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[PMID]:28948856
[Au] Autor:Thind A; Sarma D; Allouni AK; Abdallah F; Murray D; Thind K; Darby C; Handa A; Sideso E; Patel R; Bratby M; Uberoi R
[Ad] Endereço:1 John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom.
[Ti] Título:Preliminary Dual-Center Experience with the Bolton Treovance Endograft.
[So] Source:Vasc Endovascular Surg;51(8):533-537, 2017 Nov.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To present the performance and safety of the Treovance stent graft for endovascular aortic aneurysm repair in a "real-world" patient cohort. METHODS: Patients from 2 centers, deemed unfit for open repair, were electively treated with the Treovance endograft. Clinical preoperative, operative, and up to 1-year postoperative follow-up data of patients were retrospectively analyzed. RESULTS: This study included 46 patients with abdominal aortic aneurysm (44 male), mean age of 78 years ± 8 standard deviation (SD; range: 58-93 years). All met the manufacturer's recommended anatomical requirements: average maximum sac diameter 63 mm ± 10 SD (range: 52-86 mm), proximal neck length 29 mm ± 12 SD (range: 11-60 mm), and neck angulation 30° ± 21 SD (range: 0°-70°). Fourteen had moderate to severe iliac tortuosity. A primary technical success rate of 80% was achieved (100% assisted primary technical success rate): 7 patients required adjunctive procedures intraoperatively and 2 successful treatments for type I endoleaks, which occurred within 24 hours postoperatively. There was 100% survival at 1-year follow-up; however, 4 (8.7%) patients required reintervention: 1 for a type I endoleak, 2 for limb stenosis, and 1 for a type II endoleak with an enlarging sac. No other device-related complications were identified. Reintervention and complication rates in hostile versus nonhostile anatomies were not statistically significant ( P = .28 and P = .42, respectively). CONCLUSION: The Treovance stent graft has a comparable safety profile to other next-generation stent grafts during the first year after endovascular aneurysm repair, which provides a rationale for further interrogation of its outcomes through clinical trials.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/cirurgia
Implante de Prótese Vascular/instrumentação
Prótese Vascular
Procedimentos Endovasculares/instrumentação
Stents
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Aneurisma da Aorta Abdominal/diagnóstico por imagem
Aneurisma da Aorta Abdominal/mortalidade
Aneurisma da Aorta Abdominal/fisiopatologia
Aortografia/métodos
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/mortalidade
Angiografia por Tomografia Computadorizada
Intervalo Livre de Doença
Endoleak/etiologia
Endoleak/terapia
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/mortalidade
Inglaterra
Feminino
Oclusão de Enxerto Vascular/etiologia
Oclusão de Enxerto Vascular/fisiopatologia
Oclusão de Enxerto Vascular/terapia
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Meia-Idade
Desenho de Prótese
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Resultado do Tratamento
Grau de Desobstrução Vascular
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170927
[St] Status:MEDLINE
[do] DOI:10.1177/1538574417729264


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[PMID]:28914176
[Au] Autor:Tanious A; Wooster M; Giarelli M; Armstrong PA; Back MR; Shames ML
[Ad] Endereço:1 Division of Vascular Surgery, USF Health Morsani School of Medicine, Tampa, FL, USA.
[Ti] Título:Intraoperative Gutter Leaks That Merit Our Attention.
