Early Experience with the Endowedge Technique and Snorkel Technique for Endovascular Aneurysm Repair with Challenging Neck Anatomy

Igari, Kimihiro; Kudo, Toshifumi; Uchiyama, Hidetoshi; Toyofuku, Takahiro; Inoue, Yasuhiro

doi:10.3400/avd.oa.13-00110

Cited by 12 publications

(6 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The heterogeneity of existing data is evident from the wide range of overall mortality. Overall mortality of patients with visceral CGs has been reported as 0%, 14 5%, 7 14%, 19 16%, 20 and 57%. 23 The corresponding data for thoracic CGs have been reported as 5%, 35 17%, 32 68%.…”

Section: Discussionmentioning

confidence: 99%

Chimney Grafts in Aortic Stent Grafting: Hazardous or Useful Technique? Systematic Review of Current Data

Lindblad

Jabr

Holst

et al. 2015

European Journal of Vascular and Endovascular Surgery

130

View full text Add to dashboard Cite

Increasing amounts of data support the benefit of visceral and arch chimney graft techniques. In particular, the low early mortality and complication rates and high long-term patency seem advantageous; however, the majority of cases have been treated electively, and there is a high risk of bias in all studies. Mid- to long-term data suggest few late complications, except in cases where one renal artery was sacrificed. The CG technique is valuable for complex urgent patients and needs further documentation for other patient groups.

show abstract

Section: Discussionmentioning

confidence: 99%

Chimney Grafts in Aortic Stent Grafting: Hazardous or Useful Technique? Systematic Review of Current Data

Lindblad

Jabr

Holst

et al. 2015

European Journal of Vascular and Endovascular Surgery

130

View full text Add to dashboard Cite

show abstract

“…Chimney EVAR deploys parallel stents into the visceral branches, which could otherwise be covered by the adjacent aortic endograft. 6 , 7 This technique has become more popular, especially in urgent cases, when commercial custom-manufactured devices are unavailable. However, limited reports describe IMA chimney stenting.…”

Section: Discussionmentioning

confidence: 99%

Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion

Kostiuk

Mena

Sumpio

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

A 63-year-old man presented for the treatment of abdominal aortic aneurysm in the setting of bilateral internal iliac artery compromise from prior peripheral arterial disease treatments. The inferior mesenteric artery (IMA) measured 5 mm. Patient underwent coronary artery stenting 6 months prior and experienced left leg claudication. He underwent endovascular aneurysm repair with chimney IMA grafting and a femorofemoral bypass with uneventful recovery. At 1 year, computed tomography angiogram shows no flow in the aneurysm sac, and his left leg claudication resolved. Endovascular aneurysm repair with chimney IMA grafting for colonic perfusion preservation is a reasonable alternative to open surgical repair with IMA reimplantation in high-risk patients.

show abstract

“…However, other authors have suggested that bare stents are not inferior to covered stents with regard to renal patency and protection against type Ia ELs [ 9 ]. We have reported good results in the exclusion of AAAs with challenging neck anatomy by EVAR procedures [ 10 ] and JRAAs using bare chimney stents [ 11 ]. Furthermore, we can only use bare stents for Ch-EVAR because covered stents are not covered by Japanese National Health Insurance.…”

Section: Discussionmentioning

confidence: 99%

“…Most reports recommended that a new neck length of >20 mm was necessary in order to avoid type Ia ELs [ 6 , 12 ]. Thus, we planned a new neck length of >10 mm with a bare stent, which led to the acceptable outcomes of our previous report [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique

Igari

Kudo

Toyofuku

et al. 2016

Case Reports in Vascular Medicine

Self Cite

View full text Add to dashboard Cite

Juxtarenal aortic aneurysms (JRAAs) are challenging to treat by endovascular aneurysm repair (EVAR) procedures. The chimney technique with EVAR (Ch-EVAR) is one of the feasible and less invasive treatments for JRAAs. However, the main concern of Ch-EVAR is the potential risk of “gutters,” which can lead to type Ia endoleak (EL). Most type Ia ELs after Ch-EVAR procedures occurred intraoperatively, and these ELs could be treated using an endovascular technique. However, late-onset type Ia ELs could be extremely rare, which might have a fear of conservative treatment. Type Ia ELs are associated with an increased risk of aneurysm rupture; therefore reintervention is recommended as soon as possible, and we should be aware of the occurrence of type Ia ELs after the Ch-EVAR procedure.

show abstract

Early Experience with the Endowedge Technique and Snorkel Technique for Endovascular Aneurysm Repair with Challenging Neck Anatomy

Cited by 12 publications

References 15 publications

Chimney Grafts in Aortic Stent Grafting: Hazardous or Useful Technique? Systematic Review of Current Data

Chimney Grafts in Aortic Stent Grafting: Hazardous or Useful Technique? Systematic Review of Current Data

Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion

A Case of Successful Coil Embolization for a Late-Onset Type Ia Endoleak after Endovascular Aneurysm Repair with the Chimney Technique

Contact Info

Product

Resources

About