5,732 results match your criteria Renal Artery Aneurysm


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

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183255
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http://dx.doi.org/10.1016/j.jvs.2018.10.093DOI Listing
February 2019
3 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

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http://dx.doi.org/10.1093/ejcts/ezy482DOI Listing
February 2019
1 Read

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

J Endovasc Ther 2019 Feb 15:1526602819830420. 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

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http://dx.doi.org/10.1177/1526602819830420DOI Listing
February 2019
1 Read

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

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

Type B Aortic Dissection post NELLIX endovascular aneurysm sealing (EVAS).

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

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

Objectives: Endovascular aneurysm sealing (EVAS) was developed with the intention of expanding the anatomical limitations of conventional endovascular repair (EVAR) devices, as well as decrease rates of re-intervention secondary to migration and type II endoleaks in treatment of abdominal aortic aneurysms (AAA). 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, whilst considered uncommon, include endoleaks, renal artery and limb thrombosis. Read More

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

Kidney Preservation Using Renal Heterotopic Autotransplantation During F-Evar For Complex Residual Type-A Aortic Dissection.

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

Vascular and Endovascular Surgery Unit, 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 following a type A post-dissection thoraco-abdominal aneurysm in a patient who previously underwent ascending aortic reconstruction using a biological aortic valve and Dacron prosthetic graft implantation in emergency conditions. The multi-staged approach consisted in 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

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http://dx.doi.org/10.1016/j.avsg.2018.11.008DOI Listing
February 2019
2 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

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http://dx.doi.org/10.1016/j.jtcvs.2018.11.133DOI Listing
December 2018
1 Read

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 Feb 7. 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

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https://linkinghub.elsevier.com/retrieve/pii/S10785884183080
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http://dx.doi.org/10.1016/j.ejvs.2018.10.030DOI Listing
February 2019
4 Reads

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

Arch Gynecol Obstet 2019 Feb 9. 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

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http://dx.doi.org/10.1007/s00404-019-05087-yDOI Listing
February 2019
1.279 Impact Factor

Impact of polar renal artery coverage following fenestrated endovascular aortic repair (FEVAR) for juxta-renal and type IV thoraco-abdominal aortic aneurysms.

Ann Vasc Surg 2019 Feb 6. Epub 2019 Feb 6.

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

Introduction: 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 post-operative outcomes in patients with juxta-renal or thoraco-abdominal aortic aneurysms.

Material And Methods: Patients who had FEVAR for juxta-renal or type IV thoraco-abdominal aortic aneurysm were retrospectively included between January 2010 and October 2017. Read More

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

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

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http://dx.doi.org/10.1016/j.jtcvs.2018.09.129DOI Listing
December 2018
2 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

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

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

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http://dx.doi.org/10.1097/MD.0000000000014329DOI Listing
February 2019
1 Read

Infra-renal vs supra-renal 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, ul. Skawińska 8, 31-066 Kraków, Poland. Electronic address:

Objective: The aim of our study was 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 thoraco-abdominal aortic aneurysms type II-IV, with no history of abdominal aortic surgery. We compared two 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

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http://dx.doi.org/10.1016/j.avsg.2018.10.044DOI Listing
February 2019
1 Read

Management of Renal Artery Occlusion during Endovascular Aortic Repair.

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

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 (CT). In the catheter laboratory, graft stents were implanted into the infrarenal aorta total occlusion of the right renal artery was seen in angiography. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.031DOI Listing
January 2019
1 Read

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, 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 two-stage surgical strategy. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.10.032DOI Listing
January 2019
1 Read

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

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http://dx.doi.org/10.1136/bcr-2018-228175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352827PMC
January 2019
2 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

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

The "Destino guided BEVAR" to catheterize downward branches from a femoral access: technical note and case report.

Ann Vasc Surg 2019 Jan 23. Epub 2019 Jan 23.

