Ancillary techniques to facilitate endovascular repair of aortic aneurysms

Yano, Osvaldo J.; Faries, Peter L.; Morrissey, Nicholas J.; Teodorescu, Victoria; Hollier, Larry H.; Marin, Michael L.

doi:10.1067/mva.2001.116005

Cited by 84 publications

(72 citation statements)

References 19 publications

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“…Appropriate patient selection, correct sizing of prostheses and good procedural technique are of importance in EVAR failure and thus in the prevention of the risk involved in the conversion to OS [32][33][34] . When extreme AAA morphological indication is neccessary (in high risk patients with acute AAA repair indication), the application of a combination of EVAR and primary planned associated surgery (combined strategy) is recommended to prevent complications 14,[35][36][37][38][39] . However, the basis of better EVAR results should be an improvement in the endovascular technique and stentgraft system construction in the future 40 .…”

Section: Discussionmentioning

confidence: 99%

Conversion to Open Surgery After Endovascular Abdominal Aortic Aneurysms Repair

Utíkal

Koecher²,

Koutná³

et al. 2006

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Section: Discussionmentioning

confidence: 99%

Conversion to Open Surgery After Endovascular Abdominal Aortic Aneurysms Repair

Utíkal

Koecher²,

Koutná³

et al. 2006

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…5 In our experience over 8 years, 35 patients with significant iliac artery disease or 7% of a total of 390 patients with aortic aneurysms required supplemental surgical interventions on the iliac vessels to correct what was considered a major impediment in their eligibility as candidates for endovascular stent graft. 4 …”

Section: Iliac Arteriesmentioning

confidence: 99%

“…These criteria are based solely on the anatomic configuration of the aorta and its branches. 4 For the sake of simplicity, these main anatomic determinants can be divided into two categories:…”

Section: Patient Eligibilitymentioning

confidence: 99%

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2001

Perspectives in Vascular Surgery

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The eligibility for endovascular stent-graft repair in patients with aortic pathologies is dictated by the presence of favorable vascular anatomy. The two main anatomic features predicting successful repair are the presence of adequate attachment sites for the device anchoring and the availability of the relatively normal access vessels for safe device navigation. This chapter describes some of the complex vascular anatomies, which can initially impede aortic endovascular repair, and the maneuvers to circumvent these initial obstacles, increasing the overall pool of patients eligible for endovascular repair of complex aortic diseases. Keywords Abdominal aortic aneurysm, endoluminal graft, stent graftIn the United States, there are approximately 200,000 new cases of abdominal aortic aneurysms (AAAs) diagnosed per year, and approximately 50,000 patients per year who have operations to have their aneurysm repaired. Thoracic aortic aneurysms have been diagnosed more frequently than in past, perhaps due to more liberal usage of imaging tests.With aging of the population, the prevalence of aortic aneurysms is increasing. One in ten men over the age of 80 has enlargement of the abdominal aorta. 1 The natural course of the aneurysms is to enlarge and rupture as the aneurysmal transverse diameter grows. Beginning with the origi-1

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“…Small iliac diameter, calcifications, tortuosity or previous stents are factors that increase the risk of introduction of the device. In these patients, the use of a conduit should be considered during procedure planning, with several techniques described on the literature [27][28][29].…”

Section: Clinical Risk Assessment and Pre-operative Planningmentioning

confidence: 99%

Endovascular Repair of Complex Aortic Pathology

et al. 2013

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Aortic aneurysms are classified as complex based on their extent and involvement of side branches. Complex aortic aneurysms include arch, thoracoabdominal, juxtarenal and suprarenal aortic aneurysms. Open surgical repair carries high morbidity and mortality beyond large tertiary care centers. During the last decade, numerous technological advances have allowed incorporation of side branches using hybrid and total endovascular techniques. Fenestrated and branched endografts have been widely applied to treat patients with complex aneurysm anatomy. Newer stent graft designs are currently under clinical investigation offering an off-the-shelf alternative to custom-made stent grafts for patients with complex aortic aneurysms. Alternatively, a number of endovascular techniques have been described including chimney, snorkel, periscope and sandwich stent grafts. This article summarizes the current status of hybrid and total endovascular techniques to repair of thoracoabdominal, juxtarenal and suprarenal aortic aneurysms.

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Ancillary techniques to facilitate endovascular repair of aortic aneurysms

Cited by 84 publications

References 19 publications

Conversion to Open Surgery After Endovascular Abdominal Aortic Aneurysms Repair

Conversion to Open Surgery After Endovascular Abdominal Aortic Aneurysms Repair

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Endovascular Repair of Complex Aortic Pathology

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