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Seminars in Interventional Radiology最新文献

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Update on Existing and Upcoming Branched and Fenestrated Thoracic Aortic Arch Stent Grafts. 现有和即将进行的分支和开窗胸主动脉弓支架移植的最新进展。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-04-04 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800847
Alexander A Brescia, Zachary J Wanken, J Westley Ohman, Puja Kachroo
{"title":"Update on Existing and Upcoming Branched and Fenestrated Thoracic Aortic Arch Stent Grafts.","authors":"Alexander A Brescia, Zachary J Wanken, J Westley Ohman, Puja Kachroo","doi":"10.1055/s-0044-1800847","DOIUrl":"10.1055/s-0044-1800847","url":null,"abstract":"<p><p>Conventional management of thoracic aortic arch aneurysm and dissection with aneurysmal degeneration remains open surgical repair. However, multiple branched and fenestrated endograft systems offer promise for hybrid or total endovascular treatment of aortic arch pathology. Two zone 0 solutions involving an aortic arch with innominate branch and ascending aorta components are contemporarily in trial: the Gore thoracic branch endoprosthesis and ascending stent graft in the ARISE II Trial (W. L. Gore & Associates, Newark, Delaware) and the NEXUS Arch Stent Graft System (Endospan Ltd., Herzliya, Israel). Both device systems require a debranching procedure prior to endovascular treatment. Patients deemed appropriate for endovascular treatment with acute pathology or not qualifying for one of these trial devices may undergo homemade single or multiple fenestrated physician-modified endovascular grafts or in situ laser fenestration of aortic arch grafts with branch stenting to treat arch pathology. Ultimately, a durable total endovascular solution must achieve comparable or superior outcomes compared with open surgical repair, at significantly lower impact to patients. Branched and fenestrated endovascular treatments for aortic arch pathology require further investigation and follow-up to determine early, mid, and long-term outcomes including mortality, stroke, and endoleak requiring reintervention.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"595-600"},"PeriodicalIF":1.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multidisciplinary Management of Aortic Emergencies: Ruptured Abdominal Aortic Aneurysms. 腹主动脉瘤破裂急诊的多学科治疗。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-03-10 eCollection Date: 2024-12-01 DOI: 10.1055/s-0045-1804998
Momodou L Jammeh, Michael Rabaza, Parag J Patel
{"title":"Multidisciplinary Management of Aortic Emergencies: Ruptured Abdominal Aortic Aneurysms.","authors":"Momodou L Jammeh, Michael Rabaza, Parag J Patel","doi":"10.1055/s-0045-1804998","DOIUrl":"10.1055/s-0045-1804998","url":null,"abstract":"<p><p>Ruptured abdominal aortic aneurysm are a critical vascular emergency. A coordinated, multidisciplinary management pathway can aid in timely diagnosis, triage, and coordination of best care. We present our institutional care algorithm for rAAA with an accompanying case example.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"531-535"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient Selection Criteria for Endovascular Aortic Aneurysm Repair: Optimizing Outcomes. 血管内动脉瘤修复的患者选择标准：优化结果。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-28 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800848
Christina Taragjini, Brian Schiro, Bente A T van den Bemd, Constantino S Pena
{"title":"Patient Selection Criteria for Endovascular Aortic Aneurysm Repair: Optimizing Outcomes.","authors":"Christina Taragjini, Brian Schiro, Bente A T van den Bemd, Constantino S Pena","doi":"10.1055/s-0044-1800848","DOIUrl":"10.1055/s-0044-1800848","url":null,"abstract":"<p><p>Endovascular aortic aneurysm repair (EVAR) has become the preferred treatment for abdominal aortic aneurysms, offering a minimally invasive alternative to open surgery. However, successful outcomes depend on meticulous patient selection. This review explores the key criteria for patient eligibility, including aneurysm size, morphology, and the quality of the proximal and distal aneurysm necks. Additionally, imaging assessment and various device variables, including anatomical suitability, are examined to emphasize their influence on procedural success. As EVAR technology evolves, understanding the nuances of patient selection remains crucial for maximizing technical success and clinical outcomes, while minimizing complications including endoleaks and migration, and extending the benefits of the procedure to a broader range of patients.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"576-580"},"PeriodicalIF":1.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When Endovascular Interventions for Endoleaks Fail. 当血管内介入治疗渗漏失败时。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2025-01-06 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800954
