5,772 results match your criteria Renal Artery Aneurysm


Endovascular Exclusion of Abdominal Aortic Aneurysms and Simultaneous Resection of Colorectal Cancer.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Direction de la Recherche Clinique et de l'Innovation, CHU de Poitiers, DRC, Poitiers, France.

Background: No consensus exists on the optimal strategy for treatment of abdominal aortic aneurysm (AAA) associated with colorectal cancer (CRC). The purpose of this study was to evaluate the results of endovascular treatment of AAA with simultaneous resection of CRC.

Methods: Twenty-two consecutive patients presenting a AAA associated with a CRC were treated by endovascular AAA exclusion (EVAR) and simultaneous colorectal cancer resection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2019.02.006DOI Listing

Splenic artery aneurysm in a patient of autosomal dominant polycystic kidney disease: beyond tenuous concomitance!

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India.

Splenic artery aneurysm (SAA) is rare, with risk of rupture especially if diameter is >2 cm. It is usually asymptomatic and detected incidentally on imaging either in young pregnant women or elderly cirrhotic patients. Extracranial vascular abnormalities known to be associated with autosomal dominant polycystic kidney disease (ADPKD) include ascending aortic aneurysms, dissections of coronary and vertebral arteries and rarely SAA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-228552DOI Listing

Possibility of Cardio-renal Protection by Long-term Cardiac Rehabilitation in Elderly Patients with Cardiovascular Diseases.

Intern Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Cardiology, Fukuoka University School of Medicine, Japan.

Objective Cardiac rehabilitation (CR) improves the mortality in patients with cardiovascular disease (CVD). Even in elderly patients with CVD, CR may improve the activities of daily living (ADL). Methods Eighty-eight outpatients over 65 years of age at the beginning of a CR program (baseline) at Fukuoka University Hospital who had CVD and could be followed-up for up to 5 years were enrolled. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2169/internalmedicine.2281-18DOI Listing
April 2019
1 Read

A giant renal artery aneurysm presenting as a calcified hydatid cyst.

Br J Hosp Med (Lond) 2019 Apr;80(4):iii

Professor, Department of Radiology, Medical Faculty, NEU University, Konya, Turkey.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12968/hmed.2019.80.4.iiiDOI Listing
April 2019
3 Reads

A Rare Case of an Abdominal Aneurysm in a Patient with Lymphangioleiomyomatosis: A Case Report.

Perm J 2019 ;23

Respiralab, Respiralab Research Group, Guayaquil, Ecuador.

Introduction: Lymphangioleiomyomatosis (LAM) is a multisystemic disorder characterized by the proliferation, metastasis, and infiltration of smooth muscle cells in the lung and other tissues. Although LAM is rarely seen in men, it is usually detected in women during the third decade of life. Renal microaneurysms have been reported in patients with LAM, but abdominal aneurysms have not. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7812/TPP/18-170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443368PMC
January 2019

Successful Management of a Type B Gutter Related Endoleak after Chimney EVAR by Coil Assisted Onyx Embolisation.

EJVES Short Rep 2019 24;42:38-42. Epub 2019 Jan 24.

Department of Vascular Surgery, St. Franziskus Hospital Münster, Clinic of Vascular and Endovascular Surgery, University of Münster, Germany.

Introduction: The aim was to describe possible management of a persistent gutter related type Ia endoleak after treatment of a symptomatic pararenal aortic aneurysm with the chimney endovascular technique.

Report: A 77 year old man with a symptomatic 6 cm pararenal aortic aneurysm was referred. Computed tomography angiography (CTA) showed a pararenal aortic aneurysm with involvement of both renal arteries and extension up to the superior mesenteric artery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejvssr.2018.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424687PMC
January 2019
1 Read

Impact of fenestrated stent graft misalignment on patient outcomes.

J Vasc Surg 2019 Mar 27. Epub 2019 Mar 27.

Division of Vascular Surgery, University Health Network, Peter Munk Cardiac Centre, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Objective: During fenestrated endovascular aneurysm repair (FEVAR), accurate alignment of the fenestration and the target artery is necessary to prevent complications. This study's objective is to determine the incidence of clinical outcomes following fenestration misalignment during FEVAR.

Methods: A single-center, retrospective chart review was performed for all elective FEVARs between January 2008 and April 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.12.047DOI Listing
March 2019
5 Reads

Endovascular Repair of Renal Artery Aneurysm in a Transplanted Kidney.

Oman Med J 2019 Mar;34(2):169-171

Interventional Radiology Department, Royal Medical Services, King Hussein Medical Center, Amman, Jordan.

