Endovascular Repair of Axillary Artery Transection with a Stent Graft following Blunt Trauma

2019 ◽  
Vol 3 ◽  
pp. 5
Author(s):  
Rami Sartawi ◽  
Shadi Abu-Halimah ◽  
Sultan Abdelhamid ◽  
Ahmad Yanis
Keyword(s):  
High Risk ◽  
Endovascular Treatment ◽  
Blunt Trauma ◽  
Treatment Option ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Surgical Repair ◽  
Axillary Artery

Transection injuries of the axillary artery are rare and typically involve surgical repair. This case describes an emergent endovascular treatment option, using a stent graft, in a patient that was deemed as high risk for open surgery.

Endovascular Repair of a Tracheoinnominate Fistula with a Stent Graft

Vascular ◽  
2008 ◽  
Vol 16 (5) ◽  
pp. 287-290 ◽  
Author(s):  
Marcelo Guimaraes ◽  
Claudio Schönholz ◽  
Travis Phifer ◽  
Horacio D'Agostino
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Surgical Repair ◽  
Bleeding Episode ◽  
Rare Complication ◽  
Massive Bleeding ◽  
Feasible Alternative ◽  
Endovascular Approach ◽  
A Minor

Massive bleeding from a tracheostomy developed in a 65-year-old woman with stroke after successful conservative management of a minor tracheostomy bleeding episode. Temporary hemostasis was achieved, and angiography showed a tracheoinnominate fistula (TIF), a rare complication of tracheostomy. Open surgery was contraindicated in this patient, so endovascular repair using a stent graft was performed. Permanent hemostasis was obtained, and there were no immediate complications from the procedure. The patient never recovered from her stroke and died 2 weeks later. The endovascular approach may be a feasible alternative to surgical repair of TIF, especially in patients unable to tolerate an open procedure.

scholarly journals Endovascular strategies for post-dissection aortic aneurysm (PDAA)

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Zhaoxiang Zeng ◽  
Yuxi Zhao ◽  
Mingwei Wu ◽  
Xianhao Bao ◽  
Tao Li ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Primary Repair ◽  
False Lumen ◽  
Term Survival ◽  
Mortality And Morbidity ◽  
First Choice ◽  
Minimal Invasion

Abstract Residual patent false lumen (FL) after type B aortic dissection (TBAD) repair is independently associated with poor long-term survival. Open surgery and endovascular repair result in good clinical outcomes in patients with AD. However, both treatments focus on proximal dissection but not distal dissection. About 13.4–62.5% of these patients present with different degrees of distal aneurysmal dilatation after primary repair. Although open surgery is the first-choice treatment for post-dissection aortic aneurysm (PDAA), there is a need for high technical demand since open surgery is associated with high mortality and morbidity. As a treatment strategy with minimal invasion, endovascular repair shows early benefits and low morbidity. For PDAA, the narrow true lumen (TL), rigid initial flap and branch arteries originating from FL have increased difficulties in operation. The aim of endovascular treatment is to promote FL thrombosis and aortic remodeling. Endovascular repair includes intervention from FL and TL sides. TL intervention techniques (parallel stent-graft, branched and fenestrated stent-graft among others) have been proven to be safe and effective in PDAA. Other FL intervention techniques that have been used in selected patients include FL embolization and candy-plug techniques. This article introduces available endovascular techniques and their outcomes for the treatment of PDAA.

Primary Endovascular Repair of the Ascending Aorta

2018 ◽  
Vol 13 (6) ◽  
pp. 448-450
Author(s):  
Bruno Borrello ◽  
Davide Carino ◽  
Andrea Agostinelli ◽  
Alessandro Maria Budillon ◽  
Francesco Nicolini
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Case Series ◽  
Ascending Aorta ◽  
Off Label

Different case series have been published demonstrating the feasibility of endovascular repair of the ascending aorta in selected patients deemed unfit for open surgery. However, the use of commercially available stent graft in the ascending aorta remains off-label, and their excessive length often prevents their deployment in the ascending aorta. Here we report a case of successful primary endovascular repair of the ascending aorta using a physician modified off-the-shelf device.

