT), supra-aortic vessel debranching (SADB) and thoracic endovascular aneurysm repair (TEVAR) in zone 0 was developed to reduce the associated risk in these patients. Methods During a 10-year period, consecutive patients treated by the ascending WT, SADB and TEVAR in zone 0 were included. All patients were considered at high risk for conventional surgery. Measured outcomes included perioperative deaths and morbidity, maximal aortic trans…

MaleAortic archTime FactorsComputed Tomography AngiographyAneurysm; Arch; Ascending; Debranching; TEVAR; Wrapping; Surgery; Pulmonary and Respiratory Medicine; Cardiology and Cardiovascular Medicinemedicine.medical_treatmentWrapping030204 cardiovascular system & hematologyEndovascular aneurysm repairPostoperative Complications0302 clinical medicineRisk FactorsAscendingThoracic aorta030212 general & internal medicineAortaAged 80 and overTEVAR10042 Clinic for Diagnostic and Interventional RadiologyEndovascular ProceduresMiddle Aged2746 SurgeryItalyDescending aortaCardiologyFemaleCardiology and Cardiovascular MedicinePulmonary and Respiratory Medicinemedicine.medical_specialty10216 Institute of Anesthesiology610 Medicine & healthArch2705 Cardiology and Cardiovascular Medicine03 medical and health sciencesAneurysmBlood vessel prosthesismedicine.arteryInternal medicineAscending aortamedicineHumansAgedAortaAortic Aneurysm Thoracicbusiness.industryDebranchingmedicine.diseaseAneurysmBlood Vessel ProsthesisSurgery10020 Clinic for Cardiac Surgery2740 Pulmonary and Respiratory MedicineSurgeryMorbiditybusinessFollow-Up Studies
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Mid- and Longer-term Follow up of Chimney and/or Periscope Grafts and Risk Factors for Failure

2016

Objective The aim was to report on chimney and periscope grafts (CPGs) and their mid- and longer-term outcomes when they are used to preserve reno-visceral artery (RVA) perfusion in endovascular repair of pararenal (PRAAs) or thoraco-abdominal aortic aneurysm (TAAAs). In addition, factors associated with CPG failure are presented. Limited data exist on the outcomes of CPGs, and mid- and long-term results are generally not reported. Methods This was a prospective study in a cohort of 100 patients with PRAA (69) or TAAA (31). A total of 224 (mean 2.24 per patient) RVAs were preserved with 136 (61%) chimney and 88 (39%) periscope grafts. CPGs were constructed mainly using self expandable stent…

MalePercutaneousmedicine.medical_treatment030204 cardiovascular system & hematologyEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareAortic aneurysm0302 clinical medicineRenal ArteryRisk FactorsOcclusion030212 general & internal medicineTreatment FailureProspective cohort studyAortaPararenal aortic aneurysm10042 Clinic for Diagnostic and Interventional RadiologyReno2746 SurgeryAortic AneurysmFemaleRadiologyCardiology and Cardiovascular Medicinemedicine.medical_specialty610 Medicine & health2705 Cardiology and Cardiovascular Medicine03 medical and health sciencesEndovascular aneurysm repairabdominal aortic aneurysmAneurysmChimney and periscope graftChimney and periscope graft; Complex aortic aneurysm; Endovascular aneurysm repair; Pararenal aortic aneurysm; Reno-visceral arteries; Thoraco-abdominal aortic aneurysm; Cardiology and Cardiovascular Medicine; SurgerymedicineHumansAgedRetrospective StudiesReno-visceral arterieThoraco-abdominal aortic aneurysmbusiness.industryComplex aortic aneurysmStentRetrospective cohort studyThoracomedicine.diseaseSurgeryvisceral arteriesSurgeryVascular GraftingbusinessFollow-Up Studies
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Predilation technique with balloon angioplasty to facilitate percutaneous groin access of large size sheath through scar tissue

2017

Purpose Percutaneous remote access for endovascular aortic repair is an advantageous alternative to open access. Previous surgery in the femoral region and the presence of synthetic vascular grafts in the femoral/iliac arteries represent major limitations to percutaneous remote access. The aim of this study was to evaluate an original technique used for enabling percutaneous remote access for thoracic or abdominal endovascular aortic repair in patients with scar tissue and/or a vascular graft in the groin. Methods Twenty-five consecutive patients with a thoracic (11/25; 44%) or an aortic aneurysm (14/25; 66%) and with a synthetic vascular graft in the groin (16/25; 64%) or a redo groin acce…

