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ABSTRACT


01 agosto 2014

ANNALS OF VASCULAR SURGERY. Results of the Surgical Management of Stentgraft Infections after Endovascular Exclusion of Asymptomatic Aneurysms of the Infrarenal Abdominal Aorta

Xavier Chaufour, Malcolm Le Gall, Julien Gaudric, Yann Goueffic, Réda Hassen Kodja, Dominique Midy, Sergueï Malikov, Eugenio Rosset, Alain Cardon

Objectives: The surgical treatment of covered stents infections (CSI) after endovascular exclusion of asymptomatic aneurysms of the infrarenal abdominal aorta is not clearly established and the operative strategy remains to be defined. The purpose of this study was to evaluate the results of the management of CSI in the short and medium term.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Feasibility and Safety of Robotic Navigation for the Endovascular Treatment of Complex Aortic Aneurysms and Peripheral Vascular Pathologies

Frédéric Cochennec Paliwoda, Jean Pierre Becquemin, Hicham Kobeiter, Pascal Desgranges, Eric Allaire, Jean Marzelle

Objectives: The objective of this observational retrospective study was to evaluate the feasibility, the safety and the performances of robotic navigation with the Magellan system (Hansen Medical) for the endovascular treatment of complex aortic aneurysms (CAA) and peripheral vascular pathologies (PVP).

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Digital Simulation of the Delivery of Stentgrafts: Towards a Clinical Application

David Perrin, Pierre Badel, Stéphane Avril, Laurent Orgeas, Christian Geindreau, Jean-Noël Albertini, Jean-Pierre Favre

Objectives: The endovascular treatment is a very common technique to treat aortic aneurysms. However, in spite of a sometimes long phase of preoperative planning, postoperative complications are not rare and secondary interventions are then necessary. Digital simulations of the delivery of stentgrafts (SG) could provide better tools for the planning of the operation, but they still require too computing time. Consequently, the aim of this study was to develop a methodology of simulation of delivery of SG effective and adapted to the clinical environment.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. The Virtual Reality Simulator: A Tool to Evaluate Endovascular Surgical Knowledge

Nicla Settembre, Sergueï Malikov, Eric Steinmetz, Muhamet Devecioglu, Zakariyae Bouziane, Nguyen Tran, Marc Braun

Objectives: Surgical training is currently done in the operating room according to the halstedian model which is questioned since the appearance of the surgical simulators. Simulators actually propose progressive courses with interventions in virtual reality and objective measurements of the learning curve. We set up a center of endovascular surgical simulation in adequacy with the recommendations of the French National Authority for Health. The purpose of the study was to establish a specific training program for each category of students.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Influence of Aneurysmal Volume on the Consumption Coagulopathy after Endovascular Exclusion of Aortic Aneurisms

Guillaume Marques, Elixène Jean-Baptiste, Caroline Schaaf, Nirvana Sadaghianloo, Sophie Brizzi, Serge Declemy, Réda Hassen-Khodja

Objectives: The occurrence of coagulation disorders after endovascular treatment of aortic aneurysms is a rare complication, potentially serious, but little evaluated in the literature. The aim of this study was to determine the role of aneurysmal volume on the consumption coagulopathy (CC) observed after the endovascular treatment of aortic aneurysms (EVAR).

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Effects of Statins on Skeletal Muscle in a Murine Model of Critical Ischemia of the Lower Extremities

Anne Lejay, Fabien Thaveau, Charline Delay, Anne-Laure Charles, Joffrey Zoll, Nabil Chakfe, GEPROVAS, Bernard GENY

Objectives: Statins are usually employed in the prevention of cardiovascular events, but they can have deleterious effects such as muscular pain. Our aim was to study the effect of statins on the mitochondrial system of the skeletal muscle in our murine model of critical ischemia of the lower extremities, according to whether the treatment begun before or after the occurrence of critical ischemia.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Initial Experience with HARMONIC FOCUS® Inguinal Exposure in Endovascular Aortic Aneurysm Repair

Brian J. Santin, Patrick Neville, Matt Recht, Brian Kuhn, Patrick Muck

Background: An inguinal exposure provides adequate access to the femoral vessels, but with it comes risk of wound complications. Ultrasonic shears and blades have been shown to decrease complications in other anatomic dissections. There remains a paucity of literature on the usage of ultrasonic harmonic dissection techniques in the vascular surgery realm. This study depicts the initial experience using HARMONIC FOCUS® (HF) for inguinal exposure in both endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular abdominal aortic aneurysm repair (TEVAR) operations.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Multicenter Francophone Study of the Endovascular Treatment of Leg Arteries: Analyzes and Results in the Short and Medium Term

