Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery最新文献_第3页

Intraventricular hemorrhage after carotid stenting. 颈动脉支架置入术后脑室内出血。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-11-01 DOI: 10.1177/152660289900600407

T Mori, M Fukuoka, K Kazita, T Mima, K Mori

引用次数: 36

Clinical experience with superior vena caval Greenfield filters. 上腔静脉格林菲尔德过滤器的临床应用体会。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-11-01 DOI: 10.1583/1074-6218(1999)006<0365:CEWSVC>2.0.CO;2

E Ascher, A Hingorani, F Mazzariol, T Jacob, W Yorkovich, P Gade

{"title":"Clinical experience with superior vena caval Greenfield filters.","authors":"E Ascher, A Hingorani, F Mazzariol, T Jacob, W Yorkovich, P Gade","doi":"10.1583/1074-6218(1999)006<0365:CEWSVC>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0365:CEWSVC>2.0.CO;2","url":null,"abstract":"Purpose: To evaluate the results of superior vena caval (SVC) Greenfield filters in patients at risk for pulmonary embolism (PE) secondary to upper extremity deep venous thrombosis (UEDVT).Methods: Over a 46-month period, 26 patients (10 men, mean age 67 years, range 25 to 89) with UEDVT in whom anticoagulation was contraindicated (n = 22) or ineffective in preventing recurrent PE or extension of the thrombus (n = 4) were treated with placement of SVC Greenfield filters.Results: One SVC filter was misplaced into the innominate vein but left in place; this vein remains patent after 2 months without evidence of filter migration. Follow-up ranged from 10 days to 46 months (mean 7.8 months). Fifteen (58%) patients died inhospital of causes unrelated to the SVC filter or recurrent thromboembolism (mean time to death 36 days). Of the 11 survivors, follow-up ranged from 1 to 38 months (mean 22). Sequential chest roentgenograms in 9 (82%) patients revealed no filter migration or displacement. No evidence of PE was found in any of the survivors over the course of follow-up.Conclusions: Insertion of SVC Greenfield filters is a safe and feasible therapy to prevent recurrent thromboembolism in patients with UEDVT who are refractory to or inappropriate for anticoagulation therapy.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21735029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Endovascular repair of abdominal aortic aneurysm using a pararenal fenestrated stent-graft. 应用肾旁开窗支架血管内修复腹主动脉瘤。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-11-01 DOI: 10.1583/1074-6218(1999)006<0354:EROAAA>2.0.CO;2

R. Faruqi, T. Chuter, L. Reilly, R. Sawhney, S. Wall, C. Canto, L. Messina

引用次数: 62

Histology and electron microscopy of explanted bifurcated endovascular aortic grafts: evidence of early incorporation and healing. 外植的分岔血管内主动脉瓣的组织学和电镜:早期合并和愈合的证据。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1177/152660289900600306

C K Shin, W Rodino, J D Kirwin, J A Ramirez, W Wisselink, G Papierman, T F Panetta

{"title":"Histology and electron microscopy of explanted bifurcated endovascular aortic grafts: evidence of early incorporation and healing.","authors":"C K Shin, W Rodino, J D Kirwin, J A Ramirez, W Wisselink, G Papierman, T F Panetta","doi":"10.1177/152660289900600306","DOIUrl":"https://doi.org/10.1177/152660289900600306","url":null,"abstract":"Purpose: To report an examination of explanted bifurcated endovascular aortic grafts for histologic evidence of early healing and incorporation.Method: Two bifurcated endovascular aortic grafts composed of polycarbonate urethane and Elgiloy wire were explanted 42 and 21 days after successful endovascular exclusion of abdominal aortic aneurysms. Both patients expired from causes unrelated to endograft deployment. The explanted devices were examined using immunohistochemical analysis and electron microscopy.Results: On explantation, both grafts appeared to have excluded the aneurysm with no evidence of endoleak, graft migration, or thrombosis. Histological examination showed numerous inflammatory cells and good ingrowth of tissue into the proximal 2 cm of the graft. Collagen and smooth muscle cells were evident in the proximal portion of the graft with only collagen in the distal segments. Neointimal formation was seen within the proximal 2 cm also, but not at the distal segments. Macrophages were present in the graft. Scanning electron microscopy showed an extensive matrix of fibers that most likely represented collagen.Conclusions: Bifurcated endovascular aortic grafts show inflammatory and mild foreign body reactions, collagen formation, and intimal ingrowth during healing. These findings are similar to some of the healing properties reported for sutured grafts, as well as other endovascular grafts.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/152660289900600306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21357934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Successful Wallstent implantation for extensive iatrogenic renal artery dissection in a patient with fibromuscular dysplasia. 纤维肌肉发育不良患者广泛医源性肾动脉夹层的壁支架植入术成功。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1583/1074-6218(1999)006<0297:SWIFEI>2.0.CO;2