We present a case of a 35-year-old male patient who underwent live donor kidney transplantation at our unit in 2003. While working overseas, he had deterioration in his kidney function and was treated conservatively over three years duration including acquirement of a renal biopsy. Upon presentation to our unit in June 2015, an ultrasound and computed tomography angiogram demonstrated a huge aneurysm arising from his upper renal artery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5001/omj.2019.31DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425060PMC
March 2019
1 Read

[Clinical application of renal autotransplantation in complex urological diseases].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(12):907-911

Department of Organ Transplantation, the Second Affiliated Hospital of Guangzhou Medical University, Guangdong 510260, China.

To summarize the experience of renal autotransplantation for severe iatrogenic proximal ureteral damage and renal artery aneurysms in eight patients and to explore the clinical application value of renal autotransplantation. Two patients of renal artery aneurysms and six patients of severe iatrogenic proximal ureteral damage between January 2010 and March 2018 in our center were retrospectively reviewed. The procedures of eight cases were successful, with immediate return of renal function in the patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.12.006DOI Listing
March 2019
1 Read

Outcome After Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm: A National Multicentre Study.

Eur J Vasc Endovasc Surg 2019 Mar 22. Epub 2019 Mar 22.

Department of Vascular Surgery, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden. Electronic address:

Objective: The purpose of this multicentre study was to analyse the outcome of thoracic endovascular aortic repair (TEVAR) in patients with ruptured descending thoracic aortic aneurysm (rDTAA).

Methods: This is a nationwide retrospective study including all patients who underwent TEVAR for rDTAA at six major vascular university centres in Sweden between January 2000 and December 2015. Outcome measures were analysed using Kaplan-Meier estimator and multivariable Cox regression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejvs.2018.10.029DOI Listing
March 2019
1 Read

Short-term and Midterm Results of Fenestrated Anaconda Endograft in Patients with Previous Endovascular Aneurysm Repair.

J Vasc Interv Radiol 2019 Apr;30(4):546-553

Department of Interventional Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, Imperial College London, Praed Street, London W21NY, UK; Department of Surgery and Cancer, St Mary's Hospital, Imperial College Healthcare NHS Trust, Imperial College London, Praed Street, London W21NY, UK. Electronic address:

Purpose: To review short-term and midterm results of the fenestrated Anaconda stent graft in management of patients with pre-existing endovascular aortic stent graft and persistent type 1a endoleak.

Materials And Methods: This single-center retrospective study assessed all consecutive patients with type 1a endoleak and pre-existing endovascular aneurysm repair (EVAR) treated with fenestrated Anaconda stent grafts. Ten patients (9 males; mean age 78 y) with mean follow-up of 22. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvir.2018.11.038DOI Listing
April 2019
2 Reads

Impact of Polar Renal Artery Coverage on Early Renal Function after Chimney Endovascular Aortic Aneurysm Repair.

J Vasc Interv Radiol 2019 Apr;30(4):539-545

Centre Méditerranéen de Médecine Moléculaire (C3M), Université Côte d'Azur, CHU, Inserm, Nice, France.

Purpose: To evaluate impact of polar renal artery coverage on early renal function after chimney endovascular aneurysm repair (EVAR).

Materials And Methods: Consecutive patients who underwent chimney EVAR for treatment of asymptomatic juxtarenal abdominal aortic aneurysm were retrospectively included. Estimated glomerular filtration rate (eGFR) was recorded before the intervention and at 1-, 5-, 7-, and 30-day follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvir.2018.11.031DOI Listing
April 2019
1 Read

Treatment of aortic dissecting aneurysm involving visceral arteries with multi-layer bare stents.

Rev Assoc Med Bras (1992) 2019 Feb;65(2):216-221

Department of Vascular Surgery, Tianjin Medical University General Hospital, Tianjin 300052 PR China.

Objective: Aortic dissecting aneurysms involving visceral arteries are difficult for clinical treatment. This study aimed to explore the clinical efficacy and safety of multi-layer bare stents technique in the treatment of aortic dissecting aneurysms involving visceral arteries.

Method: The clinical data of 16 patients of aortic dissecting aneurysm involving visceral artery treated with multi-layer bare stents technique from March 2013 to March 2017 in Tianjin Medical University General Hospital were retrospectively analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1806-9282.65.2.216DOI Listing
February 2019
1 Read

Scleroderma renal crisis with coexisting segmental arterial mediolysis presenting as intraperitoneal bleeding: a case report.

J Med Case Rep 2019 Mar 20;13(1):74. Epub 2019 Mar 20.

Department of Rheumatology, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama, 330-8503, Japan.

