<b>Treatment of Popliteal Artery Aneurysms With the Hemobahn Stent-Graft</b>

Tielliu, Ignace F.J.; Verhoeven, Eric L.G.; Prins, Ted R.; Post, Wendy J.; Hulsebos, R.G.; Dungen, J.J.A.M. van den

doi:10.1583/1545-1550(2003)010<0111:topaaw>2.0.co;2

Cited by 29 publications

(20 citation statements)

References 12 publications

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“…A series of 23 PAAs treated with the Hemobahn endovascular device demonstrated a 22% early occlusion rate, with a 74% primary patency at 1 year. 26 Even experienced endovascular centers struggle with this new technology, with mechanical failure of the devices likely due to the extreme motion stresses placed upon these endografts across the point of maximal flexion during activity. 27 Dr Eric Verhoeven and his center in Groeningen described 57 PAAs treated with the Hemobahn device, including 5 PAAs with acute occlusion and ischemia.…”

Section: Open Repair Remains the Gold Standard (Dr Randy Moore)mentioning

confidence: 99%

Open versus endovascular repair of popliteal artery aneurysms

Moore

Hill

2010

Journal of Vascular Surgery

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A 72-year-old male presents with a large asymptomatic aneurysm of his left popliteal artery. He has a history of noninsulin dependent diabetes, hypertension, and a prior history of a percutaneous intervention for a coronary artery stenosis. He is anatomically and physiologically a candidate for surgical or endovascular repair of his aneurysm. The following debate attempts to resolve whether open repair remains the gold standard for the treatment of popliteal artery aneurysms.

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Section: Open Repair Remains the Gold Standard (Dr Randy Moore)mentioning

confidence: 99%

Open versus endovascular repair of popliteal artery aneurysms

Moore

Hill

2010

Journal of Vascular Surgery

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“…4,5 Its construction is a composite based on the combination of a thin expanded polytetrafluoroethylene (ePTFE) (GORE-TEX, W.L. Gore & Associates) lining and a surrounding self-expanding nitinol stent.…”

Section: Discussionmentioning

confidence: 99%

New Technique to Facilitate Renal Revascularization with Use of Telescoping Self-Expanding Stent Grafts: VORTEC

et al. 2008

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This article describes a new, less invasive prosthetic graft anastomotic technique that uses selfexpanding stent grafts that are "telescoped" into aortic branches. This method, the VORTEC (Viabahn Open Revascularization TEChnique), obviates the need for potentially difficult complete vessel exposure and graft anastomoses, thereby reducing the duration of flow interruption and simplifying the performance of complex aortic reconstructions and so-called debranching procedures requiring reconstruction of major branches such as renal arteries. Minimal exposure of one surface of the renal artery allowed introduction and deployment of a self-expanding Viabahn (W.L. Gore Associates, Flagstaff, AZ) device using the Seldinger technique. The Viabahn devices used were 5 to 8 mm in diameter and 5 to 15 cm in length depending on individual anatomy (assessed by preoperative computed tomographic angiography). Overall, 82 renal arteries have been revascularized in 58 patients using the VORTEC. The technical success rate was 100%, with all of the stent grafts implanted as intended with maintenance of flow. The patency rates were 97% after 30 days and 96% after a mean follow-up of 18 months (range 1-38 months). The VORTEC allows performance of safe and expeditious revascularization of renal arteries. This new technique may represent significant improvement over the standard approach of surgical exposure and sutured anastomosis.

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“…Acute ischemia at intervention was present in 9% of cases. 14,15 Despite promising initial results using this device, use of Viabahn stent graft (Gore, USA) had the disadvantage of not assimilating external compressions ( Figure 3A). Considering the conical shape of the normal popliteal artery (2-4 mm difference between proximal and distal diameters), which is exacerbated when there is an aneurysm in its proximal and medial segments, there may be an incomplete expansion of the Viabahn (Gore, USA) distal segment, with consequent clamping of the device ( Figure 3B) and likely occurrence of type IB leakage, which would maintain blood flow inside the aneurysmal sac, as well as formation of an irregular internal bed, causing embolic complications and thrombosis in the long term ( Figure 3C).…”

Section: Discussionmentioning

confidence: 99%

Alternativa técnica no tratamento endovascular dos aneurismas da artéria poplítea

et al. 2008

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Popliteal artery aneurysm is relatively rare, but represents around 85% of all peripheral arterial aneurysms. It is usually presented with ischemic complication and high risk of limb loss. For that reason, its elective treatment is indicated and currently carried through with satisfactory results using endovascular techniques. We describe our experience with the use of an ePTFE-covered nitinol self-expandable stent graft -Fluency (Bard, Germany), reinforced internally with the nitinol self-expandable Zilver stent (Cook, USA) for the treatment of a popliteal artery aneurism.Keywords: Aneurysm, popliteal, endovascular technique. RESUMOO aneurisma de art•ria popl‚tea • relativamente raro, por•m representa cerca de 85% de todos os aneurismas arteriais perif•ricos. Apresenta-se geralmente com um quadro de complica€ƒo isqu"mica e elevado risco de perda do membro acometido. Em fun€ƒo disso, preconiza-se seu tratamento eletivo, atualmente realizado com resultados satisfat…rios pela t•cnica endovascular. Relatamos nossa experi"ncia com a utiliza€ƒo do stent de nitinol auto-expans‚vel revestido com PTFEe -Fluency (Bard, Alemanha), refor€ado internamente com o stent de nitinol auto-expans‚vel Zilver (Cook, EUA) no tratamento de um aneurisma de art•ria popl‚tea.

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Treatment of Popliteal Artery Aneurysms With the Hemobahn Stent-Graft

Abstract: The results of this study suggest that endovascular stent-graft repair of popliteal artery aneurysms is feasible. Midterm patency rates are lower compared to traditional surgical repair.

Cited by 29 publications

References 12 publications

Open versus endovascular repair of popliteal artery aneurysms

Open versus endovascular repair of popliteal artery aneurysms

New Technique to Facilitate Renal Revascularization with Use of Telescoping Self-Expanding Stent Grafts: VORTEC

Alternativa técnica no tratamento endovascular dos aneurismas da artéria poplítea

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