Abstract:
OBJECTIVES:Patients referred for fenestrated/branched endovascular aortic repair (F/BEVAR) often present with a previous computed tomography angiogram (CTA), but it is unknown how recent the CTA must be to ensure accurate F/BEVAR planning. We sought to determine whether anatomic planning parameters change significantly between a CTA used for F/BEVAR planning and a CTA obtained 6 to 12 months prior. METHODS:Two blinded observers reviewed preoperative CTAs from 21 patients who underwent F/BEVAR. Each patient had a "recent" scan obtained 0 to 6 months before F/BEVAR planning and a "prior" scan obtained 6 to 12 months before the "recent" CTA. Standard measurements included (1) target vessel separation distances, (2) target vessel origin clock position, and (3) proximal F/BEVAR device diameter. Clinically significant differences for target vessel separation distance, target vessel origin clock position, and proximal F/BEVAR device diameter were predefined as >5 mm, >30 minutes, and >4 mm, respectively. Differences between "recent"/"prior" CTA scans were examined by paired t test. RESULTS:Mean time interval between paired "recent"/"prior" CTAs was 8.0 months (standard deviation: ±1.7). Mean difference in paired "recent"/"prior" target vessel distance (relative to celiac artery [CA]) was 2.6 mm for the superior mesenteric artery (SMA), 2.5 mm for the right renal artery (RRA), and 3.3 mm for the left renal artery (LRA). Of the 21 paired "recent"/"prior" CTAs, clinically significant differences were observed in 2, 4, and 2 patients for SMA, RRA, and LRA target vessel distance, respectively. Target vessel clock position (SMA reference at 12:00) varied by 12 minutes for the CA, 13 minutes for the RRA, and 15 minutes for the LRA. One paired "recent"/"prior" CTA was found to have a clinically significant difference for the LRA. No clinically significant differences were observed for proximal device diameter. CONCLUSIONS:In patients who underwent successful F/BEVAR, measurement comparisons between CTAs obtained up to 1 year prior were minor and unlikely to yield clinically significant changes to F/BEVAR design.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Nguyen TT,Simons JP,Podder S,Crawford AS,Judelson DR,Arous EJ,Aiello FA,Schanzer Adoi
10.1177/1538574419864769subject
Has Abstractpub_date
2019-10-01 00:00:00pages
563-571issue
7eissn
1538-5744issn
1938-9116journal_volume
53pub_type
杂志文章abstract::Thoracic endografting offers many advantages over open repair. However, delivery of the device can be difficult and may necessitate adjunctive procedures. We describe our techniques for preserving perfusion to the left subclavian artery despite endograft coverage to obtain a proximal seal zone. We reviewed our experie...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574406293735
更新日期:2006-10-01 00:00:00
abstract::Leiomyosarcoma of the inferior vena cava (IVC) is a rare tumor of mesenchymal origin, occurring most frequently in middle-aged women. Insidious complaints delay diagnosis, prognosis is poor, and the only curative modality remains an aggressive surgical resection yielding clear margins of disease. Commonly, radical tum...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412460102
更新日期:2012-11-01 00:00:00
abstract::Vascular Ehlers-Danlos syndrome (vEDS) is a life-threatening connective tissue disorder due to its high tendency of arterial and organ rupture. Pulmonary complications in vEDS are rare. We present a young male patient with vEDS who developed severe pulmonary complications and severe rupture of the iliac artery at diff...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574417745432
更新日期:2018-02-01 00:00:00
abstract::This article presents a case in which covered stent-graft cuffs were used to treat a penetrating ulcer of the descending thoracic aorta. An 80-year-old woman presented with penetrating ulcer in the descending thoracic aorta. Two endovascular stent graft cuffs were used for total exclusion of the penetrating ulcer, bec...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1084713806296075
更新日期:2007-02-01 00:00:00
abstract::Ischemic stroke due to an acute occlusion of the extracranial internal carotid artery (eICA) is associated with high morbidity and mortality. The best treatment option remains unclear. This study aims to increase the available therapeutic experience documented for surgical recanalization of acute eICA occlusions. We r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574418800131
更新日期:2019-01-01 00:00:00
abstract::Cystic adventitial disease (CAD) is a rare vascular pathology which predominantly affects peripheral vessels of young otherwise healthy males. Much debate exists regarding its exact etiology. It is characterized by a collection of mucinous material within the adventitial wall layer of the affected vessel, resulting in...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574417722921
更新日期:2017-10-01 00:00:00