[So] Source:Vasc Endovascular Surg;51(8):555-561, 2017 Nov.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The natural history and potential morbidity of gutter endoleaks are unclear. We present our experience with intraoperative gutter endoleaks and strategies to determine which of these require intervention. METHODS: This is a retrospective review of all patients treated with parallel stent grafts from January 2010 to September 2015. We reviewed all operative records and intraoperative angiograms as well as all postoperative imaging and secondary interventions. All gutter leaks were classified as low-flow/nonsac-enhancing gutter endoleaks or high-flow/sac-enhancing gutter endoleaks. Adjunctive interventions to manage the gutter leaks were noted, as were all subsequent interventions for gutter leak and endoleak management. RESULTS: Seventy-eight patients had 144 parallel stents placed over a 5-year period with an average of 1.8 stents per patient. Twenty-eight patients (36%) had gutter endoleaks diagnosed intraoperatively. Seventeen patients had adjunctive procedures to reduce gutter leaks prior to leaving the operating room (OR). Patients selected for treatment had gutters filling early during completion angiography and/or contrast enhancement of the aneurysm sac. Twenty-two patients (28%) left the OR with low-flow/delayed/nonsac-enhancing gutter endoleaks. At 30 days, a total of 6 persistent gutter endoleaks were diagnosed on computed tomographic angiography. This gives a 73% rate of resolution for low-flow/nonaneurysm sac-enhancing endoleaks. There were 2 de novo endoleaks not detected at the index procedure diagnosed at 6-month follow-up. Of the 8 total postoperative endoleaks, 5 required additional intervention with a 100% success rate. Multivariate analysis revealed that the only significant predictor of having a postoperative endoleak is leaving the OR with an endoleak. CONCLUSIONS: Intraoperative treatment of gutter endoleaks has an acceptable rate of resolution. It does have a high rate of converting high-flow endoleaks to low-flow endoleaks. Low-flow/nonsac-enhancing gutter endoleaks have a high rate of spontaneous resolution. Intraoperative gutter endoleaks are not predictive of future aneurysm sac growth.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/cirurgia
Implante de Prótese Vascular/efeitos adversos
Endoleak/etiologia
Procedimentos Endovasculares/efeitos adversos
[Mh] Termos MeSH secundário: Aneurisma da Aorta Abdominal/diagnóstico por imagem
Aortografia/métodos
Prótese Vascular
Implante de Prótese Vascular/instrumentação
Angiografia por Tomografia Computadorizada
Endoleak/diagnóstico por imagem
Endoleak/terapia
Procedimentos Endovasculares/instrumentação
Seres Humanos
Estimativa de Kaplan-Meier
Modelos Logísticos
Análise Multivariada
Estudos Retrospectivos
Fatores de Risco
Stents
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE
[do] DOI:10.1177/1538574417729525


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[PMID]:28838513
[Au] Autor:Landau JH; Dubois LA; Chu MWA
[Ad] Endereço:Division of Vascular, Western University, London, Ontario, Canada.
[Ti] Título:Hybrid Arch Frozen Elephant Trunk for Persistent Endoleak After Thoracic Endovascular Aortic Repair.
[So] Source:Ann Thorac Surg;104(3):e227-e229, 2017 Sep.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Aneurysms of the distal aortic arch and proximal descending thoracic aorta remain challenging to treat. Whereas thoracic endovascular aortic repair (TEVAR) with arch debranching has provided a more minimally invasive option for patients with such aneurysms, recurrent type Ia endoleaks can be difficult or impossible to treat with further endovascular intervention. We report the successful use of a hybrid arch and frozen elephant trunk graft for the treatment of a patient with a recurrent type Ia endoleak after TEVAR and arch debranching.
[Mh] Termos MeSH primário: Aneurisma da Aorta Torácica/cirurgia
Implante de Prótese Vascular/efeitos adversos
Endoleak/cirurgia
Procedimentos Endovasculares/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Endoleak/etiologia
Seres Humanos
Masculino
Recidiva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170826
[St] Status:MEDLINE


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[PMID]:28737517
[Au] Autor:Imai H; Ohashi N; Yoshida T; Okamoto T; Kitamura N; Tanaka T; Baba H
[Ad] Endereço:From the Divisions of *Anesthesiology and †Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan; and ‡Department of Quality Control, Niigata University Medical and Dental Hospital Clinical and Translational Research Center, Niigata, Japan.
[Ti] Título:Intraoperative Detection of Persistent Endoleak by Detecting Residual Spontaneous Echocardiographic Contrast in the Aneurysmal Sac During Thoracic Endovascular Aortic Repair.
[So] Source:Anesth Analg;125(2):417-420, 2017 Aug.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Persistent endoleaks may lead to adverse events after endovascular aortic repair. We prospectively examined the relationship between intraoperative residual spontaneous echocardiographic contrast (SEC) within the aneurysmal sac and the incidence of postoperative endoleaks in 60 patients undergoing thoracic endovascular aortic repair. Patients with SEC had a higher incidence of postoperative endoleaks than did patients without SEC within a few days postoperatively (60.0% vs 12.5%, respectively; P < .001) and at 6 months postoperatively (40.0% vs 2.5%, respectively; P < .001). Intraoperative confirmation of the absence of SEC may identify patients at low risk for persistent endoleaks after thoracic endovascular aortic repair.
