78 results match your criteria Intravascular Stents Thoracic Aorta


Anatomical Factors That Impede Using the Radial Artery Approach for Carotid Artery Revascularization.

World Neurosurg 2022 Apr 13;160:e398-e403. Epub 2022 Jan 13.

Department of Neurosurgery, International University of Health & Welfare, Tokyo, Japan.

Objectives: We investigated the anatomical characteristics that complicate utilizing the radial artery approach (RAA) for craniocervical intravascular intervention.

Methods: The data of 73 lesions in 65 consecutive patients who underwent transradial cervical carotid artery intervention was evaluated. We assessed the success rate of RAA in right-sided and left-sided lesions. Read More

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When echocardiography fails, intravascular ultrasound as an alternative for adequate graft patency in hybrid elephant trunk surgery.

Ann Card Anaesth 2021 Oct-Dec;24(4):495-497

Anesthesiology Institute, Cleveland Clinic; Department of Cardiothoracic Anesthesia, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Aortic pathology is a common cardiovascular disease in the US. Transesophageal Echocardiogram is an invaluable imaging modality in the management of aortic pathology in perioperative setting. Intravascular ultrasound can assess coronary obstruction during coronary interventions and can be used in endovascular aneurysm repair. Read More

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November 2021

Endovascular Management of Malperfusion Syndromes in Aortic Dissection.

Tech Vasc Interv Radiol 2021 Jun 23;24(2):100751. Epub 2021 Jul 23.

Department of Radiology, University of Michigan, Ann Arbor, MI.

Malperfusion Syndrome (MPS) refers to inadequate perfusion of end organs secondary to ongoing arterial obstruction of the aorta and its branches resulting in increased morbidity and mortality. While uncomplicated type B dissection can typically be monitored, type A or type B dissections with malperfusion syndrome are should be considered for hybrid treatment with an endovascular intervention.  In addition to pre-procedure CTA and labs, intra-procedure evaluation of the true lumen, false lumen, and branch vessels is performed with intravascular ultrasound (IVUS) and manometry to delineate static versus dynamic obstruction. Read More

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Effect of intravascular ultrasound on clinical outcomes after thoracic endovascular aortic repair for blunt thoracic aortic injury.

J Vasc Surg 2022 02 8;75(2):448-454.e2. Epub 2021 Sep 8.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio. Electronic address:

Objective: Thoracic endovascular aortic repair (TEVAR) for blunt traumatic aortic injuries (BTAIs) can be complicated by inaccurate aortic measurements at the initial computed tomography angiography secondary to hypovolemic shock. The use of intravascular ultrasound (IVUS) has been proposed for more accurate aortic sizing, with prior data demonstrating larger aortic sizes measured by IVUS, potentially altering the vast majority of chosen endograft sizes. At present, and to the best of our knowledge, no studies have examined whether IVUS affects the clinical outcomes. Read More

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February 2022

Extensive Aortic Stent Graft Coverage for Thoracoabdominal Aortic Aneurysm is Associated With Hemorrhagic Complications Induced by Disseminated Intravascular Coagulation.

Ann Vasc Surg 2022 Jan 28;78:152-160. Epub 2021 Aug 28.

Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.

Background: Hybrid endovascular repair for thoracoabdominal aortic aneurysm (TAAA) is a less invasive alternative treatment than conventional open repair. However, disseminated intravascular coagulation (DIC) and hemorrhagic complications can occur postoperatively. We investigated risk factors for hemorrhagic complications after hybrid endovascular TAAA repair. Read More

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January 2022

Endovascular rescue for malpositioned frozen elephant trunk into the false lumen.

J Card Surg 2021 Oct 26;36(10):3948-3951. Epub 2021 Jul 26.

Department of Cardiovascular Surgery, Akita University Graduate School of Medicine, Akita, Japan.

We describe a case of frozen elephant trunk deployment unintentionally malpositioned into the false lumen. An 83-year-old man underwent total arch repair with a frozen elephant trunk for type A acute aortic dissection complicated by mesenteric malperfusion. However, intraoperative transesophageal echocardiography showed expansion of the false lumen in the descending aorta, suggesting a malpositioned frozen elephant trunk into the false lumen. Read More

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October 2021

Laser in situ Fenestration in Thoracic Endovascular Aortic Repair: A Single-Center Analysis.

