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Vecchi e nuovi presidi per la rivascolarizzazione endovascolare sopra e sottogenicolare
No full textNel capitolo vengono descritte e discusse alla luce dei risultati clinici le modalità di rivascolarizzazione endovascolare del distretto femoro-poplite
The Endurant stent-graft in adominal aortic aneurysm with extreme hostile anatomy: short term observations
No full textL'INFLUENZA DELLE LESIONI CEREBRALI E DEL LORO VOLUME NEL TRATTAMENTO DELLE STENOSI CAROTIDEE SINTOMATICHE
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Ring-stents supported infrarenal aortic endograft fits well in abdominal aortic aneurysms with tortuous anatomy
No full textAbdominal aortic aneurysms (AAA) with severe angulation of the neck or of the iliac arteries are often unsuitable for endovascular repair with conventional endografts. We evaluated the performance of a ring-stent abdominal endograft (AnacondaTM Vascutek, Terumo, Scotland) in a consecutive series of infrarenal AAA.Preoperative, procedural and follow-up data of patients treated with AnacondaTM endograft between September 2005 and September 2009 were prospectively enrolled. Patients were divided in Group A (proximal neck angle > or =60 degrees or iliac arteries angle > or =90 degrees ) and Group B (all others). Main endpoints were technical and clinical success (primary and assisted) and late outcome in the two groups. Results were compared by Kaplan-Meier life table analysis with log-rank test (Mantel-Cox).One hundred twenty-seven patients, with a mean age of 73.5+/-6.9 years, have been included in this series. Mean aneurysm size was 56.7+/-10.4 mm. A severe angulation of the proximal aortic neck or/and of the iliac arteries was present in 44 cases (Group A), absent in 83 cases (Group B). The mean follow-up was 18.2+/-16.3 months. Overall primary technical success was achieved in 100\% of the patients. At twenty-four months survival, primary and assisted clinical success were 94.2\%, 88.2\% and 91.3\% in Group A and 80.3\%, 83.7\% and 95.2\% in Group B respectively. No significant differences were found between the two groups. The only factor significantly associated with decreased survival was preoperative renal insufficiency. Iliac limb patency 24 months after EVAR in severely and non-severely angulated iliac axis was 96.7\% and 98.1\% respectively, with no significant difference between the groups. Only one proximal type I endoleak was detected in a patient with severe angulation of proximal aortic neck. No significant correlation between proximal type I endoleak and severe neck angulation was found.Aneurysms with severe neck or iliac arteries angulation can be treated by a ring-stent endograft with results similar to those of AAA with more favourable anatomy
Aortic arch anomalies: are they contra-indications for CAS?
No full textIn the chapter is reported the role of the aortic arch anomalies in the outcome of carotid stentin
Role of morphology and anatomy in carotid artery stenting
No full textIn the chapter is reported the role of morphology and anatomy in carotid artery stenting according with the clinica result
ENDOPROTESI FENESTRATE E TRATTAMENTO CHIRURGICO NEGLI ANEURISMI JUXTA E PARA-RENALI: MORTALITA' E INFLUENZA SULLA FUNZIONE RENALE
No full textVALUTAZIONE DEL PROGRAMMA FORMATIVO PER MEDICI IN FORMAZIONE SPECIALISTICA DI ENDOARTERECTOMIA CAROTIDEA
No full textTRATTAMENTO ENDOVASCOLARE DEGLI ANEURISMI DELL'AORTA TORACO-ADDOMINALE MEDIANTE ENDOPROTESI OFF-THE-SHELF
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