1,817 results match your criteria evar open


Multiple Chimney Endografts (ChEVAR) for Ruptured Pararenal Aortic Aneurysm.

Ann Vasc Surg 2021 Apr 6. Epub 2021 Apr 6.

Division of Vascular Surgery, University of Missouri, Columbia, MO, USA. Electronic address:

We present a ruptured pararenal abdominal aortic aneurysm (AAA) repaired with a complex three-vessel chimney EVAR (ChEVAR). This technique allows for rapid sealing of the aneurysm with branch preservation and avoids complex open aortic surgery. This case report highlights techniques and pitfalls from ChEVAR repair in the emergency setting. Read More

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Two operative cases of abdominal aortic aneurysm with isolated dissection of the abdominal aorta.

J Rural Med 2021 Apr 1;16(2):115-118. Epub 2021 Apr 1.

Department of Cardiovascular Surgery, Shonai-Amarume Hospital, Japan.

Isolated abdominal aortic dissection (IAAD) co-occurring with an abdominal aortic aneurysm (AAA) is rather rare. The objective of this report was to discuss the adequate timing and method of surgery for this condition. We encountered two operative cases, for which we carefully considered the timing and method of surgery. Read More

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[Double Infectious Aortic Aneurysms Followed by Positron Emission Tomography/Computed Tomography for Evaluation of Infection Control after Simultaneous Thoracic Endovascular Aortic Repair and Endovascular Aortic Repair:Report of a Case].

Kyobu Geka 2021 Mar;74(3):228-231

Department of Cardiovascular Surgery, Tokyo General Hospital, Tokyo, Japan.

An 81-year-old male was referred to our institute. His chief complaint was high fever. Computed tomography (CT) angiography demonstrated newly saccular aortic aneurysms at both thoracic and abdominal aorta. Read More

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Fenestrated Endovascular Aneurysm Repair Affords Fewer Renal Complications Than Open Surgical Repair for Juxtarenal Abdominal Aortic Aneurysms in Patients with Chronic Renal Insufficiency.

Ann Vasc Surg 2021 Apr 5. Epub 2021 Apr 5.

The George Washington University Department of Surgery, Washington, District of Columbia.

Type Of Research: Retrospective NSQIP database review KEY FINDINGS:: Comparison of FEVAR vs OSR for juxtarenal abdominal aortic aneurysms in patients with renal disease showed similar 30-day mortality. However, FEVAR was associated with fewer renal and pulmonary complications compared to OSR.

Take Home Message: FEVAR is better for patients with chronic renal insufficiency due to decreased renal and pulmonary complications. Read More

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Favorable Outcomes in Octogenarians with Hostile Neck undergoing Endovascular Repair using EndoAnchors.

Ann Vasc Surg 2021 Apr 3. Epub 2021 Apr 3.

University of California San Diego, La Jolla, California.

Objectives: Standard endovascular repair (EVAR) is not suitable in patients with hostile aortic anatomy. Open aneurysm repair (OAR) has been the gold-standard approach in managing these patients. EndoAnchors have been introduced as a technique to make EVAR in patients with short and angulated necks possible. Read More

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Time-to-event analysis of the impact of endovascular aortic aneurysm repair on chronic renal decline.

Ann Vasc Surg 2021 Apr 3. Epub 2021 Apr 3.

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

Background: Although randomized studies have revealed the long-term outcomes of the endovascular repair (ER) of abdominal aortic aneurysm (AAA) compared to open repair (OR), there is controversy surrounding chronic renal decline (CRD) after ER. This study reviewed our propensity-matched cohorts of ER and OR to compare CRD rates using a time-to-event analysis. The ER groups undergoing suprarenal (SR) or infrarenal (IR) proximal fixation were also compared with the OR group. Read More

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Time-to-event data meta-analysis of late outcomes of endovascular versus open repair for ruptured abdominal aortic aneurysm.

J Vasc Surg 2021 Apr 2. Epub 2021 Apr 2.

Department of Vascular and Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Northern Care Alliance NHS Group, Manchester, UK; Division of Cardiovascular Sciences, School of Medical Sciences, University of Manchester, Manchester, UK. Electronic address:

Objective: To investigate whether the well documented perioperative survival advantage of emergency endovascular aneurysm repair (EVAR) over open repair is sustained in follow-up.

Methods: A systematic review conforming to the PRISMA statement standards was conducted to identify studies that reported follow-up outcomes of endovascular versus open repair for ruptured abdominal aortic aneurysm. Electronic bibliographic sources (MEDLINE, EMBASE, CINHAL, and CENTRAL) were interrogated using the Healthcare Databases Advanced Search interface. Read More

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Trends in Use of Cerebrospinal Drains and Outcomes Related to Spinal Cord Ischemia after TEVAR and complex EVAR in the Vascular Quality Initiative.