MalePercutaneousmedicine.medical_treatment030204 cardiovascular system & hematologyBalloonEndovascular aneurysm repairSettore MED/22 - Chirurgia Vascolarecalcificationendovascular aneurysm repairAortic aneurysm0302 clinical medicinesheathprosthetic graftballoon angioplastyVascular closure device030212 general & internal medicineAged 80 and over10042 Clinic for Diagnostic and Interventional RadiologyVascular Access Deviceultrasonographyvascular closure deviceGeneral MedicineEquipment Design2746 SurgeryBlood Vessel Prosthesimedicine.anatomical_structureTreatment OutcomeFemaleRadiologyCardiology and Cardiovascular MedicineVascular Access DevicesHumanmedicine.medical_specialtycomplication610 Medicine & healthGroin2705 Cardiology and Cardiovascular MedicineAneurysm; balloon angioplasty; calcification; complications; endovascular aneurysm repair; infection; prosthetic graft; sheath; ultrasonography; vascular closure devices; Aged; Aged 80 and over; Angioplasty Balloon; Aortic Aneurysm Abdominal; Aortic Aneurysm Thoracic; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation; Catheterization Peripheral; Cicatrix; Equipment Design; Female; Groin; Humans; Male; Treatment Outcome; Ultrasonography Interventional; Vascular Access Devices; Surgery; Radiology Nuclear Medicine and Imaging; Cardiology and Cardiovascular Medicine03 medical and health sciencesBlood Vessel Prosthesis ImplantationCicatrixBlood vessel prosthesisAngioplastyCatheterization Peripheralmedicine2741 Radiology Nuclear Medicine and ImagingHumansRadiology Nuclear Medicine and imagingUltrasonography InterventionalAgedGroinAortic Aneurysm Thoracicbusiness.industrymedicine.diseaseAneurysminfectionSurgery10020 Clinic for Cardiac SurgeryBlood Vessel ProsthesisSurgerybusinessAngioplasty BalloonAortic Aneurysm Abdominal
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Outpatient endovascular aortic aneurysm repair: Experience in 100 consecutive patients

2013

OBJECTIVES:: To present the safety, feasibility, costs, and patient satisfaction of outpatient endovascular aneurysm repair (EVAR). BACKGROUND:: Our experience in more than 1000 patients indicated that in technically uncomplicated EVAR procedures, the only need for hospitalization was for access vessel complications (bleeding or occlusion) requiring secondary procedures. These complications could always be identified within the first 3 hours after EVAR. METHODS:: Two-center retrospective analysis of prospectively gathered data on 100 consecutive elective outpatient EVAR cases (Outpt EVAR). Inclusion criteria for Outpt EVAR were as follows: asymptomatic clinical state, informed consent, trav…

Malemedicine.medical_specialtyPercutaneousmedicine.medical_treatment610 Medicine & healthEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareBlood Vessel Prosthesis ImplantationPostoperative ComplicationsPatient satisfactionAmbulatory CareHumansMedicineOutpatient clinicLocal anesthesiaambulant day endovascular aneurysm repair EVAR fast-track outpatient surgeryAgedRetrospective StudiesAged 80 and overbusiness.industry10042 Clinic for Diagnostic and Interventional RadiologyEndovascular ProceduresStentMiddle AgedVascular surgerymedicine.diseaseSurvival AnalysisSurgery10020 Clinic for Cardiac Surgery2746 SurgeryStenosisTreatment OutcomeCosts and Cost AnalysisFemaleSurgerybusinessAortic Aneurysm Abdominal
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Long-term results of simplified frozen elephant trunk technique in complicated acute type A aortic dissection: A case-control study.

2016

Aim To describe the long-term experience of a simplified frozen elephant trunk technique (sFETT) used in complicated acute type A aortic dissection (AAAD) treatment. Methods and results Between January 2001 and December 2012, 34 patients (mean age 59.9 ± 11.0 years) with complicated AAAD (DeBakey I) underwent an emergency surgery including sFETT. sFETT consisted in gluing the dissected aortic arch wall layers with gelatine-resorcinol adhesive and video-assisted antegrade open arch aortic stent-graft deployment in the arch or proximal descending aorta. In addition to sFETT, the aortic root was addressed with standard techniques. A 30-day mortality was 14.7% (five patients) due to bleeding (1…