[Mh] Termos MeSH primário: Aneurisma da Aorta Torácica/diagnóstico por imagem
Ecocardiografia/métodos
Endoleak/diagnóstico por imagem
Procedimentos Endovasculares/métodos
Complicações Intraoperatórias/diagnóstico por imagem
Monitorização Intraoperatória/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Aneurisma da Aorta Torácica/cirurgia
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/métodos
Meios de Contraste/efeitos adversos
Ecocardiografia/efeitos adversos
Endoleak/cirurgia
Procedimentos Endovasculares/efeitos adversos
Feminino
Seguimentos
Seres Humanos
Complicações Intraoperatórias/cirurgia
Masculino
Meia-Idade
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002207


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[PMID]:28705593
[Au] Autor:Hashimoto T; Kato N; Tokui T; Miyake Y; Nasu M; Nakajima K; Higashigawa T; Chino S
[Ad] Endereço:Department of Radiology, Mie University Hospital, Tsu, Japan. Electronic address: hashimotot@clin.medic.mie-u.ac.jp.
[Ti] Título:Parallel placement of Excluder legs for treatment of type IIIb endoleaks caused by fabric tear after endovascular aneurysm repair.
[So] Source:J Vasc Surg;66(4):1285-1289, 2017 Oct.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A total of 576 patients underwent endovascular aneurysm repair using main body devices for treatment of abdominal aortic aneurysms or iliac artery aneurysms. During follow-up, type IIIb endoleaks caused by fabric tear occurred in six patients (1.0% [6/576]). The device used was Zenith (Cook Medical, Bloomington, Ind) in five cases and Talent (Medtronic, Santa Rosa, Calif) in one case. All endoleaks were close to the flow divider of the main body devices. The distance between the lower renal artery and the top end of the contralateral leg was 53 ± 14 mm. Bell-bottom-shaped Excluder (W. L. Gore & Associates, Flagstaff, Ariz) legs were placed parallel from the top of the main body device through both legs to treat these endoleaks. In two patients, coil embolization was required to treat gutter endoleaks. Postoperative computed tomography showed the obliteration of type IIIb endoleaks in all patients. Our technique may be an acceptable method for treatment of type IIIb endoleaks, especially when they occur near the flow divider.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/cirurgia
Implante de Prótese Vascular/instrumentação
Prótese Vascular
Endoleak/cirurgia
Procedimentos Endovasculares/instrumentação
Aneurisma Ilíaco/cirurgia
Falha de Prótese
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Aneurisma da Aorta Abdominal/diagnóstico por imagem
Aortografia/métodos
Implante de Prótese Vascular/efeitos adversos
Angiografia por Tomografia Computadorizada
Ecocardiografia Doppler em Cores
Embolização Terapêutica
Endoleak/diagnóstico por imagem
Endoleak/etiologia
Procedimentos Endovasculares/efeitos adversos
Seres Humanos
Aneurisma Ilíaco/diagnóstico por imagem
Masculino
Desenho de Prótese
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE


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[PMID]:28697942
[Au] Autor:Bannazadeh M; Jenkins C; Forsyth A; Kramer J; Aggarwal A; Somerset AE; Bove PG; Long GW
[Ad] Endereço:Department of Surgery, Beaumont Health, Royal Oak, Mich.
[Ti] Título:Outcomes for concomitant common iliac artery aneurysms after endovascular abdominal aortic aneurysm repair.
