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.

Regression of a Descending Thoracoabdominal Aortic Dissection following Staged Deployment of Thoracic and Abdominal Aortic Endografts

2002 ◽  
Vol 9 (2_suppl) ◽  
pp. II-92-II-97 ◽  
Author(s):  
Rodney A. White ◽  
Carlos Donayre ◽  
Irwin Walot ◽  
James Lee ◽  
George E. Kopchok
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
False Lumen ◽  
Acute Chest Pain ◽  
Aortic Aneurysms ◽  
Abdominal Aneurysm ◽  
Entry Site ◽  
Abdominal Aortic ◽  
Thoracic And Abdominal ◽  
Thoracic Stent Graft

Purpose: To describe the successful endovascular repair and regression of an extensive descending thoracoabdominal aortic dissection associated with thoracic and abdominal aortic aneurysms. Case Report: An 83-year-old man presented with acute chest pain and shortness of breath. A descending thoracoabdominal aortic dissection that extended from near the left subclavian artery (LSA) to the right common iliac artery was found on computed tomography. Separate aneurysms in the thoracic and abdominal aorta were also identified. Staged endovascular procedures were undertaken to (1) close the single entry site and exclude the aneurysm in the thoracic aorta with an AneuRx thoracic stent-graft, (2) exclude the abdominal aneurysm and distal re-entry site with a bifurcated AneuRx endograft, and (3) treat a newly dilated thoracic segment between the LSA and first thoracic stent-graft. At 1 year, the false lumen had completely disappeared, the thoracic aneurysm had collapsed onto the endograft, and the abdominal aneurysm had shrunk by 30%. Conclusions: The potential to treat extensive aortic dissections with the hope that they might regress is promising, but repair of highly complex lesions involving one or more aneurysms in addition to the dissection requires meticulous imaging studies both preoperatively and intraprocedurally.

A Combination of Thoracic and Abdominal Stent-Grafts to Treat An Abdominal Aortic Aneurysm with Hostile Proximal Neck

2017 ◽  
Vol 39 ◽  
pp. 292.e5-292.e8 ◽  
Author(s):  
Mafalda Massara ◽  
Roberto Prunella ◽  
Pasquale Gerardi ◽  
Giovanni De Caridi ◽  
Raffaele Serra ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Grafts ◽  
Proximal Neck ◽  
Abdominal Aortic ◽  
Thoracic And Abdominal

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

Abstract 486: The Effects of Weekend Admission on the Outcomes and Management of Ruptured Aortic Aneurysms

2014 ◽  
Vol 34 (suppl_1) ◽  
Author(s):  
Elliott M Groves ◽  
Mahdi Khoshchehreh ◽  
Christine Le ◽  
Shaista Malik
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Surgical Intervention ◽  
Surgical Care ◽  
Aortic Aneurysms ◽  
High Rate ◽  
Ruptured Aortic Aneurysm ◽  
Primary Endpoints ◽  
Abdominal Aortic ◽  
Thoracic And Abdominal

The Effects of Weekend Admission on the Outcomes and Management of Ruptured Aortic Aneurysms Objective: Ruptured aortic aneurysm is a condition with a high rate of mortality that requires prompt surgical intervention. It has been noted that in some conditions requiting such prompt intervention, in-hospital mortality is increased in patients admitted on the weekends as compared to patients admitted on weekdays. We sought to determine if this was indeed the case for both ruptured thoracic and abdominal aortic aneurysm and elucidate the possible reasons. Methods: Using the Nationwide Inpatient Sample (NIS), a publicly available database of inpatient care, we analyzed the incidence of mortality among patients admitted on the weekends compared to weekdays for ruptured aortic aneurysm. Ultimately the care of over 7,000 patients was analyzed for the primary endpoints. We adjusted for demographics, comorbid conditions, hospital characteristics, rates of surgical intervention, timing of surgical intervention and use of additional therapeutic measures. Results: Patients admitted on the weekend for both ruptured thoracic and abdominal aortic aneurysm had a statistically significant increase in mortality as compared to those admitted on the weekdays (OR 2.55 for Thoracic and 1.32 for Abdominal). By our analysis this is likely due to a delay in surgical care on the weekends. Conclusions: Weekend admission for ruptured aortic aneurysm is associated with an increased mortality when compared to those admitted on the weekend and this is likely due to several factors with the most predominant being a delay in surgical intervention.

Secondary Infections of Thoracic and Abdominal Aortic Endografts

2009 ◽  
Vol 20 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Kamaldeep S. Heyer ◽  
Parth Modi ◽  
Mark D. Morasch ◽  
Jon S. Matsumura ◽  
Melina R. Kibbe ◽  
...  
Keyword(s):  
Secondary Infections ◽  
Abdominal Aortic ◽  
Thoracic And Abdominal
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