Mikel Sadek, Lowell S Kabnick, Todd Berland, Neal S Cayne, Firas Mussa, Thomas Maldonado, Caron B Rockman, Glenn R Jacobowitz, Patrick J Lamparello, Mark A Adelman
{"title":"Update on endovenous laser ablation: 2011.","authors":"Mikel Sadek, Lowell S Kabnick, Todd Berland, Neal S Cayne, Firas Mussa, Thomas Maldonado, Caron B Rockman, Glenn R Jacobowitz, Patrick J Lamparello, Mark A Adelman","doi":"10.1177/1531003511429156","DOIUrl":"https://doi.org/10.1177/1531003511429156","url":null,"abstract":"<p><p>In 2001, the use of endovenous laser ablation (EVLA) was introduced to the United States to treat superficial venous insufficiency. EVLA has subsequently undergone a rapid rise in popularity and usage with a concomitant decrease in traditional operative saphenectomy. Since its inception, the use of EVLA to treat superficial venous insufficiency has advanced significantly. The efficacy of treatment has been validated using both hemoglobin-specific laser wavelength and water-specific laser wavelength lasers. Currently, laser optimization is focusing on reducing postprocedural sequelae. The clinical parameters that correlate best with improved postoperative recovery use lower power/energy settings, water-specific laser wavelength lasers, and jacket or radial-emitting tips. Future study is still required to assess the durability of treatment at lower power and energy settings coupled with jacket or radial-emitting tip fibers. Long-term follow-up using duplex imaging is recommended to ensure persistent treatment success.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 4","pages":"233-7"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511429156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30294983","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}
Warren M Perry, Carter Freiburg, Bart E Muhs, Jeffrey Indes
{"title":"Endovascular stent graft repair of left renal artery pseudoaneurysm from malignant fibrous histiosarcoma.","authors":"Warren M Perry, Carter Freiburg, Bart E Muhs, Jeffrey Indes","doi":"10.1177/1531003511409948","DOIUrl":"https://doi.org/10.1177/1531003511409948","url":null,"abstract":"<p><p>A renal artery pseudoaneurysm is a rare but life-threatening complication. Historically, these vascular abnormalities have been treated using open surgery, but today's endovascular techniques provide less invasive forms of treatment. Though literature supports selective angio-embolization as an effective form of repair, there are little data on covered stent placement for renal artery psuedoaneurysms. The authors report a case of left renal artery pseudoaneurysm repaired with a covered stent that allowed a patient with malignant fibrous histiosarcoma to receive chemotherapy with minimal risk of rupture.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 4","pages":"291-3"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511409948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30050016","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}
Mubin I Syed, Benjamin Yu, Talal Akhter, Azim Shaikh
{"title":"Renal vein stenting via the right internal jugular approach with a provocative Valsalva maneuver to reduce the risk of stent migration.","authors":"Mubin I Syed, Benjamin Yu, Talal Akhter, Azim Shaikh","doi":"10.1177/1531003511409054","DOIUrl":"https://doi.org/10.1177/1531003511409054","url":null,"abstract":"<p><p>An adult male with nutcracker syndrome was treated successfully by placement of a self-expanding stent in the left renal vein via a right internal jugular vein approach with a provocative Valsalva maneuver. Previous case reports have described renal vein stenting for this condition via common femoral vein approach. However, this study proposes the right internal jugular vein approach as a safer method for the treatment of nutcracker syndrome since the stent can be easily captured along the guidewire if undersized. This technique is based on the realization that the left renal vein diameter may increase by 50% to 58% during the Valsalva maneuver.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 4","pages":"268-71"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511409054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30050017","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":"Commentary on \"Renal vein stenting via the right internal jugular vein approach with a provocative Valsalva maneuver to reduce the risk of stent migration\".","authors":"Haraldur Bjarnason","doi":"10.1177/1531003511429332","DOIUrl":"https://doi.org/10.1177/1531003511429332","url":null,"abstract":"","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 4","pages":"272-3"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511429332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30300667","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}
Celia V Riga, Richard G McWilliams, Nicholas J W Cheshire
{"title":"In situ fenestrations for the aortic arch and visceral segment: advances and challenges.","authors":"Celia V Riga, Richard G McWilliams, Nicholas J W Cheshire","doi":"10.1177/1531003510388421","DOIUrl":"https://doi.org/10.1177/1531003510388421","url":null,"abstract":"<p><p>The management of complex aortic pathologies remains a major challenge particularly in the emergency setting. Bespoke fenestrated and branch stent graft technology has shown encouraging short- and mid-term results in selected patients. Despite tremendous technological advances in this field however, factors such as the inherent delay in device manufacturing, anatomical and technical challenges, high degree of planning, and cost hinder the wider applications of minimally invasive endovascular therapy. In situ fenestration of aortic stent grafts is an attractive alternative that eliminates the need for preoperative custom tailoring with the potential to widen the therapeutic options available and to offer a bailout option after inadvertent side branch occlusion. This article summarizes the principles of this technique and discusses its current applications.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 3","pages":"161-5"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003510388421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29822822","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}
Timothy A Resch, Björn Sonesson, Nuno Dias, Martin Malina
