PubMed Journals Articles About "Zenith Profile Endovascular Graft Descending Thoracic Aortic Aneurysm" RSS

04:38 EST 20th January 2019 | BioPortfolio

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Showing "Zenith Profile Endovascular Graft Descending Thoracic Aortic Aneurysm" PubMed Articles 1–25 of 8,100+

Open vs Endovascular repair of descending thoracic aortic aneurysm disease: a systematic review and meta-analysis.

The purpose of this study was to determine whether thoracic endovascular aortic repair reduces death and morbidity compared with open surgical repair for descending thoracic aortic disease.

Descending aortic banding for re-rupture of retrograde aortic dissection after emergency thoracic endovascular aortic repair.

Conversion to open repair after thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection is rare, but inevitable. We present a case of an 86-year-old man with ruptured type B aortic dissection after TEVAR. He received a successful stent-graft implantation of the descending aorta without any type of endoleak. After the patient was transferred to the intensive care unit, he went into a shock state. Contrast-enhanced CT revealed a re-rupture of acute retrograde type B aortic dissection. T...

Open surgery for descending thoracic aorta in an endovascular era.

Thoracic endovascular aortic repair has become the preferred treatment for a variety of descending thoracic aortic pathologies. However, there are unresolved issues such as morphologic appearance of chronic dissection, persistent false lumen perfusion, and adequacy of landing zone. Enthusiasm for improving the technique of open aortic repair and perioperative management is fading. In this study, we would like to demonstrate how we improve our surgical outcomes by establishing a dedicated aortic multidiscipl...

Endovascular Aneurysm Sealing of a Collapsed and Thrombosed Aortic Stent-Graft With Renovisceral Chimney Stent-Grafts.

To report the use of the Nellix endovascular aneurysm sealing (EVAS) system in the management of proximal stent-graft collapse associated with thrombosis following endovascular aneurysm repair (EVAR).

Gender-related outcomes after open repair of descending thoracic and thoracoabdominal aortic aneurysms.

Female sex has been associated with greater morbidity and mortality for a variety of major cardiovascular procedures. We sought to determine the influence of female sex on early and late outcomes after open descending thoracic aortic aneurysm (DTA) and thoracoabdominal aortic aneurysm (TAAA) repair.

Fenestrated endovascular aneurysm repair is associated with lower perioperative morbidity and mortality compared with open repair for complex abdominal aortic aneurysms.

The Zenith Fenestrated Endovascular Graft (ZFEN; Cook Medical, Bloomington, Ind) has expanded the anatomic eligibility of endovascular aneurysm repair (EVAR) for complex abdominal aortic aneurysms (AAAs). Current data on ZFEN mainly consist of single-institution experiences and show conflicting results. Therefore, we compared perioperative outcomes after repair using ZFEN with open complex AAA repair and infrarenal EVAR in a nationwide multicenter registry.

Preoperative Sarcopenia Portends Worse Outcomes after Descending Thoracic Aortic Aneurysm Repair.

Sarcopenia may be an indicator of frailty. We used total psoas area index (TPAI) to identify sarcopenia and evaluated the effect of preoperative TPAI on outcomes following descending thoracic aortic aneurysm (DTAA) repair.

Re. "Open vs Endovascular repair of descending thoracic aortic aneurysm disease: a systematic review and meta-analysis".

Case Image: Successful endovascular graft stent to edge dissection and aneurysm on the descending aorta after a previous left subclavian-to-descending aortic bypass for coarctation of the aorta.

Coverage of visible intercostal and lumbar segmental arteries can predict the volume of cerebrospinal fluid drainage in elective endovascular repair of descending thoracic and thoracoabdominal aortic disease: a pilot study.

Our goal was to identify anatomical and physiological factors that could predict the amount of cerebrospinal fluid (CSF) drainage in patients undergoing elective endovascular repair of descending thoracic and thoracoabdominal aortic disease.

A Complex Case of Synchronous Thoracic And Abdominal Endoleak Repair With Custom-Made Relay Nbs Thoracic Stent Graft And Abdominal Open Reconstruction.

A 71-year old patient with previous thoracic aneurysm endovascular repair (TEVAR) and endovascular abdominal aneurysm repair (EVAR) presented with simultaneous type-III endoleak from the thoracic components and type-Ia endoleak from migration of the abdominal endograft, leading to enlargement of both aneurysms. A custom-made reverse tapered RELAY NBS thoracic endograft was used to bridge the thoracic stent-grafts. While a low-flow type 3 endoleak persisted in the immediate postoperative phase, due to incomp...

Successful treatment of disseminated intravascular coagulation associated with aortic dissection.

Disseminated intravascular coagulation (DIC) is an infrequent aortic dissection complication, and its optimal treatment remains controversial. A 55-year-old woman developed DIC associated with Stanford type B aortic dissection, which improved by administration of low-molecular-weight heparin combined with tranexamic acid, but the dissecting aneurysm of the descending aorta was dilated. After thoracic endovascular aortic repair for occlusion of entry tears detected by transesophageal echocardiography, DIC im...

Distal Stent Graft-Induced New Entry after Endovascular Repair of Type B Aortic Dissection.

Experience is limited with distal stent graft-induced new entry (SINE) after endovascular thoracic aortic repair (TEVAR) of type B dissection (TBAD). We report the management strategy and outcomes in such patients.

Explantation of infected thoracic endovascular aortic repair.

