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

{"title":"Combined approach to stent-graft treatment of an aortic arch aneurysm.","authors":"J Buth,&nbsp;O Penn,&nbsp;A Tielbeek,&nbsp;M Mersman","doi":"10.1583/1074-6218(1998)005<0329:CATSGT>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0329:CATSGT>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To report the first use of dual brachiocephalic vessel transposition from the aortic arch prior to endovascular exclusion of an arch aneurysm.</p><p><strong>Methods and results: </strong>Patch graft repair of a saccular aortic arch aneurysm in a 74-year-old woman failed to exclude the lesion, resulting in aneurysm enlargement. Because the patient was debilitated, a combined open and endovascular procedure was performed in which the common carotid and subclavian arteries were transposed prior to successful insertion of a Vanguard aortic stent-graft to exclude the aneurysm. Imaging 1 and 6 months after the combined procedure demonstrated complete thrombosis of the aneurysm.</p><p><strong>Conclusions: </strong>Transposition from the aortic arch of one or more brachiocephalic vessels may allow stent-graft exclusion of aortic arch aneurysms. However, the durability of thoracic aortic endografts must be ascertained before the indications for their use are expanded.</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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1583/1074-6218(1998)005<0329:CATSGT>2.0.CO;2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20775332","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":"In vivo crushing of an aortic stent enables endovascular repair of a large infrarenal aortic pseudoaneurysm.","authors":"G Dorros,&nbsp;M R Jaff,&nbsp;A Parikh,&nbsp;R Sehgal,&nbsp;V Thota,&nbsp;K Ramireddy,&nbsp;R E Carballo","doi":"10.1583/1074-6218(1998)005<0359:IVCOAA>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0359:IVCOAA>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To report an unusual approach to endovascular exclusion of a large aortic pseudoaneurysm.</p><p><strong>Methods and results: </strong>A 63-year-old male had an unsuccessful endovascular repair of an aortic anastomotic pseudoaneurysm that left an expanded, uncovered Palmaz stent lying obliquely within the aorta. After nearly 3 years, the pseudoaneurysm enlarged to 7 cm, and the patient became symptomatic. Repair of the pseudoaneurysm was accomplished by crushing the indwelling stent to allow placement of a stent-graft.</p><p><strong>Conclusions: </strong>Malpositioned stents that are hindering an endoluminal procedure may be crushed against the arterial wall in vivo to facilitate passage of endovascular instruments or devices.</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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20774506","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":"Initial experiences with percutaneous endovascular repair of popliteal artery lesions using a new PTFE stent-graft.","authors":"T Bürger,&nbsp;F Meyer,&nbsp;J Tautenhahn,&nbsp;Z Halloul,&nbsp;J Fahlke","doi":"10.1583/1074-6218(1998)005<0365:IEWPER>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0365:IEWPER>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To report the percutaneous endovascular management of popliteal artery lesions with a new polytetrafluoroethylene (PTFE) stent-graft.</p><p><strong>Methods and results: </strong>Three patients have undergone endovascular treatment in the popliteal region owing to: (1) an iatrogenic false aneurysm with arteriovenous fistula, (2) entrapment syndrome, and (3) an isolated arterial aneurysm. In each case, arterial occlusion was treated initially with thrombolysis. The underlying vascular lesions then were stented using the new Hemobahn endograft, a nitinol stent covered internally with PTFE. Each percutaneous procedure was completed successfully without major complications. During early follow-up (6 to 7 months), no signs of intimal hyperplasia, occlusion, or stent migration have been observed.</p><p><strong>Conclusions: </strong>Based on these early experiences, percutaneous treatment of stenotic and aneurysmal lesions in the popliteal artery using the Hemobahn endograft appears feasible and effective. Further experience and longer follow-up are required to evaluate this new prosthesis.</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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20774507","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":"\"Retroleak\"--retrograde branch filling of the excluded aneurysm.","authors":"M A Goodman,&nbsp;M Lawrence-Brown,&nbsp;F Prendergast,&nbsp;K Sieunarine,&nbsp;G van Schie,&nbsp;D McClure,&nbsp;D Hartley","doi":"10.1583/1074-6218(1998)005<0378:RRBFOT>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0378:RRBFOT>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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20774509","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":"Combining endovascular and surgical techniques: the best of both worlds.","authors":"L H Hollier","doi":"10.1583/1074-6218(1998)005<0333:CEASTT>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0333:CEASTT>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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20775333","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":"SOCIETY NEWS: Joint Meeting with the Belgian Society of Vascular Surgery","authors":"E. Diethrich","doi":"10.1583/1074-6218(1998)005<XXIX:JMWTBS>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<XXIX:JMWTBS>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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67344160","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":"Successful endoluminal repair of a popliteal artery aneurysm using the Wallgraft endoprosthesis.","authors":"P E Kudelko,&nbsp;C Alfaro-Franco,&nbsp;E B Diethrich,&nbsp;Z Krajcer","doi":"10.1583/1074-6218(1998)005<0373:SEROAP>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0373:SEROAP>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the first application of the Wallgraft endovascular prosthesis to aneurysm exclusion in the popliteal artery.