scholarly journals Evaluation of Stent Graft First-Line Surgical Strategy for a Ruptured Abdominal Aneurysm

2021 ◽  
Vol 50 (6) ◽  
pp. 357-362
Author(s):  
Jun Hayashi ◽  
Yoshinori Kuroda ◽  
Eiich Ohba ◽  
Masahiro Mizumoto ◽  
Atsushi Yamashita ◽  
...  
Keyword(s):  
Stent Graft ◽  
Surgical Strategy ◽  
First Line ◽  
Abdominal Aneurysm

Regression of a Descending Thoracoabdominal Aortic Dissection following Staged Deployment of Thoracic and Abdominal Aortic Endografts

2002 ◽  
Vol 9 (2_suppl) ◽  
pp. II-92-II-97 ◽  
Author(s):  
Rodney A. White ◽  
Carlos Donayre ◽  
Irwin Walot ◽  
James Lee ◽  
George E. Kopchok
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
False Lumen ◽  
Acute Chest Pain ◽  
Aortic Aneurysms ◽  
Abdominal Aneurysm ◽  
Entry Site ◽  
Abdominal Aortic ◽  
Thoracic And Abdominal ◽  
Thoracic Stent Graft

Purpose: To describe the successful endovascular repair and regression of an extensive descending thoracoabdominal aortic dissection associated with thoracic and abdominal aortic aneurysms. Case Report: An 83-year-old man presented with acute chest pain and shortness of breath. A descending thoracoabdominal aortic dissection that extended from near the left subclavian artery (LSA) to the right common iliac artery was found on computed tomography. Separate aneurysms in the thoracic and abdominal aorta were also identified. Staged endovascular procedures were undertaken to (1) close the single entry site and exclude the aneurysm in the thoracic aorta with an AneuRx thoracic stent-graft, (2) exclude the abdominal aneurysm and distal re-entry site with a bifurcated AneuRx endograft, and (3) treat a newly dilated thoracic segment between the LSA and first thoracic stent-graft. At 1 year, the false lumen had completely disappeared, the thoracic aneurysm had collapsed onto the endograft, and the abdominal aneurysm had shrunk by 30%. Conclusions: The potential to treat extensive aortic dissections with the hope that they might regress is promising, but repair of highly complex lesions involving one or more aneurysms in addition to the dissection requires meticulous imaging studies both preoperatively and intraprocedurally.

scholarly journals Endovascular Treatment of Aorta-Iliac Aneurysms with a Flared Iliac Limb

2019 ◽  
Vol 28 (01) ◽  
pp. 057-063 ◽  
Author(s):  
Tomas Balezantis ◽  
Stevo Duvnjak
Keyword(s):  
Endovascular Treatment ◽  
Stent Graft ◽  
University Hospital ◽  
Abdominal Aneurysm ◽  
Graft Thrombosis ◽  
Landing Zone ◽  
Hospital Institution ◽  
Aneurysm Repair ◽  
Type 3

Endovascular abdominal aneurysm repair (EVAR) relies on the quality of the proximal and distal landing zone. Reinterventions are higher in patients with suboptimal landing zone. The study aimed to evaluate reintervention rate after endovascular treatment of an aorta-iliac aneurysm using the flared iliac limbs.The retrospective study included 179 patients treated with EVAR at a single university hospital institution from January 2011 to January 2014 of which 75 patients (42%) were treated with flared iliac limb stent graft and 104 patients (58%) were treated with a nonflared iliac limb stent graft. There were 165 male patients (92%), mean age was 75.8 ± 6.6 years.Thirty-six patients underwent secondary treatment accounting for overall reintervention rate of 20%. Endoleak type 1b occurred in 13 patients (7%), followed by endoleak type 1a in six patients (3%). Endoleak type 2 occurred in seven patients (4%) requiring the treatment due to abdominal aortic aneurysm (AAA) enlargement, endoleak type 3 in three patients (2%), and leg stent graft thrombosis in seven patients (4%). In 143 patients (80%), there were no secondary interventions during the follow-up period. Reintervention due to endoleak type 1b was statistically significantly higher in a flared iliac limb group (p < 0.02) with the rate of 7.2% compared with 1.9% rate in nonflared iliac limb group. The mean follow-up was 44.3 ± 20.4. Overall mortality was 33%.Flared iliac limb with a distal diameter of ≥ 20 mm, show a higher rate of iliac limb reintervention in a follow-up period due to endoleak type 1b.