Luciano Delbono, Robert J Beaulieu
{"title":"When Endovascular Interventions for Endoleaks Fail.","authors":"Luciano Delbono, Robert J Beaulieu","doi":"10.1055/s-0044-1800954","DOIUrl":"10.1055/s-0044-1800954","url":null,"abstract":"<p><p>In the appropriate patient population, endovascular aortic repair (EVAR) has become the standard of care for abdominal aortic aneurysms. While the initial success rates of EVAR are very high, reinterventions occur in a significant minority of patients, most of which consist of the repair of endoleaks. When indicated, such procedures are typically performed via endovascular or percutaneous approaches; however, in certain patients, these minimally invasive repairs fail. In these patients, surgical techniques can be used to treat the endoleaks. This article describes the open surgical techniques used in the repair of endoleaks where standard endovascular techniques fail.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"554-559"},"PeriodicalIF":1.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endovascular Treatment of Type II Endoleaks: Update and Overview. II型血管内渗漏的血管内治疗：最新进展和综述。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-24 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800956
Christina G Dalzell, Daniel P Sheeran, John F Angle, Luke R Wilkins
{"title":"Endovascular Treatment of Type II Endoleaks: Update and Overview.","authors":"Christina G Dalzell, Daniel P Sheeran, John F Angle, Luke R Wilkins","doi":"10.1055/s-0044-1800956","DOIUrl":"10.1055/s-0044-1800956","url":null,"abstract":"<p><p>Endoleaks are a common complication following endovascular aneurysm repair, despite EVAR being the preferred method for the repair of abdominal aortic aneurysms. Endoleaks are continued blood flow into the aneurysmal sac, or more broadly elevated pressure outside of the endograft, and are classified into five types based on the source of blood flow or elevated pressure. Type II endoleaks are the most common and are a result of retrograde flow to the sac most commonly from the inferior mesenteric artery or lumbar artery. Endovascular treatment options for type II endoleaks include transarterial, transcaval, translumbar, and transabdominal approaches. This review discusses the indication for endovascular treatment of type II endoleaks, the selection of approach, and technical considerations.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"547-553"},"PeriodicalIF":1.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic Endograft Sizing. 主动脉内植片大小。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800953
Andrew T Ray, Luke R Wilkins, Daniel P Sheeran, W Darrin Clouse, J Fritz Angle
{"title":"Aortic Endograft Sizing.","authors":"Andrew T Ray, Luke R Wilkins, Daniel P Sheeran, W Darrin Clouse, J Fritz Angle","doi":"10.1055/s-0044-1800953","DOIUrl":"10.1055/s-0044-1800953","url":null,"abstract":"<p><p>Thoracic endovascular aortic repair (TEVAR) and endovascular abdominal aortic aneurysm repair (EVAR) have become widely accepted techniques for the treatment of aortic aneurysms and dissections. Central to the success of TEVAR and EVAR is accurate endograft sizing. Key aspects to be discussed in this article include the importance of preprocedural centerline imaging with computed tomography angiography to evaluate the proximal and distal seal zones. This article will review TEVAR and EVAR endograft sizing, providing the interventionalist with practical advice to optimize patient selection and to improve procedural success.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"581-587"},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advanced Intraprocedural Image Guidance for Endovascular Aortic and Branch-Vessel Procedures Using the Intraoperative Positioning System (IOPS). 使用术中定位系统 (IOPS) 为血管内主动脉和分支血管手术提供先进的术中图像引导。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800958
Behzad S Farivar
{"title":"Advanced Intraprocedural Image Guidance for Endovascular Aortic and Branch-Vessel Procedures Using the Intraoperative Positioning System (IOPS).","authors":"Behzad S Farivar","doi":"10.1055/s-0044-1800958","DOIUrl":"10.1055/s-0044-1800958","url":null,"abstract":"<p><p>Endovascular aortic repair has transformed the treatment of aortic pathologies, providing minimally invasive alternatives to traditional open surgery. Despite these advancements, endovascular procedures continue to encounter substantial challenges, including navigating tortuous and calcified vessels, precise catheterization of the aortic branch vessels in complex cases, and the significant risks of radiation exposure to both patients and operators. Recent innovations in electromagnetic (EM) tracking and 3D imaging offer a promising alternative to traditional methods. This review focuses on the Intraoperative Positioning System (IOPS), a novel EM-based image guidance system developed by Centerline Biomedical, Inc. (Cleveland, OH). IOPS uses sensorized, EM-tracked devices to enhance procedural precision and safety by minimizing reliance on ionizing radiation while improving visualization and the accuracy of catheterization in vascular anatomies. This technology enables parts of the procedure to be performed without the need for ionizing radiation, offering a safer and more efficient approach to endovascular procedures.