</p><p><strong>Methods and results: </strong>A 61-year-old man was admitted to our institution with a popliteal artery aneurysm complicated by associated popliteal vein compression, deep venous thrombosis, and pulmonary embolism. The endovascular procedure was performed percutaneously with local anesthesia using a low-profile, covered stent (Wallgraft Endoprosthesis). The aneurysm was successfully excluded from the arterial circulation, and there were no postprocedural complications. Follow-up evaluation with appropriate imaging at 10 months revealed no endoleaks.</p><p><strong>Conclusions: </strong>This initial result indicates that percutaneous deployment of the Wallgraft endoprosthesis, with its smaller diameter and flexible design, may offer significant advantages over currently available devices for repair of popliteal artery aneurysms. This method obviates the need for general anesthesia or surgical exposure, which is particularly beneficial in patients with comorbid illnesses.</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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20774508","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":"Angioplasty and stenting of the extracranial carotid arteries.","authors":"M Henry,&nbsp;M Amor,&nbsp;I Masson,&nbsp;I Henry,&nbsp;K Tzvetanov,&nbsp;Z Chati,&nbsp;N Khanna","doi":"10.1583/1074-6218(1998)005<0293:AASOTE>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0293:AASOTE>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To study the feasibility and safety of stent-supported angioplasty in the treatment of atherosclerotic stenoses of the extracranial carotid arteries.</p><p><strong>Methods: </strong>Carotid angioplasty was attempted in 174 arteries (163 patients: 126 males; mean age: 71 +/- 10 years, range 47 to 93). Mean lesion length was 15.1 +/- 4.1 mm, and mean percent stenosis was 83.8% +/- 7.3% (reference diameter 5.8 +/- 0.7 mm). The majority (106, 65%) were asymptomatic (51% of all patients had severe coronary disease, 32% had peripheral vascular diseases). Patients underwent independent neurological examination, computed tomography, duplex ultrasonography, and angiography preprocedurally, 24 hours after the procedure, and at 6-month follow-up intervals. Most (142, 82%) carotid arteries were treated without cerebral protection, but a protective triple coaxial catheter was used in 32 (18%) patients. Stents (primarily Palmaz and Wallstent) were deployed routinely in all cases; 18% were implanted without predilation.</p><p><strong>Results: </strong>Immediate technical success was 173 of 174 (99.4%) (1 access failure referred electively to surgery). Eight (4.6%) neurological complications occurred in the periprocedural period: 3 transient ischemic attacks, 2 minor strokes, and 3 major strokes (1 amaurosis and 2 hemiplegias). Two major complications developed despite cerebral protection. There were no deaths or myocardial infarctions and only 3 cervical access site hematomas. Over a mean 12.7 +/- 9.2 month follow-up (range 1 to 36), no ipsilateral neurological complications have been seen. There were 4 (2.3%) restenoses (3 redilated, 1 treated medically) and 1 mild Palmaz stent compression, all found within the first 6 months. Primary and secondary patencies at 3 years are 96% and 99%, respectively.</p><p><strong>Conclusions: </strong>Angioplasty with routine stenting seems feasible and safe for treating certain types of carotid stenoses even in high-surgical risk patients; however, randomized trials are necessary before this treatment can be offered as an alternative to endarterectomy.</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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20775327","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":"Type III and type IV endoleak: toward a complete definition of blood flow in the sac after endoluminal AAA repair.","authors":"G H White,&nbsp;J May,&nbsp;R C Waugh,&nbsp;X Chaufour,&nbsp;W Yu","doi":"10.1177/152660289800500403","DOIUrl":"https://doi.org/10.1177/152660289800500403","url":null,"abstract":"<p><p>In this document the authors continue to refine their seminal categorization of endoleak, a major complication of endovascular aneurysm repair. In addition to type I (related to the graft device itself) and type II (retrograde flow from collateral branches) endoleak, they propose two new categories: endoleak due to fabric tears, graft disconnection, or disintegration would be classified type III, and flow through the graft presumed to be associated with graft wall \"porosity\" would be categorized as type IV endoleak.</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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/152660289800500403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20775328","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":"Combined surgical and endovascular removal of thrombus entirely occluding a bifurcated aortic stent-graft.","authors":"R I Rückert,&nbsp;P Romaniuk,&nbsp;P Rogalla,&nbsp;T Thieme,&nbsp;T Umscheid,&nbsp;W J Stelter,&nbsp;J M Müller","doi":"10.1583/1074-6218(1998)005<0323:CSAERO>2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1074-6218(1998)005<0323:CSAERO>2.0.CO;2","url":null,"abstract":"<p><strong>Purpose: </strong>To explore a method combining interventional, endovascular, and conventional surgical techniques for treating a completely occluded bifurcated stent-graft after endovascular aortic aneurysm repair.</p><p><strong>Methods and results: </strong>A 60-year-old patient underwent endovascular repair of an abdominal aortic aneurysm (AAA) with a Talent bifurcated stent-graft. Five months later, after chronic thrombotic occlusion of the right iliac limb, he presented with acute occlusion of the entire stent-graft. Local intra-arterial infiltration thrombolysis successfully reconstituted flow through the main aortic segment and left iliac limb. With a combination of conventional surgical and intraoperative endovascular procedures, thrombectomy and recanalization of the right iliac limb was completed by stenting a severe stenosis of the proximal iliac limb.</p><p><strong>Conclusions: </strong>A combination of techniques may be essential for successful management of thrombotic complications after endovascular AAA repair.</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":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20775331","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}