Assessment of Upper Extremity Venous Compliance in Patients With Abdominal Aortic Aneurysms

AbstractPurposeThe purpose of this study was to describe a technique to catheterize antegrade branches of a branched aortic endograft by using a steerable sheath stabilized by a through-and-through wire via a femoral access.TechniqueAfter implantation of a branched endovascular graft, a steerable 8.5 F sheath is advanced from the femoral access. After placing the sheath proximal to the branches, a 0.014″ through-and-through wire is established to the contralateral femoral access which is held under slight traction after the curved tip of the sheath is brought into the 180° position. Then catheterization, wire exchange and deployment of the bridging stent is done in standard fashion.ConclusionThe use of a through-and-through wire with a steerable sheath for retrograde femoral access adds stability and precision to this technique. It has the potential to reduce the risk of preoperative stroke in complex aortic endovascular repair by avoiding upper extremity access.

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Ruptured Abdominal Aortic Aneurysms: Clinical Presentation in Auckland 1993-1997

ANZ Journal of Surgery ◽

10.1046/j.1440-1622.2001.2161.x ◽

2001 ◽

Vol 71 (6) ◽

pp. 334-334

Author(s):

S. A. Mellick

Keyword(s):

Clinical Presentation ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic ◽

Ruptured Abdominal Aortic Aneurysms

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Ruptured abdominal aortic aneurysms: Clinical presentation in Auckland 1993-1997

ANZ Journal of Surgery ◽

10.1046/j.1440-1622.2001.2125.x ◽

2001 ◽

Vol 71 (6) ◽

pp. 341-344

Author(s):

Johanna Rose ◽

Ian Civil ◽

Timothy Koelmeyer ◽

David Haydock ◽

Dave Adams

Keyword(s):

Clinical Presentation ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic ◽

Ruptured Abdominal Aortic Aneurysms

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Current evidence and prospects for medical treatment of abdominal aortic aneurysms

VASA ◽

10.1024/0301-1526.34.4.217 ◽

2005 ◽

Vol 34 (4) ◽

pp. 217-223 ◽

Cited By ~ 11

Author(s):

Diehm ◽

Schmidli ◽

Dai-Do ◽

Baumgartner

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Medical Treatment ◽

Endovascular Treatment ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Current Evidence ◽

Significant Morbidity ◽

Abdominal Aortic ◽

Risk Of Rupture

Abdominal aortic aneurysm (AAA) is a potentially fatal condition with risk of rupture increasing as maximum AAA diameter increases. It is agreed upon that open surgical or endovascular treatment is indicated if maximum AAA diameter exceeds 5 to 5.5cm. Continuing aneurysmal degeneration of aortoiliac arteries accounts for significant morbidity, especially in patients undergoing endovascular AAA repair. Purpose of this review is to give an overview of the current evidence of medical treatment of AAA and describe prospects of potential pharmacological approaches towards prevention of aneurysmal degeneration of small AAAs and to highlight possible adjunctive medical treatment approaches after open surgical or endovascular AAA therapy.

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Statin therapy for patients with abdominal aortic aneurysms

VASA ◽

10.1024/0301-1526/a000156 ◽

2012 ◽

Vol 41 (1) ◽

pp. 3-4

Author(s):

Diehm ◽

Dick

Keyword(s):

Statin Therapy ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic

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Endovascular management of ruptured abdominal aortic aneurysms and acute aortic dissections

VASA ◽

10.1024/0301-1526/a000760 ◽

2019 ◽

Vol 48 (1) ◽

pp. 35-46

Author(s):

Stephen Hofmeister ◽

Matthew B. Thomas ◽

Joseph Paulisin ◽

Nicolas J. Mouawad

Keyword(s):

Abdominal Aortic Aneurysms ◽

Rapid Identification ◽

Aortic Aneurysms ◽

Endovascular Interventions ◽

Current State ◽

Technological Advances ◽

Abdominal Aortic ◽

Ruptured Abdominal Aortic Aneurysms ◽

Vascular Emergencies ◽

Aortic Dissections

Abstract. The management of vascular emergencies is dependent on rapid identification and confirmation of the diagnosis with concurrent patient stabilization prior to immediate transfer to the operating suite. A variety of technological advances in diagnostic imaging as well as the advent of minimally invasive endovascular interventions have shifted the contemporary treatment algorithms of such pathologies. This review provides a comprehensive discussion on the current state and future trends in the management of ruptured abdominal aortic aneurysms as well as acute aortic dissections.

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Mitochondrial-dependent apoptosis in experimental rodent abdominal aortic aneurysms

Yearbook of Vascular Surgery ◽

10.1016/s0749-4041(08)70376-2 ◽

2007 ◽

Vol 2007 ◽

pp. 43-44

Author(s):

P.K. Henke

Keyword(s):

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Abdominal Aortic

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Stents for the Treatment of Aortic Aneurysms

Thrombosis and Haemostasis ◽

10.1055/s-0037-1615578 ◽

1999 ◽

Vol 82 (S 01) ◽

pp. 171-175 ◽

Cited By ~ 1

Author(s):

D. Ebert ◽

M. Langer ◽

P. Uhrmeister

Keyword(s):

Endovascular Treatment ◽

Endovascular Repair ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Imaging Modalities ◽

Exclusion Criteria ◽

Multicenter Studies ◽

Abdominal Aortic ◽

First Results

SummaryThe endovascular treatment of abdominal aortic aneurysms has generated a great deal of interest since the early 1990s, and many different devices are currently available. The procedure of endovascular repair has been evaluated in many institutions and the different devices are compared. The first results were encouraging, but complications like endoleak, dislocation or thrombosis of the graft occurred. By the available devices the stent application is only promising, if the known exclusion criteria are strictly respected. Therefore a careful preinterventional assessment of the patient by different imaging modalities is necessary. As the available results up to now are preliminary and the durability of the devices has to be controlled, multicenter studies are required to improve the devices and observe their long- term success in the exclusion of abdominal aortic aneurysms.

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