scholarly journals A ruptured penetrating atherosclerotic ulcer of the ascending aorta: a case report of an endovascular repair with extending the length of the aortic coverage by debranching the innominate artery

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Josephine Chenesseau ◽  
Pierre-Antoine Barral ◽  
Philippe Piquet ◽  
Marine Gaudry
Keyword(s):  
Cardiac Surgery ◽  
High Risk ◽  
Endovascular Treatment ◽  
Endovascular Repair ◽  
Innominate Artery ◽  
Ascending Aorta ◽  
Stent Grafts ◽  
Penetrating Atherosclerotic Ulcer ◽  
High Risk Patients ◽  
Risk Patients

Abstract Background An endovascular approach to the management of a ruptured plaque in the ascending aorta may be an alternative to open surgery in high-risk patients. This option may become inevitable due to the number of elderly patients unfit for open cardiac surgery. There are very few stent grafts able to fit the ascending aorta and in emergency cases, most medical teams have been limited to current thoracic aortic endografts, the shortest of which measure 10 cm. Case summary We report a case of an endovascular repair of a ruptured penetrating atherosclerotic ulcer of the ascending aorta. The patient was considered for open cardiac surgery but was evaluated at a high mortality risk based on his age, his medical history, and significant calcifications on his aorta. Our vascular surgical team decided then to perform an endovascular repair with extending the length of the aortic coverage by debranching the innominate artery. Discussion Endovascular treatment of an acute ruptured aorta is feasible in high-risk patients with thoracic endovascular stent grafts and coverage of the innominate artery. Endovascular treatment of the ascending aorta is at its infancy and in need of further research. New stent grafts designed for the ascending aorta are in progress and should increase the numbers of interventions in the years to come.

scholarly journals Alternative Techniques for Treatment of Thoracic Aneurysms without Ideal Anatomy

2021 ◽  
Author(s):  
Jorge Armando Martinez ◽  
Enrique Ortiz Herrasti ◽  
Raúl Alberto Bacelis ◽  
Pedro Manuel Córdova ◽  
Ingrid Estrella Diaz
Keyword(s):  
High Risk ◽  
Thoracic Aorta ◽  
Endovascular Repair ◽  
Surgical Procedure ◽  
Open Surgery ◽  
Hybrid Procedures ◽  
Complex Anatomy ◽  
Risk Patients ◽  
Alternative Techniques ◽  
Thoracic Aneurysms

The combination of open surgery and thoracic endovascular repair [TEVAR] are considered hybrid procedures, they are used today to solve the different pathologies of the thoracic aorta, these procedures are presented as a therapeutic alternative for those patients who are not candidates for a procedure conventional surgical procedure, either because they are considered “high risk” patients, due to their pathological history, or in those patients who present a complex anatomy that makes it difficult to complete the repair with endovascular therapies in its entirety. To familiarize ourselves with these therapies, we consider it important to classify them by anatomical segments according to the Ishimaru classification to facilitate their understanding.

Emergent Axillary Artery Stent-Graft Placement for Massive Hemorrhage from an Avulsed Subscapular Artery

2002 ◽  
Vol 9 (1) ◽  
pp. 129-133 ◽  
Author(s):  
Hans-Peter Dinkel ◽  
Friedrich S. Eckstein ◽  
Jürgen Triller ◽  
Dai-Do Do
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Axillary Artery ◽  
Clinical Signs ◽  
Covered Stent ◽  
Massive Hemorrhage ◽  
Recurrent Bleeding ◽  
Arterial Bleeding ◽  
Covered Stent Graft ◽  
The Right

Purpose: To report the successful endovascular repair of an acute axillary artery hemorrhage. Case Report: An 87-year-old woman with Charcot-Marie-Tooth ataxia presented with an enormous shoulder hematoma and clinical signs of exsanguination after a fall. Angiography demonstrated complete avulsion of the right subscapular artery from the axillary artery, and active bleeding into a hematoma of at least 1500 mL. Endovascular repair with a balloon-mounted covered stent-graft was performed percutaneously, which controlled the bleeding and averted surgery. The patient recovered uneventfully and was without signs of recurrent bleeding or ischemia on the 6-month ultrasound examination; she reports no symptoms referable to her upper extremity after 14 months. Conclusions: Endovascular repair with stent-grafts is effective in controlling arterial bleeding from supra-aortic vessels even under emergency conditions.