MaleTime FactorsElephant trunksComputed Tomography AngiographyVideo-Assisted SurgeryKaplan-Meier Estimate030204 cardiovascular system & hematologyComplicated acute type A aortic dissectionSettore MED/22 - Chirurgia VascolareAortic aneurysm0302 clinical medicinePostoperative ComplicationsRisk Factorsfrozen elephant trunkComputed tomography angiographyAortic dissectionAged 80 and overmedicine.diagnostic_testMedicine (all)Endovascular ProceduresGeneral MedicineMiddle AgedAortic AneurysmTreatment OutcomeAcute typeAcute DiseaseFemaleStentsCardiology and Cardiovascular MedicineAdultReoperationmedicine.medical_specialtyAortographyProsthesis DesignAortography03 medical and health sciencesBlood Vessel Prosthesis ImplantationBlood vessel prosthesismedicineHumansRadiology Nuclear Medicine and imagingAgedRetrospective StudiesComplicated acute type A aortic dissection; frozen elephant trunk; Surgery; Medicine (all); Radiology Nuclear Medicine and Imaging; Cardiology and Cardiovascular Medicinebusiness.industryLong term resultsmedicine.diseaseSurgeryBlood Vessel ProsthesisAortic Dissection030228 respiratory systemSurgeryTissue AdhesivesEmergenciesbusinessVascular
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Improved technique for sheath supported contralateral limb gate cannulation in endovascular abdominal aortic aneurysm repair

2019

Summary: Background: To present a technique of sheath supported contralateral limb gate (CLG) cannulation of modular bifurcated stent-graft in endovascular abdominal aortic repair. Materials and methods: After totally percutaneous bilateral femoral access, the 9F introducer sheath is exchanged to a 30 cm 12 fr introducer sheath over a stiff wire contralateral to the intended main stent-graft insertion side and advanced into the aorta below the lowest renal artery. Parallel to the stiff wire within the sheath an additional standard J-tip guidewire with a 5 fr Pigtail angiographic catheter is advanced to the level of the renal arteries. After main body deployment, the 12 fr introducer sheath…

Pigtailmedicine.medical_specialtyPercutaneouscannulation610 Medicine & healthSettore MED/22 - Chirurgia Vascolare2705 Cardiology and Cardiovascular MedicineBlood Vessel Prosthesis ImplantationRetrospective Studiemedicine.arterygatemedicineStentFluoroscopyHumansEVARREVARRenal arteryRetrospective StudiesAortamedicine.diagnostic_testbusiness.industry10042 Clinic for Diagnostic and Interventional RadiologyEndovascular Proceduresmedicine.diseaseAbdominal aortic aneurysmSurgeryBlood Vessel ProsthesisCatheterBlood Vessel ProsthesiTreatment Outcomecontralateral limbIntroducer sheathStentsCardiology and Cardiovascular MedicinebusinessHumanAortic Aneurysm Abdominal
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A 12-Year Experience With Chimney and Periscope Grafts for Treatment of Type I Endoleaks.

2015

Purpose: To evaluate the midterm outcomes of chimney and/or periscope grafts (CPGs) in patients presenting type I endoleak after a previous endovascular aneurysm repair (EVAR). Methods: Between June 2002 and April 2014, 24 consecutive patients (mean age 73.9±9.2 years; 23 men) presenting a type I endoleak were addressed with CPGs to extend the proximal and/or distal landing zone and to maintain side branch perfusion. Indication for treatment was a type Ia endoleak in 23 (96%) patients and a type Ib endoleak in one. Median interval from the previous EVAR to endoleak treatment with CPGs was 52.2±48.9 months (range 0.2–179). All patients had proximal/distal landing zones precluding any standa…

Malemedicine.medical_specialtyEndoleakmedicine.medical_treatmentparallel graftTarget vesselmorbidityperiscope graftEndovascular aneurysm repairpararenal aortic aneurysmSettore MED/22 - Chirurgia Vascolarelaw.inventionendovascular aneurysm repairBlood Vessel Prosthesis Implantationabdominal aortic aneurysmlawRecurrencethoracoabdominal aortic aneurysmMedicineHumansRadiology Nuclear Medicine and imagingIn patientChimneyself-expanding covered stentVascular PatencyAgedabdominal aortic aneurysm; chimney graft; endoleak; endovascular aneurysm repair; morbidity; mortality; parallel graft; pararenal aortic aneurysm; patency; periscope graft; reintervention; self-expanding covered stent; stent-graft; target vessel; thoracoabdominal aortic aneurysmreinterventionstent-graftbusiness.industryEndovascular ProceduresChimney graftchimney graftmedicine.diseasemortalityAbdominal aortic aneurysmSurgeryBlood Vessel ProsthesisSurvival RateTreatment OutcomeSurgeryFemalePeriscopeCardiology and Cardiovascular Medicinebusinesspatencytarget vesselAortic Aneurysm AbdominalJournal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
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Early outcomes with a single-sided access endovascular stent

2018

Abstract Objective The objective of this study was to report the 1-year follow-up study results of the new Horizon stent graft (Endospan, Herzliya, Israel) from two different prospective consecutive trials. The Horizon abdominal aortic aneurysm stent graft system is a 14F profile system requiring only a single access site. It consists of three modules, introduced separately: base limb (iliac to iliac limb); distal aortic limb; and proximal aortic limb with a bare suprarenal crown and active fixation. Methods Data from the first in man (FIM) clinical study with 10 patients enrolled and the pivotal study with 30 patients were analyzed. Outcomes measured were freedom from major adverse events …

