01 mayo 2013

JOURNAL OF VASCULAR SURGERY. Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition

Salma El Batti, MD, Frédéric Cochennec, MD, Françoise Roudot-Thoraval, MD, Jean-Pierre Becquemin, MD

Objective: The aim of the study was to determine whether type II endoleak (T2E) after endovascular repair of abdominal aorta (EVAR) is a benign condition (ie, not associated with growth, reintervention, rupture, or death).

01 mayo 2013

JOURNAL OF VASCULAR SURGERY. Results of elective and emergency endovascular repairs of popliteal artery aneurysms

Magdiel Trinidad-Hernandez, MD, Joseph J. Ricotta II, MD, Peter Gloviczki, MD, Manju Kalra, MBBS, Gustavo S. Oderich, MD, Audra A. Duncan, MD, Thomas C. Bower, MD

Objective: Endovascular repair has emerged as a treatment option for popliteal artery aneurysms. Our goal was to analyze outcomes of elective and emergency endovascular popliteal artery aneurysm repair (EVPAR).

01 mayo 2013

JOURNAL OF VASCULAR SURGERY. Evolving treatment of popliteal artery aneurysms

Patrick A. Stone, MD, Priyanka Jagannath, Stephanie N. Thompson, PhD, John E. Campbell, MD, Albeir Y. Mousa, MD, Kimball Knackstedt, DO, Stephen M. Hass, MD, Ali F. AbuRahma, MD

Background: Over the past decade, the treatment of popliteal aneurysms has evolved at our institution from sole operative intervention during the initial part of the study period, to combined surgical and endovascular treatment, and finally to endovascular-centered management in more recent years.

01 mayo 2013

JOURNAL OF VASCULAR SURGERY. Selective coverage of the left subclavian artery without revascularization in patients with bilateral patent vertebrobasilar junctions during thoracic endovascular aortic repair

Minwook Lee, MD, Do Yun Lee, MD, Man-Deuk Kim, MD, Jong Yun Won, MD, Young-Nam Yune, MD, Taek Yeon Lee, MD, Donghoon Choi, MD, Young-Guk Ko, MD

Objective: The primary purpose of the current study was to evaluate the safety and effectiveness of selective coverage of the left subclavian artery (LSCA) without revascularization during thoracic endovascular aortic repair (TEVAR) in patients with bilateral patent vertebrobasilar junctions. The secondary purpose was to assess morphologic change of the vertebral artery (VA) after the procedure.

01 mayo 2013

JOURNAL OF VASCULAR SURGERY. Transrenal E-XL stenting to resolve or prevent type Ia endoleak in the case of severe neck angulation during endovascular abdominal aortic aneurysm repair

Emiliano Chisci, MD, Giorgio Ventoruzzo, MD, Neri Alamanni, PPhys, Guido Bellandi, MD, Stefano Michelagnoli, MD

During endovascular abdominal aortic aneurysm repair, a severely angulated neck can make proximal sealing of endografts challenging, and the occurrence of a type Ia endoleak can complicate the procedure. We describe an original adjunctive procedure involving transrenal placement of a self-expanding nitinol stent (E-XL aortic stent; Jotec GmbH, Hechingen, Germany) to remodel the proximal aortic neck and treat or prevent type Ia endoleaks in the case of severe angulation of the proximal neck.

01 mayo 2013

JOURNAL OF VASCULAR SURGERY. Incidence and treatment results of Endurant endograft occlusion

Laura van Zeggeren, MD, Frederico Bastos Gonçalves, MD, Joost A. van Herwaarden, MD, PhD, Herman J.A. Zandvoort, MD, Debora A.B. Werson, MPA, Jan-Albert Vos, MD, PhD, Frans L. Moll, MD, PhD, Hence J. Verhagen, MD, PhD, Jean-Paul P.M. de Vries, MD, PhD

Objective: The Endurant endograft (Medtronic Inc, Minneapolis, Minn) is a new-generation device specifically developed to perform well in complex abdominal aortic aneurysm anatomy. Previous reports on the 1- and 2-year results of endovascular aneurysm repair (EVAR) with the Endurant endograft showed excellent outcome, including prevention of migration and type I endoleaks, but occurrence and outcome of post-EVAR occlusion have not been determined in a large multicenter patient cohort with midterm follow-up, which is the objective of this study.

01 abril 2015

RADIOLOGY. Volumetric Quantification of Type II Endoleaks: An Indicator for Aneurysm Sac Growth Following Endovascular Abdominal Aortic Aneurysm Repair

Shadpour Demehri, MD, Jason Signorelli, MS, Kanako K. Kumamaru, MD, PhD, Nicole Wake, MS, Elizabeth George, MBBS, Michael Hanley, MD1, Michael L. Steinger, MD, Edwin Charles Gravereaux, MD, Frank J. Rybicki, MD, PhD

Endovascular aneurysm repair (EVAR) plays a large role in the treatment of patients with abdominal aortic aneurysms because of its reduced early postintervention risk and morbidity. Successful EVAR excludes blood flow to the aneurysm sac, preventing enlargement and future rupture. Endoleaks, defined as persistence of blood flow within the excluded aneurysm sac, are the most common complication of EVAR and are classified according to the underlying etiology, location, and aortic branch vessel involvement. Computed tomographic (CT) angiography is noninvasive, widely available, and highly accurate in the detection of endoleaks (1).