J Vasc Surg 2021 Mar 31. Epub 2021 Mar 31.

Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL. Electronic address:

Introduction: Spinal cord ischemia (SCI) is a dreaded complication of thoracic and complex endovascular aortic repair (TEVAR/cEVAR). Controversy exists surrounding cerebrospinal fluid drain (CSFD) use, especially preoperative prophylactic placement, due to concerns regarding catheter-related complications. However, these risks are balanced by widely accepted benefits of CSFDs in open repairs to either prevent and/or rescue patients with SCI. Read More

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Nationwide study of surgery for primary infected abdominal aortic and common iliac artery aneurysms.

Br J Surg 2021 Jan 24. Epub 2021 Jan 24.

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, Nagoya University, Aichi, Japan.

Background: Primary infected aneurysms of the abdominal aorta and iliac arteries are potentially life-threatening. However, because of the rarity of the disease, its pathogenesis and optimal treatment strategy remain poorly defined.

Methods: A nationwide retrospective cohort study investigated patients who underwent surgical treatment for a primary infected abdominal aortic and/or common iliac artery (CIA) aneurysm between 2011 and 2017 using a Japanese clinical registry. Read More

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January 2021

Clinical evaluation of endovascular repair of abdominal aortic aneurysm based on long-term experiences.

Wideochir Inne Tech Maloinwazyjne 2021 Mar 27;16(1):191-198. Epub 2020 Mar 27.

Department of Vascular Surgery, University Hospital, Krakow, Poland.

Introduction: The endovascular method as a less invasive treatment for patients with abdominal aortic aneurysm (AAA) has become an alternative to conventional open surgery.

Aim: The objective of the present study was to analyse the outcomes of endovascular treatment of AAA patients in long-term observation.

Material And Methods: A group of 236 AAA patients subjected to planned endovascular aneurysm repair (EVAR) between 2010 and 2015 was reviewed. Read More

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Management of an Aortoenteric Fistula in a Patient with End Stage Renal and Liver Disease, Prior Endovascular Aortic Repair With Type II Endoleak.

Vasc Endovascular Surg 2021 Mar 29:15385744211004649. Epub 2021 Mar 29.

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.

Primary aortoenteric fistula (AEF) is an uncommon but life-threatening condition. We present a case of primary AEF in an octogenarian with previous endovascular aortic repair, type II endoleak and end stage liver and renal disease. He was successfully treated with accessory renal artery ligation, duodenojejunostomy, aneurysm sac debridement and irrigation and closure of the aneurysm sac over a drain. Read More

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Towards a Core Outcome Set for Abdominal Aortic Aneurysm: Systematic Review of Outcomes Reported Following Intact and Ruptured Abdominal Aortic Aneurysm Repair.

Eur J Vasc Endovasc Surg 2021 Mar 16. Epub 2021 Mar 16.

Department of Surgery & Cancer, Imperial College London, London, UK. Electronic address:

Objective: To encompass the needs of all stakeholders and allow effective data synthesis from trials, registries, and other studies; a core outcome set for infrarenal abdominal aortic aneurysm (AAA) repair is needed. In this first stage, the aim was to report the range, frequency, and time of pre-specified outcomes reported following AAA repair.

Data Sources: Medline, Embase, and CENTRAL databases 2010 - 2019 were searched using ProQuest Dialog™. Read More

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10-year single center experience in elective standard endovascular abdominal aortic aneurysm repair.

Int Angiol 2021 Mar 19. Epub 2021 Mar 19.

Vascular Surgery Department, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

Introduction: Endovascular aneurysm repair (EVAR) has become the treatment of choice for abdominal aortic aneurysm (AAA), demonstrating excellent early outcomes. However, EVAR durability has been questioned in the long-term period. The aim of this study was to assess EVAR outcomes in terms of survival and freedom from re-intervention during a long-term period. Read More

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Optimal Threshold for the Volume-Outcome Relationship After Open AAA Repair in the Endovascular Era: Analysis of the International Consortium of Vascular Registries.

Eur J Vasc Endovasc Surg 2021 Mar 12. Epub 2021 Mar 12.

Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Objective: As open abdominal aortic aneurysm (AAA) repair (OAR) rates decline in the endovascular era, the endorsement of minimum volume thresholds for OAR is increasingly controversial, as this may affect credentialing and training. The purpose of this analysis was to identify an optimal centre volume threshold that is associated with the most significant mortality reduction after OAR, and to determine how this reflects contemporary practice.

Methods: This was an observational study of OARs performed in 11 countries (2010 - 2016) within the International Consortium of Vascular Registry database (n = 178 302). Read More

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Open repair of type III endoleak with preservation of the endograft for a ruptured abdominal aortic aneurysm after endovascular aneurysm repair.

