109 research outputs found
sj-docx-3-jet-10.1177_15266028221133701 – Supplemental material for Systematic Review on Customized and Non-customized Device Techniques for the Endovascular Repair of the Aortic Arch
No full textSupplemental material, sj-docx-3-jet-10.1177_15266028221133701 for Systematic Review on Customized and Non-customized Device Techniques for the Endovascular Repair of the Aortic Arch by Petroula Nana, Konstantinos Spanos, Konstantinos Dakis, Athanasios Giannoukas, Tilo Kölbel and Stephan Haulon in Journal of Endovascular Therapy</p
sj-docx-1-jet-10.1177_15266028231182798 – Supplemental material for Systematic Review on Early and Follow-up Mortality Rate in Octogenarians Treated With a Fenestrated and/or Branched Endovascular Aortic Repair
No full textSupplemental material, sj-docx-1-jet-10.1177_15266028231182798 for Systematic Review on Early and Follow-up Mortality Rate in Octogenarians Treated With a Fenestrated and/or Branched Endovascular Aortic Repair by Petroula Nana, Konstantinos Spanos, Alexandros Brotis, Dominique Fabre, Tara Mastracci and Stephan Haulon in Journal of Endovascular Therapy</p
sj-docx-2-jet-10.1177_15266028221133701 – Supplemental material for Systematic Review on Customized and Non-customized Device Techniques for the Endovascular Repair of the Aortic Arch
No full textSupplemental material, sj-docx-2-jet-10.1177_15266028221133701 for Systematic Review on Customized and Non-customized Device Techniques for the Endovascular Repair of the Aortic Arch by Petroula Nana, Konstantinos Spanos, Konstantinos Dakis, Athanasios Giannoukas, Tilo Kölbel and Stephan Haulon in Journal of Endovascular Therapy</p
sj-docx-1-jet-10.1177_15266028221133701 – Supplemental material for Systematic Review on Customized and Non-customized Device Techniques for the Endovascular Repair of the Aortic Arch
No full textSupplemental material, sj-docx-1-jet-10.1177_15266028221133701 for Systematic Review on Customized and Non-customized Device Techniques for the Endovascular Repair of the Aortic Arch by Petroula Nana, Konstantinos Spanos, Konstantinos Dakis, Athanasios Giannoukas, Tilo Kölbel and Stephan Haulon in Journal of Endovascular Therapy</p
Endovascular Approaches in Aortic Surgery
No full textFilmed at the 2017 Aortic Live meeting in Essen, Germany, Mohamad Bashir of Barts Heart Centre in London, UK, moderates a discussion on treatments for aortic pathologies with Joseph Bavaria of the University of Pennsylvania in Philadelphia, USA, Heinz Jakob of the University of Essen in Germany, Tilo Kolbel of the University of Hamburg in Germany, Gebrine El Khoury of St-Luc Hospital in Brussels, Belgium, and Stephan Haulon of the Université Paris-Sud in Orsay, France.The variable nature of histologic, anatomic, and clinical presentations of aortic disease necessitate a careful consideration of available treatment options for this entity. Endovascular approaches have become the first-line therapy for descending thoracic aneurysms, with advancements in graft technology. The panelists discuss current and future applications of endovascular approaches to aortic disease, the decision between open and endovascular surgery, and the appropriate course of care for patients with Marfan syndrome.</p
Early experience with a modified preloaded system for fenestrated endovascular aortic repair
No full textObjective Preloaded endovascular delivery systems expand the anatomic eligibility for complex aortic repair by requiring only one iliac access vessel and providing a stable platform for guiding sheaths into challenging target vessels. This article reports the lessons learned and early clinical outcomes using a modified preloaded delivery system for fenestrated endovascular aneurysm repair (FEVAR) in three aortic centers in Europe. Methods From October 2015 to March 2016, consecutive patients presenting with extensive aortic aneurysm treated with a modified preloaded FEVAR were prospectively enrolled from three high volume European aortic centers. The new design is a modification of previous designs of preloaded fenestrated stent grafts and of the p-branch device platform. The technical details of implantation are described and perioperative outcomes, including the learning curve, are collected and reported. Results All patients (30 patients; 80% men; 70.2 years old) presented for nonurgent repair of either a type Ia endoleak (3/30; 10%), a type I-II-III thoracoabdominal (8/30; 27%), or a type IV thoracoabdominal or pararenal (19/30; 63.%) aneurysm repair of a mean size of 64 ± 13 mm using a custom made device. Primary technical success was achieved in 28 of 30 patients (93%) and assisted primary technical success in 29 of 30 patients (97%). The two technical failures included open conversion to repair a ruptured iliac artery and restenting of a dissected superior mesenteric artery which was recognized hours after the index procedure had finished. The mean procedure time was 277 ± 153 minutes, fluoroscopy time 79 ± 36 minutes, dose area product 112 ± 90 Gy cm2, and contrast volume 87 ± 46 mL. All renal fenestrations were successfully stented without type III endoleak on completion angiogram; the preloaded guiding sheaths were used for 53 of 58 renal arteries (91%). Challenges related to learning to the use of the modified preloaded system were experienced early and had no clinical consequences. Major complications occurred in seven cases (23%), including two perioperative deaths because of stroke and sepsis following primary conversion attributable to iliac rupture. There were no target vessel occlusions or type I/III endoleaks found on postoperative imaging. Conclusions Based on early experience, the modified preloaded system can be safely and effectively used during FEVAR, with good technical result and a short period of learning. This device expands treatment to patients with compromised iliac access, thus, additional patients and more follow-up will be required to determine unique risks of operating in this patient population
Outcomes of endovascular aneurysm repair performed in abdominal aortic aneurysms with large infrarenal necks
No full textThe aim of this study was to evaluate midterm clinical and morphologic outcomes after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA) with large (≥28 mm) infrarenal neck
Transcatheter transcaval embolization of a type II endoleak after EVAR using a transseptal needle-sheath system
No full textPurpose. The purpose of this study is to present an alternative technique for management of a type II endoleak associated with aneurysm sac enlargement. Technique. We report the use of a transseptal needle-sheath system for a transcatheter transcaval embolization (TTE) in a 3-staged treatment of a persistent type II endoleak after abdominal EVAR. Inferior vena cava is cannulated through a femoral venous access, and aneurysmal sac access is gained with a puncture through the walls of the 2 vessels at the site where the vein is adjacent to the aneurysm. The whole system (sheath-dilator-needle) is then advanced across the vascular walls into the aortic sac. Thus, embolization with glue is performed. Conclusion. The TTE using a transseptal needle-sheath system demonstrated to be feasible and effective to treat a persistent type II endoleak after failure of 2 attempts of transarterial embolization of the feeding vessels. © The Author(s) 2012
Evaluation of the radiation dose delivered to patients and staff during endovascular repair of aortic aneurysm in new generation imaging suites with image fusion guidance
No full textRadiation Stewardship: Radiation Exposure, Protection and Safety in Contemporary Endovascular Practice
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