Malemedicine.medical_specialtyTime FactorsTime Factormedicine.medical_treatment030204 cardiovascular system & hematologyProsthesis DesignAortographySettore MED/22 - Chirurgia Vascolare03 medical and health sciencesAortic aneurysmBlood Vessel Prosthesis ImplantationPostoperative Complications0302 clinical medicineAneurysmBlood vessel prosthesismedicineStentHumansAged; Aortic Aneurysm Abdominal; Aortography; Blood Vessel Prosthesis Implantation; Endovascular Procedures; Europe; Female; Humans; Male; Middle Aged; Postoperative Complications; Prospective Studies; Prosthesis Design; Time Factors; Tomography X-Ray Computed; Treatment Outcome; Blood Vessel Prosthesis; StentsProspective Studies030212 general & internal medicineStrokeAgedEndovascular Procedurebusiness.industryEndovascular ProceduresStentPerioperativeMiddle Agedmedicine.diseaseBlood Vessel ProsthesisSurgeryEuropeProspective StudieBlood Vessel ProsthesiTreatment OutcomeStentsFemaleSurgeryPostoperative ComplicationParaplegiabusinessTomography X-Ray ComputedCardiology and Cardiovascular MedicineAbdominal surgeryAortic Aneurysm AbdominalHuman
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Mid-term Results of Chimney and Periscope Grafts in Supra-aortic Branches in High Risk Patients

2017

Purpose Report mid-term outcomes of thoracic endovascular aneurysm repair (TEVAR) with chimney and periscope grafts (CPG) in supra-aortic branches (SAB). Methods Retrospective analysis, from October 2009 to May 2014, of patients with aneurysms requiring TEVAR with zone 0/1/2 proximal landing in association with at least one CPG in the SAB. All patients were considered at high risk for conventional surgery. Peri-operative mortality and morbidity, retrograde type A dissection, maximum aortic transverse diameter (TD) and its post-operative evolution, endoleak, survival, freedom from cardiovascular re-interventions, and CPG freedom from occlusion during the follow-up were analysed. Results Fort…

MaleTime FactorsEndoleakComputed Tomography Angiographymedicine.medical_treatmentMid term resultsKaplan-Meier Estimate030204 cardiovascular system & hematologySettore MED/22 - Chirurgia VascolareEndovascular aneurysm repairAortic aneurysmPostoperative Complications0302 clinical medicineRisk FactorsOcclusionMedicine030212 general & internal medicineAortic arch aneurysm; Chimney graft/technique; Endoleak; Endovascular aneurysm repair; Parallel graft; Periscope graft; Surgery; Cardiology and Cardiovascular MedicineAged 80 and overeducation.field_of_studyHigh risk patients10042 Clinic for Diagnostic and Interventional RadiologyEndovascular ProceduresMiddle Aged2746 SurgeryTreatment Outcomecardiovascular systemFemaleRadiologyCardiology and Cardiovascular MedicineAdultmedicine.medical_specialtyPopulation610 Medicine & healthProsthesis DesignAortographyRisk AssessmentDisease-Free Survival2705 Cardiology and Cardiovascular MedicineBlood Vessel Prosthesis ImplantationEndovascular aneurysm repair03 medical and health sciencesAneurysmmedicine.arteryHumanseducationAgedRetrospective StudiesAortaAortic Aneurysm ThoracicParallel graftAortic arch aneurysmbusiness.industryPatient SelectionChimney graft/techniquemedicine.diseaseBlood Vessel Prosthesis10020 Clinic for Cardiac SurgerySurgeryPeriscope graftSurgerybusinessEuropean Journal of Vascular and Endovascular Surgery
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EVAR IN OUT CLINIC PATIENTS: IS IT FEASIBLE AND SAFE?

2013

Introduction Only little is known about endovascular aneurysm repair (EVAR) performed as an outpatient procedure. We report here a two-center (Middelares Hospital, Antwerp (Deurne), Belgium and University Hospital Zurich, Switzerland) experience in 104 EVAR patients of which a group of 52 patients have been treated on an outpatient (out-EVAR) basis and compared to a matched group of 52 patients that have been treated as inpatients (in-EVAR). Methods Selection criterions for out-EVAR were: informed consent, travel time to the hospital if readmission was required of <30-60 minutes, and technically uncomplicated EVAR. Most out-EVAR has been treated percutaneous. In-EVAR patients consisted in a…

outclinic610 Medicine & healthEVARSettore MED/22 - Chirurgia Vascolare10020 Clinic for Cardiac Surgery
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