abstract::Replacement of the abdominal aorta, whether by autogenous or prosthetic conduit, has been an a priori requisite in the vascular surgeon's armamentarium since its technical feasibility was described in the early 1950s. The Achilles' heel of this operation, in spite of the progress made over the last half century, is st...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/153857440604000101
更新日期:2006-01-01 00:00:00
abstract::Pulmonary embolism remains an endemic challenge for public health care. The first line of treatment for venous thromboembolic disorder has been anticoagulation; however, in the absence of appropriate pharmacologic treatment, because of failure or contraindication, caval filter placement has been widely performed in th...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574409332000
更新日期:2009-08-01 00:00:00
abstract:PURPOSE:To present a case of aortic sac occlusion using an Amplatzer vascular plug II (AVP). CASE REPORT:A patient with sigmoid malignancy and an infrarenal aortic aneurysm ultimately required an axillobifemoral graft for acute limb ischemia. The sac was ligated at subsequent laparotomy. Persistent filling of the sac ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411433297
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:High-flow spontaneous vertebral arteriovenous shunts in patients with fibromuscular disease (FMD) are rare. Onyx embolization of the recipient veins with shunt disconnection and preservation of the affected vertebral artery in a patient with FMD has not been reported. CLINICAL PRESENTATION:A ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412452156
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the immediate and long-term clinical outcomes after carotid artery stenting (CAS) with and without protection devices (PDs), compared with carotid endarterectomy (CEA). METHODS:A total of 116 patients with symptomatic carotid stenosis underwent CAS; 56 patients (48.3%) underwent CAS-PD; and 137 p...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412457471
更新日期:2012-10-01 00:00:00
abstract::Immunoglobulin (Ig) G4-related disease is reportedly among the various causes of inflammatory abdominal aortic aneurysm (IAAA). Many IgG4-related diseases are closely related to allergic constitution and autoimmune disease. We report a case of a 72-year-old man with IgG4-related IAAA associated with myasthenia gravis,...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574416678557
更新日期:2016-11-01 00:00:00
abstract::This report is on a patient with symptomatic late restenosis after carotid stent-supported angioplasty (CSSA). Initially, the patient underwent carotid endarterectomy (CEA) with primary closure in response to an index transient ischemic attack 13 months before CSSA. He returned with angiographic evidence of recurrent ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440203600511
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:A 24-hour venous duplex ultrasound (VDU) for suspected deep vein thrombosis (DVT) imposes significant resource burdens on a hospital. We hypothesize that termination of after-hours services increases empiric therapy without affecting clinical outcomes. METHODS:A retrospective review of patients evaluated by ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574410365731
更新日期:2010-07-01 00:00:00
abstract::Aneurysmal degeneration after peripheral angioplasty is a potentially serious complication. In this case, the patient underwent repeated angioplasty of a prior vein bypass graft utilizing a paclitaxel-coated balloon. He subsequently developed a progressive aneurysmal degeneration, threatening his bypass, which ultimat...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574420978104
更新日期:2020-12-16 00:00:00
abstract::First bite syndrome (FBS) is a sharp unilateral pain in the vicinity of the angle of the mandible after taking the first bite of a meal that presents typically after surgery in the area of the ipsilateral parapharyngeal space. It is not confirmed what the pathophysiology is that causes this pain, but the proposed mech...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574420954589
更新日期:2021-01-01 00:00:00
abstract::The ruptured hypogastric artery aneurysm (RHAA) is a rare clinical entity with an evolving and dynamic therapeutic armamentarium. The anatomical location and varied clinical presentation can pose a challenge for successful repair. Recently, endovascular and hybrid operative repairs have significantly improved the hist...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574413475887
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Ruptured aneurysm of the middle colic artery is very rare. Its concomitance with isolated dissection of the superior mesenteric artery (SMAD) has not yet been reported in the literature. CASE REPORT:A previously well 56-year-old man was referred to our hospital with acute-onset pain throughout the entire ab...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413518615
更新日期:2014-05-01 00:00:00