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"570-575"},"PeriodicalIF":1.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Large-Bore Transfemoral Arterial Access: Techniques and Troubleshooting. 大口径经股动脉通路：技术与故障排除。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800957
Amber L Liles, Geogy Vatakencherry
{"title":"Large-Bore Transfemoral Arterial Access: Techniques and Troubleshooting.","authors":"Amber L Liles, Geogy Vatakencherry","doi":"10.1055/s-0044-1800957","DOIUrl":"10.1055/s-0044-1800957","url":null,"abstract":"<p><p>Aortic pathologies such as dissection, aneurysm, or blunt aortic injury have historically been treated via open surgical repair; however, the advent of endovascular stent graft technology has allowed for endovascular aortic repair in more and more patients. With improvements in stent graft technology and delivery systems, more patients are now candidates for endovascular aortic repair; however, many will require large-bore transfemoral arterial access. Percutaneous transfemoral arterial access includes the introduction of a large-bore sheath directly into the iliofemoral arterial system for the deployment of aortic stent grafts. Advancements in percutaneous arterial closure and reductions in device delivery profiles have further refined this technique; however, careful preprocedural planning and technical precision are required to minimize complications. This article covers the fundamentals of large-bore transfemoral arterial access as well as technical pearls for successful outcomes.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"560-565"},"PeriodicalIF":1.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Interdisciplinary Aortic Team: Opportunities for Collaboration in Acute Aortic Syndromes. 跨学科主动脉组：急性主动脉综合征的合作机会。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-17 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800933
William M Sherk, Minhaj S Khaja, Himanshu J Patel, David M Williams
{"title":"The Interdisciplinary Aortic Team: Opportunities for Collaboration in Acute Aortic Syndromes.","authors":"William M Sherk, Minhaj S Khaja, Himanshu J Patel, David M Williams","doi":"10.1055/s-0044-1800933","DOIUrl":"10.1055/s-0044-1800933","url":null,"abstract":"<p><p>Interdisciplinary teams offer potential advantages over siloed care models in complex cardiovascular disease management. Consensus guidelines for aortic management have increasingly identified the interdisciplinary aortic team as a key component in delivering quality care. Acute aortic syndromes are a subset of high acuity and lethal aortic pathologies that may benefit from an interdisciplinary approach. The advantages of the interdisciplinary aortic team model in the management of acute aortic syndromes and barriers to implementation are discussed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"527-530"},"PeriodicalIF":1.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hybrid Endovascular and Open Interventions for Aortic Disease. 治疗主动脉疾病的混合血管内介入疗法和开放式介入疗法。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-13 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800955
Barbara C S Hamilton, Shinichi Fukuhara
{"title":"Hybrid Endovascular and Open Interventions for Aortic Disease.","authors":"Barbara C S Hamilton, Shinichi Fukuhara","doi":"10.1055/s-0044-1800955","DOIUrl":"10.1055/s-0044-1800955","url":null,"abstract":"<p><p>Traditional open surgical repair of aortic disease distal to the ascending aorta has long been associated with significant morbidity and mortality. Two specific anatomic locations of disease have proven especially challenging to manage; the transverse aortic arch and the thoracoabdominal aorta. Hybrid approaches have the potential to limit or even eliminate the need for cardiopulmonary bypass and hypothermic circulatory arrest, thus carrying the promise of improved patient outcomes. This manuscript discusses the hybrid approach to aortic repair and recent advances made in this combined multidisciplinary approach used in these treatments.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"566-569"},"PeriodicalIF":1.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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