Outcomes following endovascular reintervention for aortic interventions.

2021 ◽  
Author(s):  
Amit S. Kainth ◽  
Tej A. Sura ◽  
Michael S. Williams ◽  
Catherine Wittgen ◽  
Emad Zakhary ◽  
...  
Keyword(s):  
Aortic Interventions

scholarly journals PREVENTIVE MYOCARDIAL REVASCULARISATION BEFORE ABDOMINAL AORTIC INTERVENTIONS: LONG-TERM RESULTS

2013 ◽  
pp. 11-16 ◽  
Author(s):  
A. N. Sumin ◽  
E. V. Korok ◽  
S. D. Panfilov ◽  
D. O. Evdokimov ◽  
O. I. Raikh ◽  
...  
Keyword(s):  
Long Term Results ◽  
Abdominal Aortic ◽  
Myocardial Revascularisation ◽  
Aortic Interventions

scholarly journals RS08. Rate of Stroke Following Endovascular Aortic Interventions in the Society for Vascular Surgery Vascular Quality Initiative

2019 ◽  
Vol 69 (6) ◽  
pp. e107
Author(s):  
Nicholas J. Swerdlow ◽  
Patric Liang ◽  
Chun Li ◽  
Kirsten Dansey ◽  
Rens R. Varkevisser ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Aortic Interventions

Stroke rate after endovascular aortic interventions in the Society for Vascular Surgery Vascular Quality Initiative

2020 ◽  
Vol 72 (5) ◽  
pp. 1593-1601 ◽  
Author(s):  
Nicholas J. Swerdlow ◽  
Patric Liang ◽  
Chun Li ◽  
Kirsten Dansey ◽  
Thomas F.X. O'Donnell ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Stroke Rate ◽  
Aortic Interventions

Safety and Effectiveness of Percutaneous Axillary Artery Access for Complex Aortic Interventions

2019 ◽  
Vol 61 ◽  
pp. 326-333 ◽  
Author(s):  
Christopher J. Agrusa ◽  
Peter H. Connolly ◽  
Sharif H. Ellozy ◽  
Darren B. Schneider
Keyword(s):  
Axillary Artery ◽  
Aortic Interventions

scholarly journals Cerebrovascular Complications After Upper Extremity Access for Complex Aortic Interventions: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 43 (2) ◽  
pp. 186-195 ◽  
Author(s):  
Max M. Meertens ◽  
Charlotte C. Lemmens ◽  
Gustavo S. Oderich ◽  
Geert W. H. Schurink ◽  
Barend M. E. Mees
Keyword(s):  
Systematic Review ◽  
Endovascular Treatment ◽  
Upper Extremity ◽  
Meta Analysis ◽  
Aortic Aneurysms ◽  
Cochrane Library ◽  
Cerebrovascular Event ◽  
Cerebrovascular Complications ◽  
Increased Risk ◽  
Aortic Interventions

Abstract Purpose The purpose of this study was to review the risk of developing cerebrovascular complications from upper extremity access during endovascular treatment of complex aortic aneurysms. Methods A systematic review and meta-analysis were conducted according to the PRISMA guideline. An electronic search of the public domains Medline (PubMed), Embase (Ovid), Web of Science and Cochrane Library was performed to identify studies related to the treatment of aortic aneurysms involving upper extremity access. Meta-analysis was used to compare the rate of cerebrovascular event after left, right and bilateral upper extremity access. Results are presented as relative risk (RR) and 95% confidence intervals (CIs). Results Thirteen studies including 1276 patients with complex endovascular treatment of aortic aneurysms using upper extremity access were included in the systematic review. Left upper extremity access (UEA) was used in 1028 procedures, right access in 148 and bilateral access in 100 procedures. The rate of cerebrovascular complications for patients treated through left UEA was 1.7%, through right UEA 4% and through bilateral UEA 5%. In the meta-analysis, we included seven studies involving 645 patients treated with a left upper extremity access, 87 patients through a right and 100 patients through a bilateral upper extremity access. Patients, who underwent right-sided (RR 5.01, 95% CI 1.51–16.58, P = 0.008) or bilateral UEA (RR 4.57, 95% CI 1.23–17.04, P = 0.02), had a significantly increased risk of cerebrovascular events compared to those who had a left-sided approach. Conclusion Left upper extremity access is associated with a significantly lower rate of cerebrovascular complications as compared to right or bilateral upper extremity access.

