The addition of chest CT to CT colonography does not appear to be a cost-effective alternative. Further research is needed before whole-body CT can be recommended in clinical practice.
This preliminary study shows that MMP-9 may be a biomarker of the presence of endoleak. Other further investigations and larger series are needed to show that metalloproteases could play a role in the follow-up of EVAR treated patients.
The chimney graft technique is gaining popularity\ud
as an alternative endovascular treatment\ud
for juxtarenal aneurysms not suitable\ud
for standard or fenestrated endovascular\ud
aneurysm repair (EVAR).1–6 Despite excellent\ud
technical success,1,3–6 limited data are available\ud
regarding the long-term effectiveness of\ud
the technique, particularly in terms of chimney\ud
stent occlusion. This complication may\ud
have catastrophic consequences and represents\ud
a challenge for any endovascular approach,\ud
requiring in most the cases an open\ud
surgical bypass to restore vessel patency.\ud
Donas et al.1 used open thrombectomy to\ud
treat a renal chimney graft thrombosis. We\ud
encountered a symptomatic acute thrombosis\ud
of a renal chimney stent-graft, which we\ud
successfully treated with endovascular thrombectomy\ud
using a recanalization device that, in\ud
a recent article in the JEVT, proved useful in\ud
treating acute popliteal thrombosis.
Objectives: To analyze early and midterm results of endovascular treatment of aorto-iliac aneurysm extending to the iliac bifurcation, by comparing the results of hypogastric preservation with iliac branched endograft vs hypogastric exclusion.
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