[So] Source:J Vasc Surg;66(5):1390-1397, 2017 Nov.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study evaluated the morbidity of endovascular abdominal aortic aneurysm repair (EVAR) in patients with concomitant common iliac artery aneurysm (CCIAA). METHODS: This was a retrospective review of all patients who underwent elective EVAR from June 2006 through June 2012 at a single institution. Demographics, comorbidities, preoperative presentation, intraoperative details, and postoperative complications were tabulated. Patients with CCIAA were categorized into three groups according to the distal extent of their iliac limb: iliac limb extension into the external iliac artery with internal iliac artery coil embolization (EE); flared iliac limb ≥20 mm in diameter to the iliac bifurcation (FL); and iliac limb ≤20 mm ending proximal to the CCIAA (no-FL). RESULTS: During this period, 627 consecutive patients underwent elective EVAR and preoperative computed tomographic angiograms were available for 523 patients to evaluate the presence of CCIAA. Of these, 211 patients (40.2%) had a CCIAA in at least one common iliac artery, with a total of 307 aneurysmal arteries. Of these 307 aneurysmal arteries, 62 (20.2%) were treated with EE, 132 (43.0%) were treated with FL, and 113 (36.8%) had a sufficient landing zone in the proximal common iliac artery to use an iliac limb ≤20 mm in diameter (no-FL). The overall reintervention rate was 12.4% of patients, with a higher reintervention rate between patients with CCIAA compared with those without (15.2% vs 10.9%; P = .039). There were no significant differences in reintervention rates between the EE, FL, and no-FL techniques (4.5% vs 4.8% vs 6.2%; P = .802) over a mean 59.8 months follow-up. The FL and EE techniques had a lower risk of distal endoleak than the no-FL technique, but the difference was not statistically significant (3.2% vs 2.3% vs 5.3% compared with 4.23% in the entire cohort). CONCLUSIONS: Patients with CCIAA had a higher reintervention rate after EVAR for abdominal aortic aneurysm compared with non-CCIAA patients. Of the techniques studied (EE, FL, and no-FL), there was no significant difference in reintervention rates between the three. All three techniques remain viable options for the endovascular repair of CCIAA.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/cirurgia
Implante de Prótese Vascular
Procedimentos Endovasculares
Aneurisma Ilíaco/cirurgia
[Mh] Termos MeSH secundário: Idoso
Aneurisma da Aorta Abdominal/diagnóstico por imagem
Aneurisma da Aorta Abdominal/mortalidade
Aortografia/métodos
Prótese Vascular
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/instrumentação
Angiografia por Tomografia Computadorizada
Intervalo Livre de Doença
Endoleak/etiologia
Endoleak/terapia
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/instrumentação
Feminino
Seres Humanos
Aneurisma Ilíaco/diagnóstico por imagem
Aneurisma Ilíaco/mortalidade
Estimativa de Kaplan-Meier
Masculino
Michigan
Meia-Idade
Modelos de Riscos Proporcionais
Desenho de Prótese
Sistema de Registros
Retratamento
Estudos Retrospectivos
Fatores de Risco
Stents
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170713
[St] Status:MEDLINE


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[PMID]:28651454
[Au] Autor:Zhao Y; Shi Y; Wang M; Cui J; Chen Y; Zheng L; Yin H; Chang G
[Ad] Endereço:1 Department of Vascular Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
[Ti] Título:Chimney Technique in Supra-Aortic Branch Reconstruction in China: A Systematic and Critical Review of Chinese Published Experience.
[So] Source:Vasc Endovascular Surg;51(6):429-435, 2017 Aug.
[Is] ISSN:1938-9116
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The chimney graft (CG) technique has been proposed as a complete endovascular supra-aortic branch reconstruction for aortic pathologies. Due to the rapid growth of thoracic endovascular aortic repair (TEVAR) in China, we aimed to investigate the current data of the CG technique in this most populous country. METHODS: Studies of supra-aortic branch reconstruction using the CG technique from Chinese centers were collected and analyzed. RESULTS: A total of 294 patients from Chinese centers who underwent TEVAR with CGs were included. There were 301 CGs performed, with a technical successful rate of 97.7%. The rate of early type I endoleaks was 7.1%, and the patency rate of the CGs was desirable. Balloon-expandable bare CGs were significantly associated with good early outcomes and a low rate of endoleaks. CONCLUSION: Current data from China revealed positive outcomes using CGs for supra-aortic branch reconstruction. Balloon-expandable bare CGs may be the first choice according to the data available but should be considered with caution.