scholarly journals Percutaneous femoral artery access with Prostar device for innovative mitral and aortic interventions

2011 ◽  
Vol 39 (4) ◽  
pp. 600-602 ◽  
Author(s):  
Mathieu Vergnat ◽  
Gérard Finet ◽  
Gilles Rioufol ◽  
Jean-François Obadia
Keyword(s):  
Femoral Artery ◽  
Aortic Interventions

scholarly journals High mortality rates after both open surgical and endovascular thoracic aortic interventions in patients with end-stage renal disease

2017 ◽  
Vol 66 (4) ◽  
pp. 991-996 ◽  
Author(s):  
Nathan L. Liang ◽  
Theodore H. Yuo ◽  
Georges E. Al-Khoury ◽  
Eric S. Hager ◽  
Michel S. Makaroun ◽  
...  
Keyword(s):  
Renal Disease ◽  
High Mortality ◽  
End Stage Renal Disease ◽  
Mortality Rates ◽  
Aortic Interventions ◽  
Stage Renal Disease ◽  
End Stage

Tips for Accurate Palmaz Stent Deployment

2018 ◽  
Author(s):  
S. Lowell Kahn
Keyword(s):  
Stainless Steel ◽  
Stent Deployment ◽  
Abdominal Aortic ◽  
Aortic Interventions ◽  
Thoracic And Abdominal ◽  
Delivery Sheath

The Palmaz XL stent (Cordis) is a stainless-steel stent designed to be manually mounted on a balloon. Cautious mounting is warranted to avoid potential mal-deployment of the stent. Several mounting techniques are utilized. This chapter delineates the following three mounting techniques to achieve an accurate deployment of the Palmaz stent: use of a second balloon during deployment, use of a long delivery balloon, and use of an asymmetrically mounted stent and long delivery sheath to prevent distal herniation of the Palmaz stent. All three techniques can be used with most Palmaz stent deployments. These techniques are useful for both thoracic and abdominal aortic interventions.

The frozen elephant trunk technique for aortic dissection is safe after previous aortic repair

2020 ◽  
Vol 59 (1) ◽  
pp. 130-136
Author(s):  
Tim Berger ◽  
Maximilian Kreibich ◽  
Felix Mueller ◽  
Bartosz Rylski ◽  
Stoyan Kondov ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Aortic Surgery ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Aortic Arch Replacement ◽  
Mortality And Morbidity ◽  
Aortic Repair ◽  
Aortic Replacement ◽  
Aortic Interventions

Abstract OBJECTIVES The goal of this study was to evaluate outcomes of aortic arch replacement using the frozen elephant trunk (FET) technique after previous proximal and/or distal open or endovascular thoracic aortic repair. METHODS Sixty-three patients [median age: 63 (55–74) years; 65% men] were operated on for acute or chronic aortic dissection after previous proximal and/or distal open or endovascular thoracic aortic repair. Intraoperative details, clinical outcome and follow-up results were evaluated. RESULTS The median time between the index and the FET procedure was 81 (40–113) months. Fifty-eight (92%) patients had already undergone proximal aortic surgery; supracoronary ascending aortic replacement was the most frequent index procedure [n = 25 (40%)]. Distal aortic interventions had been done in 8 (13%) patients including endovascular thoracic aortic repair in 6 patients (10%). In-hospital mortality was 3% (n = 2). Postoperative strokes occurred in 5 patients (8%); of those, 1 stroke was dissection-related (2%). Subsequent aortic reinterventions after the FET procedure had to be done in 33% (n = 21). CONCLUSIONS Outcomes of aortic arch replacement using the FET technique after previous proximal and/or distal open or endovascular thoracic aortic repair are associated with low mortality and morbidity. Still, postoperative stroke remains an issue. After the successful accomplishments, the approach serves as an ideal platform for the secondary surgical or endovascular downstream aortic procedures, which are frequently needed.

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