J Vasc Surg Cases Innov Tech 2021 Mar 27;7(1):117-119. Epub 2020 Dec 27.

Division of Vascular Surgery and Endovascular Therapy, Yale School of Medicine, New Haven, Conn.

Abdominal aortic aneurysm rupture after endovascular aneurysm repair (EVAR) is rare, but remains a significant limitation of endovascular technology. Preservation of the endograft during open conversion of a post-EVAR rupture has been shown to be associated with improved perioperative outcomes. An interposition Dacron graft with felt pledgets is a novel bail-out option for the open reconstruction of a type III endoleak with total endograft preservation. Read More

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Late outcomes after endovascular and open repair of large abdominal aortic aneurysms.

J Vasc Surg 2021 Mar 6. Epub 2021 Mar 6.

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

Objective: The risk of aortic abdominal aneurysm (AAA) rupture increases with an increasing aneurysm diameter. However, the effect of the AAA diameter on late outcomes after aneurysm repair is unclear. Therefore, we assessed the association of a large AAA diameter with late outcomes for patients undergoing open and endovascular AAA repair. Read More

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Management of Nellix migration and type Ia endoleak from proximal endovascular aneurysm sealing relining to late open conversion.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.

Background: Despite promising early results, mid-term failures of the Nellix endovascular aneurysm sealing (EVAS) system (Endologix Inc, Irvine, Calif) have been reported at higher than expected rates. The management of proximal endoleaks and migration differs from those after conventional endovascular aortic aneurysm repair (EVAR) owing to the peculiar design of the Nellix device. In the present study, we report a monocentric experience in the management of EVAS complications using various techniques. Read More

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Stress testing before abdominal aortic aneurysm repair does not lead to a reduction in perioperative cardiac events.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH; Geisel School of Medicine at Dartmouth, Hanover, NH.

Objective: Stress testing is often used before abdominal aortic aneurysm (AAA) repair. Whether stress testing leads to a reduction in cardiac events after AAA repair has remained unclear. Our objective was to study the national stress test usage rates and compare the perioperative outcomes between centers with high and low usage of stress testing. Read More

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Risk of renal failure and death when renal arteries are involved in endovascular aortic aneurysm repair.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif. Electronic address:

Objective: Endovascular abdominal aortic repair can involve the incorporation of renal arteries. Revascularization after intentional or unintentional renal artery (RA) coverage is not always technically successful, and the loss of a single RA may result in the need for postoperative dialysis. Thus, we compared the outcomes after endovascular aneurysm repair (EVAR) stratified by RA involvement (RAI). Read More

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Aortoduodenal fistulas after endovascular abdominal aortic aneurysm repair and open aortic repair.

J Vasc Surg 2021 Mar 5. Epub 2021 Mar 5.

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of vascular surgery, Berlin, Germany.

Objective: In the present study, we have reported and compared aortoduodenal fistulas (ADFs) after endovascular abdominal aortic aneurysm repair (EVAR) vs after open aortic repair (OAR).

Methods: We retrospectively analyzed the data from patients treated for ADFs from January 2015 to May 2020 in our hospital. The clinical data, diagnostic procedures, and surgical options were evaluated. Read More

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Endovascular repair for abdominal aortic aneurysms.

Heart 2021 Mar 4. Epub 2021 Mar 4.

British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.

Management of abdominal aortic aneurysms has been the subject of rigorous scientific scrutiny. Prevalence studies have directed the formation of screening programmes, and observational studies and randomised controlled trials have defined aneurysm growth and treatment thresholds. Pre-emptive intervention with traditional open surgical repair has been the bedrock of improving long-term outcome and survival in patients with abdominal aortic aneurysms but it is associated with a significant procedural morbidity and mortality. Read More

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A survey of Canadian surgeons on the indications for home care nursing following vascular surgery.

Can J Surg 2021 03 5;64(2):E149-E154. Epub 2021 Mar 5.

From the Department of Surgery, University of Toronto, Toronto, Ont. (Jacob-Brassard, Al-Omran, Salata, Hussain, Kayssi, Roche-Nagle); the Li Ka Shing Knowledge Institute of St. Michaels Hospital, Toronto, Ont. (Al-Omran, Salata, Hussain, de Mestral); the Sunnybrook Research Institute of Sunnybrook Health Sciences Centre, Toronto, Ont. (Kayssi); and the Peter Munk Cardiac Center of the University Health Network, Toronto, Ont. (Roche-Nagle).

Background: Recent evidence suggests that home care nursing is variably prescribed after vascular surgery, and may reduce emergency department visits and hospital readmissions. We therefore sought to characterize the indications for home care nursing following vascular surgery from the surgeon's perspective.

