Treatment of a False Visceral Aneurysm with the Symbiot Covered Stent

Progressive esophageal carcinoma can infiltrate the surrounding tissues with subsequent development of a fistula, most commonly between the esophagus and the respiratory tract. The endoscopic placement of covered self-expanding metallic stents (SEMS) is the treatment of choice for malignant esophageal fistulas and should be performed immediately, as a fistula formation represents a potential life-threatening complication. We report the case of a 64-year-old male diagnosed with esophageal carcinoma, who had a 20Fr surgical gastrostomy tube inserted before chemo- and radiotherapy and was referred to our department for complete dysphagia, cough after swallowing and fever. The attempt to insert a SEMS using the classic endoscopic procedure failed. Then, a fully covered stent was inserted, as the 0.035” guide wire was passed through stenosis retrogradely by using an Olympus Exera II GIF-N180 (4.9 mm in diameter endoscope) via surgical gastrostomy, with a good outcome for the patient. The retrograde approach via gastrostomy under endoscopic/fluoroscopic guidance with the placement of a fully covered SEMS proved to be the technique of choice, in a patient with malignant esophageal fistula in whom other methods of treatment were not feasible. Abbreviations: ERCP: endoscopic retrograde cholangio-pancreatography; GI: gastrointestinal; SEMS: self-expandable metallic stents.

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Covered stent graft for distal stent graft-induced new entry after frozen elephant trunk operation for aortic dissection

10.35841/cardiovascular-surgery.1.3.57-62 ◽

2018 ◽

Vol 01 (03) ◽

Cited By ~ 1

Author(s):

Ren Wang ◽

Guoxing Weng ◽

Lianjun Huang ◽

Zhiqun Chen ◽

Xiaoyong Huang ◽

...

Keyword(s):

Aortic Dissection ◽

Stent Graft ◽

Covered Stent ◽

Frozen Elephant Trunk ◽

Elephant Trunk ◽

Covered Stent Graft ◽

New Entry

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Is Atherothromboaspiration a Possible Solution for the Prevention of No-Reflow Phenomenon in Acute Coronary Syndromes? Single Centre Experience and Review of the Literature

Current Vascular Pharmacology ◽

10.2174/1570161116666180101150956 ◽

2019 ◽

Vol 17 (2) ◽

pp. 164-179

Author(s):

Antonis S. Manolis

Keyword(s):

Coronary Intervention ◽

Covered Stent ◽

Current Status ◽

Extensive Literature ◽

Review Of The Literature ◽

Single Centre ◽

Total N ◽

No Reflow ◽

Clinical Benefits ◽

Meta Analyses

Background: Intracoronary thrombus in acute Myocardial Infarction (MI) confers higher rates of no-reflow with attendant adverse consequences. Earlier Randomized-Controlled-Trials (RCTs) of routine thromboaspiration during Percutaneous Coronary Intervention (PCI) indicated a clinical benefit, but more recent RCTs were negative. However, data of selective use of this adjunctive approach remain scarce. Objective: The aim of this single-centre prospective study was to report the results of selective thromboaspiration during PCI in patients with intracoronary thrombi, and also to provide an extensive literature review on current status of thromboaspiration. Methods: The study included 90 patients (77 men; aged 59.3±12.7 years) presenting with acute MI (STElevation MI (STEMI) in 74, non-STEMI in 16) who had intracoronary thrombi and were submitted to thromboaspiration. Results: Total (n=67) or subtotal (n=18) vessel occlusions were present in 85 (94%) patients. Thromboaspiration and subsequent PCI were successful in 89/90 (98.9%) patients, with coronary stenting in 86 (96.6%). In 4 patients with residual thrombus, a mesh-covered stent was implanted. IIb/IIIa-inhibitors were administered in 57 (63.3%) patients. No-reflow occurred in only 1 (1.1%) patient. The postprocedural course was uneventful. Review of the literature revealed several early observational and RCTs and meta-analyses favouring manual, not mechanical, thrombectomy. However, newer RCTs and meta-analyses significantly curtailed the initial enthusiasm for the clinical benefits of routine use of thromboaspiration. Conclusion: Selective thromboaspiration for angiographically visible thrombi in MI patients undergoing PCI, as an adjunct to mechanical reperfusion and to IIb/IIIa-inhibitors, may be an option since this manoeuvre may improve procedural and clinical outcome.

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Endovascular-covered stent treatment of posttraumatic cervical carotid artery pseudoaneurysms

Australasian Radiology ◽

10.1111/j.1440-1673.2004.01302.x ◽

2004 ◽

Vol 48 (2) ◽

pp. 220-223 ◽

Cited By ~ 16

Author(s):

Tanveer ul Haq ◽

Jamal Yaqoob ◽

Khalid Munir ◽

Mohammad U Usman

Keyword(s):

Carotid Artery ◽

Covered Stent ◽

Stent Treatment

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Transbrachial and transfemoral approaches combined with visceral protection for the treatment of juxtarenal aortoiliac occlusive disease: Technical issues and clinical outcomes

Vascular ◽

10.1177/17085381211023229 ◽

2021 ◽

pp. 170853812110232

Author(s):

Peixian Gao ◽

Changliang Li ◽

Xuejun Wu ◽

Gang Li ◽

Dianning Dong ◽

...

