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

{"title":"Randomizing carotid endarterectomy to carotid stenting?","authors":"M H Wholey","doi":"10.1583/1074-6218(1999)006<0127:RCETCS>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0127:RCETCS>2.0.CO;2","url":null,"abstract":"","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":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21337982","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}

{"title":"ISES—Into the 21st Century!","authors":"F. Criado","doi":"10.1583/1074-6218(1999)006<XVIII:IITC>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<XVIII:IITC>2.0.CO;2","url":null,"abstract":"","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":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67344813","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}

{"title":"Re: Femoral artery exposure for endovascular aneurysm repair through oblique incisions.","authors":"F J Criado","doi":"10.1583/1074-6218(1999)006<0125a:RFAEFE>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0125a:RFAEFE>2.0.CO;2","url":null,"abstract":"","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20961102","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}

{"title":"New Trends and Developments in Carotid Artery Disease","authors":"A. Branchereau, Michael J. Jacobs","doi":"10.1583/1074-6218(1999)006<0124A:NTADIC>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0124A:NTADIC>2.0.CO;2","url":null,"abstract":"This textbook from the European Vascular Course represents the current carotid database analyzed from a primarily European viewpoint. There is no other area in vascular surgery (or perhaps medicine) in which a huge volume of collected data is subjected to a wider degree of interpretation. Percent degrees of carotid stenoses, measured by different modalities interpreted with different techniques, can markedly alter the statistical benefit of operative therapy. In addition, the specific endpoints assessed (transient ischemic attacks, completed, stroke, death), the amount of resources spent in their determination (the operating surgeon's clinical examination, independent neurologist examination, computed tomography), and the details of the intervention (surgeon experience, patch closure, intraoperative monitoring) have been discussed and argued in multiple journals. Does this text offer any useful assistance to the practicing vascular surgeon attempting to make sense of the current carotid database? I believe the answer to this question is yes for the following reasons. I ) The text is well organized, with multiple data tables summarizing the important points of each topic in most of the sections. Organization of vast volumes of data is critical for the evaluation of carotid disease. 2 ) The chapters are relatively short (<lo pages), with multiple references (which are current through 1997 and include a number of European studies that the American surgeon may be less familiar with), making it a reasonable reference book for the clinical surgeon and/or the academic surgeon. 3 ) The current status of multiple evolving techniques in the moving target of diagnosis in carotid disease is presented in this format from primarily European experts on plaque morphology, stenosis interpretation, and MR/spiral angiography. 4) The current status of controversial therapeutic approaches are included (short stays for carotid endarterectomy, surgery based on duplex findings alone, and carotid angioplasty). 5) Not surprising from a book containing a predominantly European authorship, the topic of carotid angioplasty is extensively covered, with onethird of the chapters (all by European authors) devoted to aspects of this procedure. This is probably the most unique quality of the textbook as a review of carotid disease in 1999. With the ability to download abstracts from huge online library databases a reality for most surgeons, the role of textbooks has changed markedly. The books that are useful in my library are reasonably portable and current, and effectively synthesize large amounts of confusing data, illustrate with diagrams or photos, the details helpful for patient care, or present data from some unique viewpoint. They have easy-to-locate data tables and diagrams for rapid access during a typically hectic day. These books are more likely to be briefly referred to multiple times rather than read cover to cover. I believe New Trends in Carotid Disease from the Eu","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67343910","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}

