Search results for "endovascular aneurysm repair"

showing 10 items of 43 documents

Identification of optimal device combinations for the chimney endovascular aneurysm repair technique within the PERICLES registry

2018

Abstract Objective The ideal stent combination for chimney endovascular aneurysm repair remains undetermined. Therefore, we sought to identify optimal aortic and chimney stent combinations that are associated with the best outcomes by analyzing the worldwide collected experience in the PERformance of chImney technique for the treatment of Complex aortic pathoLogiES (PERICLES) registry. Methods The PERICLES registry was reviewed for patients with pararenal aortic disease electively treated from 2008 to 2014. Eleven different aortic devices were identified with three distinct subgroups: group A (n = 224), nitinol/polyester; group B (n = 105), stainless steel/polyester; and group C (n = 69), n…

MaleRegistrieTime FactorsEndoleakmedicine.medical_treatmentComorbidity030204 cardiovascular system & hematology030230 surgeryEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareAortic aneurysm0302 clinical medicineRisk FactorsRetrospective StudieOcclusionOdds RatioStentRegistriesMultivariate AnalysiPolytetrafluoroethyleneAged 80 and overEndovascular ProceduresHazard ratioGraft Occlusion VascularEuropeBlood Vessel ProsthesiTreatment OutcomeCardiothoracic surgeryStentsFemaleCardiology and Cardiovascular MedicineSTENT GRAFT; CHIMENY GRAFT; CHIMNEY TECHINQUEHumanUnited Statemedicine.medical_specialtyHospitals Low-VolumeTime FactorPolyestersPolyesterProsthesis DesignDisease-Free Survival03 medical and health sciencesBlood Vessel Prosthesis ImplantationBlood vessel prosthesisAlloysmedicineHumansProportional Hazards ModelsRetrospective StudiesAgedEndovascular ProcedureAortic Aneurysm Thoracicbusiness.industryRisk FactorStentOdds ratiomedicine.diseaseStainless SteelUnited StatesBlood Vessel ProsthesisSurgeryMultivariate AnalysisAlloyProportional Hazards ModelSurgerybusinessHospitals High-VolumeAortic Aneurysm Abdominal
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Endovascular Aneurysm Sealing (EVAS) and Chimney EVAS in the Treatment of Failed Endovascular Aneurysm Repairs

2016

Purpose: To assess the technical success and clinical outcome of reinterventions using the Nellix Endovascular Aneurysm Sealing (EVAS) System to treat complications after endovascular aneurysm repair (EVAR). Methods: Fifteen consecutive patients (mean age 79 years; 14 men) with prior EVAR were treated with EVAS between March 2014 and December 2015 at 2 institutions. The failed prior EVARs included 13 bifurcated endografts, 1 bifurcated graft plus fenestrated cuff, and 1 tube endograft. Endoleaks were the predominant indications: type Ia in 10 and type III in 5 (3 type IIIa and 2 type IIIb). All patients presented with progressive aortic aneurysms (median 7.85-cm diameter; range 6.5–11). Ei…

MaleReoperationmedicine.medical_specialtyTime FactorsEndoleakComputed Tomography Angiographymedicine.medical_treatmentTechnical success030204 cardiovascular system & hematologyProsthesis DesignAortographyEndovascular aneurysm repair030218 nuclear medicine & medical imagingBlood Vessel Prosthesis Implantation03 medical and health sciences0302 clinical medicineAneurysmRisk FactorsGermanymedicineHumansRadiology Nuclear Medicine and imagingTreatment FailureAgedAged 80 and overbusiness.industryEndovascular Proceduresmedicine.diseaseAbdominal aortic aneurysmBlood Vessel ProsthesisSurgeryFemaleStentsSurgeryRadiologyCardiology and Cardiovascular MedicinebusinessAortic Aneurysm AbdominalJournal of Endovascular Therapy
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A multicenter 12-month experience with a new iliac side-branched device for revascularization of hypogastric arteries.