Keyword(s):

Endovascular Treatment ◽

Bare Metal Stents ◽

Covered Stent ◽

Occlusive Disease ◽

Metal Stents ◽

Infrarenal Aorta ◽

Bare Metal ◽

Stent Grafts ◽

Aortoiliac Occlusive Disease

Purpose To evaluate the safety and efficacy of transbrachial and transfemoral approaches combined with visceral protection for the endovascular treatment of juxtarenal aortoiliac occlusive disease (AIOD) over an average 19-month follow-up period. Methods In this retrospective analysis, all patients with juxtarenal AIOD at a single institution were reviewed from June 2015 to January 2020. Patient characteristics, angiographic results, and follow-up outcomes were retrospectively recorded. The indications for treatment were critical limb threatening ischemia in 12 patients and bilateral claudication in five patients. Percutaneous access via the left brachial artery was first obtained to recanalize the infrarenal occluded lesions. After that, femoral accesses were achieved. A 4-Fr catheter, a 4 mm balloon, or a 6-Fr 90-cm-long sheath was used to complete visceral artery protection. Results A total of 17 juxtarenal AIOD patients (14 males; mean age, 63.4 ± 8.1 years) underwent endovascular treatment. The technical success rate was 100%. Complete reconstruction was achieved in 15 (88.2%) patients. The infrarenal aorta was reconstructed with kissing covered stent grafts ( n = 7), kissing bare-metal stents ( n = 2), covered stent grafts ( n = 2), bare-metal stents ( n = 1), or the off-label use of iliac limb stent grafts ( n = 5). Renal embolization was found in 3 (17.6%) patients during intraoperative angiography. There was 1 (5.9%) case of distal runoff embolization after CDT and 1 (5.9%) case of left iliac artery rupture. One (5.9%) death occurred due to acute myocardial infarction 20 days after the operation. The average follow-up period was 19.3 ± 16.7 months (range, 1–54 months) in the remaining 16 cases. The renal artery patency rate was 100%. The estimated cumulative primary patency rates were 92.3% at 12 months and 59.3% at 36 months according to the Kaplan–Meier method. Conclusions Transbrachial and transfemoral approaches combined with visceral protection offer a safe and effective alternative to open revascularization for the endovascular treatment of juxtarenal AIOD.

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Images in Vascular Medicine: Heart-shaped saphenous vein graft pseudoaneurysm: Endovascular repair with covered stent

Vascular Medicine ◽

10.1177/1358863x21995573 ◽

2021 ◽

pp. 1358863X2199557

Author(s):

Tsuyoshi Shibata ◽

Kiyofumi Morishita ◽

Masami Shingaki ◽

Kazunori Ishikawa ◽

Toru Mawatari ◽

...

Keyword(s):

Endovascular Repair ◽

Saphenous Vein ◽

Vein Graft ◽

Saphenous Vein Graft ◽

Covered Stent ◽

Vascular Medicine

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What have we learnt from the use of papyrus covered stent in France and Spain?

Catheterization and Cardiovascular Interventions ◽

10.1002/ccd.29469 ◽

2021 ◽

Author(s):

Alfonso Jurado‐Roman ◽

Ariana Gonzalvez ◽

Santiago Jimenez‐Valero ◽

Guillermo Galeote ◽

Raul Moreno ◽

...

Keyword(s):

Covered Stent

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Hybrid Repair of a Common Carotid Pseudoaneurysm and Concomitant Internal Carotid Stenosis With Retrograde Stenting and Carotid Endarterectomy

Vascular and Endovascular Surgery ◽

10.1177/1538574421992935 ◽

2021 ◽

pp. 153857442199293

Author(s):

Constantinos Zarmakoupis ◽

George Galyfos ◽

Grigorios Tsoukalos ◽

Panagiota Dalla ◽

Alexandra Triantafyllou ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Carotid Endarterectomy ◽

Common Carotid Artery ◽

Rare Case ◽

Internal Carotid ◽

Covered Stent ◽

Hybrid Technique ◽

Hybrid Repair ◽

Ica Stenosis

This report aims to present a rare case of a common carotid artery (CCA) pseudoaneurysm with a concomitant internal carotid artery (ICA) stenosis that were treated with a hybrid technique. This strategy included the retrograde placement of a CCA covered stent under ICA clamping followed by standardized carotid endarterectomy. The technique will be discussed and compared with other possible treatments.

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