{"title":"Chimney grafts: is there a need and will they work?","authors":"Timothy A Resch, Björn Sonesson, Nuno Dias, Martin Malina","doi":"10.1177/1531003511408339","DOIUrl":"https://doi.org/10.1177/1531003511408339","url":null,"abstract":"<p><p>Endovascular repair has become the primary treatment option for abdominal aortic aneurysms over the past decade. The favorable results as well as technical evolution have led endovascular repair to include fenestrated and branched technology for complex juxtarenal, suprarenal, and thoracoabdominal aneurysms. These grafts are, however, extensively customized and patient tailored at present precluding their use in emergency situations. Certain aspect of aneurysm anatomy also limits them. The chimney technique uses standard, off-the-shelf endovascular devices that extend the use of standard aortic stent grafts for aneurysms without suitable proximal landing zones particularly in acute situations. Early results are promising and warrant a continued development of the technique until such time that dedicated devices are available for the treatment of these complex aneurysms.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 3","pages":"149-53"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511408339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30051137","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}
Noel O'Brien, Jonathan Sobocinski, Piervito d'Elia, Matthieu Guillou, Fillipo Maioli, Richard Azzaoui, Stéphan Haulon
{"title":"Fenestrated endovascular repair of type IV thoracoabdominal aneurysms: device design and implantation technique.","authors":"Noel O'Brien, Jonathan Sobocinski, Piervito d'Elia, Matthieu Guillou, Fillipo Maioli, Richard Azzaoui, Stéphan Haulon","doi":"10.1177/1531003511408340","DOIUrl":"https://doi.org/10.1177/1531003511408340","url":null,"abstract":"Treatment of thoracoabdominal aortic aneurysms has traditionally been by means of open surgery, but in recent years endovascular approaches have emerged as a viable and perhaps superior alternative. Some confusion appears to exist in discussions in the literature regarding the exact definition of the various types of thoracoabdominal aneurysm depending on whether open or endovascular repair is undertaken, with some authors comparing the preoperative extent of disease and others comparing the degree of aortic coverage required. Accurate preoperative planning and meticulous implantation technique are critical to successful outcomes with the endovascular approach. This study discusses the anatomical classification of type IV thoracoabdominal aneurysms as applied in open and endovascular surgery and outlines the authors' approach to the critical preoperative planning of endografts used to treat these aneurysms. The authors describe their techniques used to implant these devices, whether they consist of fenestrated or branched components, and some of the mechanisms by which minimization of complications such as spinal cord ischemia is sought.","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 3","pages":"173-7"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511408340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30050957","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":"Urgent endovascular treatment of symptomatic or contained ruptured aneurysms with modified stent grafts.","authors":"Gustavo S Oderich, Mark A Farber, Luis A Sanchez","doi":"10.1177/1531003511408341","DOIUrl":"https://doi.org/10.1177/1531003511408341","url":null,"abstract":"<p><p>Anatomical constraints limit the utility of endovascular therapy with infrarenal stent grafts in approximately 40% of the patients. Fenestrated and branched stent grafts that incorporate the visceral and renal arteries are currently not approved for commercial use in the United States and require at least 6 to 8 weeks for customization. These devices are not currently available as an \"off-the-shelf\" option to treat complex aneurysms, although recent publications suggest that standardization will be possible in 70% to 80% of patients. Modification of aortic stent grafts with creation of reinforced fenestrations or side branches has been reported and may have a future role in the compassionate treatment of high-risk patients with complex aneurysms who otherwise would not have access to a manufactured device, or for those in need of urgent or emergent repair as in the case of a patient with an impending or contained ruptured aneurysm. This article summarizes the current principles applied for device design, procedure planning, and potential applications of modified stent grafts for urgent treatment of symptomatic or contained ruptured aortic aneurysms.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 3","pages":"186-94"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511408341","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30050959","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":"Staged visceral bypass with aortic relining for thoracoabdominal aneurysms: future perspectives.","authors":"S A Black, I M Loftus, M M Thompson","doi":"10.1177/1531003511411486","DOIUrl":"https://doi.org/10.1177/1531003511411486","url":null,"abstract":"<p><p>Hybrid procedures for the repair of thoracoabdominal aneurysms have become more widely reported in the literature in the past few years. This procedure was developed as an alternative to the traditional method of open thoracoabdominal repair in the absence of a viable total endovascular solution for all cases. The early results of the procedure encouraged more centers to use a hybrid solution in the treatment of complex aortic pathology. This article evaluates the current status of this procedure and future developments.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 3","pages":"154-60"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511411486","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30051143","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":"The evolving options for endovascular repair of complex aortic aneurysms. Foreword.","authors":"Gustavo S Oderich, Roy K Greenberg","doi":"10.1177/1531003511407343","DOIUrl":"https://doi.org/10.1177/1531003511407343","url":null,"abstract":"","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"23 3","pages":"145-8"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003511407343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30354656","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}