Ann Vasc Surg 2021 Oct 18;76:159-167. Epub 2021 Jun 18.

Medical University of South Carolina, Ashley River Tower, Charleston, SC. Electronic address:

Background: Laser in situ fenestration (LISF) is an expanding technique for arch vessel revascularization in thoracic endovascular aortic repair (TEVAR). We present a single center's early and midterm outcomes using adjunctive LISF with TEVAR for treatment of various arch pathologies.

Methods: 24 patients underwent TEVAR with LISF (2017-2020). Read More

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October 2021

Thoracic endovascular repair for disseminated intravascular coagulation associated with chronic type B aortic dissection.

Vascular 2020 Dec 17;28(6):705-707. Epub 2020 Jun 17.

Department of Cardiovascular Surgery, The 274892Sakakibara Heart Institute of Okayama, Japan.

Objectives: Chronic disseminated intravascular coagulation is a rare complication of aortic dissection, and its optimal treatment remains controversial.

Methods: We present a 78-year-old man with repeated hemorrhagic events by disseminated intravascular coagulation due to chronic aortic dissection treated by thoracic endovascular aortic repair.

Results: Computed tomography angiography at three months revealed a completely thrombosed false lumen from the distal aortic arch to the descending aorta at the celiac artery level. Read More

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December 2020

Delayed disseminated intravascular coagulopathy post thoracic endovascular aortic repair (TEVAR).

J Card Surg 2020 Dec 8;35(12):3610-3613. Epub 2020 Oct 8.

Department of Cardiothoracic and Vascular Surgery, Evangelismos General Hospital, Athens, Greece.

Disseminated intravascular coagulopathy (DIC) is a very rare outcome post endovascular repair of aortic aneurysm dissections. We present a case of a 70-year-old male who presented with DIC post a thoracic endovascular aortic repair (TEVAR) procedure due to a type 1A endoleak. Initially, the patient was treated with red blood cells and blood products; however, when failing to improve, he underwent a hybrid arch replacement. Read More

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December 2020

Important issues regarding planning and sizing for emergent TEVAR.

J Cardiovasc Surg (Torino) 2020 Dec 23;61(6):708-712. Epub 2020 Sep 23.

Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.

In the past decades, treatment of acute thoracic aortic syndrome underwent drastic changes with a central role for thoracic endovascular aortic repair (TEVAR). One of the essential factors in the success of TEVAR is accurate sizing of the endograft, as both under- and oversizing can lead to suboptimal results and disastrous complications. The aim of this review was to give an overview of issues regarding endograft sizing in emergent TEVAR. Read More

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December 2020

Intravascular Ultrasound-Assisted Endovascular Exclusion of Penetrating Aortic Ulcers.

Ann Vasc Surg 2021 Jan 4;70:467-473. Epub 2020 Jul 4.

Department of Clinical Research, University Hospital of Poitiers, Poitiers, France.

Background: Penetrating aortic ulcer (PAU) is an atherosclerotic lesion penetrating the elastic lamina and extending into the media of the aorta. It may evolve into intramural hematoma, focal dissection, pseudoaneurysm, and eventually rupture. The purpose of this study was to evaluate the effectiveness of a totally intravascular ultrasound (IVUS)-assisted endovascular exclusion of PAU. Read More

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January 2021

Early Results of a Novel Single-Stage Hybrid Aortic Arch Replacement Technique to Reduce Bypass and Circulatory Arrest Duration.

Heart Surg Forum 2020 03 9;23(2):E107-E113. Epub 2020 Mar 9.

Division of Cardiothoracic Surgery, Department of Surgery, University of Colorado, Denver, Colorado, USA.

Objective: Hybrid repair procedures of the aortic arch have been utilized to reduce surgical risks and apply this therapy to patients who would not traditionally be candidates for open surgical repair.  We present a variation on the frozen elephant trunk technique to further reduce cardiopulmonary bypass and circulatory arrest duration.

Methods: After initiation of cardiopulmonary bypass and during systemic cooling, a wire is advanced from the femoral artery into the aortic arch. Read More

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Pseudoaneurysm of Patent Ductus Arteriosus Following Previous PDA Closure: Case Report and Literature Review.

