Management and endovascular treatment of symptomatic abdominal aortic aneurysms

Laganà, Domenico; Carrafiello, Gianpaolo; Mangini, Monica; Giorgianni, Andrea; Caronno, Roberto; Castelli, Patrizio; Dionigi, G.; Cuffari, Salvatore; Fugazzola, Carlo

doi:10.1007/s11547-006-0094-4

Cited by 7 publications

(2 citation statements)

References 33 publications

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“…Several small single-institution reports seem to indicate comparable performance in the acute setting with the GORE and excellent technical success, however, numbers and experience are limited at present and these data are not randomized. 37,38 Midterm outcome for survival and secondary intervention rates thus far appear to be favorable. 37,39 …”

Section: Gore For Treatment Of Ruptured Aaamentioning

confidence: 99%

The Excluder Aortic Endograft

Alterman¹,

Stevens²

2008

Perspectives in Vascular Surgery and Endovascular Therapy

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Since its introduction, more than 59000 patients have been treated with Gore Excluder endoprosthesis (GORE) for abdominal aortic aneurysm (AAA) in the past 11 years. It has become clearer that differences in device delivery and design provide certain advantages that may favor one anatomical milieu over another. Behavior of the aneurysm sac also seems to be graft dependent as more long-term data become available. The currently available low-permeability GORE seems to have addressed the problem of endotension noted with previous designs. Cumulative data are reviewed, and the data demonstrate very low perioperative morbidity and mortality and excellent protection from aneurysm-related complications with the GORE device. Superior ease of use, excellent trackability, and rare failures requiring acute open conversion characterize the GORE device. By addressing clinical demands of aortic endografting, Gore has eclipsed other endografts in the industry to now dominate the US market. The aim of this review is to describe the history, experience, advantages, and future goals with the GORE for the treatment of AAA.

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Section: Gore For Treatment Of Ruptured Aaamentioning

confidence: 99%

The Excluder Aortic Endograft

Alterman¹,

Stevens²

2008

Perspectives in Vascular Surgery and Endovascular Therapy

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“…However, for wide-necked SAA, conventional coil embolization may lead to coil displacement, making it difficult to achieve satisfactory results and leading to complications such as visceral infarction. 6-9 Recently, stent-assisted coiling and stent grafting have also been performed to preserve the original blood flow. Stent-related therapy could aggravate the risk of bleeding as a result of necessary and continuous anticoagulation after the treatment.…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of the Double Microcatheter Technique for Splenic Artery Aneurysms: A Single-center Retrospective Study

Wang

Tian

Zhou

et al. 2023

Vasc Endovascular Surg

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Purpose We aimed to assess the safety and efficacy of the double microcatheter technique in the treatment of saccular splenic artery aneurysms. Methods From November 2013 to October 2020, 56 patients with saccular splenic artery aneurysms underwent endovascular treatment with the double microcatheter technique at our institution. Technical success was defined as embolization of the aneurysmal cavity with no obstruction of the parent artery. Clinical success was defined as no deaths due to splenic artery aneurysms, and no reintervention, recrudescence or organ dysfunction at 1, 6, and 12 months. Results The technical success rate was 100%. No major complications related to angiography or embolization were observed. Minor complications included fever, pain, and nausea, and 13 patients developed minor complications. At 1 month, the rate of clinical success was 96.4%. At 6 and 12 months, the clinical success rate was 92.9%. There were no aneurysmal recurrences or necessities of reintervention. Conclusions Coil embolization with the double microcatheter technique is a safe and effective modality for treating saccular splenic artery aneurysms and offers a reasonable choice for patients who want to retain their original hemodynamics.

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