2016

Abstract Objective The aim of this study was to investigate the 1-year safety and efficacy of a new iliac side-branched device (IBD) for revascularization of the hypogastric arteries. Methods Patients receiving the E-liac (Jotec GmbH, Hechingen, Germany) side-branched device at six German vascular centers either as a stand-alone procedure or in combination with abdominal aortic aneurysm exclusion were included in a prospectively created data bank. Collected data were analyzed for baseline characteristics, procedural events, and clinical follow-up; variables included endoleaks, reinterventions, and internal iliac artery (IIA) patency. Results Between January 2012 and January 2015, a total of…

MaleTime FactorsDatabases FactualEndoleakComputed Tomography Angiographymedicine.medical_treatmentBlood Loss Surgical030204 cardiovascular system & hematologyEndovascular aneurysm repair030218 nuclear medicine & medical imaging0302 clinical medicineRisk FactorsGermanyMedicineHospital MortalityAged 80 and overEndovascular ProceduresGraft Occlusion VascularArteriesMiddle AgedCommon iliac arteryInternal iliac arteryAbdominal aortic aneurysmTreatment OutcomeIliac AneurysmFemaleStentsRadiologyCardiology and Cardiovascular Medicinemedicine.medical_specialtyRevascularizationProsthesis DesignPelvis03 medical and health sciencesBlood Vessel Prosthesis ImplantationAneurysmBlood vessel prosthesismedicine.arteryHumansVascular PatencyAgedRetrospective Studiesbusiness.industryExternal iliac arteryAngiography Digital Subtractionmedicine.diseaseSurgeryBlood Vessel ProsthesisFeasibility StudiesSurgerybusinessJournal of vascular surgery
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A 15-Year Single-Center Experience of Endovascular Repair for Elective and Ruptured Abdominal Aortic Aneurysms

2016

Purpose: To evaluate the differences in technical outcomes and secondary interventions between elective endovascular aneurysm repair (el-EVAR) procedures and those for ruptured aneurysms (r-EVAR). Methods: Of the 906 patients treated with primary EVAR from September 1998 until July 2012, 43 cases were excluded owing to the use of first-generation stent-grafts. Among the remaining 863 patients, 773 (89.6%) patients (mean age 72 years; 697 men) with asymptomatic or symptomatic abdominal aortic aneurysms (AAAs) were assigned to the el-EVAR group; 90 (10.4%) patients (mean age 73 years; 73 men) were assigned to the r-EVAR group based on blood outside the aortic wall on preoperative imaging. Th…

MaleTime FactorsDatabases Factualmedicine.medical_treatmentKaplan-Meier Estimate030204 cardiovascular system & hematologySingle CenterEndovascular aneurysm repairendovascular aneurysm repairPostoperative Complications0302 clinical medicineRisk Factors030212 general & internal medicineNetherlandsAged 80 and overmedicine.diagnostic_testruptured aneurysmEndovascular ProceduresMiddle AgedAbdominal aortic aneurysmTreatment OutcomeElective Surgical ProceduresreinterventionsFemaleStentsmedicine.symptomCardiology and Cardiovascular Medicinemedicine.medical_specialtyAortographycomplicationsAortic RuptureendoleakProsthesis DesignAortographyAsymptomaticDisease-Free SurvivalBlood Vessel Prosthesis Implantation03 medical and health sciencesabdominal aortic aneurysmBlood vessel prosthesismedicineHumansRadiology Nuclear Medicine and imagingAortic ruptureAgedRetrospective Studiesstent-graftbusiness.industryRetrospective cohort studymedicine.diseaseBlood Vessel ProsthesisSurgerySurgeryEmergenciesbusinessAortic Aneurysm AbdominalJournal of Endovascular Therapy
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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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Hybrid Endograft Solution for Complex Iliac Anatomy

2010

The purpose of this study was to evaluate single-center results with selective use of Gore Excluder limbs (W.L. Gore & Associates, Flagstaff, AZ) in a Cook Zenith body (Cook Inc, Bloomington, IN) for elective endovascular abdominal aortic aneurysm (AAA) repair. A prospectively held database for patients with AAA, who were treated endovascularly between March 1999 and July 2008, was queried for patients treated with a Cook Zenith body and one or two Gore Excluder limbs. Indication, technical success, late limb occlusion, and disconnection were evaluated. From 276 patients who were treated with a Zenith body, 29 underwent repair with hybrid graft components with, in total, 41 Gore Exclud…