{"title":"Shortening of endografts during deployment in endovascular AAA repair.","authors":"G H White,&nbsp;J May,&nbsp;R Waugh,&nbsp;J P Harris,&nbsp;X Chaufour,&nbsp;W Yu,&nbsp;M S Stephen","doi":"10.1583/1074-6218(1999)006<0004:SOEDDI>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0004:SOEDDI>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the incidence and extent of length changes during implantation of endovascular grafts in a prospective study of patients undergoing endovascular abdominal aortic aneurysm (AAA) repair.</p><p><strong>Methods: </strong>Data regarding the occurrence of intraoperative technical difficulties and device complications were recorded prospectively for the Vanguard or AneuRx self-expanding, bifurcated endovascular grafts in 64 patients (56 males; mean age 75 years). Graft length was measured in the sheath system before deployment and again immediately after deployment by fluoroscopic comparison to a graduated marking catheter.</p><p><strong>Results: </strong>Graft shortening > or = 15 mm was documented in 22 (56%) of 39 Vanguard cases and 11 (44%) of 25 AneuRx endografts. Additional extension grafts were required to correct endoleak caused by inadequate graft length in 9 (14%) patients, but no conversion to open repair was necessary.</p><p><strong>Conclusions: </strong>There appears to be a high incidence of intraprocedural graft shortening with 2 current designs of self-expanding endoluminal grafts.</p>","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20961832","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}

{"title":"Longitudinal aneurysm shrinkage following endovascular aortic aneurysm repair: a source of intermediate and late complications.","authors":"P. Harris, J. Brennan, Janis Martin, D. Gould, A. Bakran, G. Gilling-Smith, J. Buth, E. Gevers, D. White","doi":"10.1583/1074-6218(1999)006<0011:LASFEA>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0011:LASFEA>2.0.CO;2","url":null,"abstract":"PURPOSE: To report the incidence of delayed complications following endovascular abdominal aortic aneurysm (AAA) repair and the relationship of these sequelae to morphological changes in the sac and endograft. METHODS: Twenty-six AAA patients treated with Vanguard endografts had completed > or = 1-year follow-up. Postoperative angiograms and spiral computed tomographic (CT) scans with 3-dimensional reconstruction were compared to the 1-year images to determine morphological changes in the aneurysm sac and the endograft. These changes were then related to complications occurring between 1 and 12 months postoperatively in the study group. RESULTS: Comparison of angiograms uncovered endograft buckling in 18 (69%) patients and acutely angled or kinked endografts in 10 (38%). Measurements from the CT scans found that undistorted endografts had a mean change in sac length of +6.6 mm. Mean sac length change in buckled endografts was -3.1 mm, while kinked endografts displayed a mean change of -6.2 mm (p < 0.002, Student's t-test). Five (19%) patients, all with distorted endografts, demonstrated late (1 to 12 months) complications (4 endoleaks and 1 graft limb thrombosis) owing to component separation, distal stent migration, and acute angulation. No movement in the proximal stent was observed. Elongation of the endograft (flow line measurement) was observed in one tube graft only. CONCLUSIONS: In this study, longitudinal shrinkage of the sac following endovascular aortic aneurysm repair led to buckling or kinking of the endograft within 1 year in 69% of patients. This appears to be an important source of delayed complications.","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67344297","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}

{"title":"International Congress XII on Endovascular Interventions. February 7-11, 1999. Abstracts.","authors":"","doi":"10.1583/1074-6218(1999)006<0073:A>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0073:A>2.0.CO;2","url":null,"abstract":"","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21103654","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}