Vincenzo Brizzi, Xavier Berard, Gérard Sassoust, Dominique Midy, Eric Ducasse

Objectives: The endovascular treatment is currently the first option in the management of critical ischemia of the lower extremities but the techniques are still little standardized. The purpose of the study was to collect and analyze the experience of several expert francophone centers in order to evaluate the various practices and clinical success, in the short and medium term.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Predictive Factors of Evolution at Three Years of the Common Iliac Arteries after EVAR

Marie Gaudin, Guillaume Daniel, Stéphanie Bonneau, Candy Auclair, Sabrina Ben Ahmed, Thibaud Maumias, Geoffroy Couchet, Jean-Pierre Ribal, Eugenio Rosset

Objectives: The quality of distal anchoring in the common iliac arteries (CIA) is a crucial factor of the long-term performance of the treatment by stentgrafts (SG) of abdominal aortic aneurysms (AAA). The aim of our study was to evaluate the evolution and the predictive factors of evolution of the CIAs after treatment by SG.

01 noviembre 2014

ANNALS OF VASCULAR SURGERY. Comparison of Surgical and Endovascular Salvage Procedures for Juxta-anastomotic Stenosis in Autogenous Wrist Radiocephalic Arteriovenous Fistula

Hyunwook Kwon, Ji Yoon Choi, Heung Kyu Ko, Min Joo Kim, Hyangkyoung Kim, Hojong Park, Youngjin Han, Gi-Young Ko, Tae-Won Kwon, Yong-Pil Cho

Background: Although dysfunctional radiocephalic arteriovenous fistulas (RCAVFs) are typically treated surgically, the endovascular approach is also considered suitable. The aim of this retrospective study was to compare the cumulative patency rates following surgical and endovascular salvaging of dysfunctional RCAVFs, and to evaluate whether the maturity of vascular access sites at the time of treatment influenced the outcomes.

01 noviembre 2014

ANNALS OF VASCULAR SURGERY. Mechanical Thrombectomy with Trerotola Compared with Catheter-directed Thrombolysis for Treatment of Acute Iliofemoral Deep Vein Thrombosis

Keun-Myoung Park, In Sung Moon, Ji Il Kim, Sang-sup Yun, Kee Chun Hong, Yong Sun Jeon, Soon Gu Cho, Jang Yong Kim

Background: Mechanical thrombectomy (MT) of acute deep vein thrombosis (DVT) is safe and effective in reducing thrombus burden. MT utilizing a percutaneous thrombectomy device confers a great advantage because it may reduce both the dose of the thrombolytic agent and the overall procedure time compared with a conventional catheter-directed thrombolysis (CDT). We examined the results of MT using the Trerotola device and evaluated factors affecting patient outcome.

01 noviembre 2014

ANNALS OF VASCULAR SURGERY. Immediate and Two-year Outcomes after EVAR in “On-label” and “Off-label” Neck Anatomies Using Different Commercially Available Devices. Analysis of the Experience of Two Italian Vascular Centers

Francesco Speziale, Pasqualino Sirignano, Francesco Setacci, Danilo Menna, Laura Capoccia, Wassim Mansour, Giuseppe Galzerano, Carlo Setacci

Background: Endovascular aneurysm repair (EVAR) has fast become the therapeutic strategy of choice for abdominal aortic aneurysms (AAAs). Nowadays, the most important limit to the effectiveness of this technique is represented by complex anatomical situations, especially regarding the morphology of the proximal sealing zone. The aim of this study was to evaluate the 2-year outcome of unselected, real-world patients with “off-label” (off-L) proximal necks treated in 2 high-volume Italian vascular centers.

01 noviembre 2014

ANNALS OF VASCULAR SURGERY. Chronic Mesenteric Ischemia after Partial Coverage of the Celiac Artery during TEVAR, Case Report, and Review of the Literature

Micheal Ayad, Zachary J. Senders, Sean Ryan, Babak Abai, Paul DiMuzio, Dawn M. Salvatore

Background: Thoracic endovascular aortic repair (TEVAR) has emerged as a safe and effective alternative to open surgery for treatment of thoracic aortic aneurysms. It has recently been reported that stent-graft coverage of the celiac artery (CA) during TEVAR is associated with a low risk of acute mesenteric ischemia. However, the long-term effect of CA coverage on foregut perfusion is unknown. Here, we report the case of a patient who underwent TEVAR with partial coverage of the CA and subsequently developed symptoms of chronic mesenteric ischemia (CMI). She was successfully treated with CA stent placement.

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