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ABSTRACT


01 agosto 2014

ANNALS OF VASCULAR SURGERY. Monocentric, Prospective Non-randomized Exploratory Study of the Treatment of Lesser Saphenous Vein (LSV) Reflux by Crossectomy and Short Stripping and Thermal Destruction by Radio Frequency (RF): Short and Mid-term Results

Philippe Nicolini

Objectives: Historically used for the treatment of the reflux of the greater saphenous vein because of neurological risks, RF was recently proposed in the treatment of the LSV reflux. The aim of this study was to compare the immediate and short-term results of a group of patients operated by crossectomy and stripping of the LSV with a group of patients treated by RF.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Predictors Affecting In-hospital Mortality of Ruptured Abdominal Aortic Aneurysms: A Greek Multicenter Study

Constantine N. Antonopoulos, John D. Kakisis, Vasilios Andrikopoulos, Konstantinos Dervisis, Sotirios Georgopoulos, Athanasios Giannoukas, Dimitrios Kiskinis, Anastasios Machairas, Vasilios Papavassiliou, Christos D. Liapis on behalf of the Collaborators (Pavlos Antoniadis, Nikolaos Bessias, Triantafillos G. Giannakopoulos, Elias Kaperonis, Christos Klonaris, Vasilios Saleptsis, Nikolaos Saratzis, Konstantinos Seretis, Charalambos Tampakis)

Background: Endovascular aortic repair (EVAR) is being used with increasing frequency for the treatment of ruptured abdominal aortic aneurysms (rAAAs), although conflicting results have been reported concerning perioperative mortality. The aim of our study was to evaluate potential difference in mortality rates between EVAR and open surgical repair (OSR) and identify independent risk factors for in-hospital mortality in rAAAs. This study also aimed to evaluate the Glasgow Aneurysm Score (GAS) in predicting in-hospital mortality. A time-trend analysis of EVAR for ruptured AAAs was also performed.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Endovascular Repair of Acute Traumatic Aortic Injury: Experience of a Level-1 Trauma Center

Rafik Asaid, Glenn Boyce, Noel Atkinson

Background: Endovascular repair of the thoracic aorta after traumatic rupture is an alternative to open repair and its use is becoming increasingly widespread. We aimed to determine the concurrent injuries sustained in patients who underwent thoracic endovascular aortic repair (TEVAR) as well as their Glasgow Coma Score (GCS) and Injury Severity Score (ISS). We also aimed to identify the intraoperative and early complications of TEVAR grafting up to 6 months after procedure and in addition identify the late postoperative complications occurring after 6 months after stent.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Results of F-EVAR in Octogenarians

Adrien Hertault, Jonathan Sobocinski, Thorarinn Kristmundsson, Blandine Maurel, Nuno V. Dias, Richard Azzaoui, Björn Sonesson, Timothy Resch, Stéphan Haulon

Background: To evaluate the clinical outcomes after fenestrated endovascular aortic aneurysm repair (F-EVAR) in octogenarians.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Elective EVAR in Nonagenarians Is Safe in Carefully Selected Patients

George K. Lee, Brant W. Ullery, Jason T. Lee

Background: Nonagenarians are typically considered poor operative candidates for major aortic intervention because of shorter life expectancy, multiple comorbidities, and increased perioperative morbidity and mortality. Endovascular abdominal aortic aneurysm repair (EVAR) has clearly been associated with a lower perioperative morbidity and mortality in most anatomically suitable patients. There have been many reports of the technical success of EVAR in octogenarians, but few documenting EVAR in nonagenarians. In this study, we sought to review our experience with elective EVAR in nonagenarians to determine outcomes, complications, and long-term survival after repair.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Immediate Results of Obliterating Endo-aneurysmorrhaphies for Type II Progressive Endoleaks

Pierre Maitrias, Thierry Reix, Adrien Kaladji, Nathalie David, Didier Plissonnier, Sébastien Amiot, Jean Sabatier, Armand Bourriez, Jean-Luc Magne

Objectives: To evaluate the technique of obliterating endo-aneurysmorrhaphy with in situ conservation of the stentgraft (SG) in the treatment of type 2 or unspecified endoleaks (EL II) with an enlargement of the aneurysmal sac.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Treatment of the Stenoses of the Renal Arteries at the Time of the Aortic Surgery

Caroline Goulfier, Abdelmalek Boumenna, Thérésa Khalife, Clémence Jouhannet, Julien Gaudric, Laurent Chiche, Fabien Koskas

Objectives: The last randomized studies did not show the effectiveness and benefit of transluminal angioplasty on renal function, hypertension, and cardiovascular events compared to the medical care alone. The surgical treatment of the atheromatous stenoses of the renal arteries is now carried out mainly when they are associated with an aortic pathology of surgical indication. Which are the results of this surgery and under which conditions is it necessary to carry it out?

01 agosto 2014

ANNALS OF VASCULAR SURGERY. First Experiment of Thoracic Stentgrafts with a Proximal Notch

Jean-Marc Alsac, Salma El Batti, Robert Martinez, Marc Sapoval, Jean-Noël Fabiani, Pierre Julia

Objectives: The endovascular treatment of thoracic aortic aneurysms (TAA) can be limited by a proximal extension to the supra-aortic trunks (SAT). We report our initial experience of the use of a notched stentgraft (SG) designed to keep patent the SAT at the level of the proximal aortic neck.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Another Vision of the Comprehension of the Phenomena of Proximal Anchoring of Thoracic Stentgrafts

Yannick Georg, Daniel Mathieu, Bettina Chenesseau, Benoit Lucereau, Bernard Durand, Nabil Chakfé

Objectives: The endovascular treatment of the thoracic aorta profited of the improvement of the design of thoracic stentgrafts (TS) in particular for the procedures including the aortic arch (AA). This progress in the conformability of the second generation TS made it possible to widen the indications with more technical aortic necks (AN). However, this improvement in conformability does not preclude the quality of anchoring of the SG, which depends on the radial force of the stent. An important force exposes to the risk of traumatism of the arterial wall, whereas a lesser force exposes to the risk of migration. These are the mechanical characteristics that we wanted to study on the various models of SG available on the market.

01 agosto 2014

ANNALS OF VASCULAR SURGERY. Compilations of Chimney Techniques and Fenestrated Stentgrafts in the Treatment of Juxta-renal Aneurysms

Julien Morin, Vicenzo Brizzi, Xavier Bérard, Dominique Midy, Eric Ducasse

Objectives: To evaluate the technical feasibility and the short-term results of the endovascular treatment of para- or juxtarenal aneurysms of the abdominal aorta associating chimney technics and fenestrated stentgrafts according to anatomical indications and/or specific accesses.

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