MaleTime FactorsOCCLUSIONmedicine.medical_treatmentSettore MED/22 - Chirurgia VascolareEndovascular aneurysm repairendovascular aneurysm repairAortic aneurysmOcclusionEVARAged 80 and overOUTCOMESmedicine.diagnostic_testGeneral MedicineAnatomyAbdominal aortic aneurysmTreatment OutcomeElective Surgical ProceduresFemaleRadiologyCardiology and Cardiovascular MedicineElective Surgical Proceduremedicine.medical_specialtyAortographyProsthesis DesignAortographyIliac ArteryBlood Vessel Prosthesis Implantationabdominal aortic aneurysm endovascular aneurysm repair Excluder limbs hybrid graft iliac tortuosityabdominal aortic aneurysmBlood vessel prosthesismedicineHumansExcluder limbsRadiology Nuclear Medicine and imagingAgedRetrospective Studiesbusiness.industryENDOVASCULAR REPAIRAORTIC-ANEURYSM REPAIRmedicine.diseaseSurgeryBlood Vessel Prosthesisiliac tortuosityFeasibility StudiesSurgeryhybrid graftSTENT-GRAFTSbusinessTomography X-Ray ComputedAbdominal surgeryAortic Aneurysm AbdominalVascular
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Peroperative Intravascular Ultrasound for Endovascular Aneurysm Repair versus Peroperative Angiography: A Pilot Study in Fit Patients with Favorable …

2020

The aim of this study was to compare intravascular ultrasound (IVUS) assistance for endovascular aortic aneurysm repair (EVAR) to standard assistance by angiography.From June 2015 to June 2017, 173 consecutive patients underwent EVAR. In this group, 69 procedures were IVUS-assisted with X-ray exposure limited to completion angiography for safety purposes because an IVUS probe does not yet incorporate a duplex probe (group A), and 104 were angiography-assisted procedures (group B). All IVUS-assisted procedures were performed by vascular surgeons with basic duplex ultrasound (DUS) training. The primary study endpoints were mean radiation dose, duration of fluoroscopy, amount of contrast media…

MaleTime FactorsRadiographymedicine.medical_treatmentContrast MediaPilot Projects030204 cardiovascular system & hematologyRadiography InterventionalEndovascular aneurysm repair030218 nuclear medicine & medical imagingEndovascular aortic repairAortic aneurysmPostoperative Complications0302 clinical medicineRisk FactorsIntravascular ultrasoundAortic aneurysm endovascular repair intravascular ultrasoundFluoroscopyAged 80 and overmedicine.diagnostic_testEndovascular ProceduresAngiographyGeneral MedicineMiddle AgedRadiation ExposureTreatment Outcomesurgical procedures operativecardiovascular systemendovascularFemaleRadiologyCardiology and Cardiovascular MedicineAdultmedicine.medical_specialtyAortographyOperative TimeRadiation DosageAortographyintravascular ultrasoundBlood Vessel Prosthesis Implantation03 medical and health sciencesText miningabdominal aortic aneurysmPredictive Value of TestsmedicineHumanscardiovascular diseasesUltrasonography InterventionalAgedRetrospective StudiesIVUSbusiness.industrymedicine.diseaseAngiographySurgerybusinessAortic Aneurysm AbdominalAbdominal surgeryAnnals of Vascular Surgery
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Collected Transatlantic Experience From the PERICLES Registry: Use of Chimney Grafts to Treat Post-EVAR Type Ia Endoleaks Shows Good Midterm Results

2018

Purpose: The aim of this retrospective analysis was to evaluate the performance of the chimney (ch) technique in the treatment of type Ia endoleaks after standard endovascular aneurysm repair (EVAR). Methods: Between January 2008 and December 2014, 517 chEVAR procedures were performed in 13 US and European vascular centers (PERICLES registry). Thirty-nine patients (mean age 76.9±7.1 years; 33 men) were treated for persistent type Ia endoleak and had computed tomography angiography or magnetic resonance angiography follow-up at >1 month. Endurant abdominal stent-grafts were used in the 20 cases. Single chimney graft placement was performed in 18 (46%) patients and multiple in 21 (54%). O…

MaleTime Factorsabdominal aortic aneurysm; chimney graft; chimney technique; endoleak; endovascular aneurysm repair; juxtarenal aortic aneurysm; parallel graft; pararenal aortic aneurysm; periscope graft; snorkel graftmedicine.medical_treatmentJuxtarenal aortic aneurysm030204 cardiovascular system & hematologySettore MED/22 - Chirurgia VascolareEndovascular aneurysm repairendovascular aneurysm repair0302 clinical medicineRisk FactorsRetrospective analysisChimneyRegistries030212 general & internal medicineAged 80 and overEndovascular ProceduresChimney graftAbdominal aortic aneurysmEuropeTreatment Outcomesnorkel graftFemaleStentsjuxtarenal aortic aneurysmCardiology and Cardiovascular MedicineReoperationmedicine.medical_specialtyparallel graftendoleakperiscope graftProsthesis Designpararenal aortic aneurysmBlood Vessel Prosthesis Implantation03 medical and health sciencesabdominal aortic aneurysmchimney techniquemedicineHumansRadiology Nuclear Medicine and imagingAgedRetrospective Studiesbusiness.industrychimney graftmedicine.diseaseUnited StatesBlood Vessel ProsthesisSurgerySurgerybusinessAortic Aneurysm AbdominalJournal of Endovascular Therapy
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Single-centre experience and preliminary Results of intravascular ultrasound in endovascular aneurysm repair