Vasc Endovascular Surg 2020 Feb 10;54(2):165-168. Epub 2019 Nov 10.

UC Riverside/Riverside Community Hospital, CA, USA.

Background: Pseudoaneurysm developing after repair of a patent ductus arteriosus (PDA) is uncommon, with only a handful of cases reported in the literature. While older literature cites infection, recent series suggest that formation of pseudoaneurysm off of a ligated PDA attributed to breakdown in the suture line. Thoracic endovascular aortic repair (TEVAR) for this rare pathology has been demonstrated in selected case reports. Read More

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February 2020

Distal Stent Graft Induced New Entry: Risk Factors in Acute and Chronic Type B Aortic Dissections.

Eur J Vasc Endovasc Surg 2019 Dec 15;58(6):822-830. Epub 2019 Oct 15.

Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Centre Essen, University of Duisburg-Essen, Essen, Germany. Electronic address:

Objectives: Distal stent graft induced new entry (dSINE) is a rare complication associated with acute and chronic dissections after thoracic endovascular aortic repair (TEVAR) and is linked to a high re-intervention rate. The potential predicting risk factors for dSINE and long term outcome of patients after re-intervention were analysed.

Methods: This single centre, retrospective study included patients undergoing TEVAR. Read More

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December 2019

Successful treatment of unexpected complication during aortic stent-grafting: retrieval of broken stent-graft tip by coaxial technique.

Diagn Interv Radiol 2019 Mar;25(2):169-172

Departments of Radiology, Ankara Yıldırım Beyazıt University School of Medicine, Ankara, Turkey.

Thoracic aortic endovascular repair (TEVAR) is increasingly preferred as a treatment of choice in thoracic aortic diseases. Intravascular foreign body is one of the TEVAR-related complications similar to the other endovascular operations. Here, to the our best knowledge for the first time in the English literature, this report presents an extremely rare complication of a broken and stuck tip part of aortic stent-graft in the intravascular space and successful removal by using the coaxial technique. Read More

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In Vivo Assessment of Ascending and Arch Aortic Compliance.

Ann Vasc Surg 2019 May 30;57:22-28. Epub 2019 Jan 30.

Division of Vascular Surgery, Harbor-UCLA Medical Center, Torrance, CA; Division of Vascular Surgery, Long Beach Memorial Heart & Vascular Institute, Long Beach, CA.

Background: Dynamic compliance (Cd) of the adult thoracic ascending and arch aorta has had limited in vivo evaluation in patients with aortic disease. This study evaluates aortic compliance using intravascular ultrasound (IVUS) across a range of thoracic aortic diseases.

Methods: Seventy-nine patients undergoing thoracic aortic endovascular procedures had Cd measurements of the ascending aorta proximal to the origin of the brachiocephalic trunk and distal to the origin of the left common carotid artery using IVUS before endograft deployment. Read More

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Distal Neo-Neck Formation for Chronic Type B Dissection: False Lumen Closure After TEVAR.

Vasc Endovascular Surg 2019 Apr 17;53(3):199-205. Epub 2018 Dec 17.

1 Cardiovascular Surgery Department, Matsubara Tokushukai Hospital, Matsubara, Osaka, Japan.

Objectives:: Patients with chronic aortic dissection often require repeat interventions due to enlargement of the pressurized false lumen or disseminated intravascular coagulation even after additional thoracic endovascular aortic repair (TEVAR) to occlude the entry tear. Residual false lumen flow can persist even after performing the candy-plug technique or branched stent-graft placement in some cases. We have devised a new method for false lumen closure. Read More

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Differences in Aortic Diameter Measurements with Intravascular Ultrasound and Computed Tomography After Blunt Traumatic Aortic Injury.

Ann Vasc Surg 2018 Jul 23;50:148-153. Epub 2018 Feb 23.

Division of Vascular Surgery, University of California Davis, Sacramento, CA.

Background: Intravascular ultrasound (IVUS) has been recommended as an adjunct to thoracic endovascular aortic repair (TEVAR) as computed tomography (CT) in injured patients may inaccurately determine the true aortic diameter. We hypothesize that CT and IVUS offer discordant measurements of aortic diameter in trauma patients and that each modality may result in different graft size estimates for TEVAR.