abstract::Takayasu arteritis is a rare, chronic vasculitis of unknown etiology characterized by inflammation of the aorta and its main branches. Although Takayasu arteritis mostly affects women of childbearing age, there is a paucity in the literature on pregnancy associated with Takayasu arteritis. Pregnant patients are at inc...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574417698904
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Diminished endothelial activity (EA) has been associated with an increased risk of incident cardiovascular disease (CAD) events. METHODS:Vasodilatory responses (EA and relative distensibility [RD]) were evaluated noninvasively using iontophoresis of acetylcholine (ACH) and sodium nitroprusside (SNP) and rec...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413508229
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:The snorkel technique is commonly used to preserve renal arteries in juxta renal aneurysm during endovascular repair. Herein, we present a patient who underwent bifurcated endograft implantation with snorkel technique for inferior mesenteric artery (IMA) in order to preserve the major source of bowel circulatio...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574418758597
更新日期:2018-04-01 00:00:00
abstract::The objective of this study was to evaluate the clinical and duplex outcome after carotid endarterectomy (CEA) in recently symptomatic patients aged 80 years or older. Information was assembled from a prospective data collection of all CEAs performed from January 1986 to December 1999. Included were all patients with ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440203600601
更新日期:2002-11-01 00:00:00
abstract::Visceral artery pseudoaneurysms are common complications of pancreatitis that carry a high mortality rate. Early detection and treatment of the pseudoaneurysms should be done as they carry high mortality following rupture. The splenic artery is the commonest artery involved followed by gastroduodenal and pancreaticodu...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574420954309
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Arterial pseudoaneurysms (PSAs) are the most common access site complication following transarterial catheter intervention. Ultrasound-guided injection of thrombogenic substances into perfused arterial PSAs followed by compression therapy is a well-established and less invasive treatment option than surgic...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574420934631
更新日期:2020-08-01 00:00:00
abstract::Iliac vein aneurysms are an exceedingly uncommon problem faced by vascular specialists. We report a case of a healthy 32 year old woman who had large asymptomatic bilateral external iliac vein aneurysms found incidentally on CT scan. They may present with thromboembolism, spontaneous rupture, or they may be asymptomat...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574410366488
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Lymphaticovenular anastomosis (LVA) is becoming a treatment option for lymphedema. It is challenging to perform LVA when a lymphatic vessel is too far from a vein to anastomose directly. METHODS:We applied vein grafting for simultaneous multisite LVA (SM-LVA), when there was a considerable distance between ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574415614402
更新日期:2015-10-01 00:00:00
abstract::Lower extremity vascular injuries following trauma are rare events that require prompt identification and management in order to prevent ischemia and limb loss. Endovascular approaches, rather than traditional open procedures, are increasingly used to treat a wide range of vascular disease. The use of endovascular rep...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574420954576
更新日期:2021-02-01 00:00:00
abstract::Vascular disease associated with diabetes mellitus is a major cause of morbidity and mortality and is increasing in the United States. It is now recognized that oxidative stress plays a substantial role in the underlying vascular pathology of several diseases, including hypertension and diabetes. In diabetes, there is...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574408320172
更新日期:2008-08-01 00:00:00
abstract:INTRODUCTION::Despite advances in perioperative critical care and surgical technique, spinal cord ischemia remains a devastating complication of thoracic and thoracoabdominal aortic aneurysm repair. Biochemical markers present in peripheral blood and cerebrospinal fluid (CSF) may be useful in assessing spinal cord inju...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574418814612
更新日期:2019-04-01 00:00:00
abstract::Symptomatic visceral aneurysms usually present with abdominal pain and shock, gastrointestinal bleeding, or hemobilia when the aneurysm ruptures. Less frequently, visceral aneurysms are found incidentally during abdominal computed tomography or angiography. Thrombosis is a frequent complication of popliteal and femora...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440503900413
更新日期:2005-07-01 00:00:00