Departement of Vascular Surgery, San Camillo- Forlanini Hospital, Rome, Italy. Electronic address:

Objective: To report the Destino guided BEVAR (De-BEVAR) approach as a valid alternative to catheterization downward branches in complex aortic arch/descending thoracic anatomies.

Technique & Case Report: A 53 years-old woman with Marfan syndrome underwent a 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 one branch for the celiac trunk was planned. Read More

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

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

J Vasc Surg 2019 Feb;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

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http://dx.doi.org/10.1016/j.jvs.2018.04.074DOI Listing
February 2019
1 Read

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

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http://dx.doi.org/10.23736/S0021-9509.19.10872-5DOI Listing
April 2019
3 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

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http://dx.doi.org/10.1007/s10047-019-01090-xDOI Listing
January 2019
2 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

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

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

Vasc Med 2019 Jan 16:1358863X18821816. 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

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http://journals.sagepub.com/doi/10.1177/1358863X18821816
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http://dx.doi.org/10.1177/1358863X18821816DOI Listing
January 2019
5 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

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

Visceral artery anomalies in patients with Alagille syndrome.

Pediatr Transplant 2019 Mar 9;23(2):e13352. Epub 2019 Jan 9.

Department of Transplant Surgery, Jichi Medical University, Shimotsuke City, Tochigi, Japan.

Background: Intracranial and pulmonary vascular anomalies are well-known complications and causes of mortality in AGS; however, visceral artery anomalies are less commonly recognized. Herein, we present a retrospective analysis of our experience with pediatric LDLT that focuses on the current problems with and treatments for visceral artery anomalies in AGS after LDLT.

Methods: Between May 2001 and December 2017, 294 LDLTs were performed for 285 pediatric recipients. Read More

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http://dx.doi.org/10.1111/petr.13352DOI Listing
March 2019
3 Reads

Management of Accessory Renal Artery During Abdominal Aortic Aneurysm Repair.

Angiology 2019 Jan 8:3319718823631. Epub 2019 Jan 8.

2 Université Côte d'Azur, CHU, Inserm, C3 M, Nice, France.

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http://dx.doi.org/10.1177/0003319718823631DOI Listing
January 2019
3 Reads

Technical aspects and 30-day outcomes of the prospective early feasibility study of the GORE EXCLUDER Thoracoabdominal Branched Endoprosthesis (TAMBE) to treat pararenal and extent IV thoracoabdominal aortic aneurysms.

J Vasc Surg 2019 Jan 3. Epub 2019 Jan 3.

W. L. Gore & Associates, Inc, TAMBE Team, Flagstaff, Ariz.

Objective: This study reports the technical aspects and 30-day outcomes of the prospective, multicenter early feasibility study designed to evaluate the GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis (TAMBE; W. L. Gore & Associates, Flagstaff, Ariz). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.103DOI Listing
January 2019
1 Read

Red blood cell distribution width (RDW) is an independent predictor of post-implantation syndrome in patients undergoing endovascular aortic repair for abdominal aortic aneurysm.

Ann Transl Med 2018 Dec;6(23):453

Section of Clinical Biochemistry, University of Verona, Verona, Italy.

Background: This observational, retrospective study aims establishing the role of red blood cell distribution width (RDW) for identifying abdominal aortic aneurism (AAA) patients at risk of developing post-implantation syndrome (PiS) after endovascular aneurysm repair (EVAR).

Methods: The study population consisted of all patients undergoing EVAR for AAA at the University Hospital of Verona (Italy), between June 1, 2016 and May 31, 2018. Blood samples for measuring hemoglobin, mean corpuscular volume (MCV) and RDW were collected at hospital admission and the day after EVAR. Read More

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http://dx.doi.org/10.21037/atm.2018.11.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312818PMC
December 2018
1 Read

Iliac conduits remain safe in complex endovascular aortic repair.

J Vasc Surg 2018 Dec 28. Epub 2018 Dec 28.

