Alterations of blood flow pattern after triple stent endovascular treatment of saccular abdominal aortic aneurysm: a porcine model.

ABSTRACT Objective: to determine the blood flow pattern changes after endovascular treatment of saccular abdominal aortic aneurysm with triple stent. Methods: we conducted a hemodynamic study of seven Landrace and Large White pigs with saccular aneurysms of the infrarenal abdominal aorta artificially produced according to the technique described. The animals were subjected to triple stenting for endovascular aneurysm. We evaluated the pattern of blood flow by duplex scan before and after stent implantation. We used the non-paired Mann-Whitney test for statistical analysis. Results: there was a significant decrease in the average systolic velocity, from 127.4cm/s in the pre-stent period to 69.81cm/s in the post-stent phase. There was also change in the flow pattern from turbulent in the aneurysmal sac to laminate intra-stent. Conclusion: there were changes in the blood flow pattern of saccular abdominal aortic aneurysm after endovascular treatment with triple stent.

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Abdominal aortic aneurysm and renal artery stenosis: renal function and blood pressure before and after endovascular treatment

Journal of Human Hypertension ◽

10.1038/sj.jhh.1001367 ◽

2002 ◽

Vol 16 (5) ◽

pp. 367-369 ◽

Cited By ~ 3

Author(s):

B Agroyannis ◽

A Chatziioannou ◽

D Mourikis ◽

N Patsakis ◽

K Katsenis ◽

...

Keyword(s):

Blood Pressure ◽

Renal Function ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Renal Artery ◽

Endovascular Treatment ◽

Renal Artery Stenosis ◽

Artery Stenosis ◽

Abdominal Aortic ◽

Before And After

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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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Gender differences in abdominal aortic aneurysm therapy – a systematic review

VASA ◽

10.1024/0301-1526/a000703 ◽

2018 ◽

Vol 47 (4) ◽

pp. 267-272 ◽

Cited By ~ 9

Author(s):

Konstanze Stoberock ◽

Tilo Kölbel ◽

Gülsen Atlihan ◽

Eike Sebastian Debus ◽

Nikolaos Tsilimparis ◽

...

Keyword(s):

Gender Differences ◽

Abdominal Aortic Aneurysm ◽

Survival Rate ◽

Aortic Aneurysm ◽

Endovascular Treatment ◽

Aortic Aneurysms ◽

Lower Survival Rate ◽

Lower Survival ◽

Abdominal Aortic ◽

Risk Of Rupture

Abstract. This article analyses if and to what extent gender differences exist in abdominal aortic aneurysm (AAA) therapy. For this purpose Medline (PubMed) was searched from January 1999 to January 2018. Keywords were: “abdominal aortic aneurysm”, “gender”, “prevalence”, “EVAR”, and “open surgery of abdominal aortic aneurysm”. Regardless of open or endovascular treatment of abdominal aortic aneurysms, women have a higher rate of complications and longer hospitalizations compared to men. The majority of studies showed that women have a lower survival rate for surgical and endovascular treatment of abdominal aneurysms after both elective and emergency interventions. Women receive less surgical/interventional and protective medical treatment. Women seem to have a higher risk of rupture, a lower survival rate in AAA, and a higher rate of complications, regardless of endovascular or open treatment. The gender differences may be due to a higher age of women at diagnosis and therapy associated with higher comorbidity, but also because of genetic, hormonal, anatomical, biological, and socio-cultural differences. Strategies for treatment in female patients must be further defined to optimize outcome.

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Emergency endovascular treatment for ruptured abdominal aortic aneurysm and the risk of spinal cord ischemia

Journal of Vascular Surgery ◽

10.1016/j.jvs.2005.06.023 ◽

2005 ◽

Vol 42 (4) ◽

pp. 608-614 ◽

Cited By ~ 52

Author(s):

Noud Peppelenbosch ◽

Philippe W.M. Cuypers ◽

Anco C. Vahl ◽

Frank Vermassen ◽

Jacob Buth

Keyword(s):

Spinal Cord ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Treatment ◽

Spinal Cord Ischemia ◽

Ruptured Abdominal Aortic Aneurysm ◽

Abdominal Aortic

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Endovascular treatment of abdominal aortic aneurysm

British Journal of Surgery ◽

10.1002/bjs.4611 ◽

2004 ◽

Vol 91 (7) ◽

pp. 815-827 ◽

Cited By ~ 20

Author(s):

T. J. Gorham ◽

J. Taylor ◽

S. Raptis

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Treatment ◽

Abdominal Aortic

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Morphologic Suitability for Endovascular Treatment in Ruptured Abdominal Aortic Aneurysm in a Single Academic Center

Journal of Vascular Surgery ◽

10.1016/j.jvs.2015.08.024 ◽

2015 ◽

Vol 62 (5) ◽

pp. 1376-1377

Author(s):

André Poirier ◽

Stéphane Elkouri ◽

Claude Kauffmann ◽

Éric Thérasse ◽

Jean-François Blair ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Treatment ◽

Ruptured Abdominal Aortic Aneurysm ◽

Academic Center ◽

Abdominal Aortic

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Emergency endovascular treatment of a ruptured internal iliac artery aneurysm long after abdominal aortic aneurysm surgical repair

VASA ◽

10.1024/0301-1526.38.1.91 ◽

2009 ◽

Vol 38 (1) ◽

pp. 91-93 ◽

Cited By ~ 4

Author(s):

Borioni ◽

De Luca ◽

Maspes ◽

Sciuto ◽

Garofalo

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Treatment ◽

Iliac Artery ◽

Surgical Repair ◽

Internal Iliac Artery ◽

Artery Aneurysm ◽

Emergency Setting ◽

Abdominal Aortic ◽

Internal Iliac

The purpose of this report is to describe the endovascular exclusion of an internal iliac artery (IIA) aneurysm in emergency setting, long after abdominal aortic aneurysm surgical repair. An 85-year-old male presented with a contained rupture of a huge IIA aneurysm, ten years after aortoiliac bifurcated grafting. Because of poor clinical conditions an emergency endovascular treatment was planned. A stent-graft was positioned from the proximal right branch of the bifurcated surgical prosthesis to the distal external iliac artery, covering the hypogastric aneurysm neck. One month after the procedure, CT scan demonstrated the complete exclusion of the aneurysm. Endovascular treatment of IIA aneurysms is an excellent option to reduce perioperative morbidity and mortality in high risk patients, particularly in an emergency setting.

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