scholarly journals PC032 Planned Perioperative Adjunctive Maneuvers Make Off-Label Endovascular Aneurysm Repair (EVAR) Comparable to Standard EVAR at a Long-Term Follow-Up

2017 ◽  
Vol 65 (6) ◽  
pp. 148S-149S
Author(s):  
Emiliano Chisci ◽  
Azzurra Guidotti ◽  
Clara Pigozzi ◽  
Eugenio Romano ◽  
Pierfrancesco Frosini ◽  
...  
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Off Label ◽  
Long Term Follow Up ◽  
Aneurysm Repair

scholarly journals Occurrence and outcomes of type 3 endoleaks in endovascular aortic repair within the Vascular Quality Initiative database

2020 ◽  
Vol 2 (1) ◽  
pp. e000054
Author(s):  
Juliet Blakeslee-Carter ◽  
Adam Beck ◽  
Emily Spangler
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Index Hospitalization ◽  
Procedural Information ◽  
Kaplan Meier ◽  
Long Term Follow Up ◽  
Clinical Consequences ◽  
Aneurysm Repair ◽  
Type 3

ObjectivesType 3 endoleaks (T3ELs) represent a lack of aneurysm protection from systemic pressure. Previous studies have found a ~2% incidence of T3EL after standard infrarenal endovascular aneurysm repair (EVAR); however, no prior studies with new-generation devices have been able to determine an association between T3EL and clinical outcomes. Here we examine T3EL within the Society for Vascular Surgery Vascular Quality Initiative (VQI) to define rates of occurrence, rates and modes of reintervention, and clinical consequences of these endoleaks.Design and settingParticipants receiving infrarenal EVAR in the VQI from January 2003 to September 2018 were analyzed in a retrospective cohort study.ParticipantsOf 42 246 entries in the EVAR procedural registry, 41 604 had complete procedural information and were included in analysis. Of these, 36 082 had long-term follow-up, and 26 422 had follow-up (9–21 months per VQI reporting standards) with complete endoleak data recorded.InterventionsAll patients included in this study underwent an infrarenal EVAR.ResultsWithin the VQI database, the rate of T3EL in infrarenal EVAR during index hospitalization was 0.37% (n=157/41 604), of which 85% were due to midgraft separation and 15% were due to fabric disruptions. Out of the 157 index hospitalization T3ELs, 4.5% (n=7) received procedural reintervention during that hospitalization, which accounted for 1% of all index hospitalization reinterventions. During the 21-month follow-up, the rate of incident T3EL was 0.7% (n=205/26 422), which accounted for 5% of all endoleaks seen during follow-up. Reinterventions for incident T3EL at follow-up were done in 30 patients (rate 0.1%), which accounted for 9% of endoleak reinterventions and 3.3% of all reinterventions. The presence of incident T3EL found during follow-up was associated with a significant decrease in 5-year survival (74% vs 80%, respectively; p=0.041) in Kaplan-Meier analysis.ConclusionT3ELs rates at placement and follow-up remain low; however, the majority reported in long-term follow-up are incident and these incident endoleaks are associated with decreased survival in EVAR.

Crossover ilio-iliac bypass and removal of femoro-femoral graft as first treatment for the infection of crossover bypass in aortouniiliac endovascular aneurysm repair

Vascular ◽  
2012 ◽  
Vol 20 (6) ◽  
pp. 306-310 ◽  
Author(s):  
Stefano Bonardelli ◽  
Franco Nodari ◽  
Maurizio De Lucia ◽  
Edoardo Cervi ◽  
Stefano Maria Giulini
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Femoral Prosthesis ◽  
Autologous Tissue ◽  
Long Term Follow Up ◽  
Crossover Bypass ◽  
Aneurysm Repair ◽  
Femoral Graft

The crossover femoro-femoral bypass, classically used for the treatment of unilateral iliac arterial obstruction, has recently become an integral part of aortouniiliac endovascular aneurysm repair. We therefore, reconsider the therapeutic problems related to thrombosis and in particular to infection of the femoro-femoral prosthesis, when many attempts have been made to preserve the bypass and treat the infection. Showing a case treated and well eight months later, we put forward the old technique of crossover ilio-iliac bypass, followed by the removal of the infected femoro-femoral graft. In our opinion, this technique circumvents the need for autologous tissue and allows for the use of prosthetics in a new, sterile, uncontaminated field. As this approach for these cases has so far not been reported in the literature, further cases and long-term follow-up are needed.

