Percutaneous Treatment of Peripheral Aneurysms with the Cragg Endopro System

Rousseau, Hervé; Gieskes, L; Joffre, F; Dube, M. K.; Roux, Daniel; Soula, Philippe; Mnif, Djaemel; Arrué, P.; Carré, Philippe

doi:10.1016/s1051-0443(96)70730-3

Cited by 41 publications

(20 citation statements)

References 20 publications

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“…[2][3][4] Interestingly, these biological responses do not always occur after the implantation of grafts in conventional open surgery. To investigate these differences, we compared the biological responses to conventional open repair with those elicited during the endoluminal repair of AAAs.…”

Section: Is Endovascular Treatment Of Abdominal Aortic Aneurysms Lessmentioning

confidence: 99%

Is Endovascular Treatment of Abdominal Aortic Aneurysms Less Invasive Regarding the Biological Responses?

et al. 2000

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To compare the biological responses following an endoluminal repair and a conventional open repair of abdominal aortic aneurysm (AAA), 14 patients who underwent an endoluminal repair (endograft group) and 26 who underwent an open repair (open group) were investigated. As markers of biological responses, interleukin-6 (IL-6) and -8 (IL-8), granulocyte elastase (GEL), white blood cell count (WBC), and serum C-reactive protein (CRP) were all measured preoperatively as well as on postoperative days (POD) 1, 3, and 6. In addition, the blood loss, duration of surgery, initial oral intake the day after surgery, and length of hospital stay were compared between both groups. The plasma levels of IL-6, GEL, CRP, and WBC were higher in the endograft group than in the open group, while the CRP, WBC, and GEL levels all peaked on POD 3. The plasma level of IL-6 remained high in the endograft group, compared with that in the open group throughout the study period. Conversely, blood loss, initial oral intake the day after surgery, and the length of hospital stay were all significantly greater in the open group than in the endograft group, although there was no significant difference in the duration of surgery between the two groups. These findings indicate that although the endoluminal repair of AAA is supposed to be less invasive, the biological responses tend to be greater because of the manipulation related to the insertion of the stent graft.

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Section: Is Endovascular Treatment Of Abdominal Aortic Aneurysms Lessmentioning

confidence: 99%

Is Endovascular Treatment of Abdominal Aortic Aneurysms Less Invasive Regarding the Biological Responses?

et al. 2000

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“…3) [9][10][11]. Recently, this new type of endoprosthesis has been used in peripheral occlusive arterial disease as well as for the treatment of peripheral arterial aneurysms [9][10][11]. The struts of the graft are formed with a series of longitudinal zigzags and are not covered at the ends over a few millimeters.…”

Section: Discussionmentioning

confidence: 99%

Amplatz Thrombectomy Device: Unexpected Interaction with the Cragg Endoprosthesis

Schwarzenberg

Müller‐Hülsbeck

Heller

1998

Cardiovasc Intervent Radiol

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In a 74-year-old woman, a Dacron-covered Cragg endoprosthesis was implanted into the left superficial femoral artery after successful recanalization of a 6-cm-long occlusion. At 4.5 months after discharge the endoprosthesis was occluded. In order to perform a thrombectomy, an Amplatz thrombectomy device (ATD) was activated and advanced into the occluded graft. Suddenly, a mechanical failure of the ATD occurred. Extraction of the ATD was achieved only after repeated attempts at rotating motion and jerky pullback maneuvers. The most likely explanation is that one of the graft-struts had advanced into the tip of the ATD and resulted in a broken drive shaft. Recanalization was completed by performing percutaneous transluminal angioplasty and pharmacological thrombolysis with recombinant human-tissue plasminogen activator. In conclusion, users of the ATD have to be aware of interactions of the ATD with the struts of implanted stents or grafts during thrombectomy.

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“…With anticoagulant and antiplatelet therapy as described above there was no graft occlusion in our patients in the 3-to 12-month observation period. Other authors have reported cases of stent-graft occlusion in the femoral arteries [13]. Possibly the higher blood flow velocity at the common iliac artery level has a protective effect against thrombosis.…”

Section: Fig 2 a Large Pseudoaneurysm Of The Right External Iliac Amentioning

confidence: 95%

“…An ultrathin polyester fabric (Dacron) coat is stitched over a stent made of a selfexpandable metal alloy (nitinol), resulting in a thin and flexible stent-graft suitable for percutaneous introduction into the vessel and cannulation of tortuous vessels. It has been used to prevent restenoses of the iliac and femoral arteries after angioplasty and in few cases of femoral and iliac aneurysms [8][9][10][11][12][13][14]. In the present paper we report our experience with this new kind of stent-graft in the treatment of atherosclerotic aneurysms and pseudoaneurysms of iliac arteries and the short-term follow-up results.…”

mentioning

confidence: 99%

Percutaneous Treatment of Iliac Aneurysms and Pseudoaneurysms with Cragg Endopro System 1 Stent-Grafts

Gasparini

Lovaria

Saccheri

et al. 1997

Cardiovasc Intervent Radiol

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Percutaneous Treatment of Peripheral Aneurysms with the Cragg Endopro System

Cited by 41 publications

References 20 publications

Is Endovascular Treatment of Abdominal Aortic Aneurysms Less Invasive Regarding the Biological Responses?

Is Endovascular Treatment of Abdominal Aortic Aneurysms Less Invasive Regarding the Biological Responses?

Amplatz Thrombectomy Device: Unexpected Interaction with the Cragg Endoprosthesis

Percutaneous Treatment of Iliac Aneurysms and Pseudoaneurysms with Cragg Endopro System 1 Stent-Grafts

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