[Mh] Termos MeSH primário: Angioplastia com Balão/métodos
Aorta Torácica/cirurgia
Doenças da Aorta/cirurgia
Implante de Prótese Vascular/métodos
[Mh] Termos MeSH secundário: Angioplastia com Balão/efeitos adversos
Angioplastia com Balão/instrumentação
Aorta Torácica/diagnóstico por imagem
Aorta Torácica/fisiopatologia
Doenças da Aorta/diagnóstico por imagem
Doenças da Aorta/fisiopatologia
Prótese Vascular
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/instrumentação
China
Endoleak/etiologia
Seres Humanos
Desenho de Prótese
Stents
Resultado do Tratamento
Grau de Desobstrução Vascular
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1177/1538574417716042


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[PMID]:28647036
[Au] Autor:Andrási TB; Grossmann M; Zenker D; Danner BC; Schöndube FA
[Ad] Endereço:Department of Thoracic, Cardiac and Vascular Surgery, University of Göttingen, Göttingen, Germany. Electronic address: terezia.andrasi@med.uni-goettingen.de.
[Ti] Título:Supra-aortic interventions for endovascular exclusion of the entire aortic arch.
[So] Source:J Vasc Surg;66(1):281-297.e2, 2017 Jul.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Our aim was to analyze the outcomes of endovascular exclusion of the entire aortic arch (proximal landing in zone 0, distal landing in zone III or beyond, after Ishimaru) in which complete surgical debranching of the supra-aortic vessels (I), endovascular supra-aortic revascularization (chimney, fenestrated, or branched grafts) with partial surgical debranching (II), or total endovascular supra-aortic revascularization (III) was additionally performed. METHODS: Publications describing endovascular repair of the aortic arch (2000-2016) were systematically searched and reviewed. RESULTS: From a total of 53 relevant studies including 1853 patients, only 1021 patients undergoing 35 different total aortic arch procedures were found eligible for further evaluation and included in group I, II, or III (429, 190, and 402 patients, respectively). Overall early mortality was higher in group I vs groups II and III (P = .001; 1 - ß = 95.6%) but exceeded in group III (18.6%) and group II (14.0%) vs group I (8.0%; P = .044; 1 - ß = 57.4%) for diseases involving zone 0. Mortality was higher in all subgroups treated for zone 0 disease compared with corresponding subgroups treated for zone I to zone III disease. The incidence of cerebral ischemic events was increased in groups I and II vs group III (7.5% and 11% vs 1.7%; P = .0001) and correlated with early mortality (R = .20; P = .033). The incidence of type II endoleaks and endovascular reintervention was similar between groups and correlated with each other (R = .37; P = .004). Type Ia endoleak occurred more often in groups II and III than in group I (7.1% and 12.1% vs 5.8%; P = .023) and correlated with midterm mortality (R = .53; P = .005). Retrograde type A dissection was low in all groups, whereas aneurysm growth was higher in group III (2.6%, 4.2%, 10.7%; P = .002), correlating with midterm mortality (R = .311; P = .009). Surgical revision slightly correlated with surgical complications (R = .18; P = .044) but not with mortality (R = .10; P = .214). CONCLUSIONS: Because early mortality was significantly higher in patients receiving endovascular treatment for proximal aortic disease, endovascular-based approaches proved to be feasible alternatives to hybrid surgical procedures, especially when they were performed for aneurysms located in the distal aortic arch. Whereas cerebral ischemia accompanies both surgical and endovascular involvement of the supra-aortic vessels, endoleaks and aneurysm growth remain hallmarks of endovascular supra-aortic repair. Because surgical revision had no impact on mortality, complete surgical debranching may become the option of choice for patients with good life expectancy suffering from proximal aortic arch disease, whereas total endovascular procedures could be particularly advantageous in patients with short life expectancy and distal aortic arch disease.
[Mh] Termos MeSH primário: Aorta Torácica/cirurgia
Implante de Prótese Vascular/métodos
Procedimentos Endovasculares/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Aorta Torácica/diagnóstico por imagem
Prótese Vascular
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/instrumentação
Implante de Prótese Vascular/mortalidade
Endoleak/etiologia
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/instrumentação
Procedimentos Endovasculares/mortalidade
Feminino
Seres Humanos
Masculino
Meia-Idade
Seleção de Pacientes
Desenho de Prótese
Fatores de Risco
Stents
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170626
[St] Status:MEDLINE


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[PMID]:28627864
[Au] Autor:Grima MJ; Karthikesalingam A
[Ad] Endereço:St George's Vascular Institute, St George's University of London, London, UK - matthewjoe.grima@gmail.com.
[Ti] Título:Type II endoleaks: when and how.
[So] Source:J Cardiovasc Surg (Torino);58(6):889-894, 2017 Dec.