01 abril 2015

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Sac Angiography and Glue Embolization in Emergency Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm

Yuya Koike, Jun-ichi Nishimura, Soichiro Hase, Motoshige Yamasaki

Purpose: The purpose of this study was to demonstrate a sac angiography technique and evaluate the feasibility of N-butyl cyanoacrylate (NBCA) embolization of the ruptured abdominal aortic aneurysm (AAA) sac in emergency endovascular aneurysm repair (EVAR) in hemodynamically unstable patients.

01 enero 2014

JACC: CARDIOVASCULAR INTERVENTIONS. The LEVANT I (Lutonix Paclitaxel-Coated Balloon for the Prevention of Femoropopliteal Restenosis) Trial for Femoropopliteal Revascularization. First-in-Human Randomized Trial of Low-Dose Drug-Coated Balloon Versus Uncoated Balloon Angioplasty

Dierk Scheinert, MD; Stephan Duda, MD; Thomas Zeller, MD; Hans Krankenberg, MD; Jens Ricke, MD‖; Marc Bosiers, MD; Gunnar Tepe, MD; Scott Naisbitt, MD, PhD; Kenneth Rosenfield, MD

Objectives This study sought to evaluate the safety and efficacy of the Lutonix drug-coated balloon (DCB) coated with 2 μg/mm2 paclitaxel and a polysorbate/sorbitol carrier for treatment of femoropopliteal lesions.

01 enero 2015

CIRCULATION. Drug-Coated Balloon Versus Standard Percutaneous Transluminal Angioplasty for the Treatment of Superficial Femoral and Popliteal Peripheral Artery Disease 12-Month Results From the IN.PACT SFA Randomized Trial

Gunnar Tepe, MD; John Laird, MD; Peter Schneider, MD; Marianne Brodmann, MD; Prakash Krishnan, MD; Antonio Micari, MD; Christopher Metzger, MD; Dierk Scheinert, MD; Thomas Zeller, MD; David J. Cohen, MD, MSc; David B. Snead, PhD; Beaux Alexander, MBA; Mario Landini, MS; Michael R. Jaff, DO; for the IN.PACT SFA Trial Investigators*

Background—Drug-coated balloons (DCBs) have shown promise in improving the outcomes for patients with peripheral artery disease. We compared a paclitaxel-coated balloon with percutaneous transluminal angioplasty (PTA) for the treatment of symptomatic superficial femoral and popliteal artery disease.

01 enero 2015

JOURNAL OF VASCULAR SURGERY. Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms

Giovanni Torsello, MD, Dierk Scheinert, MD, PhD, Jan S. Brunkwall, MD, PhD, Roberto Chiesa, MD, Gioachino Coppi, MD, Carlo Pratesi, MD

Objective: This study evaluated the 2-year safety and effectiveness of the European First-in-Human INNOVATION trial for the INCRAFT AAA Stent Graft system (Cordis Corp, Bridgewater, NJ), an ultra-low-profile device for the treatment of abdominal aortic aneurysms.

01 enero 2015

JOURNAL OF VASCULAR SURGERY. Standard endovascular treatment of abdominal aortic aneurysms in patients with very short proximal necks using the Endurant stent graft

Miltiadis Matsagkas, MD, PhD, FEBVS, George Kouvelos, MD, PhD, Michalis Peroulis, MD, PhD, Stavros Avgos, MD, Eleni Arnaoutoglou, MD, PhD, Nektario Papa, MD, George Papadopoulos, MD, PhD

Objective: This study evaluated and compared the midterm results of endovascular aortic aneurysm repair with the Endurant (Medtronic Inc, Santa Rosa, Calif) stent graft system in off-label use in patients with short (<10 mm) proximal aortic necks and in patients treated according to device-specific instructions for use.

01 enero 2015

JOURNAL OF VASCULAR SURGERY. Follow-up compliance after endovascular abdominal aortic aneurysm repair in Medicare beneficiaries

Andres Schanzer, MD, Louis M. Messina, MD, Kaushik Ghosh, PhD, Jessica P. Simons, MD, MPH, William P. Robinson III, MD, Francesco A. Aiello, MD, Robert J. Goldberg, PhD, Allison B. Rosen, MD, MPH, ScD

Objective: Lifelong imaging follow-up is essential to the safe and appropriate management of patients who undergo endovascular abdominal aortic aneurysm repair (EVAR). We sought to evaluate the rate of compliance with imaging follow-up after EVAR and to identify factors associated with being lost to imaging follow-up.

01 enero 2015

JOURNAL OF VASCULAR SURGERY. Adherence to postoperative surveillance guidelines after endovascular aortic aneurysm repair among Medicare beneficiaries

Trit Garg, BA, Laurence C. Baker, PhD, Matthew W. Mell, MD, MS

Objective: After endovascular aortic aneurysm repair (EVAR), the Society for Vascular Surgery recommends a computed tomography (CT) scan ≤30 days, followed by annual imaging. We sought to describe long-term adherence to surveillance guidelines among United States Medicare beneficiaries and determine patient and hospital factors associated with incomplete surveillance.

01 enero 2015

JOURNAL OF VASCULAR SURGERY. Remodeling of aortic aneurysm and aortic neck on follow-up after endovascular repair with suprarenal fixation

Nikolaos Tsilimparis, MD, Anand Dayama, MD, Joseph J. Ricotta II, MD, MS

Objective: The objective of this study was to evaluate the remodeling of abdominal aortic aneurysms after endovascular aortic aneurysm repair (EVAR) with the Zenith (Cook Medical, Bloomington, Ind) device.