Department of Vascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Objective: Iliac conduits (ICs) are used for challenging iliac access during endovascular aortic aneurysm repair (EVAR) with contradictory reports of safety and increased surgical complications, morbidity, and mortality in national database reviews. The objective of this study was to examine outcomes related to IC placement before or concomitant with EVAR at a high-volume single center.

Methods: A retrospective analysis of patients who underwent IC placement for endovascular aortic repair from 2006 to 2016 was conducted. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.099DOI Listing
December 2018
2 Reads

Outcomes and complications after fenestrated-branched endovascular aortic repair.

J Vasc Surg 2018 Dec 24. Epub 2018 Dec 24.

Division of Vascular Surgery, Department of Surgery, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC. Electronic address:

Objective: To report the outcomes of patients enrolled in a physician-sponsored investigational device exemption trial for endovascular treatment of complex thoracoabdominal aortic aneurysms with fenestrated and/or branched devices.

Methods: This study represents a retrospective analysis of a prospectively maintained database of patients enrolled in a physician-sponsored investigational device exemption trial for endovascular treatment of complex thoracoabdominal aneurysms between July 2012 and July 2017. Subjects included high-risk patients for open repair and patients with unsuitable anatomy for either standard endovascular aneurysm repair or Zenith (Cook Medical, Bloomington, Ind) fenestrated device. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.052DOI Listing
December 2018
2 Reads

Inferior mesenteric artery replantation does not decrease the risk of ischemic colitis after open infrarenal abdominal aortic aneurysm repair.

J Vasc Surg 2018 Dec 24. Epub 2018 Dec 24.

Department of Surgery, The George Washington University Hospital, Washington, DC.

Background: Ischemic colitis after an open abdominal aortic aneurysm (AAA) repair remains a serious complication with a nationally reported rate of 1% to 6% in elective cases and up to 60% after an aneurysmal rupture. To prevent this serious complication, inferior mesenteric artery (IMA) replantation is performed at the discretion of the surgeon based on his or her intraoperative findings, despite the lack of clear evidence to support this practice. The purpose of this study was to determine whether replantation of the IMA reduces the risk of ischemic colitis and improves the overall outcome of AAA repair. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.09.046DOI Listing
December 2018
2 Reads
3.021 Impact Factor

Aortoiliac remodeling and 5-year outcome of an ultralow-profile endograft.

J Vasc Surg 2018 Dec 24. Epub 2018 Dec 24.

Syntactx, New York, NY.

Background: Remodeling of the aortoiliac anatomy is a challenge to the long-term performance of stent grafts for endovacular aneurysm repair. Changes in vessel diameter and length can result in loss of seal at attachment sites, limb disunion, or kinking, with the development of high-pressure endoleaks, migration, or limb occlusion. The aim of this study was to assess the durability and conformability of the ultralow-profile INCRAFT AAA endograft (Cordis Corporation, Milpitas, Calif) during 5-year follow-up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183247
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http://dx.doi.org/10.1016/j.jvs.2018.09.059DOI Listing
December 2018
12 Reads

Short- and Midterm Outcomes of Open Repair and Fenestrated Endografting of Pararenal Aortic Aneurysms in a Concurrent Propensity-Adjusted Comparison.

J Endovasc Ther 2019 Feb 28;26(1):105-112. Epub 2018 Dec 28.

1 Unit of Vascular Surgery, Ospedale S. Maria della Misericordia, University of Perugia, Italy.

Purpose: To compare outcomes of patients treated for pararenal aortic aneurysms using fenestrated endovascular aneurysm repair (fEVAR) vs open surgical repair (OSR) in 3 high-volume centers.

Materials And Methods: A multicenter retrospective analysis was conducted of 200 pararenal abdominal aortic aneurysm patients electively treated with OSR (n=108) or fEVAR (n=92) from 1998 to 2015 at 3 tertiary institutions. Endpoints were 30-day morbidity and mortality, late reinterventions, visceral artery occlusion, and mortality. Read More

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http://dx.doi.org/10.1177/1526602818820090DOI Listing
February 2019
2 Reads

Distal landing zone optimization before endovascular repair of aortic dissection.

