431 research outputs found

    Gli aneurismi rotti dell'aorta addominale trattati con EVAR

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    Negli ultimi dieci anni la Chirurgia Vascolare è mutata radicalmente e tumultuosamente, raggiungendo risultati e prospettive probabilmente inimmaginabili fino a qualche tempo fa. Questo grazie allo sviluppo di metodiche diagnostiche non invasive precise e affidabili, all'affinamento delle tecniche chirurgiche e anestesiologiche, all'introduzione e alla diffusione della chirurgia endovascolare, che ha rappresentato una vera e propria rivoluzione nella gestione delle vasculopatie di interesse chirurgico. Questo volume intende tracciare un bilancio di questi anni analizzando in maniera critica e approfondita quanto di nuovo è intervenuto a cambiare radicalmente questa branca specialistica. Un aggiornamento che cerca di analizzare, attraverso l'esperienza dei massimi esperti nazionali del settore, come i grandi progressi scientifici e tecnologici abbiano cambiato la chirurgia vascolare, fornendo armi più sofisticate per affrontare problematiche sempre più complesse, non solo da un punto di vista puramente chirurgico

    Endovascular repair using parallel grafts to treat a suprarenal pancreatitis‐related abdominal aortic pseudoaneurysm

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    : Arterial pseudoaneurysms represent an uncommon complication of acute pancreatic inflammation or chronic pancreatitis. We describe a contained rupture of a suprarenal abdominal aortic pseudoaneurysm. An aorto-uni-iliac stent-graft was adopted as the aortic main body and was combined with two chimneys and two periscope stents for celiac/superior mesenteric artery and renal arteries, respectively. The procedure was complicated by the entrapment of the celiac sheath into the barbs of the aortic stent-graft and the attempts to remove the sheath resulted in an upward migration of the stent-grafts. A bail-out endovascular procedure was used to reline the stent-grafts and the pseudoaneurysmal sac was embolized with coils

    Endovascular and Hybrid Management of Patients Affected by Abdominal Aortic Aneurysm and Occlusion of the Iliac Arteries

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    The presence of a concomitant aortoiliac occlusive disease and abdominal aortic aneurysm (AAA) is rare and limits the implant of a bifurcated endograft.Background: The objective of the study was to evaluate early and midterm results of an endovascular or a hybrid approach in patients undergoing iliac revascularization and AAA exclusion.Methods: We reviewed our clinical series of patients from January 2016 to February 2018. Inclusion criterion was an iliac occlusion with concomitant aortic aneurysm.Results: We treated 8 male patients: 8 common iliac arteries (CIAs) and 5 external iliac arteries (ElAs). We implanted 8 bifurcated devices and 13 covered stents, 8 in CIA and 5 in EIA. In 5 cases, when the EIA was involved, we also performed a common femoral artery endarterectomy with a patch. During a mean follow-up of 10 months, the primary patency of the recanalized iliac arteries was 100%, no endoleaks, sac growth, or rupture were also recorded.Conclusions: Endovascular or hybrid treatment of the iliac occlusion combined with infrarenal aortic aneurysm is feasible with favorable early and midterm results
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