scholarly journals Total Abdominal Aortic Stent Graft Occlusion

Author(s):  
Paulo Eduardo Ocke Reis ◽  
Marcello Rotolo ◽  
Alessandra Viz Veiga ◽  
Jean Moura Netto ◽  
Vitor Nascimento Maia ◽  
...  
2014 ◽  
Vol 21 (2) ◽  
pp. 333-338 ◽  
Author(s):  
Efstratios Georgakarakos ◽  
George Trellopoulos ◽  
Chris V. Ioannou ◽  
Dimitrios Tsetis

2006 ◽  
Vol 20 (6) ◽  
pp. 736-738 ◽  
Author(s):  
Yann De Bast ◽  
Etienne Creemers

2001 ◽  
Vol 11 (11) ◽  
pp. 2252-2257 ◽  
Author(s):  
Roland Dorffner ◽  
Maria Schoder ◽  
Gerhard Mostbeck ◽  
Thomas Hölzenbein ◽  
Siegfried Thurnher ◽  
...  

2003 ◽  
Vol 10 (3) ◽  
pp. 463-475 ◽  
Author(s):  
David P. Slovut ◽  
Lewis C. Ofstein ◽  
J. Michael Bacharach

Purpose: To examine the effectiveness of intravascular ultrasound (IVUS) and digital subtraction angiography (DSA) for preoperative planning and intraoperative deployment of stent-grafts to treat abdominal aortic aneurysms. Methods: One hundred seventy patients (143 men; mean age 73.6±7.2 years, range 51–89) underwent successful DSA and IVUS to determine suitability for stent-graft repair. Patients subsequently received the AneuRx (n=157) or Ancure (n=13) device; intraprocedural IVUS was used to survey the proximal endograft for proper apposition to the aortic wall. Results: Reliable preoperative IVUS measurements were obtained in all patients. Plaque morphology was assessed in 140 (82.3%) aortic necks; in 36 (25.7%), preoperative IVUS showed high-grade atherosclerotic plaque in the nonaneurysmal abdominal aortic neck. The procedure was successful in 168 (98.8%) cases (1 [0.6%] acute conversion and 1 access failure). There were 2 (1.2%) periprocedural deaths related to bowel ischemia. Four (2.3%) patients developed graft occlusion/kinking and 2 (1.2%) developed renal failure requiring dialysis within 30 days. Multivariate logistic regression analysis revealed that female gender (p=0.0247), a short nonaneurysmal aortic neck (p=0.0185), and presence of high-grade atherosclerotic plaque (p=0.0185) correlated with major acute complications. Over a mean 10.4-month follow-up (range 1–25), 11 patients died of unrelated causes; there was no known AAA rupture or device failure. The Kaplan-Meier estimate of survival at 1 year was 91.0%±2.8%. Sixteen (9.4%) patients underwent 17 secondary procedures for endoleak or graft limb occlusion at a mean 5.4 months after stent-graft repair (freedom from secondary intervention at 1 year 86.5%±3.2%). Conclusions: Our findings suggest that IVUS may identify patients at increased risk of major adverse complications following endovascular repair. The combination of IVUS and DSA for endoluminal stent-graft planning and placement provides excellent short- and mid-term patient outcomes.


Perfusion ◽  
2016 ◽  
Vol 31 (6) ◽  
pp. 521-524
Author(s):  
Ersan Tatli ◽  
Alptug Tokatli ◽  
M Bulent Vatan ◽  
Murat Aksoy ◽  
Yusuf Can ◽  
...  

2007 ◽  
Vol 54 (3) ◽  
pp. 141-148
Author(s):  
H. Hyodoh

The stent-graft is a device constructed from a stent and vascular graft and is inserted by means of an interventional procedure under imaging guidance. In 1986, Balko et al.1 reported the first stentgraft experiment, in which a Z stent covered with polyurethane was inserted into an animal aorta. In the early 1990s, Parodi et al.2 reported clinical introduction of the stent-graft for abdominal aortic aneurysm. In comparison to the abdominal aortic stent-graft, the thoracic stent-graft has several disadvantages, including difficulties associated with the aortic arch curvature and the relatively large caliber of the stent-graft, and the risk of central nervous system or spinal complication. However, the thoracic stentgraft is advantageous because of minimal procedural invasiveness in comparison to surgical graft replacement. In 1994, Dake et al.3 reported transluminal placement of an endovascular stent-graft for thoracic aortic aneurysm, and Kato et al.4 reported use of a stent-graft for aortic dissection and suggested that the stent-graft could be considered an alternative to surgical treatment.


2007 ◽  
Vol 36 (4) ◽  
pp. 198-201
Author(s):  
Keiji Ataka ◽  
Masahiro Sakata ◽  
Takashi Munezane ◽  
Kazuhiko Iwahashi

Author(s):  
S. De Bock ◽  
F. Iannaccone ◽  
M. De Beule ◽  
F. Vermassen ◽  
P. Segers ◽  
...  

An abdominal aortic aneurysm (AAA) of the aorta is a local widening of the aorta in a region between the renal arteries and the aortic bifurcation. The disease impacts the structural integrity of the AAA wall, weakening the tissue and predisposing it to rupture. Preventive treatment of the disease is often performed minimally invasive with endovascular repair by stent graft deployment, as an alternative to open surgical repair. During endovascular aneurysm repair, a metallic stent, covered with a polymer membrane is first crimped and mounted onto the delivery system and inserted through the iliac artery. It is advanced to the AAA region, and expanded to cover the weakened, ballooning aorta. The technique has excellent clinical outcome, yet it is still associated with long term problems such as migration, a downward displacement of the device, and endoleakage, with blood reentering and pressurizing the aneurismal sack.


1999 ◽  
Vol 9 (9) ◽  
pp. 1775-1780 ◽  
Author(s):  
P. R. Hilfiker ◽  
H. H. Quick ◽  
T. Pfammatter ◽  
M. Schmidt ◽  
J. F. Debatin

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