Stent-Graft Repair of a Recurrent Popliteal Arteriovenous Fistula

2002 ◽  
Vol 9 (3) ◽  
pp. 375-378 ◽  
Author(s):  
Ignace F.J. Tielliu ◽  
Eric L.G. Verhoeven ◽  
Ted R. Prins ◽  
Marc van Det ◽  
Jan J.A.M. van den Dungen
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Treatment Option ◽  
Stent Graft ◽  
Popliteal Artery ◽  
Venous Hypertension ◽  
Surgical Reconstruction ◽  
Arthroscopic Meniscectomy ◽  
Stent Graft Repair

Purpose: To describe the successful endovascular treatment of a popliteal arteriovenous fistula with a stent-graft. Case Report: A 54-year-old man was referred to our hospital with a distal popliteal arteriovenous fistula following an arthroscopic meniscectomy 6 years earlier. Three surgical attempts to close the fistula were undertaken, but the fistula recurred. He now presented with symptoms of progressive venous hypertension with claudication, swelling of the leg, and ulceration at the ankle. The fistula was closed with a stent-graft deployed percutaneously. At 18 months, the patient is doing well; duplex evaluation has documented the patency of the popliteal artery and the stent-graft. Conclusions: Endovascular treatment of a popliteal arteriovenous fistula is an alternative to open surgical reconstruction. In this situation, after multiple failed surgical closures and in a leg with extensive venous hypertension, it may be the best treatment option.

Endovascular Repair Reduces Early and Late Morbidity Compared to Open Surgery for Abdominal Aortic Aneurysm

2002 ◽  
Vol 9 (6) ◽  
pp. 711-718 ◽  
Author(s):  
Frank R. Arko ◽  
Bradley B. Hill ◽  
Cornelius Olcott ◽  
E. John Harris ◽  
Thomas J. Fogarty ◽  
...  
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Open Surgery ◽  
Group Versus ◽  
Aortic Aneurysms ◽  
Open Group ◽  
Systemic Complications ◽  
Abdominal Aortic ◽  
Late Morbidity ◽  
Secondary Procedures

Purpose: To compare systemic complications between standard surgery and endovascular repair of abdominal aortic aneurysms (AAA) for both primary and late secondary procedures. Methods: At a single center between July 1993 and May 2000, 297 patients (255 men; mean age 73.4 ± 8.1 years, range 50–93) were treated with open surgical repair; beginning in 1996, 200 (166 men; mean age 73.6 ± 8.0 years, range 45–96) patients were treated with the AneuRx stent-graft. In a comparison of the cohorts, which were similar in terms of age, gender, and aneurysm diameter, the main outcomes were early major systemic morbidity following the primary procedure to treat the aneurysm and late (>30 days) organ system morbidity for any secondary procedures. Results: Mean length of follow-up for open patients was 20.1 ± 17.1 months (range 1–150) compared to 12.4 ± 9.6 months (range 1–60) after endovascular repair (p<0.05). There were 36 (12.1%) systemic complications after the primary open surgery and 15 (7.5%) after endovascular repair (p=NS). There were 43 (14.5%) combined primary and secondary morbidities in the open surgery group versus 15 (7.5%) for patients undergoing endovascular repair (p<0.01). The need for invasive procedures to treat these primary and secondary systemic complications was 4 times greater in the open group (17, 5.7%) than in endograft patients (3, 1.5%) (p<0.05). After secondary procedures (32 in the open group and 30 in the endovascular patients) for graft-related complications, there were 7 (21.9%) adverse events in the open group versus none (0%) for endograft patients (p<0.01). Hospital lengths of stay following both primary and secondary procedures were lower for the endograft patients (p<0.01 and p<0.001, respectively). Conclusions: Endovascular stent-graft repair compared to open surgery has reduced the early and late morbidity by half. Complications that require invasive or secondary surgical procedures and hospitalization are reduced with endovascular repair.

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