Methods: An online survey was distributed to the 141 members of the Canadian Society for Vascular Surgery with questions related to home care nursing after carotid endarterectomy (CEA), endovascular aortic aneurysm repair (EVAR), open abdominal aortic aneurysm (AAA) repair and open or hybrid revascularization for peripheral arterial disease (PAD). Read More

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Up to 10-years follow-up after EVAR with the Endurant stent graft system: a single-center experience.

J Cardiovasc Surg (Torino) 2021 Feb 26. Epub 2021 Feb 26.

Department of Vascular Surgery Isala, Zwolle, The Netherlands.

Background: Endovascular aneurysm repair (EVAR) has become the preferred treatment for infrarenal abdominal aortic aneurysms (AAA) over open surgical repair. The Endurant stent graft is widely used and large registries report low rates of aneurysm-related mortality and reinterventions at midterm follow-up. Reports of long-term follow-up are limited. Read More

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February 2021

Endovascular management of contralateral gate maldeployment during EVAR: Case report of interventional technique.

Int J Surg Case Rep 2021 Mar 9;80:105637. Epub 2021 Feb 9.

Vascular Surgery, Taif University, College of Medicine Taif University, Alseteen Street, Alhaweyia, Al-Taif, 21944, B.O. Box 11099, Saudi Arabia. Electronic address:

Introduction: Endovascular repair of infra renal aortic aneurysm is becoming the preferable method of intervention compared to open surgery due to the lower early morbidity rates. One of the complications during the procedure is contra-lateral gate (CLG) maldeployment. Learning the endovascular salvage options is necessary to avoid the morbidities of open surgical conversion. Read More

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A Population Based Study of Post-EVAR Rupture during 15 years.

J Vasc Surg 2021 Feb 19. Epub 2021 Feb 19.

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden.

Objective: The devastating event of a ruptured abdominal aortic aneurysm (AAA) in patients who have survived a previous AAA repair, either elective or urgent, is a feared and quite uncommon event. It has been suggested to partly explain the loss of the early survival benefit for EndoVascular Aortic Repair (EVAR) versus Open Surgical Repair (OSR). The main objective of this study was to report the national incidence rate, risk factors and outcome of post-EVAR ruptures. Read More

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February 2021

Characteristics and outcomes of small abdominal aortic aneurysm rupture in the American College of Surgeons National Surgical Quality Improvement Program database.

J Vasc Surg 2021 Feb 19. Epub 2021 Feb 19.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, Conn. Electronic address:

Objective: The current guidelines recommend elective abdominal aortic aneurysm (AAA) repair at 5.5 cm for men and 5.0 cm for women. Read More

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February 2021

The Effect of Thoracoabdominal Aortic Aneurysm Extent on Outcomes in Patients Undergoing Fenestrated/Branched Endovascular Aneurysm Repair.

J Vasc Surg 2021 Feb 19. Epub 2021 Feb 19.

Division of Vascular and Endovascular Surgery, UMass Memorial Medical Center, Worcester, MA. Electronic address:

Introduction/Objectives Outcomes after open repair of thoracoabdominal aneurysms (TAAA) have been definitively demonstrated to worsen as TAAA extent increases. However, the effect of TAAA extent on fenestrated/branched endovascular aneurysm repair (F/BEVAR) outcomes is unclear. We sought to investigate differences in outcomes of F/BEVAR based on TAAA extent. Read More

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February 2021

A Canadian multicenter experience describing outcomes after endovascular abdominal aortic aneurysm repair stent graft explantation.

J Vasc Surg 2021 Feb 16. Epub 2021 Feb 16.

University of Toronto, Toronto, Ontario, Canada.

Background: Most studies describing the outcomes after endovascular abdominal aortic aneurysm repair (EVAR) explantation have been from single, high-volume, centers. We performed a multicenter cross-Canadian study of outcomes after EVAR stent graft explantation. Our objectives were to describe the outcomes after late open conversion and EVAR graft explantation at various Canadian centers and the techniques and outcomes stratified by the indication for explant. Read More

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February 2021

Outcomes in Men From the NHS Abdominal Aortic Aneurysm Screening Programme With a Large Aneurysm Referred for Intervention.

Eur J Vasc Endovasc Surg 2021 02 24;61(2):192-199. Epub 2020 Oct 24.

NHS Abdominal Aortic Aneurysm Screening Programme (NAAASP), Public Health England, UK. Electronic address:

Objective: The NHS Abdominal Aortic Aneurysm Screening Programme (NAAASP) has been implemented since 2013. Men with a large aneurysm >54 mm, either at first screen or during surveillance, are referred for intervention. The aim of the present study was to explore outcomes in these men and to see whether there was any regional variation in treatment rates and type of repair. Read More

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February 2021