S Damaraju, Z Krajcer

{"title":"Successful Wallstent implantation for extensive iatrogenic renal artery dissection in a patient with fibromuscular dysplasia.","authors":"S Damaraju, Z Krajcer","doi":"10.1583/1074-6218(1999)006<0297:SWIFEI>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0297:SWIFEI>2.0.CO;2","url":null,"abstract":"Purpose: To describe a case of renal artery stenosis with fibromuscular dysplasia (FMD) and extensive iatrogenic dissection treated with Wallstent implantation.Methods and results: An 83-year-old woman with a history of coronary artery disease and hypertension presented at another facility with exertional angina and poorly controlled hypertension. Renal arteriography uncovered a critical right renal artery stenosis with severe FMD. However, angioplasty resulted in extensive dissection of the renal artery, for which the patient was referred to our institution. The renal artery was recanalized via the left brachial approach with restoration of flow using a Wallstent and a Palmaz stent. The patient's blood pressure was controllable after this procedure, and follow-up duplex imaging with flow velocities at 6 months showed patent right renal artery stents.Conclusions: Owing to its length and flexibility, the Wallstent endoprosthesis was a useful treatment modality in this case of extensive renal artery dissection.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21358422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Graft-wall endoleak 18 months after successful endoluminal AAA repair. 腹内AAA修复成功后18个月的移植物壁内漏。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1583/1074-6218(1999)006<0251:GEMASE>2.0.CO;2

H Midorikawa, S Hoshino, F Iwaya, T Igari

引用次数: 5

Sequential retroperitoneal venous hemorrhage and embolism of an angio-seal puncture closure device complicating iliac artery angioplasty. 连续腹膜后静脉出血和栓塞的血管密封穿刺关闭装置并发髂动脉血管成形术。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1583/1074-6218(1999)006<0264:SRVHAE>2.0.CO;2

M A Tomlinson, R Beese, M Banwell, T Loosemore, T M Buckenham, J A Dormandy

{"title":"Sequential retroperitoneal venous hemorrhage and embolism of an angio-seal puncture closure device complicating iliac artery angioplasty.","authors":"M A Tomlinson, R Beese, M Banwell, T Loosemore, T M Buckenham, J A Dormandy","doi":"10.1583/1074-6218(1999)006<0264:SRVHAE>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0264:SRVHAE>2.0.CO;2","url":null,"abstract":"Purpose: To present a case of iatrogenic puncture closure device embolization complicating surgery for retroperitoneal hemorrhage (RPH) secondary to angioplasty-induced common iliac vein trauma.Methods and results: A 78-year-old woman with rest pain underwent successful kissing balloon dilation of her aortoiliac bifurcation for a calcified ostial stenosis of the left common iliac artery. Hemostatic puncture closure devices (Angio-Seal) were used to secure both femoral punctures. A right-sided retroperitoneal hematoma developed, and during surgical exploration of the right groin, the Angio-Seal device was removed. The only bleeding site found was the external iliac artery puncture and it was repaired. She again became hypovolemic 18 hours later and was returned to surgery, where bilateral groin explorations and laparotomy by the vascular surgical team found a tear in the left common iliac vein. After repair, the patient was stable for 48 hours when the left leg became critically ischemic. Angiography detected a new high-grade stenosis in the left profunda femoris artery; embolectomy retrieved a footplate from the left puncture closure device. The patient died 11 days later from multiorgan failure.Conclusions: RPH should be considered early as an occult cause of hypovolemic shock developing soon after even technically straightforward iliac angioplasty. Interventionists should be aware that using the Angio-Seal device risks acute limb ischemia if footplate embolization occurs.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21357937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Abdominal aortic aneurysm morphology in candidates for endovascular repair evaluated with spiral computed tomography and digital subtraction angiography. 应用螺旋计算机断层扫描和数字减影血管造影评价腹主动脉瘤血管内修复候选者的形态。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1583/1074-6218(1999)006<0227:AAAMIC>2.0.CO;2

