Endovascular abdominal aortic stenosis treatment with the optimed self‐expandable nitinol stent

Ghazi, Payam; Haji-Zeinali, Ali-Mohammad; Shafiee, Nahid; Qureshi, Shakeel A.

doi:10.1002/ccd.22175

Cited by 15 publications

(15 citation statements)

References 38 publications

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“…9 Although endovascular intervention of aortic stenosis is less invasive compared to surgical options, resulting in fewer procedural complications and lower mortality in patients with severe aortic gradients, surgical repair seems to be the first choice in the treatment of aortic coarctation when associated with aneurysmal degeneration, unfavorable anatomy, including severe occlusion of the aorta or extension to the aortic bifurcation and severe hypertension. 10 We also present here an incidentally detected mitral valve perforation (MVP) in an adult patient with undetermined cause. It is usually caused by infective endocarditis.…”

Section: Discussionmentioning

confidence: 88%

Coexistence of Aortic Pseudocoarctation and Mitral Valve Perforation in a Patient With Takayasu’s Arteritis: Coincidence or Association?

Cerşit

Çerşit

2019

Arch Rheumatol

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Section: Discussionmentioning

confidence: 88%

Coexistence of Aortic Pseudocoarctation and Mitral Valve Perforation in a Patient With Takayasu’s Arteritis: Coincidence or Association?

Cerşit

Çerşit

2019

Arch Rheumatol

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“…These are again encouraging but the authors stress the need for follow-up and outcome data (28,54,55) Optimal approaches for the management of pulmonary artery involvement in Takayasu arteritis remains to be determined and our approach has focused upon medical management. Successful surgical intervention has been reported and a variety of techniques have been employed.…”

Section: Management Of Aortic Coarctation In Takayasu Arteritis Is Pamentioning

confidence: 99%

Surgical intervention and its role in Takayasu arteritis

Mason

2018

Best Practice & Research Clinical Rheumatology

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Vascular surgery remains an important option in the management of Takayasu arteritis. Its use is predominantly confined the treatment of symptomatic organ ischaemia or life-threatening aneurysm formation. In most cases this follows the failure of medical therapy to prevent arterial injury. Open surgery and endovascular approaches are used. The choice between them, at least in part, is determined by the site and nature of the lesion. Although more invasive, open surgery offers enhanced duration of arterial patency. For endovascular intervention, primary angioplasty without stenting is preferred, with stenting reserved for primary or secondary angioplasty failures. Although there is increasing interest in the role of stent grafts and tailor-made endovascular stents, long-term outcomes remain to be reported. Interventional outcomes are improved and complications reduced by therapeutic control of disease activity pre-and post-surgery. The wider use of combined immunosuppression and the introduction of biologic therapy for refractory Takayasu arteritis may reduce future requirements for surgical intervention.

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“…4,14,45 More recent studies, however, solidify its role as a first-line intervention in select patients. [46][47][48][49][50] While a review by Delis and Gloviczki suggested that endovascular intervention largely be limited to focal aortic stenoses without branch arterial involvement, targeted endovascular interventions should be considered to alleviate symptoms specifically attributable to branch vessel disease. 8 If unsuccessful, these interventions do not preclude subsequent surgery.…”

Section: Angiography and Endovascular Interventionmentioning

confidence: 99%

Middle Aortic Syndrome: Pathogenesis, Visceral Manifestations, and Management

et al. 2018

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Middle aortic syndrome (MAS) is characterized by severe narrowing of the abdominal aorta, frequently involving the great abdominal vessels. Although increasingly implicated in primary hypertension, up to one-third of cases affect the mesenteric vasculature, and the resultant manifestations may be underrecognized. Early intervention with interdisciplinary medical management and invasive arterial reconstruction affords preservation of end-organ function and improvement in patient survival. This article reviews the embryology of the thoracoabdominal aorta and major abdominal arteries, as well as the pathogenesis, clinical manifestations, and management of the nonatherosclerotic abdominal coarctation otherwise known as MAS.

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Endovascular abdominal aortic stenosis treatment with the optimed self‐expandable nitinol stent

Abstract: In our small series, we observed that abdominal aortic stenosis can be successfully and effectively treated with OptiMed stents in the situations in which the stenotic segment is located next to the origins of the main visceral branches of abdominal aorta.

Cited by 15 publications

References 38 publications

Coexistence of Aortic Pseudocoarctation and Mitral Valve Perforation in a Patient With Takayasu’s Arteritis: Coincidence or Association?

Coexistence of Aortic Pseudocoarctation and Mitral Valve Perforation in a Patient With Takayasu’s Arteritis: Coincidence or Association?

Surgical intervention and its role in Takayasu arteritis

Middle Aortic Syndrome: Pathogenesis, Visceral Manifestations, and Management

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