Background: Segmental arterial mediolysis is a rare nonarteriosclerotic and noninflammatory vascular disease that may cause intraperitoneal bleeding. Scleroderma renal crisis is a rare complication of systemic sclerosis, leading to severe hypertension and renal dysfunction. To the best of our knowledge, this is the first reported case of a patient with concurrent systemic sclerosis with scleroderma renal crisis and pathologically confirmed segmental arterial mediolysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13256-019-1993-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425683PMC
March 2019
1 Read

Endovascular Treatment of Ruptured Renal Artery Aneurysm: A Case-Based Literature Review.

Case Rep Med 2019 6;2019:3738910. Epub 2019 Feb 6.

Resident, Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA.

Renal artery aneurysms are extremely uncommon with a reported incidence of less than one percent in general population. They are being more frequently detected due to increasing availability and use of abdominal imaging. Renal artery aneurysm rupture is an extremely unusual cause of acute flank pain with hemodynamic instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2019/3738910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381552PMC
February 2019
1 Read

Midterm Results with the Open Chimney Technique during Endovascular Aneurysm Repair.

J Vasc Interv Radiol 2019 Apr 12;30(4):511-520.e1. Epub 2019 Mar 12.

Unit of Vascular Surgery, Pellegrin Hospital, University of Bordeaux, Place Amélie Raba Léon, CHU Pellegrin Tripode, Bordeaux, France.

Purpose: To report the midterm experience with chimney-endovascular aneurysm repair (Ch-EVAR) with the use of open self-expending stents for branch vessel preservation.

Materials And Methods: From July 2010 to May 2017, 67 patients underwent open Ch-EVAR because their proximal landing zones were adjacent to, or covered, the renal or mesenteric arteries (Zones 7-9), and they were not suitable for standard or fenestrated endovascular aneurysm repair. The proximal landing zone was relocated below the highest renal artery in 46 cases, the superior mesenteric artery in 17 cases, and the celiac artery in 4 cases, using 84 open chimneys (131 stents). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvir.2018.09.013DOI Listing
April 2019
1 Read

Potential Deep Brain Stimulation Targets for the Management of Refractory Hypertension.

Front Neurosci 2019 25;13:93. Epub 2019 Feb 25.

Department of Neurological Surgery, Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, United States.

Hypertension is the single greatest contributor to human disease and mortality affecting over 75 million people in the United States alone. Hypertension is defined according to the American College of Cardiology as systolic blood pressure (SBP) greater than 120 mm Hg and diastolic blood pressure (DBP) above 80 mm Hg measured on two separate occasions. While there are multiple medication classes available for blood pressure control, fewer than 50% of hypertensive patients maintain appropriate control. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fnins.2019.00093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397890PMC
February 2019
1 Read

Return of baseline kidney function after bilateral renal artery stent occlusion and treatment delay following fenestrated endografting.

J Vasc Surg 2019 Mar 7. Epub 2019 Mar 7.

Division of Vascular Surgery, Department of Surgery, Mayo Clinic, Rochester, Minn. Electronic address:

Although renal artery restenosis and thrombotic stent occlusion are not rare occurrences, the literature suggests that prompt diagnosis and treatment are essential to preserve renal function, particularly in the setting of occlusion. We describe the case of a 75-year-old woman who underwent fenestrated endovascular aneurysm repair and experienced acute anuric renal failure requiring dialysis secondary to bilateral renal artery stent occlusion for >48 hours. She was successfully treated with revisional endovascular therapy and made a full renal recovery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.12.020DOI Listing

Risk factors and outcomes for bowel ischemia after open and endovascular abdominal aortic aneurysm repair.

J Vasc Surg 2019 Mar 5. Epub 2019 Mar 5.

Johns Hopkins Bloomberg School of Public Health, Baltimore, Md; Division of Vascular and Endovascular Surgery, Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Md; Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, La Jolla, Calif. Electronic address:

Objective: Bowel ischemia (BI) is a serious complication after abdominal aortic aneurysm (AAA) repair. We sought to identify the incidence and risk factors associated with the development of postoperative BI and the post-BI outcomes for patients undergoing open aortic repair (OAR) and endovascular aortic repair (EVAR) of AAAs.

Methods: A retrospective analysis was conducted for all patients who had undergone OAR or EVAR from 2003 to 2017 using the Vascular Quality Initiative database. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.11.047DOI Listing
March 2019
1 Read

Outcomes of Thoracic Aortic Surgery in Patients With Coronary Artery Disease - Based on the Japan Adult Cardiovascular Surgery Database.

Circ J 2019 Mar 5. Epub 2019 Mar 5.