2019

Background Intravascular ultrasound (IVUS) has been introduced as diagnostic adjunct to provide new insights into the diagnosis and therapy of vascular disease. Herein, we compared the outcomes of conventional endovascular aneurysm repair (EVAR) and EVAR with IVUS in patients presenting with infrarenal abdominal aortic aneurysm using a propensity-matched cohort. Methods From May 2013 to August 2017, 221 patients were retrospectively analyzed. Of that, 122 patients were eligible for inclusion and underwent propensity score matching. Perioperative mortality and morbidity, renal function impairment, endoleak incidence, mean contrast medium usage, operative time, radiation exposure (including f…

MaleTime Factorsmedicine.medical_treatmentContrast MediaPredictive Value of TestEndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareAortic aneurysmRetrospective StudieRisk FactorsIntravascular ultrasoundFluoroscopyAged 80 and overmedicine.diagnostic_testEndovascular ProceduresGeneral MedicineMiddle AgedRadiation ExposureAbdominal aortic aneurysm2746 SurgeryTreatment OutcomeItalyFemaleRadiologyCardiology and Cardiovascular Medicinerenal function impairmentHumanPreliminary Datamedicine.medical_specialtyTime Factor610 Medicine & healthRadiation DosageAortography2705 Cardiology and Cardiovascular Medicineintravascular ultrasoundBlood Vessel Prosthesis ImplantationEndovascular aneurysm repaircontrast mediumPredictive Value of Testsmedicinefluoroscopy timeHumansUltrasonography InterventionalAgedRetrospective StudiesEndovascular Procedurebusiness.industryRisk FactorAngiography Digital SubtractionPerioperativeDigital subtraction angiographymedicine.disease10020 Clinic for Cardiac SurgeryAngiographySurgerybusinessAortic Aneurysm Abdominal
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Fenestrated Stent Grafting for Short-necked and Juxtarenal Abdominal Aortic Aneurysm

2010

Objectives: To present an 8-year clinical experience in the endovascular treatment of short-necked and juxtarenal abdominal aortic aneurysm (AAA) with fenestrated stent grafts. Methods: At our tertiary referral centre, all patients treated with fenestrated and branched stent grafts have been enrolled in an investigational device protocol database. Patients with short-necked or juxtarenal AAA managed with fenestrated endovascular aneurysm repair (F-EVAR) between November 2001 and April 2009 were retrospectively reviewed. Patients treated at other hospitals under the supervision of the main author were excluded from the study. Patients treated for suprarenal or thoraco-abdominal aneurysms wer…

MaleTime Factorsmedicine.medical_treatmentShort neckFenestrated graftKaplan-Meier EstimateOPEN REPAIREndovascular aneurysm repairSettore MED/22 - Chirurgia VascolareAortic aneurysmEVARNetherlandsAged 80 and overMedicine(all)medicine.diagnostic_testENDOGRAFT REPAIRMiddle AgedJuxtarenalAbdominal aortic aneurysmProsthesis FailureTreatment OutcomeFemaleKidney DiseasesStentsCardiology and Cardiovascular MedicineReoperationmedicine.medical_specialtyAortographyArterial Occlusive DiseasesFenestrated graftsProsthesis DesignAortographyRisk AssessmentBlood Vessel Prosthesis ImplantationAneurysmRenal DialysisBlood vessel prosthesismedicineHumanscardiovascular diseasesAgedRetrospective Studiesbusiness.industryStentENDOVASCULAR REPAIRmedicine.diseaseAneurysmBlood Vessel ProsthesisSurgeryAbdominal aortic aneurysmSurgerybusinessTomography Spiral ComputedAortic Aneurysm AbdominalAbdominal surgeryEuropean Journal of Vascular and Endovascular Surgery
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