scholarly journals RS09. Very Long-Term Follow-Up (12-15 Years) of the Dutch Randomized Endovascular Aneurysm Repair Management (DREAM) Trial

2016 ◽  
Vol 63 (6) ◽  
pp. 143S ◽  
Author(s):  
Ted G. van Schaik ◽  
Jorg de Bruin ◽  
Marc van Sambeek ◽  
Hence Verhagen ◽  
Monique Prinssen ◽  
...  
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Long Term Follow Up ◽  
Aneurysm Repair

Long-term Follow-up of Secondary Interventions After Endovascular Aneurysm Repair With the AneuRx Endoprosthesis: A Single-Center Experience

2010 ◽  
Vol 17 (3) ◽  
pp. 408-415 ◽  
Author(s):  
Guus W. van Lammeren ◽  
Bram Fioole ◽  
Evert J. Waasdorp ◽  
Frans L. Moll ◽  
Joost A. van Herwaarden ◽  
...  
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Single Center ◽  
Secondary Interventions ◽  
Single Center Experience ◽  
Long Term Follow Up ◽  
Aneurysm Repair

scholarly journals FT13. Neck Dilatation After Endovascular Aneurysm Repair Rarely Exceeds the Implanted Endograft on Long-Term Follow-Up

2016 ◽  
Vol 63 (6) ◽  
pp. 20S-21S
Author(s):  
Nelson Gomes Oliveira ◽  
Frederico Bastos Gonçalves ◽  
Marie Josee Van Rijn ◽  
Frans Moll ◽  
Sander Ten Raa ◽  
...  
Keyword(s):  
Endovascular Aneurysm Repair ◽  
Long Term Follow Up ◽  
Aneurysm Repair

Long-Term Follow-Up of Drug-Eluting Stents When Inserted for On- and Off-Label Indications

2007 ◽  
Vol 100 (11) ◽  
pp. 1619-1624 ◽  
Author(s):  
Asif Qasim ◽  
John Cosgrave ◽  
Azeem Latib ◽  
Antonio Colombo
Keyword(s):  
Drug Eluting Stents ◽  
Off Label ◽  
Long Term Follow Up ◽  
Drug Eluting

Onyx™ Cast Fragmentation After Embolization of Endoleaks

2021 ◽  
pp. 152660282110457
Author(s):  
Christopher Keegan ◽  
Symeon Lechareas ◽  
Francesco Torella ◽  
Tze Yuan Chan ◽  
Robert Fisher ◽  
...  
Keyword(s):  
Morphological Changes ◽  
Endovascular Aneurysm Repair ◽  
Outcome Data ◽  
Single Fracture ◽  
Electronic Patient Records ◽  
Primary Success ◽  
Aneurysm Growth ◽  
Aneurysm Repair

Purpose: Endoleaks are common following endovascular aneurysm repair (EVAR), and the liquid embolic material Onyx has been widely used in their treatment. We report our experience of long-term morphological changes of Onyx casts on surveillance imaging. Materials and Methods: We identified 10 patients over 10 years who underwent Onyx embolization in our institution. Morphological changes of Onyx casts were assessed on surveillance radiographs and computed tomography (CT) scans. Relevant outcome data and sequelae were obtained via electronic patient records. Results: Twelve procedures were performed on 10 cases, 9 for type 2, and 1 for a type 1a endoleak. Five cases showed evidence of Onyx fragmentation on follow-up imaging ranging from a single fracture to gross fragmentation with migration of fragments. Of these 5, 3 had achieved primary success but 2 went on to develop recurrence of endoleak. Onyx volume ranged from 4 to 46.5 ml (median 10.5 ml) per patient with larger volumes demonstrating the most marked fragmentation on follow-up. Follow-up ranged from 9 months to 8 years (median 2.25 years). Conclusion: To our knowledge, this is the first report of Onyx fragmentation after endoleak embolization. If long-term morphological stability of the Onyx cast is necessary to maintain aneurysm seal, then Onyx may not offer a permanent solution to some patients with post-EVAR endoleaks. Our study cannot ascertain whether the observed changes were the cause or the effect of ongoing aneurysm growth, persistent endoleak, and/or other forces acting on the solidified polymer, but it raises important questions on the use of Onyx in this setting.

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