Timothy Resch, K. Ivancev, M. Lindh, N. Nirhov, Ulf Nyman, Bengt Lindblad

{"title":"Abdominal aortic aneurysm morphology in candidates for endovascular repair evaluated with spiral computed tomography and digital subtraction angiography.","authors":"Timothy Resch, K. Ivancev, M. Lindh, N. Nirhov, Ulf Nyman, Bengt Lindblad","doi":"10.1583/1074-6218(1999)006<0227:AAAMIC>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0227:AAAMIC>2.0.CO;2","url":null,"abstract":"PURPOSE\u0000To analyze the morphology of abdominal aortic aneurysms (AAAs) and to study the usefulness of spiral computed tomography (CT) versus digital subtraction angiography (DSA) in the evaluation of patients for endovascular repair.\u0000\u0000\u0000METHODS\u0000Of 133 AAA patients (120 men, mean age 67 years, range 52 to 84) evaluated preoperatively with CT imaging, 77 endograft candidates (68 men) were also assessed with intra-arterial DSA. Arterial parameters were measured on axial CT scans and angiographic films for comparison.\u0000\u0000\u0000RESULTS\u0000Mean maximum AAA diameter was 58 +/- 11 mm (range 39 to 95). Aneurysmal neck diameter was consistently smaller on DSA than on CT (20.7 +/- 3.6 mm versus 23.0 +/ 3.5 mm, p < 0.0001). The distance from the most distal renal artery to the aortic bifurcation was longer on angiography than on CT (mean difference 10.0 mm, p < 0.0001). There was a positive correlation between the maximum AAA diameter and the AAA length (r = 0.49, p < 0.0001) and an inverse relationship between the neck length and the neck diameter (r = -0.36, p < 0.0001). No correlation was found between the maximum AAA diameter and maximum iliac diameter, angulation, or length.\u0000\u0000\u0000CONCLUSIONS\u0000AAA anatomy varies widely and independently of the aneurysm size. Therefore, the maximum size of the aneurysm is a poor predictor of whether or not an aneurysm is suitable for endovascular repair. The discrepancy between angiographic and axial CT measurements suggests that neither alone is sufficient as a preoperative imaging technique when evaluating a patient for an endovascular graft procedure.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86380443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 40

Immediate stenting of iliofemoral occlusive lesions: a surgeon's early experiences. 髂股闭塞性病变即刻支架置入术:一位外科医生的早期经验。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1583/1074-6218(1999)006<0256:ISOIOL>2.0.CO;2

S W Cheng, A C Ting, H Lau, J Wong

{"title":"Immediate stenting of iliofemoral occlusive lesions: a surgeon's early experiences.","authors":"S W Cheng, A C Ting, H Lau, J Wong","doi":"10.1583/1074-6218(1999)006<0256:ISOIOL>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0256:ISOIOL>2.0.CO;2","url":null,"abstract":"Purpose: To report the early and midterm results of balloon angioplasty and immediate stenting of atherosclerotic iliofemoral lesions in an operating room setting.Methods: Sixty-one patients (41 men, mean age 70 +/- 8 years, range 49 to 86) underwent balloon dilation and systematic stenting for 80 stenotic and occlusive lesions in the iliac (n = 47) and superficial femoral (n = 33) arteries in 72 limbs. One hundred two stents (63 VascuCoil, 33 Wallstent, and 6 miscellaneous) were placed. Patients were followed with serial duplex scans at 3-month intervals.Results: Initial technical success by intention-to-treat was 96.2% (77/80) (iliac: 100%, femoral: 90.9% [30/33]). There were 9 (11.3%) procedure-related complications and no deaths. Initial success by anatomic, hemodynamic, and clinical limb criteria were 100%, 95%, and 94.4%, respectively. Thirty procedures were performed for limb salvage with a success rate of 86.7%. Six patients (7 limbs) died during follow-up of unrelated causes. Fifty-nine (81.9%) limbs were available for duplex follow-up over a mean 17.7 months (range 3 to 37). Cumulative patency rates were 87.3% at 2 years for iliac stents and 66.6% at 18 months for femoral stents with an overall 2-year patency rate of 76.3%. The only independent risk factors affecting late patency were the site of angioplasty, stent diameter, lesion grade, and the preoperative ankle-brachial index. Stents placed with a diameter < or = 5 mm and > 5 mm had 1-year patency rates of 51.0% and 97.6%, respectively (p = 0.004)Conclusions: Iliac and femoral angioplasty and immediate stenting have acceptable midterm patency rates. The patency of femoral stenting is inferior and is adversely affected by stents < or = 5 mm in diameter.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21357936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Intravascular ultrasound-guided vena cava filter placement. 超声引导下血管内腔静脉滤器置入术。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1177/152660289900600312

W F Oppat, A C Chiou, J S Matsumura

引用次数: 2