Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery最新文献_第4页

Endovascular treatment of a posttraumatic femoral vein-profunda femoris artery fistula. 创伤后股静脉-股深动脉瘘的血管内治疗。

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<0301:ETOAPF>2.0.CO;2

A Deshpande, M Denton

引用次数: 1

Long-term follow-up of endoluminal grafting for aneurysmal and occlusive disease in the superficial femoral artery. 腔内移植术治疗股浅动脉动脉瘤和闭塞性疾病的长期随访。

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<0270:LFOEGF>2.0.CO;2

J A Rodriguez-Lopez, L Soler, A Werner, E Martinez, K Papazoglou, E B Diethrich

{"title":"Long-term follow-up of endoluminal grafting for aneurysmal and occlusive disease in the superficial femoral artery.","authors":"J A Rodriguez-Lopez, L Soler, A Werner, E Martinez, K Papazoglou, E B Diethrich","doi":"10.1583/1074-6218(1999)006<0270:LFOEGF>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0270:LFOEGF>2.0.CO;2","url":null,"abstract":"Purpose: To examine the long-term outcome of patients treated with endoluminal grafts (ELGs) for aneurysmal and occlusive disease in the femoropopliteal (FP) segment.Methods: ELGs of radially expandable polytetrafluoroethylene with terminal Palmaz stents were used to form intimal conduits to revascularize lengthy occlusive disease and exclude aneurysms in the FP segment. Patient records were reviewed retrospectively for outcome.Results: Fifty-five (98%) of 56 ELGs were placed successfully in 51 patients treated from August 1993 to February 1996. Over a mean 36-month follow-up, 28 (50%) ELGs occluded. Half of these failures reflected early technical difficulties. There were 11 (20%) stent stenoses, 6 in the proximal stent and 5 in the distal device. The majority of the graft failures were treated with endovascular techniques; however, FP bypass was required in 7 (25%) patients, while 2 (7%) were not treated. Life-table analysis demonstrated 46% primary and 68% secondary patency rates at 24 months. Among demographic and procedural variables, only previous dilation or stent procedures in the target artery was associated with failure (p < 0.0001).Conclusions: The prototype ELG used in this series demonstrated durability similar to conventional surgical therapy utilizing synthetic material. Endoluminal grafting of FP lesions may be a more durable alternative to classical bypass once devices and techniques are refined.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":"6 3","pages":"270-7"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21357938","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: 28

Deformation of self-expanding stent-grafts complicating endovascular peripheral aneurysm repair. 血管内外周动脉瘤修复中自膨胀支架的变形。

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1177/152660289900600313

M. E. Sitsen, G. Ho, J. Blankensteijn

引用次数: 15

Subclavian stents and stent-grafts: cause for concern? 锁骨下支架和支架移植物:值得关注吗?

Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery Pub Date : 1999-08-01 DOI: 10.1177/152660289900600302

L H Phipp, D J Scott, D Kessel, I Robertson

引用次数: 0

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: 10.1177/152660289900600303

T Resch, K Ivancev, M Lindh, N Nirhov, U Nyman, B Lindblad

{"title":"Abdominal aortic aneurysm morphology in candidates for endovascular repair evaluated with spiral computed tomography and digital subtraction angiography.","authors":"T Resch, K Ivancev, M Lindh, N Nirhov, U Nyman, B Lindblad","doi":"10.1177/152660289900600303","DOIUrl":"https://doi.org/10.1177/152660289900600303","url":null,"abstract":"Purpose: To 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.Methods: Of 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.Results: Mean 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.Conclusions: AAA 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":"6 3","pages":"227-32"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/152660289900600303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21357931","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: 14

Acute rupture of an aortic false aneurysm treated with a stent-graft. 支架移植治疗急性假性主动脉瘤破裂。

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<0293:AROAAF>2.0.CO;2

C Schönholz, F Donnini, G Naselli, A Pocovi, J C Parodi

{"title":"Acute rupture of an aortic false aneurysm treated with a stent-graft.","authors":"C Schönholz, F Donnini, G Naselli, A Pocovi, J C Parodi","doi":"10.1583/1074-6218(1999)006<0293:AROAAF>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0293:AROAAF>2.0.CO;2","url":null,"abstract":"Purpose: To report the use of an aortic endograft to treat a ruptured false aneurysm at the anastomosis of an aortofemoral bypass graft.Methods and results: A 68-year-old man with a 30-year-old aorto-right femoral bypass and multiple comorbidities was admitted to the hospital complaining of acute abdominal pain. Imaging identified a 60-mm ruptured aortic false aneurysm with associated retroperitoneal hematoma, a 9-cm right femoral false aneurysm, and a calcified 23-mm left common iliac aneurysm. Two slightly overlapping Vanguard straight stent-grafts were implanted in the aorta and left common iliac artery in an emergency procedure owing to the patient's high surgical risk. The anastomotic false aneurysm and the bypass were excluded. A left-to-right femorofemoral bypass was performed to re-establish flow to the right femoral artery with ligation of the external iliac artery. The patient recovered uneventfully. He remained well with a successful repair until his death of a myocardial infarction 6 months after the procedure.Conclusions: Endovascular grafting can be used successfully for the urgent treatment of aortic false aneurysm rupture.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":"6 3","pages":"293-6"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21358421","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: 33

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: 10.1583/1074-6218(1999)006<0285:IUVCFP>2.0.CO;2

W. Oppat, A. Chiou, J. Matsumura

引用次数: 47

Mortality rates following endovascular repair of abdominal aortic aneurysms. 腹主动脉瘤血管内修复术后死亡率。

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<0233:MRFERO>2.0.CO;2

S R Walker, J Macierewicz, S T MacSweeney, R H Gregson, S C Whitaker, P W Wenham, B R Hopkinson