[Is] ISSN:1827-191X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Although most type II endoleaks are self-limiting, the most common indication for secondary intervention after endovascular aneurysm repair (EVAR) is type II endoleak. However, it is still debatable when to treat them. Furthermore, different intervention techniques are available to treat type II endoleaks. The aim of this review is to look at current evidence and updates on type II endoleaks after EVAR for abdominal aortic aneurysm and their management.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/cirurgia
Implante de Prótese Vascular/efeitos adversos
Endoleak/terapia
Procedimentos Endovasculares/efeitos adversos
[Mh] Termos MeSH secundário: Aneurisma da Aorta Abdominal/diagnóstico por imagem
Aneurisma da Aorta Abdominal/epidemiologia
Endoleak/diagnóstico por imagem
Endoleak/epidemiologia
Seres Humanos
Valor Preditivo dos Testes
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170620
[St] Status:MEDLINE
[do] DOI:10.23736/S0021-9509.17.10072-8


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[PMID]:28602623
[Au] Autor:Psacharopulo D; Ferri M; Ferrero E; Bahia SS; Viazzo A; Pecchio A; Ricceri F; Nessi F
[Ad] Endereço:Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy. Electronic address: daniele.psacharopulo@yahoo.it.
[Ti] Título:Comparison of outcomes for short-neck and juxtarenal aortic aneurysms treated with the Nellix endograft versus conventional endovascular aneurysm sealing.
[So] Source:J Vasc Surg;66(5):1371-1378, 2017 Nov.
[Is] ISSN:1097-6809
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The objective of this study was to evaluate the results of the off-label use of the Nellix endograft (Endologix, Irvine, Calif) for the treatment of short-neck aneurysms and juxtarenal aortic aneurysms (JAAs) compared with the outcomes of patients with infrarenal abdominal aortic aneurysms treated in accordance with the manufacturer's instructions for use. METHODS: Data available from patients treated with the Nellix endograft from September 2013 to January 2016 were reviewed to create a case-control analysis (1:2). Fourteen elective patients with a short-neck aneurysm or JAA (<10 mm) and mild aortic neck angulation (<35 degrees) were included. As a control group, 28 elective patients who had been treated in accordance with instructions for use were included. Patients were matched for age, sex, aortic diameter, and aortic neck angulation. The final cohort group included 42 patients: 14 in the JAA off-label group (5 with aortic neck length ≤4 mm and 9 with necks of 5 to 10 mm) and 28 in the control group. Technical and clinical success, freedom from any secondary intervention, any type of endoleak, and aneurysm-related death were evaluated. RESULTS: There were no significant differences between the two groups in terms of comorbidity, intraoperative time, radiation time, contrast agent volume, and perioperative mortality and morbidity. Two patients of the JAA group subsequently underwent open repair (14%), both with aortic neck length <4 mm (2/5; 40%), for type Ia endoleak. Two of the control group also subsequently underwent open repair (7%). At a mean follow-up of 22 ± 3.9 months, freedom from any reintervention was 85% for the JAA off-label group vs 92% for the control group (log-rank test, P = .33). CONCLUSIONS: The off-label use of the Nellix endograft for the treatment of JAA showed a higher rate of subsequent conversion to open repair for JAA patients (aortic neck length ≤4 mm), underlining the need for a proximal sealing zone. Longer term data are needed to verify the possible use of the Nellix endograft in selected short-neck aneurysms with aortic neck length >5 mm.
[Mh] Termos MeSH primário: Aneurisma da Aorta Abdominal/cirurgia
Implante de Prótese Vascular/instrumentação
Prótese Vascular
Procedimentos Endovasculares/instrumentação
Stents
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Aneurisma da Aorta Abdominal/diagnóstico por imagem
Aneurisma da Aorta Abdominal/mortalidade
Aortografia/métodos
Implante de Prótese Vascular/efeitos adversos
Implante de Prótese Vascular/mortalidade
Angiografia por Tomografia Computadorizada
Endoleak/etiologia
Endoleak/terapia
Procedimentos Endovasculares/efeitos adversos
Procedimentos Endovasculares/mortalidade
Feminino
Seres Humanos
Itália
Masculino
Duração da Cirurgia
Rotulagem de Produtos
Desenho de Prótese
Retratamento
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE



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