Department of Thoracic and Cardiovascular Surgery, Osaka Medical College.

Background: Coronary artery disease (CAD) is associated with increased morbidity and mortality after open repair of thoracic aorta. Nevertheless, the efficacy of preoperative coronary angiography (CAG) and revascularization is controversial. The aim of this study was to clarify the effect of preoperative CAD on surgical outcome by reviewing the Japan Adult Cardiovascular Database. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1253/circj.CJ-18-0703DOI Listing
March 2019
9 Reads

Technical details and preliminary results of a full robotic type II endoleak treatment with the da Vinci Xi.

J Robot Surg 2019 Mar 4. Epub 2019 Mar 4.

EndoCAS (Center for Computer Assisted Surgery), University of Pisa, Pisa, Italy.

Type II endoleak (T2E) represents a frequent and often challenging complication of endovascular aneurysm repair (EVAR). Endovascular treatment is the standard and most used strategy, but the recurrence after it remains high, especially due to lumbar arteries (LA) and inferior mesenteric artery (IMA) feeding. While conventional laparoscopy has been considered as an emerging method, robotic surgery is not reported yet for this indication. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11701-019-00944-zDOI Listing
March 2019
2 Reads

Complex Repair of Juxtarenal Abdominal Aortic Aneurysm with an Anatomical Variant of the Renal Arteries.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Division of Vascular Surgery, Mayo Clinic Florida, Jacksonville, FL.

Hybrid repair involves both open and endovascular interventions. This technique has been increasingly used in treating complex aortic aneurysms as an alternative to conventional open repairs, mainly because of the avoidance of aortic cross-clamping and the associated increased ischemia time to the viscera. We report a hybrid repair of a juxtarenal abdominal aortic aneurysm complicated by a nonstandard right renal artery originating just proximal to the aortic bifurcation in the setting of a nonfunctional left kidney. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2018.12.076DOI Listing
February 2019
3 Reads

Endovascular Therapy of a Giant Renal Artery Aneurysm Combined With High-Flow Renal Arteriovenous Fistula Using a Patent Ductus Arteriosus Occluder.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Department of Vascular and Endovascular Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China. Electronic address:

Renal artery aneurysm (RAA) concomitant with a renal arteriovenous fistula (RAVF) is extremely rare. A 32-year-old man suffered from a giant RAA combined with high-flow RAVF. The computer tomographic angiography (CTA) demonstrated a RAA, which is 6. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2018.12.075DOI Listing
February 2019
5 Reads

Measuring Hospital-Acquired Complications Associated With Low-Value Care.

JAMA Intern Med 2019 Feb 25. Epub 2019 Feb 25.

The University of Sydney, Faculty of Medicine and Health, School of Public Health, Menzies Centre for Health Policy, Charles Perkins Centre, Sydney Australia.

Importance: Studies of low-value care have focused on the prevalence of low-value care interventions but have rarely quantified downstream consequences of these interventions for patients or the health care system.

Objective: To measure immediate in-hospital harm associated with 7 low-value procedures.

Design, Setting, And Participants: A cohort study with a descriptive analysis using hospital admission data from 225 public hospitals in New South Wales, Australia, was conducted from July 1, 2014, to June 30, 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamainternmed.2018.7464DOI Listing
February 2019
2 Reads

Predictors of in-hospital adverse events after endovascular aortic aneurysm repair.

J Vasc Surg 2019 Feb 15. Epub 2019 Feb 15.

Vascular and Endovascular Research Center, Johns Hopkins University, Baltimore, Md. Electronic address:

Background: Endovascular aneurysm repair (EVAR) offered outstanding survival benefit but at the expense of cost, periodic radiographic monitoring, and higher reinterventions rates. Perioperative complications, although rare, can occur after EVAR, contributing to longer hospitalization, higher cost, and significant comorbidity and mortality. Therefore, the aim of this study was to identify the predictors of in-hospital events (IHEs) after elective EVAR. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S07415214183255
Publisher Site
http://dx.doi.org/10.1016/j.jvs.2018.10.093DOI Listing
February 2019
10 Reads

The role of thoracic endovascular repair in elective, symptomatic and ruptured thoracic aortic diseases.

Eur J Cardiothorac Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Vascular Surgery, University Aortic Center of the Ludwig-Maximilian University Munich, Munich, Germany.

Objectives: Thoracic endovascular aortic repair (TEVAR) has emerged as a safe procedure in the treatment of a wide spectrum of descending thoracic aortic pathologies, with satisfactory results both in elective and urgent settings. We investigated the results of our elective, urgent and emergency TEVAR interventions.