Prosthetic graft infection is a rare and serious complication of thoracic endovascular aortic repair associated with high mortality and posing unique challenges for treatment. The prosthetic graft infection is often identified late as patients present with mild nonspecific symptoms. We describe the successful medical management and surgical explantation of an infected thoracic endograft with an aorta-bronchial fistula, using an inline reconstruction with an antibiotic-soaked synthetic graft. In this report,...

Exercise stress echocardiogram for the evaluation of change in the ventricular-arterial interaction after thoracic endovascular aortic repair.

The aim of this study was to explore, with exercise echocardiography, the potential impact of thoracic endovascular aortic repair (TEVAR) on the ventricle-aorta coupling, based on the hypothesis that the interaction between the ventricle and aorta may be influenced by an increase in aortic stiffness due to the stent graft.

Using bifurcated endoprosthesis after iliac artery recanalization for concomitant abdominal aortic aneurysm and chronic total occlusions of access routes.

Concurrent abdominal aortic aneurysm (AAA) and unilateral iliac occlusion is a challenge in the implantation of bifurcated stent grafts (BFGs). The endovascular approach is less invasive than open surgery; the aortouni-iliac (AUI) graft with crossover femorofemoral bypass (CFFB) has many problems associated with extra-anatomic reconstruction. We attempted endovascular aneurysm repair (EVAR) using BFGs in such cases and evaluated the outcomes.

A 3D printed aortic arch template to facilitate decision-making regarding the use of an externalized transapical wire during thoracic endovascular aneurysm repair.

Thoracic endovascular aortic repair (TEVAR) is an established treatment option, though some anatomical challenges require a through-and-through wire technique, and subsequently transapical access via minithoracotomy can be required. It is clear that an objective tool to facilitate decision-making is needed. A 3D print of a severely angulated aortic arch was used as a template to advance a stent-graft and this was achieved after pulling the top of the wire. This simulation assisted in decision-making relatin...

A case report of successful endovascular repair of a giant 15 cm diameter asymptomatic thoracic aortic aneurysm.

Giant thoracic aortic aneurysms (TAA) are extremely uncommon, and there are only a few cases reported in the literature. Most patients presented with symptoms before the size of the aneurysm reached a magnitude >10 cm, and most of the reported cases were treated with open repair.

Frozenix J Graft: A new frozen elephant trunk device.

The frozen elephant trunk technique, which involves complete arch replacement and antegrade stenting of the descending thoracic aorta, represents an appealing procedure for treating extensive thoracic aorta disease in a single-step operation. The Frozenix J Graft open stent graft (Japan Lifeline, Tokyo, Japan) launched on the Japanese market in July 2014 and is the newest available hybrid graft for this procedure.  This video tutorial demonstrates the step-by-step surgical implantation technique of the op...

Treatment Of Aortic Coarctation By Self-Expanding Thoracic Endograft With Left Subclavian In Situ Laser Fenestration.

Thoracic endovascular aortic repair (TEVAR) with self-expanding endo-graft is increasingly used as a viable treatment option for adult aortic coarctation (AC).

Cross-wire technique for difficult contralateral limb cannulation during endovascular abdominal aneurysm repair for tortuous proximal aortic neck.

In selected cases of endovascular aortic repair (EVAR) of an abdominal aortic aneurysm, such as patients with tortuous proximal aortic neck, achieving a successful cannulation can sometimes be difficult. Herein, we described a novel cross-wire technique to help overcome such anatomical variations. During the EVAR procedure among our 5 cases, the main body of the Gore Excluder Stent Graft was deployed through an ipsilateral guidewire. Because of a large angle between the contralateral guidewire and the contr...

Endoprosthetic repair of the aorta for an infrarenal aneurysm combined with occlusion of one of the iliac arteries.

Described herein is a clinical case report regarding successful endovascular treatment of a patient presenting with an abdominal aortic aneurysm combined with occlusion of one of the iliac arteries. Cases concerning elimination of such pathology appear to be reported only sporadically in the available literature. The patient underwent reconstructive repair in two stages. The first stage comprised recanalization with stenting of the occluded iliac artery on the right and implantation of the Zenith stent graf...

Accuracy of deployment of the Relay non-bare stent graft in the aortic arch.

To minimize the complications with thoracic endovascular aortic repair (TEVAR), a new stent graft with no bare ends was developed, namely the Relay non-bare stent (NBS). We hypothesized that the new features of the NBS graft would enable highly accurate deployment and fewer complications. The aim of this study was to analyse the quality of the Relay NBS with respect to its landing precision.

Case Series of Aortic Arch Aneurysm in Patients with Bovine Arch Treated with Proximal Scalloped and Fenestrated Stent Graft.

The bovine arch is the most common variant of the aortic arch and occurs when the innominate artery shares a common origin with the left common carotid artery. We report an endovascular repair of aortic arch aneurysm in patients with a bovine arch using the Najuta proximal scalloped and fenestrated stent graft.

Stent Graft-Induced Pseudoaneurysms in a Patient with Vasculo-Behcet's Disease.

Behcet's disease is a rare condition that causes pathologic abnormalities in multiple systems, with vascular complications occurring between 7-29% of disease individuals, termed vasculo-Behcet's disease (vasculo-BD). Arterial complications portend the highest mortality in vasculo-BD. Here, we present a case of a young female with active vasculo-BD who failed endovascular repair with development of stent graft-induced pseudoaneurysms at the proximal and distal extents of the stent graft, necessitating open d...

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