Methods: Patients treated by TEVAR for blunt aortic injury from June 2011 to 2016 were reviewed. Read More

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Comparison of intravascular ultrasound- and centerline computed tomography-determined aortic diameters during thoracic endovascular aortic repair.

J Vasc Surg 2017 10 22;66(4):1184-1191. Epub 2017 Jun 22.

Comprehensive Aortic Center, Keck School of Medicine, University of Southern California, Los Angeles, Calif.

Background: Accurate sizing of stent grafts during thoracic endovascular aortic repair (TEVAR) is critical for a successful outcome. Centerline measurements using three-dimensional reconstruction of preoperative computed tomography angiography (CTA) is the current standard for stent graft sizing. However, this technique is predicated on an idealized straightened aorta and does not account for the variability in the aortic diameter during the cardiac cycle or the overall status of the patient's volume. Read More

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October 2017

Successful Repair of Acute Type B and Retrograde Type A Aortic Dissection With Kidney Ischemia.

Vasc Endovascular Surg 2017 Jul 17;51(5):342-345. Epub 2017 May 17.

1 Department of Cardiovascular Surgery, Sanger Heart & Vascular Institute, Charlotte, NC, USA.

Acute dissection of thoracic aorta carries a risk of renal ischemia followed by the development of a kidney failure. The optimal surgical and nonsurgical management of these patients, timing of intervention, and the factors predicting renal recovery are not well delineated and remain controversial. We present a case of acute type B thoracic aortic dissection with left kidney ischemia. Read More

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Bench and initial preclinical results of a novel 8 mm diameter double opposed helical biodegradable stent.

Catheter Cardiovasc Interv 2016 Nov 29;88(6):902-911. Epub 2016 Jul 29.

Division of Cardiology, Department of Pediatrics, UT Southwestern Medical Center, Dallas, Texas.

Background: Metallic endovascular stents are utilized off-label in congenital heart disease. Biodegradable stents (BDS) offer potential advantages in a growing child. We have previously reported double opposed helical (DH) BDS up to 6 mm diameter (DH-6). Read More

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November 2016

Real-time in vitro intravascular reconstruction and navigation for endovascular aortic stent grafting.

Int J Med Robot 2016 Dec 9;12(4):648-657. Epub 2016 Feb 9.

Department of Micro-nano Systems Engineering, Nagoya University, Nagoya, Japan.

Background: Trans-catheter endovascular stent grafting minimizes trauma and increases the benefitting patient population. However, the alignment between stent graft branches and vasculature branches remains time-consuming and challenging, and such techniques require a significant amount of contrast agent for imaging.

Methods: A new framework for intravascular reconstruction based on sensor fusion between intravascular ultrasound (IVUS) imaging and electromagnetic (EM) tracking was proposed. Read More

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December 2016

Sutureless Microsurgical Anastomosis Using an Optimized Thermoreversible Intravascular Poloxamer Stent.

Plast Reconstr Surg 2016 Feb;137(2):546-556

Stanford, Calif. From the Hagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine.

Background: Sutureless microvascular anastomosis has great translational potential to simplify microvascular surgery, shorten operative times, and improve clinical outcomes. The authors developed a transient thermoreversible microvascular stent using a poloxamer to maintain vessel lumen patency before application of commercially available adhesives to seal the anastomosis instead of sutures. Despite technical success, human application necessitates bovine serum albumin removal from existing formulations; rapid poloxamer transition between states; and increased stiffness for reliable, reproducible, and precise microvascular approximation. Read More

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February 2016

Effect of Intravascular Ultrasound-assisted Thoracic Endovascular Aortic Repair for "Complicated" Type B Aortic Dissection.

Chin Med J (Engl) 2015 Sep;128(17):2322-9

Department of Vascular Surgery, Zhongshan Hospital Fudan University; Institute of Vascular Surgery, Fudan University, Shanghai 200032, China.

Background: Intravascular ultrasound (IVUS) examination can provide useful information during endovascular stent graft repair. However, its actual clinical utility in thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (type B-AD) remains unclear, especially in complicated aortic dissection. We evaluated the effect of IVUS as a complementary tool during TEVAR. Read More

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September 2015

Validation of intravascular ultrasound for measurement of aortic diameters: Comparison with multi-detector computed tomography.