Methods: A single-centre retrospective analysis of all consecutive patients undergoing TEVAR from 2010 to 2016 was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ejcts/ezy482DOI Listing
February 2019
4 Reads

Secondary Endovascular Aneurysm (EVAS) Sealing in Combination With Chimney Grafts to Treat Failed Chimney EVAS.

J Endovasc Ther 2019 Apr 15;26(2):265-268. Epub 2019 Feb 15.

1 Department of Vascular Surgery, Rijnstate Hospital, Arnhem, the Netherlands.

Purpose: To describe a proximal extension of a failed chimney endovascular aneurysm sealing repair (chEVAS) using a chEVAS-in-chEVAS procedure in 2 cases with successful treatment outcome at 2-year follow-up.

Case Report: Two patients with an infrarenal abdominal aortic aneurysm were treated with an elective chEVAS procedure with 1 chimney stent for a unilateral renal artery. At 18 and 24 months, respectively, both patients showed aneurysm growth with an associated decrease in proximal seal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1526602819830420DOI Listing
April 2019
2 Reads

Spinal cord watershed infarction: Novel findings on magnetic resonance imaging.

Clin Imaging 2019 Jan 31;55:71-75. Epub 2019 Jan 31.

Department of Radiology, University of Florida College of Medicine, 1600 SW Archer Road, Gainesville, FL 32611, USA. Electronic address:

Spinal cord watershed ischemia is a rare phenomenon often associated with cardiac arrest, prolonged hypotension, and atherosclerotic disease. It can manifest as central necrosis with peripheral sparing in the transverse axis, and central lesion with rostral and caudal sparing in the longitudinal axis. Few reports provide detailed imaging findings of spinal cord watershed ischemia lesions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clinimag.2019.01.023DOI Listing
January 2019
1 Read

Type B Aortic Dissection after Nellix Endovascular Aneurysm Sealing.

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Vascular Surgery, Singapore General Hospital, Singapore; Vascular Service, Sengkang General Hospital, Singapore.

Background: Endovascular aneurysm sealing (EVAS) was developed with the intention of expanding the anatomical limitations of conventional endovascular aneurysm repair devices and decrease rates of reintervention secondary to migration and type II endoleaks in treatment of abdominal aortic aneurysms. Since its inception, EVAS has gained much popularity especially for patients with concomitant common iliac aneurysms, with good long-term durability suggested by several studies. Currently, the known complications of EVAS, while considered uncommon, include endoleaks, renal artery, and limb thrombosis. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S08905096193011
Publisher Site
http://dx.doi.org/10.1016/j.avsg.2018.11.014DOI Listing
February 2019
5 Reads

Kidney Preservation Using Renal Heterotopic Autotransplantation during Fenestrated Endovascular Aortic Repair for Complex Residual Type-A Aortic Dissection.

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Vascular and Endovascular Surgery Unit, IRCCS Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy.

The treatment of type A acute aortic dissection is a challenge for the surgeon, and serious late complications may occur even after surgical repair. We report treatment after a type A postdissection thoracoabdominal aneurysm in a patient who previously underwent ascending aortic reconstruction using a biological aortic valve and Dacron prosthetic graft implantation in emergency conditions. The multistaged approach involved removing the right kidney and performing a heterotopic autotransplantation in the left iliac fossa before positioning a fenestrated endograft (celiac trunk, superior mesenteric artery, and left renal artery). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2018.11.008DOI Listing
February 2019
4 Reads

Impact of hybrid thoracoabdominal aortic repair on visceral and spinal cord perfusion: The new and improved SPIDER-graft.

J Thorac Cardiovasc Surg 2018 Dec 15. Epub 2018 Dec 15.

Department of Vascular Medicine, University Heart Center Hamburg-Eppendorf, Hamburg, Germany.

Objectives: SPIDER-graft for thoracoabdominal aortic aneurysm repair avoiding thoracotomy and extracorporeal circulation was modified, enabling reimplantation of lumbar arteries to prevent spinal cord ischemia and compared with open aortic repair (control) in a pig model.

Methods: Graft implantation was performed in 7 pigs per group (75-85 kg). For SPIDER-graft (groups I and II), the infra-diaphragmatic aorta was exposed through retroperitoneal access. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jtcvs.2018.11.133DOI Listing
December 2018
4 Reads

Editor's Choice - Hospital Incidence, Treatment, and In Hospital Mortality Following Open and Endovascular Surgery for Thoraco-abdominal Aortic Aneurysms in Germany from 2005 to 2014: Secondary Data Analysis of the Nationwide German DRG Microdata.