Cutting the Gordian Knot of Abdominal Aneurysm Hostile Neck Definitions with the Ovation Stent Graft

2020 ◽  
Vol 65 ◽  
pp. e294-e295
Author(s):  
Efstratios Georgakarakos ◽  
Dimitrios Kourdakis ◽  
Theodoros Apostolidis ◽  
Andreas Koutsoumpelis
Keyword(s):  
Stent Graft ◽  
Abdominal Aneurysm ◽  
Hostile Neck

scholarly journals Endoleakage after stent-graft treatment of abdominal aneurysm: Implications on pressure and imaging—an in vitro study

1998 ◽  
Vol 28 (2) ◽  
pp. 234-241 ◽  
Author(s):  
G.W.H. Schurink ◽  
N.J. M. Aarts ◽  
J. Wilde ◽  
J.M. van Baalen ◽  
T.A.M. Chuter ◽  
...  
Keyword(s):  
Stent Graft ◽  
In Vitro Study ◽  
Vitro Study ◽  
Abdominal Aneurysm

scholarly journals Preoperative evaluation and surgical strategy for epileptic spasms in children

2021 ◽  
Vol 7 (1) ◽  
pp. 56-64
Author(s):  
Yiou Liu ◽  
Wenjing Zhou ◽  
Jiuluan Lin ◽  
Jie Shi ◽  
Haixiang Wang
Keyword(s):  
Drug Resistance ◽  
Surgical Treatment ◽  
Adrenocorticotropic Hormone ◽  
Preoperative Evaluation ◽  
Surgical Strategy ◽  
Surgical Indications ◽  
First Line ◽  
Developmental Regression ◽  
Epileptic Spasms ◽  
Surgical Options

Epileptic spasm (ES) is one of the most common types of seizures in children. It is primarily characterized by brief axial contractions lasting less than 2 s and recurring in short clusters. It usually occurs in children of 3 to 12 months of age, although it can also occur after the age of 1 year. In general, children with ES develop other symptoms of epilepsy, such as tonic, tonic‐clonic, or focal seizures, after 3 to 5 years of age. ES in children is often damaging and usually results in developmental regression. First‐line treatments for spasm seizures include adrenocorticotropic hormone (ACTH) and vigabatrin. However, many patients fail to respond to these medications, and continued to have spasms associated with progressive neurodevelopmental degeneration. Therefore, it is important to consider whether children with drug resistance meet surgical indications to consider surgical treatment in such conditions. In this study, we reviewed and summarized the importance of preoperative evaluation in order to provide surgical options for treatment of children with ES.

scholarly journals A Case of Early Limb Stenosis after Endovascular Abdominal Aneurysm Repair with the Endurant Stent Graft System

2015 ◽  
Vol 44 (5) ◽  
pp. 283-287
Author(s):  
Tsunehisa Yamamoto ◽  
Katsuhiko Oka ◽  
Osamu Sakai ◽  
Hidetake Kawajiri ◽  
Sachiko Yamazaki ◽  
...  
Keyword(s):  
Stent Graft ◽  
Abdominal Aneurysm ◽  
Aneurysm Repair

THE APTUS™ HELI-FX™ ENDOANCHOR™ SYSTEM – THE INNOVATIVE ENDOVASCULAR REPAIR METHOD FOR THE PATIENT WITH POSTEVAR TYPE IA ENDOLEAK

2017 ◽  
Vol 15 (2) ◽  
pp. 0-0 ◽  
Author(s):  
Tomasz Muszyński ◽  
Karina Polak ◽  
Julia Krzywoń ◽  
Katarzyna Zbierska-Rubinkiewicz ◽  
Tomasz Kwiatkowski ◽  
...  
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Endovascular Aneurysm Repair ◽  
Repair System ◽  
Abdominal Aneurysm ◽  
Type Ia ◽  
Angio Ct ◽  
Surgery Department ◽  
Aneurysm Repair

[b]Background:[/b] The aim of our study was to present an innovative endovascular technique – the Aptus™ Heli-FX™ EndoAnchor™ system com bined with the Endurant Stent Graft cuff used as a method of choice for the patient in a very poor general condition with symptomatic abdominal aneurysm and a post-EVAR type IA endoleak.[b]Case study: [/b]An 85-year-old male patient, was operated on in March 2016 with endovascular aneurysm repair (EVAR) of a 9.3 cm in diameter ruptured abdominal aneurysm (RAA), accompanied by disturbance to the coagulation profile (prolonged INR of 3.3 because of anticoagulant treatment with Rivaroxaban due to atrial fibrillation). 9 months later, he developed a severe abdominal pain and was urgently referred to the Vascular Surgery Department, at the John Paul II Hospital, Kraków. The Angio-CT xamination revealed the type IA and II endoleaks and a recurrence of the rupture symptoms. He was successfully operated on using an innovative endovascular repair system, the Aptus™ Heli-FX™ ndoAnchor™ system with a combination of other endovascular procedures, such as Endurant Stent Graft cuff implantation. [b]Conclusions:[/b]The innovative endovascular repair system, Aptus™ Heli-FX™ EndoAnchor™ together with the Endurant Stent Graft cuff was successfully used in the treatment of the patient. This technique prevented him from developing serious complications or even death and gave him a much better quality of life in comparison with open surgery repair.

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