{"title":"Duplex features of vein graft stenosis and the success of percutaneous transluminal angioplasty.","authors":"C Gonsalves,&nbsp;D F Bandyk,&nbsp;A J Avino,&nbsp;B L Johnson","doi":"10.1583/1074-6218(1999)006<0066:DFOVGS>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0066:DFOVGS>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To determine if criteria exist that are correlated to a successful outcome after balloon angioplasty for vein graft stenosis.</p><p><strong>Methods: </strong>During a 5-year period, duplex surveillance of 380 infrainguinal vein bypasses identified 76 hemodynamically failing grafts (87 stenoses) requiring intervention. Percutaneous transluminal angioplasty (PTA) was selected over surgical repair based on 3 criteria: time interval from primary grafting procedure, vein graft diameter, and stenosis length. The 28 (32%) stenoses (20 grafts) treated by PTA were used in a retrospective analysis to test if any variables favored a successful outcome. Patient and lesion characteristics, graft patency, and restenosis following PTA were correlated with duplex features of the stenosis recorded prior to, immediately after, and at 3- to 6-month intervals postprocedurally.</p><p><strong>Results: </strong>Lesion characteristics that correlated with a successful outcome were vein size > or = 3.5 mm, lesion length < 2 cm, and appearance > 3 months after surgery. Conduit type, PTA site, patient demographics, and indication for bypass did not correlate with PTA durability. Nineteen lesions in 13 grafts met these criteria (group 1), while 9 stenoses in 7 grafts did not (group 2). Lesion severity based on duplex velocity measurements were similar in both groups before (p = 0.40) and after (p = 0.32) treatment. During the mean 21-month follow-up, group 1 grafts required less intervention (p = 0.035). At last follow-up, hemodynamic changes were durable in group 1 (p = 0.0068) but not in group 2 (p = 0.39).</p><p><strong>Conclusions: </strong>Selection of vein graft stenoses for treatment by PTA can be based on temporal and duplex data. PTA of short (< 2 cm) stenoses in good caliber veins (> or = 3.5 mm) appearing > 3 months after bypass placement was durable with a late intervention rate of approximately 10%. Direct surgical repair or replacement is recommended for early (< 3 months) and/or long segment stenoses that develop in small caliber conduits.</p>","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20961101","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}

{"title":"Longitudinal aneurysm shrinkage following endovascular aortic aneurysm repair: a source of intermediate and late complications.","authors":"P Harris,&nbsp;J Brennan,&nbsp;J Martin,&nbsp;D Gould,&nbsp;A Bakran,&nbsp;G Gilling-Smith,&nbsp;J Buth,&nbsp;E Gevers,&nbsp;D White","doi":"10.1177/152660289900600104","DOIUrl":"https://doi.org/10.1177/152660289900600104","url":null,"abstract":"<p><strong>Purpose: </strong>To report the incidence of delayed complications following endovascular abdominal aortic aneurysm (AAA) repair and the relationship of these sequelae to morphological changes in the sac and endograft.</p><p><strong>Methods: </strong>Twenty-six AAA patients treated with Vanguard endografts had completed > or = 1-year follow-up. Postoperative angiograms and spiral computed tomographic (CT) scans with 3-dimensional reconstruction were compared to the 1-year images to determine morphological changes in the aneurysm sac and the endograft. These changes were then related to complications occurring between 1 and 12 months postoperatively in the study group.</p><p><strong>Results: </strong>Comparison of angiograms uncovered endograft buckling in 18 (69%) patients and acutely angled or kinked endografts in 10 (38%). Measurements from the CT scans found that undistorted endografts had a mean change in sac length of +6.6 mm. Mean sac length change in buckled endografts was -3.1 mm, while kinked endografts displayed a mean change of -6.2 mm (p < 0.002, Student's t-test). Five (19%) patients, all with distorted endografts, demonstrated late (1 to 12 months) complications (4 endoleaks and 1 graft limb thrombosis) owing to component separation, distal stent migration, and acute angulation. No movement in the proximal stent was observed. Elongation of the endograft (flow line measurement) was observed in one tube graft only.</p><p><strong>Conclusions: </strong>In this study, longitudinal shrinkage of the sac following endovascular aortic aneurysm repair led to buckling or kinking of the endograft within 1 year in 69% of patients. This appears to be an important source of delayed complications.</p>","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/152660289900600104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20961833","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}

{"title":"Symposium on distortion and structural deterioration of endovascular grafts used to repair abdominal aortic aneurysms. Introduction.","authors":"J May","doi":"10.1583/1074-6218(1999)006<0001:SODASD>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1999)006<0001:SODASD>2.0.CO;2","url":null,"abstract":"","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":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20961831","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}