{"title":"Mortality rates following endovascular repair of abdominal aortic aneurysms.","authors":"S R Walker, J Macierewicz, S T MacSweeney, R H Gregson, S C Whitaker, P W Wenham, B R Hopkinson","doi":"10.1583/1074-6218(1999)006<0233:MRFERO>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0233:MRFERO>2.0.CO;2","url":null,"abstract":"Purpose: To present the perioperative and late mortality following endovascular repair (EVR) of abdominal aortic aneurysms (AAAs).Methods: Data were collected prospectively on 221 patients undergoing AAA EVR over a 4-year period (median 5-month follow-up). Patients were classified preoperatively as high risk with at least 1 of these features: serum creatinine > 150 micromol/L, ischemic heart disease or poor left ventricular function, respiratory function < 50% of predicted normal, ruptured or symptomatic AAA, contraindication to or failed open repair, and age > 80 years.Results: One hundred forty (63.3%) patients were classified as high risk, the most common criterion being cardiac disease (n = 96, 68.6%). There were 25 (11.3%) deaths in the 30-day perioperative period, 22 (15.7%) in the high-risk group compared to 3 (3.7%) in the acceptable-risk group (p = 0.02). The most common causes of perioperative death were multisystem organ failure and myocardial infarction. A further 21 (9.5%) late deaths occurred, 16 (11.4%) in the high-risk group and 5 (6.2%) in the acceptable-risk group (p > 0.1).Conclusions: The mortality of patients at acceptable risk undergoing EVR compares with the best published series for conventional open AAA repair. The perioperative and late mortality in the high-risk patients are substantially higher.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":"6 3","pages":"233-8"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21357932","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: 17

Prevention of spinal cord ischemia in an ovine model of abdominal aortic aneurysm treated with a self-expanding stent-graft. 自体扩张支架移植预防羊腹主动脉瘤模型脊髓缺血的研究。

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<0278:POSCII>2.0.CO;2

R E Beygui, E V Kinney, L R Pelc, D Krievins, J Whittemore, T J Fogarty, C K Zarins

{"title":"Prevention of spinal cord ischemia in an ovine model of abdominal aortic aneurysm treated with a self-expanding stent-graft.","authors":"R E Beygui, E V Kinney, L R Pelc, D Krievins, J Whittemore, T J Fogarty, C K Zarins","doi":"10.1583/1074-6218(1999)006<0278:POSCII>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0278:POSCII>2.0.CO;2","url":null,"abstract":"Purpose: To present novel techniques to prevent spinal ischemia during aneurysm creation and chronic bifurcated stent-graft implantation in an ovine model of abdominal aortic aneurysm (AAA).Method: Experimental AAAs were created in 38 sheep. To prevent spinal ischemia, an internal aortic shunt was used during aneurysm creation. In the animals designated to receive bifurcated stent-grafts, a left external iliac-to-internal iliac bypass was performed to revascularize the caudal artery and prevent postdeployment spinal cord ischemia. Specimens were harvested at 1 week, 1, 3, and 6 months, and 1 year.Results: Aneurysms were successfully created without paralysis in 35 animals. Two died due to aspiration pneumonia. Of the 33 animals implanted with endografts, 16 (94%) of 17 with straight devices and 15 (94%) of 16 with bifurcated stent-grafts survived with well-functioning, patent stent-grafts. Paralysis developed in 2 animals after endografting due to technical failures.Conclusions: The use of an internal shunt during aneurysm creation and internal iliac-to-external iliac transposition prior to bifurcated stent-graft deployment prevented spinal ischemia in an ovine AAA model. Chronically deployed stent-grafts were well tolerated.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":"6 3","pages":"278-84"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21358418","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: 8

Influence of age upon complications of carotid artery stenting. UAB Neurovascular Angioplasty Team. 年龄对颈动脉支架置入并发症的影响。UAB神经血管成形术组。

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<0217:IOAUCO>2.0.CO;2

H D Chastain, C R Gomez, S Iyer, G S Roubin, J J Vitek, J B Terry, R L Levine

{"title":"Influence of age upon complications of carotid artery stenting. UAB Neurovascular Angioplasty Team.","authors":"H D Chastain, C R Gomez, S Iyer, G S Roubin, J J Vitek, J B Terry, R L Levine","doi":"10.1583/1074-6218(1999)006<0217:IOAUCO>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0217:IOAUCO>2.0.CO;2","url":null,"abstract":"Purpose: To examine the impact of age upon the development of neurological and major systemic complications during or after carotid artery stenting.Methods: We reviewed the complications that occurred in patients undergoing elective carotid stent implantation between September 1994 and August 1996. The study population was then divided into 3 groups according to age: > or = 80 (group A), 75 to 79 (group B), and < or = 74 (group C) years. The rates of death, major and minor stroke, and myocardial infarction were compared among the groups, as well as with the rates reported by the major carotid endarterectomy (CEA) trials.Results: During the study period, 182 patients (216 vessels) were treated with carotid stenting. There were 19 (10.4%) complications: 1 (0.5%) death, 2 (1.1%) major strokes, 15 (8.2%) minor strokes, and 1 (0.5%) myocardial infarction. Neurological complications were clearly related to increased age with rates of 25.0% in group A versus 8.6% in group C (p = 0.042). The overall per patient rate of death or major stroke was 1.6% (1.4% per vessel).Conclusions: Increasing age has a negative impact on the rate of complications in carotid stent patients. However, the majority of those complications are minor. The relative roles of medical therapy, stenting, and CEA in patients > 80 years of age must await the results of randomized trials.","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":"6 3","pages":"217-22"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21357985","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: 74