Minim Invasive Ther Allied Technol 2015 12;24(5):289-95. Epub 2015 Jun 12.

a 1 Department of Cardiology, West-German Heart and Vascular Center Essen, University Duisburg-Essen , Essen, Germany.

Introduction: Intravascular ultrasound (IVUS) provides real-time imaging of aortic pathology during aortic interventions. The objective of the present study was to validate IVUS measurements using computed tomography (CT) angiography in a sufficiently large cohort.

Material And Methods: From October 2010 to February 2014, 57 consecutive patients with acute aortic syndrome underwent both IVUS and spiral CT for a total of 509 comparable thoracic aorta segments. Read More

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Distribution of tissue characteristics of coronary plaques evaluated by integrated backscatter intravascular ultrasound: Differences between the inner and outer vessel curvature.

J Cardiol 2015 Dec 4;66(6):489-95. Epub 2015 Mar 4.

Department of Cardiology, Gifu University Graduate School of Medicine, Gifu, Japan.

Background: The purpose of the present study was to evaluate the tissue characteristics of plaques with moderate or mild stenosis in the inner and outer curvature of the left anterior descending artery (LAD) using integrated backscatter intravascular ultrasound.

Methods: We evaluated 66 plaques with moderate stenosis (plaque burden >50% but ≤75%) and 49 plaques with mild stenosis (plaque burden >30% but ≤50%) in 66 patients undergoing percutaneous intervention to the LAD. All plaques were >10mm away from any side branch or previously implanted stents. Read More

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December 2015

Acute coronary syndrome caused by left main coronary artery compression between the aortic root and massive dilation of the left atrium.

Authors:
Bin Wang Yan Wang

Can J Cardiol 2015 Feb 4;31(2):227.e3-5. Epub 2014 Nov 4.

Department of Cardiology, Xiamen Heart Center, Xiamen University, Xiamen, People's Republic of China. Electronic address:

Left main compression by pulmonary artery dilation has been reported previously. Percutaneous or surgical interventions are treatment options. We report on a 78-year-old man with exertional chest pain and dyspnea. Read More

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February 2015

A novel design biodegradable stent for use in congenital heart disease: mid-term results in rabbit descending aorta.

Catheter Cardiovasc Interv 2015 Mar 3;85(4):629-39. Epub 2014 Sep 3.

Departments of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.

Objectives: This study evaluates the feasibility of delivery and deployment of low and medium molecular weight (LMW and MMW, respectively) double-opposing helical (DH) poly-l-lactic acid biodegradable stent (BDS) in rabbit descending aorta (DAO). Secondary objectives were to assess patency and inflammation of stented vessels at 9 months and to investigate safety following intentional embolization of stent fragments in DAO.

Background: A BDS that will relieve aortic obstruction and disappears as the child grows older allowing for preservation of aortic wall elasticity and natural growth of aorta will be ideal to treat Coarctation (CoA). Read More

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Endovascular strategies for treatment of embolizing thoracoabdominal aortic lesions.

J Vasc Surg 2014 May 14;59(5):1256-64. Epub 2014 Jan 14.

University of Pittsburgh Medical Center, Pittsburgh, Pa.

Objective: Aortic sources of peripheral and visceral embolization remain challenging to treat. The safety of stent graft coverage continues to be debated. This study reports the outcomes of stent coverage of these complex lesions. Read More

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Engineering goals for future thoracic endografts-how can we make them more effective?

Prog Cardiovasc Dis 2013 Jul-Aug;56(1):92-102. Epub 2013 Jun 24.

Department of Endovascular Therapies Research and Development, Medtronic Cardiovascular, Santa Rosa, CA.

Endovascular treatments for catastrophic aortic conditions have gained increasing popularity over the past 20 years. Originally developed for abdominal aortic aneurysms (EVAR), treatment has been modified for use in thoracic aortic repair (TEVAR). As expanding numbers of patients with increasingly intractable conditions and more hostile anatomies are treated, endovascular stent designs are maturing to be suitable for these more demanding situations. Read More

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October 2013