J Thorac Cardiovasc Surg 2019 Jan 27;157(1):88-98. Epub 2018 Jul 27.

Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa.

Background: The general goals of endovascular management in chronic distal thoracic aortic dissection are optimizing the true lumen, maintaining branch patency, and promoting false lumen (FL) thrombosis. Distal seal can be challenging in chronic distal thoracic aortic dissection due to the well-established secondary fenestrations and fibrotic septum. We describe our approach of distal landing zone optimization (DLZO) to enable full-diameter contact of the distal endoprosthesis. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2018.06.095DOI Listing
January 2019
1 Read

Fenestrated endovascular aneurysm repair is associated with lower perioperative morbidity and mortality compared with open repair for complex abdominal aortic aneurysms.

J Vasc Surg 2018 Dec 12. Epub 2018 Dec 12.

Division of Vascular and Endovascular Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass. Electronic address:

Objective: The Zenith Fenestrated Endovascular Graft (ZFEN; Cook Medical, Bloomington, Ind) has expanded the anatomic eligibility of endovascular aneurysm repair (EVAR) for complex abdominal aortic aneurysms (AAAs). Current data on ZFEN mainly consist of single-institution experiences and show conflicting results. Therefore, we compared perioperative outcomes after repair using ZFEN with open complex AAA repair and infrarenal EVAR in a nationwide multicenter registry. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183226
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http://dx.doi.org/10.1016/j.jvs.2018.08.192DOI Listing
December 2018
10 Reads

Segmental replacement to treat abdominal aortic aneurysm with bilateral accessory renal artery.

J Vasc Surg Cases Innov Tech 2018 Dec 4;4(4):305-306. Epub 2018 Dec 4.

Department of Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Hokkaido, Japan.

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http://dx.doi.org/10.1016/j.jvscit.2016.11.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282446PMC
December 2018

Total arch replacement for aortic arch aneurysm with coexisting middle aortic syndrome.

Int J Surg Case Rep 2019 24;54:79-82. Epub 2018 Nov 24.

Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Aomori, Japan. Electronic address:

Introduction: Middle aortic syndrome (MAS) combined with thoracic aortic aneurysm (TAA) is a rare vascular disease. One stage open surgery to treat this condition, becomes a challenge for our cardiovascular surgery.

Presentation Of Case: A 69-year-old man presented with a saccular type aortic arch aneurysm, shaggy aorta and severe atherosclerotic stenosis of the thoracoabdominal aorta with middle aortic syndrome and aberrant right subclavian artery, renovascular hypertension, renal dysfunction, and intermittent claudication of both legs. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290257PMC
November 2018

[Prevalence and risk factors of sub-renal abdominal aortic aneurysm in an Algerian population aged over 60].

J Med Vasc 2018 Dec 26;43(6):361-368. Epub 2018 Oct 26.

Service de médecine interne, CHU Beni-Messous, Alger, Algérie.

Introduction: The prevalence of abdominal aortic aneurysm (AAA) in the general population in our country is not known, our aim was to evaluate it in patients over 60 years of age, to specify the risk factors and to evaluate the extension of aneurysmal disease and multisite subclinical atherosclerosis.

Methods: Descriptive, transversal, study collecting the data of a systematic ultrasound screening of sub-renal AAA in subjects receiving care in two Algerian hospital structures. Epidemiological data, AAA risk factors, cardiovascular disease risk factors (CVD RF) and the personal history (cardiovascular diseases, chronic obstructive pulmonary disease) and family history of AAA were collected during the screening. Read More

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http://dx.doi.org/10.1016/j.jdmv.2018.10.002DOI Listing
December 2018
1 Read

Ruptured Renal Artery Aneurysm in a Pregnant Woman: Case Report and Literature Review.

