scholarly journals Results of endovascular aneurysm repair of infrarenal aorta and iliac arteries in patients with severe concomitant diseases

2018 ◽  
Vol 177 (5) ◽  
pp. 11-16
Author(s):  
P. A. Galkin ◽  
A. V. Svetliko
Keyword(s):  
High Risk ◽  
Endovascular Aneurysm Repair ◽  
Duplex Ultrasound ◽  
Aortic Aneurysms ◽  
Infrarenal Aorta ◽  
Term Care ◽  
Iliac Arteries ◽  
High Risk Patients ◽  
Risk Patients ◽  
Aneurysm Repair

The objectiveof this study was to assess the efficacy and safety of endovascular aneurysm repair (EVAR) of infrarenal aorta (IA) and iliac arteries (IA) with favorable and unfavorable anatomy in the group of high-risk patients after surgery and at follow-up examinations.Material and methods. The study is based on the results of the study of 95 patients with abdominal aortic aneurysms and iliac arteries aneurysms who underwent EVAR at Healthcare «Clinical Hospital № 122 named after L.G. Sokolov» for the period from March 2008 to December 2016. RESULTS. Results of EVAR of infrarenal aorta and iliac arteries in patients with severe concomitant diseases were analyzed. The interventions were successful in 100 % of cases.Сonclusions.The study has shown that EVAR is an effective and safe method of treatment for endovascular aneurysm repair of infrarenal aorta and iliac arteries in high-risk patients. Long-term care requires abdominal aorta and iliac artery examination with the use of duplex ultrasound angioscanning and multispiral computed tomoangiography to identify specific complications.

scholarly journals Late Graft Failure Is Rare After Endovascular Aneurysm Repair Using the Zenith Stent Graft: Fifteen-Year Outcomes in a Cohort of High-Risk Patients

2018 ◽  
Vol 68 (3) ◽  
pp. e33-e34
Author(s):  
Joel L. Ramirez ◽  
Melinda S. Schaller ◽  
Bian Wu ◽  
Linda M. Reilly ◽  
Timothy A.M. Chuter ◽  
...  
Keyword(s):  
High Risk ◽  
Stent Graft ◽  
Graft Failure ◽  
Endovascular Aneurysm Repair ◽  
High Risk Patients ◽  
Risk Patients ◽  
Aneurysm Repair

scholarly journals Late graft failure is rare after endovascular aneurysm repair using the Zenith stent graft in a cohort of high-risk patients

2019 ◽  
Vol 70 (5) ◽  
pp. 1456-1462 ◽  
Author(s):  
Joel L. Ramirez ◽  
Melinda S. Schaller ◽  
Bian Wu ◽  
Linda M. Reilly ◽  
Timothy A.M. Chuter ◽  
...  
Keyword(s):  
High Risk ◽  
Stent Graft ◽  
Graft Failure ◽  
Endovascular Aneurysm Repair ◽  
High Risk Patients ◽  
Risk Patients ◽  
Aneurysm Repair

Aortomonoiliac Endovascular Grafting: Difficult Solutions to Difficult Aneurysms

1997 ◽  
Vol 4 (2) ◽  
pp. 174-181 ◽  
Author(s):  
Matthew M. Thompson ◽  
Robert D. Sayers ◽  
Ahktar Nasim ◽  
Jonathan R. Boyle ◽  
Guy Fishwick ◽  
...  
Keyword(s):  
Late Complication ◽  
Graft Infection ◽  
Endovascular Aneurysm Repair ◽  
Aortic Aneurysms ◽  
Infrarenal Aorta ◽  
Iliac Arteries ◽  
Abdominal Aortic ◽  
Femoral Vessels ◽  
Aneurysm Repair

Purpose: To describe a refined technique for aortomonoiliac endograft exclusion of abdominal aortic aneurysms (AAAs). Methods: A tapered aortomonoiliac graft was prepared from an 8-mm thin-walled expanded polytetrafluoroethylene tube graft predilated proximally to 35 mm and tapered distally to 15 mm. The proximal graft was sutured to a 5-cm-long, predilated Palmaz stent, which was mounted on a 30-mm balloon and backloaded into a 21F packaging sheath. With the patient under general anesthesia and both common femoral arteries exposed, the endograft was anchored in the infrarenal aorta and subsequently passed into one iliac system, where it was anastomosed to the iliac or femoral vessels. The contralateral common iliac artery was occluded, and an extra-anatomic, femorofemoral, or iliofemoral bypass grafting was performed. Results: Twenty of the 25 AAAs treated to date with this technique have been successful, with aneurysm exclusion achieved in 18 (2 minor distal endoleaks are scheduled for endovascular repair). The technical failures were analyzed, resulting in enhancements to the technique. Complications included 2 early (< 30 days) deaths, 1 case of minor embolization, 1 transient renal failure, 1 pulmonary embolus, and 1 wound infection. The only late complication was a graft infection localized to the groin. Conclusions: Aortomonoiliac endovascular aneurysm repair is effective in patients with AAAs involving the iliac arteries. Short-term results are acceptable, but long-term efficacy must be addressed before this procedure is widely adopted. Technical changes made in response to early learning curve problems have led to a safer, more reliable procedure.

scholarly journals Endovascular aneurysm repair in high-risk patients

2000 ◽  
Vol 31 (1) ◽  
pp. 122-133 ◽  
Author(s):  
Timothy A.M. Chuter ◽  
Linda M. Reilly ◽  
Rishad M. Faruqi ◽  
Robert B. Kerlan ◽  
Rajiv Sawhney ◽  
...  
Keyword(s):  
High Risk ◽  
Endovascular Aneurysm Repair ◽  
High Risk Patients ◽  
Risk Patients ◽  
Aneurysm Repair

scholarly journals Type II endoleak prevention with coil embolization during endovascular aneurysm repair in high-risk patients

2015 ◽  
Vol 62 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Dominique Fabre ◽  
Elie Fadel ◽  
Philippe Brenot ◽  
Sarah Hamdi ◽  
Abel Gomez Caro ◽  
...  
Keyword(s):  
High Risk ◽  
Coil Embolization ◽  
Endovascular Aneurysm Repair ◽  
Type Ii ◽  
Type Ii Endoleak ◽  
High Risk Patients ◽  
Risk Patients ◽  
Aneurysm Repair
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