Clinical Practice Guidelines for Endovascular Abdominal Aortic Aneurysm Repair: Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Interventional Radiology Association

Walker, T.G.; Kalva, Sanjeeva P.; Yeddula, Kalpana; Wicky, Stéphan; Kundu, Sanjoy; Drescher, Peter; d’Othée, Bertrand Janne; Rose, Steven C.; Cardella, John F.

doi:10.1016/j.jvir.2010.07.008

Cited by 133 publications

(107 citation statements)

References 232 publications

(216 reference statements)

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“…Although the technology of stent graft system is evolving to have highly conformable and kink-resistant features, commercially available devices are still limited for challenging anatomies, especially aortic neck angulation >60°. 5) In the second case, the mid-portion of proximal neck was more severely angulated than the junction between proximal neck and aneurysmal sac unlike in the first case. And the axial section of this part was elliptical (anterior-posterior diameter, 31 mm; transverse diameter, 23 mm), which might be prone to kink the limb of stent graft.…”

Section: Discussionmentioning

confidence: 79%

Prevention of Kinked Stent Graft Limb Due to Severe Angulated Proximal Neck during Endovascular Repair for Abdominal Aortic Aneurysm

Kim

Shin

et al. 2018

ATCS

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Although the technology of endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA) is evolving that make it appealing for challenging anatomy, proximal aortic neck morphology, especially severe angulation, is still one of the most determinants for a successful procedure. We describe a patient of AAA with severely angulated proximal neck, in whom kinked stent graft limb occurred against severe angulation of proximal neck. Then, we suggested how to prevent this complication in the second patient. Our case demonstrated the stent graft limb could be kinked by severe aortic neck angulation, making it challenging. However, the kinked stent graft limb could be prevented by deploying stent graft limbs below the most severely angulated aortic neck intentionally.

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Section: Discussionmentioning

confidence: 79%

Prevention of Kinked Stent Graft Limb Due to Severe Angulated Proximal Neck during Endovascular Repair for Abdominal Aortic Aneurysm

Kim

Shin

et al. 2018

ATCS

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“…Preprocedure imaging, planning and patient assessment therefore are integral to ensure procedural success. 5 A host of aneurysmal and non-aneurysmal factors can have a direct impact on procedural planning and its success.…”

Section: Discussionmentioning

confidence: 99%

The prevalence and significance of thoracic findings in patients undergoing extended coverage computed tomography for assessment of abdominal aortic aneurysms

Karkhanis¹,

Patil²,

Hoey³

et al. 2016

BJR

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Objective: Many major vascular centres, including ours, incorporate coverage of the thoracic aorta in CT scans evaluating abdominal aortic aneurysms (AAAs) (extended coverage contrast-enhanced CT (EC-CECT) scan]. We sought to determine the prevalence of thoracic pathology in a large consecutive series of patients with AAA undergoing EC-CECT. Methods: All patients who underwent EC-CECT for AAA between April 2013 and 2014 were identified from our radiology information system. Reports were retrospectively reviewed and for each study, sex, age and reported thoracic aortic and other non-vascular findings were extracted. Findings were initially categorized into "major" or "minor" depending on if they were mentioned in the report impression/conclusion. Any major thoracic pathology was termed "significant" if there was a new diagnosis/patient intervention/investigation and a change in patient management.Results: Of the 150 scans included in the study, 97 (65%) had at least one thoracic finding. These findings included 24 scans (16%) with major findings and 73 scans (48%) with minor findings. In 13 scans (9%), the findings were significant and resulted in a delay (n 5 11) or cancellation (n 5 2) of AAA repair. Conclusion: Pre-procedural EC-CECT helps to identify significant intrathoracic findings in patients with AAA, which can have a major impact on AAA repair. This study supports the routine use of pre-procedural EC-CECT in planning AAA repair. Advances in knowledge: This study describes the prevalence of significant thoracic pathology, which can impact on AAA repair. This information could potentially change the pre-procedure imaging protocol for patients with AAA.

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“…25 On the other hand, clinical control of BD is dependent on the degree of activity of the underlying disease and on correct corticosteroid and immunosuppressant dosages. Some authors suggest routine maintenance of immunosuppression to avoid recurrence of pseudoaneurysms at the extremities of endoprostheses.…”

Section: Discussionmentioning

confidence: 99%

Correção endovascular de pseudoaneurisma toracoabdominal em paciente com Doença de Behçet

et al. 2015

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Behçet' s disease is an inflammatory disease characterized by recurrent oral and genital ulcers, uveitis and skin lesions. Arterial involvement is rare, but when present aneurysmal degeneration is more common than occlusive disease. This report describes the clinical case of a female patient who had been receiving treatment for Behçet' s disease for twenty years before presenting with abdominal pain that progressed for 2 months before suddenly worsening significantly. A CT scan revealed a thoracoabdominal pseudoaneurysm. She was successfully treated with endovascular repair.Keywords: Behçet' s disease; aortic aneurysm; dissecting aneurysm; endovascular procedures. ResumoA Doença de Behçet é uma doença inflamatória caracterizada por úlceras genitais e orais recorrentes, uveítes e lesões cutâneas. O envolvimento arterial é raro, sendo mais comuns as degenerações aneurismáticas do que as oclusivas. Neste caso clínico, paciente do sexo feminino, em tratamento de doença de Behçet havia 20 anos, iniciou com dor abdominal progressiva por dois meses, com piora súbita importante, foi submetida à tomografia computadorizada, que mostrou pseudoaneurisma toracoabdominal. A paciente foi submetida a tratamento endovascular com sucesso.Palavras-chave: Doença de Behçet; aneurisma aórtico; aneurisma dissecante; procedimentos endovasculares.

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Cited by 133 publications

References 232 publications

Prevention of Kinked Stent Graft Limb Due to Severe Angulated Proximal Neck during Endovascular Repair for Abdominal Aortic Aneurysm

Prevention of Kinked Stent Graft Limb Due to Severe Angulated Proximal Neck during Endovascular Repair for Abdominal Aortic Aneurysm

The prevalence and significance of thoracic findings in patients undergoing extended coverage computed tomography for assessment of abdominal aortic aneurysms

Correção endovascular de pseudoaneurisma toracoabdominal em paciente com Doença de Behçet

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