Eur J Vasc Endovasc Surg 2019 Apr 7;57(4):488-498. Epub 2019 Feb 7.

Department for Vascular and Endovascular Surgery, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany. Electronic address:

Objective: Hospital incidence, treatment modality, and in hospital mortality after surgery are reported for thoraco-abdominal aortic aneurysms (TAAAs) treated by endovascular or open means in Germany from 2005 to 2014.

Methods: Data were extracted from diagnosis related group statistics from the German Federal Statistical Office. All inpatient cases with a diagnosis of ruptured and non-ruptured TAAA (ICD-10 I71. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10785884183080
Publisher Site
http://dx.doi.org/10.1016/j.ejvs.2018.10.030DOI Listing
April 2019
12 Reads

Ruptured renal artery aneurysm in pregnancy and puerperium: literature review of 53 cases.

Arch Gynecol Obstet 2019 Apr 9;299(4):923-931. Epub 2019 Feb 9.

Department of Internal Medicine, University Hospital Centre Zagreb and School of Medicine University of Zagreb, Kišpatićeva 12, 10000, Zagreb, Croatia.

Purpose: To summarize and define the most appropriate diagnostic methods and therapeutic options for ruptured renal artery aneurysms in pregnancy based on rarely published data.

Methods: Literature searches of English-, German-, Spanish-, and Italian-language articles were performed in PubMed (1946-2018), PubMed Central (1900-2018) and Google Scholar. The search terms included renal artery aneurysm, renal artery rupture, pregnancy, puerperium, nierenarterienaneurysma, schwangerschaft, wochenbett, aneurisma de la arteria renal, el embarazo, puerperio, aneurisma dell'arteria renale and gravidanza. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00404-019-05087-yDOI Listing
April 2019
7 Reads
1.279 Impact Factor

Impact of Polar Renal Artery Coverage after Fenestrated Endovascular Aortic Repair for Juxtarenal and Type IV Thoracoabdominal Aortic Aneurysms.

Ann Vasc Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Vascular Surgery, University Hospital of Nice, Nice, France; Université Côte d'Azur, CHU, Inserm, C3M, Nice, France.

Background: Fenestrated endovascular aortic repair (FEVAR) of complex aneurysm can require the coverage of polar renal artery. The aim of this study was to investigate the impact of the procedure on postoperative outcomes in patients with juxtarenal or thoracoabdominal aortic aneurysms.

Methods: Patients who had FEVAR for juxtarenal or type IV thoracoabdominal aortic aneurysm were retrospectively included between January 2010 and October 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2018.10.040DOI Listing
February 2019
4 Reads

Short- and long-term outcomes of aortic root repair and replacement in patients undergoing acute type A aortic dissection repair: Twenty-year experience.

J Thorac Cardiovasc Surg 2018 Dec 21. Epub 2018 Dec 21.

Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich.

Objective: The study objective was to evaluate the perioperative and long-term outcomes of aortic root repair and aortic root replacement and provide evidence for root management in acute type A aortic dissection.

Methods: From 1996 to 2017, 491 patients underwent aortic root repair (n = 307) or aortic root replacement (n = 184) (62% bioprosthesis) for acute type A aortic dissection. Indications for aortic root replacement were intimal tear at the aortic root, root measuring 4. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jtcvs.2018.09.129DOI Listing
December 2018
3 Reads

Phlegmasia cerulea dolens as an initial manifestation of a fistula between a ruptured iliac artery aneurysm and the iliac vein.

J Vasc Surg Cases Innov Tech 2019 Mar 28;5(1):41-44. Epub 2019 Jan 28.

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Phlegmasia cerulea dolens (PCD) is caused by obstruction of limb venous return that may result in venous gangrene and limb loss. We present a case of a fistula between a ruptured right common iliac artery aneurysm and the left common iliac vein (ilioiliac arteriovenous fistula [AVF]), which initially manifested as left PCD and acute renal failure. Resection of the aneurysm and repair of the AVF immediately improved the PCD and acute renal failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvscit.2018.11.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355442PMC
March 2019
2 Reads

In situ revascularization of bilateral complicated giant renal artery aneurysms: Case report.

Medicine (Baltimore) 2019 Feb;98(6):e14329

Department of Vascular Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, China.

Rationale: Renal artery aneurysm (RAA) is a rare entity, bilateral multiple RAAs near hilum with a maximum diameter of 7 cm are even rare and bring a great challenge to surgeons. As the technique of vessel reconstruction is quite difficult for the RAAs near hilum, some surgeons choose to resect the involved kidney. We reported a young female patient with the threatened rupture symptoms for further treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014329DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380855PMC
February 2019
3 Reads

Infrarenal versus Suprarenal Abdominal Aortic Aneurysms: Comparison of Associated Aneurysms and Renal Artery Stenosis.

