Evolution of mycotic aortic aneurysm treatment by endovascular repair

2010 ◽  
Vol 181 (3) ◽  
pp. 401-404 ◽  
Author(s):  
L. Nqwena ◽  
M. A. Moloney ◽  
D. H. O’Donnell ◽  
S. Sheehan ◽  
D. P. Brophy ◽  
...  
2019 ◽  
Vol 70 (2) ◽  
pp. 478-484 ◽  
Author(s):  
Raffaella Berchiolli ◽  
Francesca Tomei ◽  
Michele Marconi ◽  
Davide Maria Mocellin ◽  
Riccardo Morganti ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Siting Li ◽  
Mengyin Chen ◽  
Yuehong Zheng ◽  
Zhili Liu ◽  
Rong Zeng

Abstract Background Mycotic aortic aneurysm is a rare and potentially life-threatening lesion, and endovascular repair has become increasingly accepted for intervention. Fenestrated endografts are available options to treat aneurysms involving visceral arteries. Here, we first report two patients with mycotic aortic aneurysm involving paraviscereal aorta who were successfully treated with custom-made fenestrated endograft. Case presentation Two patients were presented with mycotic aortic aneurysm. Due to their comorbidities and the involvement of the renal arteries, company-manufactured fenestrated stents were designed. Meanwhile, antibiotic therapy was administrated for 2 months before endovascular repair. Patients improved well without complications. Conclusions Custom-made fenestrated endovascular stent is an effective and feasible alternative solution to mycotic paravisceral aorta aneurysm.


2020 ◽  
Vol 31 (6) ◽  
pp. 969-976
Author(s):  
Shen-Yen Lin ◽  
Kuo-Sheng Liu ◽  
Sung-Yu Chu ◽  
Chien-Ming Chen ◽  
Sheng-Yueh Yu ◽  
...  

2014 ◽  
Vol 15 (3) ◽  
pp. 290-298 ◽  
Author(s):  
Yao-Kuang Huang ◽  
Chyi-Liang Chen ◽  
Ming-Shian Lu ◽  
Feng-Chun Tsai ◽  
Pyng-Ling Lin ◽  
...  

2014 ◽  
Vol 28 (3) ◽  
pp. 579-589 ◽  
Author(s):  
Yao-Kuang Huang ◽  
Po-Jen Ko ◽  
Chyi-Liang Chen ◽  
Feng-Chun Tsai ◽  
Chi-Hsiung Wu ◽  
...  

Swiss Surgery ◽  
2001 ◽  
Vol 7 (2) ◽  
pp. 86-89 ◽  
Author(s):  
Lachat ◽  
Pfammatter ◽  
Bernard ◽  
Jaggy ◽  
Vogt ◽  
...  

Local anesthesia is a safe and less invasive anesthetic management for the endovascular approach to elective aortic aneurysm. We have successfully extended the indication of local anesthesia to a high-risk patient with leaking aneurysm and stable hemodynamics. Patient and methods: A 86 year old patient with renal insufficiency due to longstanding hypertension, coronary artery and chronic obstructive lung disease was transferred to our hospital with a leaking abdominal aortic aneurysm. Stable hemodynamics allowed to perform a fast CT scan, that confirmed the feasibility of endovascular repair. A bifurcated endograft (24mm x 12mm x 153mm) was implanted under local anesthesia. Results: The procedure was completed within 85 minutes without problems. The complete sealing of the aneurysm was confirmed by CT scan on the third postoperative day. Twenty months later, the patient is doing well and radiological control confirmed complete exclusion of the aneurysm. Discussion: The endoluminal treatment is a minimally invasive technique. It's feasibility can be rapidly assessed by CT scan. The transfemoral implantation can be performed under local anesthesia provided that hemodynamics are stable. This anesthetic management seems to be particularly advantageous for leaking abdominal aortic aneurysm since it doesn't change the hemodynamic situation in contrast to general anesthesia. Hemodynamic instability, abdominal distension or tenderness may indicate intraperitoneal rupture and conversion to open graft repair should be performed without delay.


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