Rev Bras Ginecol Obstet 2019 Jan 12;41(1):62-64. Epub 2018 Dec 12.

Universidade Positivo, Curitiba, PR, Brazil.

Renal artery aneurysms (RAAs) are rare and usually asymptomatic; ∼ 90% of them are unilateral. Once diagnosed during pregnancy, they may rupture, presenting a high maternal-fetal risk. The present study reports the case of a 32-year-old pregnant woman with a 30-week gestational age and a ruptured unilateral RAA. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676057
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http://dx.doi.org/10.1055/s-0038-1676057DOI Listing
January 2019
12 Reads

Repair of descending thoracic aortic aneurysms with Ankura Thoracic Stent Graft.

J Vasc Surg 2018 Oct 24. Epub 2018 Oct 24.

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

Objective: The aim of the study was to present the results for patients with atherosclerotic aneurysm of the descending thoracic aorta (DTA) treated with a novel thoracic stent graft.

Methods: A single-center retrospective review of prospectively collected data was performed. We extracted demographic variables as well as atherosclerotic comorbidities and operation-related and imaging-related data from patients' medical records. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183210
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http://dx.doi.org/10.1016/j.jvs.2018.07.065DOI Listing
October 2018
9 Reads

Type II endoleak model creation and intraoperative aneurysmal sac embolization with -butyl cyanoacrylate-lipiodol-ethanol mixture (NLE) in swine.

Quant Imaging Med Surg 2018 Oct;8(9):894-901

Department of Radiology, Wakayama Medical University, Wakayama, Japan.

Background: The purpose of this study was to evaluate the feasibility of type II endoleak model creation and efficacy of intraoperative aneurysmal sac embolization using -butyl-2-cyanoacrylate-lipiodol-ethanol mixture (NLE) for type II endoleak in swine.

Methods: In six swine (mean body weight 53.5 kg), abdominal aortic aneurysm (AAA) was created and then end-to-side anastomosis between the left renal artery and AAA sac was performed. Read More

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http://dx.doi.org/10.21037/qims.2018.10.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218211PMC
October 2018
1 Read

Successful Endovascular Treatment of a Ruptured Type I Thoracoabdominal Aneurysm … Twice.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Faculty of Medicine of the University of Porto, Porto, Portugal; Department of Angiology and Vascular Surgery, Hospital de S. João, Porto, Portugal.

Background: Only a minority of vascular surgeons have personal experience on thoracoabdominal aneurysm (TAA) repair, and even less have performed surgery on these formidable lesions for rupture. Unsurprisingly, when open surgery was the only treatment option available, these impressive pathologies were frequently deemed inoperable and managed conservatively. Endovascular techniques brought new hope in these scenarios, but despite current advances, morbidity and mortality remain high, even in experienced centers. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183090
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http://dx.doi.org/10.1016/j.avsg.2018.09.029DOI Listing
November 2018
10 Reads

Treatment of Complex Aortic Aneurysms Using Combination of Renal and Visceral Bypass and Fenestrated/Branched Stent Grafts.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Cardiovascular Surgery, University Hospital of Saint-Etienne, Saint-Etienne, France.

Background: The purpose of this study was to report our experience of treatment of aortic aneurysms using combination of renal and visceral arteries bypasses and fenestrated/branched stent graft in various complex anatomical situations.

Methods: Between November 2005 and March 2017, 10 patients underwent a hybrid strategy combining bypasses for renal and/or visceral arteries and custom-made fenestrated/branched stent grafts. Two patients had abdominal aortic aneurysm (1 juxtarenal and 1 suprarenal), and 8 patients had thoracoabdominal aortic aneurysm (1 type I, 2 type II including one dissection, 2 type III, 1 type IV, and 2 type V). Read More

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http://dx.doi.org/10.1016/j.avsg.2018.09.025DOI Listing
November 2018
3 Reads

Step-by-Step Approach to Management of Type II Endoleaks.