Ann Vasc Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Kraków, Poland. Electronic address:

Background: The aim of our study is to assess the prevalence of concomitant arterial abnormalities (true aneurysms of iliac, common femoral, renal, visceral arteries and stenoses of iliac and renal arteries) in patients with abdominal aortic aneurysm, and to evaluate whether the type of the aneurysm (suprarenal versus solely infrarenal) is associated with this prevalence.

Methods: In this retrospective cross-sectional study, we assessed computed tomography angiography scans of 933 patients with abdominal aortic aneurysm, including thoracoabdominal aortic aneurysms type II-IV, with no history of abdominal aortic surgery. We compared 2 groups of patients: group 1 (n = 859) with solely infrarenal abdominal aortic aneurysm and group 2 (n = 74) with the suprarenal aneurysm component. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2018.10.044DOI Listing
February 2019
6 Reads

Management of Renal Artery Occlusion during Endovascular Aortic Repair.

Ann Vasc Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey.

A 67-year-old man was admitted to the emergency unit with abdominal pain. An infrarenal aortic aneurysm with a diameter of 70 millimeters was detected by computed tomography. In the catheter laboratory, graft stents were implanted into the infrarenal aorta. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2018.10.031DOI Listing
February 2019
2 Reads

Rupture of the Remaining Renal Artery Aneurysm While Waiting for Stage 2 Surgery for a Patient with Bilateral Renal Artery Aneurysms and Multiple Aneurysms.

Ann Vasc Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Clinical Engineering, Oita University Faculty of Medicine, Oita, Japan.

A 21-year-old man was referred to our department for treatment of multiple aneurysms, including bilateral renal artery aneurysms. He was clinically diagnosed with Loeys-Dietz syndrome. So, we developed a 2-stage surgical strategy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2018.10.032DOI Listing
January 2019
2 Reads

Alport's syndrome and intracranial aneurysm: mere coincidence or undiscovered causal relationship.

BMJ Case Rep 2019 Jan 29;12(1). Epub 2019 Jan 29.

Department of Nephrology, Deaconess Health System, Evansville, Indiana, USA.

A 44-year-old Caucasian man with a history of deceased donor renal transplant for end-stage renal disease from Alport's syndrome (AS), presented with a spontaneous subarachnoid haemorrhage and hydrocephalus. Following an external ventricular drain for the hydrocephalus, a CT angiography revealed a dissection of the left vertebral artery extending into vertebro-basilar junction necessitating a bypass between left occipital artery to left posterior inferior cerebellar artery. He had a posterior fossa Craniectomy, C1 laminectomy and coiling off, of the left vertebral artery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-228175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352827PMC
January 2019
3 Reads

Laparoscopic-assisted Ex Vivo Reconstruction of Renal Artery Aneurysm with Internal Iliac Artery and Auto-transplantation.

Cureus 2018 Nov 19;10(11):e3611. Epub 2018 Nov 19.

Surgery, Royal Adelaide Hospital, Adelaide, AUS.

Renal artery aneurysms (RAA) represent a complex and an often incidentally found disease commonly treated with endovascular approaches. In cases where in situ approaches are unsuitable, laparoscopic-assisted ex vivo repairs offer significant advantages during and post-surgery. We present a case of a female patient who presented with a long-standing right-sided flank pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.3611DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343860PMC
November 2018
2 Reads

The "Destino-guided BEVAR" to Catheterize Downward Branches from a Femoral Access: Technical Note and Case Report.

Ann Vasc Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Vascular Surgery, San Camillo-Forlanini Hospital, Rome, Italy.

Background: The aim of this study is to report the Destino-guided branched endovascular aortic repair approach as a valid alternative to catheterization downward branches in complex aortic arch/descending thoracic anatomies.

Methods & Results: A 53-year-old woman with Marfan syndrome underwent a thoracoabdominal aortic aneurysm (TAAA) repair for a type III dissecting aneurysm. A custom repair with an endograft having 3 fenestrations (for renal arteries and superior mesenteric artery) and 1 branch for the celiac trunk was planned. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S08905096193004
Publisher Site
http://dx.doi.org/10.1016/j.avsg.2018.09.044DOI Listing
January 2019
16 Reads

Long-term durability of multibranched endovascular repair of thoracoabdominal and pararenal aortic aneurysms.

J Vasc Surg 2019 02;69(2):341-347

Department of Vascular and Endovascular Surgery, University of California, San Francisco, Calif.

Objective: The objective of this study was to assess the durability of multibranched endovascular repair of thoracoabdominal aortic aneurysms (TAAAs) and pararenal aortic aneurysms by examining the rates of late-occurring (beyond 30 days) complications.

Methods: There were 146 patients who underwent endovascular TAAA repair using a stent graft, with a total of 538 caudally oriented self-expanding branches. Four patients died in the perioperative period and were excluded, leaving 142 patients (mean age, 73 ± 8 years; 35 [24. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvs.2018.04.074DOI Listing
February 2019
2 Reads

Rescue of proximal failure of endovascular abdominal aortic aneurysm repair with standard and fenestrated grafts.

J Cardiovasc Surg (Torino) 2019 Apr 18;60(2):159-166. Epub 2019 Jan 18.

Department of Vascular and Endovascular Surgery, General Hospital Nuremberg, Paracelsus Medical University Nuremberg, Nuremberg, Germany -

Background: This study aimed to assess the outcomes of standard and fenestrated grafts to treat proximal failure of previous endovascular aneurysm repair (EVAR) in a tertiary referral center.

Methods: All patients undergoing elective implantation of a standard or fenestrated graft after proximal failure of a previous EVAR between April 2010-November 2018 were included. Data were collected prospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S0021-9509.19.10872-5DOI Listing
April 2019
4 Reads

Deployment of stent graft in an excessively higher position above the renal artery induces a flow channel to the aneurysm in chimney endovascular aortic aneurysm repair: an in vitro study.

J Artif Organs 2019 Jan 20. Epub 2019 Jan 20.

Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo, Japan.

We aimed to investigate the influences of the sealing length above the renal artery (RA) on gutter formation, non-apposed regions between the aortic wall, stent graft (SG), and chimney graft and incidence of flow channel to the aneurysm in chimney endovascular aortic aneurysm repair (Ch-EVAR) using a juxtarenal abdominal aortic aneurysm model. Neck diameter and length of the silicone model were 24 and 4 mm, respectively. In double Ch-EVAR configuration using Advanta V12, 12 combinations were tested three times with two sizes [28. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10047-019-01090-xDOI Listing
January 2019
3 Reads

Balloon-assisted coil embolization (BACE) of a wide-necked renal artery aneurysm using the intracranial scepter C compliant occlusion balloon catheter.

CVIR Endovasc 2018 3;1(1):12. Epub 2018 Oct 3.

Department of Interventional Radiology, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin 9, Ireland.

Background: True renal artery aneurysms (TRAA) are an uncommon pathology, with a prevalence of less than 1%. Treatment of TRAAs is generally recommended when the aneurysm sac equals or exceeds 2cms. Both wide-necked and main renal artery branch aneurysms represent a challenge for conventional endovascular coil embolization due to the risk of coil migration. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s42155-018-0018-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319664PMC
October 2018
3 Reads

First International Consensus on the diagnosis and management of fibromuscular dysplasia.

Vasc Med 2019 04 16;24(2):164-189. Epub 2019 Jan 16.

6 Paris Descartes University, Paris, France.

This article is a comprehensive document on the diagnosis and management of fibromuscular dysplasia (FMD), which was commissioned by the working group 'Hypertension and the Kidney' of the European Society of Hypertension (ESH) and the Society for Vascular Medicine (SVM). This document updates previous consensus documents/scientific statements on FMD published in 2014 with full harmonization of the position of European and US experts. In addition to practical consensus-based clinical recommendations, including a consensus protocol for catheter-based angiography and percutaneous angioplasty for renal FMD, the document also includes the first analysis of the European/International FMD Registry and provides updated data from the US Registry for FMD. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/1358863X18821816
Publisher Site
http://dx.doi.org/10.1177/1358863X18821816DOI Listing
April 2019
16 Reads

Update on Cardiovascular Echo in Aortic Aneurysm and Dissection.

Ann Vasc Dis 2018 Dec;11(4):437-442

Miyuki Hospital LTAC Heart Failure Center, Kumamoto, Japan.

The majority of aortic aneurysms comorbid with atherosclerosis can be asymptomatic and are discovered incidentally on routine physical examination or on imaging studies for other indications. Transthoracic echocardiography is a basic modality to assess patients with coronary artery disease and can be used for the screening of aortic aneurysm. Acute aortic dissection is a highly lethal cardiovascular emergency and requires prompt recognition. Read More

View Article

Download full-text PDF

Source
https://www.jstage.jst.go.jp/article/avd/11/4/11_ra.18-00112
Publisher Site
http://dx.doi.org/10.3400/avd.ra.18-00112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326059PMC
December 2018
17 Reads