Tech Vasc Interv Radiol 2018 Sep 14;21(3):188-195. Epub 2018 Jun 14.

Miami Cardiac & Vascular Institute, Miami, FL. Electronic address:

Seventy-five percent of abdominal aortic aneurysms are now treated by endovascular aneurysm repair (EVAR) rather than open repair, given the decreased periprocedural mortality, complications, and length of hospital stay for EVAR compared to the surgical counterpart. An endoleak is a potential complication after EVAR, characterized by continued perfusion of the aneurysm sac after stent graft placement. Type II endoleak is the most common endoleak, and often has a benign course with spontaneous resolution, occurring in the first 6 months after repair. Read More

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http://dx.doi.org/10.1053/j.tvir.2018.06.009DOI Listing
September 2018
4 Reads

Arterial Aneurysmal Degeneration With Venous Varicosity Following Ligation of an Arteriovenous Fistula in a Kidney Transplant Recipient.

Vasc Endovascular Surg 2018 Nov 28:1538574418814058. Epub 2018 Nov 28.

1 Division of Transplantation and Vascular surgery, Department of Surgery, Dongsan Medical Center, Keimyung University, Daegu, Korea.

Late occurrence of arterial aneurysms following ligation of a hemodialysis arteriovenous fistula (AVF) is rare. Here, we report the case of 51-year-old male patient with an AVF in which arterial aneurysms developed. The patient had undergone left arm radiocephalic (RC) AVF creation for hemodialysis in 2000. Read More

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http://dx.doi.org/10.1177/1538574418814058DOI Listing
November 2018
2 Reads

Unexpected renal hemorrhage after endovascular repair of complicated type B aortic dissection: two cases report.

BMC Surg 2018 Nov 16;18(1):100. Epub 2018 Nov 16.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Background: Thoracic endovascular aortic repair (TEVAR) is the therapeutic choice for type B aortic dissection. One of the most unfavored complications of this procedure is hemorrhage, which has a low incidence but high mortality. Renal hemorrhage (RH) after endovascular aortic repair has been rarely reported. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0440-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240213PMC
November 2018
11 Reads

Arterial Complication After Simultaneous Pancreas-Kidney Transplantation From an Abdominal Aortic Aneurysm Donor: A Case Report.

Transplant Proc 2018 Nov 20;50(9):2891-2894. Epub 2018 Mar 20.

Department of Surgery, Tohoku University, Sendai, Japan.

Background: With the current disparity between the donor organ availability and recipient needs, various marginal organs with anatomical variations or concomitant diseases have begun to be used. We present a case of simultaneous pancreas-kidney transplantation (SPKTx) from a marginal donor with a giant abdominal aortic aneurysm who was incidentally found to be an organ donor after brain death.

Case Presentation: The donor was a 66-year-old man who died of brain hemorrhage. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183045
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http://dx.doi.org/10.1016/j.transproceed.2018.02.188DOI Listing
November 2018
9 Reads

Endovascular Aneurysm Sealing of a Collapsed and Thrombosed Aortic Stent-Graft With Renovisceral Chimney Stent-Grafts.

J Endovasc Ther 2019 Feb 5;26(1):72-75. Epub 2018 Nov 5.

2 Université Côte d'Azur, CHU, Inserm, C3M, Nice, France.

Purpose: To report the use of the Nellix endovascular aneurysm sealing (EVAS) system in the management of proximal stent-graft collapse associated with thrombosis following endovascular aneurysm repair (EVAR).

Case Report: A 76-year-old man was admitted for proximal collapse of an aortic extension following bifurcated AFX stent-graft implantation associated with chimney grafts in both renal arteries and the superior mesenteric artery 1 month prior. Imaging identified thrombosis of the aortic stent-graft and the iliac limbs. Read More

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http://dx.doi.org/10.1177/1526602818811915DOI Listing
February 2019
16 Reads