Repair of descending thoracic aortic aneurysms with Ankura Thoracic Stent Graft.

Abstract:

OBJECTIVE:The aim of the study was to present the results for patients with atherosclerotic aneurysm of the descending thoracic aorta (DTA) treated with a novel thoracic stent graft. METHODS:A single-center retrospective review of prospectively collected data was performed. We extracted demographic variables as well as atherosclerotic comorbidities and operation-related and imaging-related data from patients' medical records. We estimated technical success rate, in-hospital and 30-day mortality, and mortality at the end of follow-up as well as complication and reintervention rate in our study cohort. Follow-up computed tomography angiography was performed after 1 month and 6 months and yearly thereafter. RESULTS:A total of 30 patients (80% male; mean age, 73.7 ± 6.33 years) were treated with Ankura Thoracic Stent Graft (Lifetech, Shenzhen, China) for DTA aneurysm from February 2014 until June 2017. Technical success of the thoracic endovascular aortic repair (TEVAR) was 97% (29/30 patients). A surgical conduit was required in one patient; in three patients, we intentionally covered the left subclavian artery because of insufficient proximal landing zone. No aorta-related deaths were recorded during follow-up. During the early postoperative period, two patients (7%) with long DTA coverage developed paralysis or paraparesis, which immediately resolved after lumbar drainage. No renal complications requiring dialysis were observed. One patient (3%) developed postoperative pulmonary infection, whereas access site complications were 7%. Two symptomatic patients treated outside instructions for use (7%) developed early type IA endoleak and one patient (3%) developed type IB endoleak; type II endoleak was recorded in 3% of the study cohort. During the 30-day postoperative period, two patients died of non-TEVAR-related causes, one of gastrointestinal bleeding and the other of pulmonary infection. During a median follow-up of 31.7 (range, 38.4) months, two more patients also died of non-TEVAR-related causes, one of stroke from carotid artery disease and the other of motor vehicle trauma. In the rest of the cohort, no other adverse events were noted. CONCLUSIONS:This novel endograft showed early evidence of a safe, effective, and durable endoprosthesis for the treatment of DTA aneurysms.

journal_name

J Vasc Surg

authors

Kratimenos T,Antonopoulos CN,Tomais D,Dedeilias P,Patris V,Samiotis I,Kokotsakis J,Farsaris D,Argiriou M

doi

10.1016/j.jvs.2018.07.065

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

996-1002.e3

issue

4

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(18)32103-7

journal_volume

69

pub_type

杂志文章
  • Selective surgical therapy of the Budd-Chiari syndrome provides superior survivor rates than conservative medical management.

    abstract::The Budd-Chiari syndrome is an unusual form of portal hypertension caused by hepatic vein occlusion, which results in centrilobular congestion and necrosis. Its overall mortality rate exceeds 50% at 2 years, and optimal treatment remains controversial. To determine optimal therapy on the basis of clinical and angiogra...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Ahn SS,Yellin A,Sheng FC,Colonna JO,Goldstein LI,Busuttil RW

    更新日期:1987-01-01 00:00:00

  • Peripheral vascular surgery with magnetic resonance angiography as the sole preoperative imaging modality.

    abstract:PURPOSE:Magnetic resonance angiography (MRA) is a developing technique that provides arteriograms without the risks associated with iodinated contrast and arterial puncture or the expense of hospitalization. Prior reports have demonstrated the accuracy of peripheral vessel MRA for evaluation of the aorta through pedal ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/0741-5214(94)90222-4

    authors: Carpenter JP,Baum RA,Holland GA,Barker CF

    更新日期:1994-12-01 00:00:00

  • Cardiac dysfunction during abdominal aortic operation: the limitations of pulmonary wedge pressures.

    abstract::The mortality rate for elective abdominal aortic operations remains between 3% and 8% despite careful hemodynamic monitoring, and half of these deaths are cardiac in origin. An extensive evaluation of ventricular function was performed during abdominal aortic operation to detect subtle abnormalities in systolic or dia...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Kalman PG,Wellwood MR,Weisel RD,Morley-Forster PK,Teasdale SJ,Ivanov J,Johnston KW,McLaughlin PR,Baird RJ,Cain JP

    更新日期:1986-05-01 00:00:00

  • Impact of acute kidney injury on long-term outcomes after fenestrated and branched endovascular aortic aneurysm repair.

    abstract:OBJECTIVE:Acute kidney injury (AKI) has been identified as a common complication after fenestrated and branched endovascular aneurysm repair (F/BEVAR), occurring in 5% to 29% of patients. Predictors of AKI and its impact on long-term outcomes remain unknown. We sought to identify independent predictors of AKI and its e...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2019.09.034

    authors: Dossabhoy SS,Simons JP,Crawford AS,Aiello FA,Judelson DR,Arous EJ,Messina LM,Schanzer A

    更新日期:2020-07-01 00:00:00

  • Determining who trains vascular surgery fellows in endovascular techniques.

    abstract:OBJECTIVES:Vascular surgery training has evolved from a single clinical year after general surgery training to a multi-year training program to encompass such entities as noninvasive vascular laboratory, office-based procedures, and endovascular techniques. Simultaneously, members of the vascular surgery community have...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2009.10.109

    authors: Reed AB,Rhodes R,Ricotta J

    更新日期:2010-03-01 00:00:00

  • Factors affecting career choice among the next generation of academic vascular surgeons.

    abstract:OBJECTIVE:Few studies have examined factors that influence an individual's decision to enter an academic medical career after residency training. We sought to evaluate whether sex, ethnicity, child care issues, and debt burden influenced residents' choice for a career in academic vascular surgery. METHODS:A 39-item We...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2011.11.141

    authors: Danczyk RC,Sevdalis N,Woo K,Hingorani AP,Landry GJ,Liem TK,Moneta GL,Mitchell EL

    更新日期:2012-05-01 00:00:00

  • Venous reconstructions in lower limbs associated with resection of malignancies.

    abstract:BACKGROUND:Patients with tumors in the limbs who undergo surgical treatment may have involvement of major vessels. Major arteries are always reconstructed for limb salvage. Major veins may be reconstructed to avoid the onset of venous hypertension signs and symptoms. The objective of this study was to analyze the resul...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2006.07.033

    authors: Nishinari K,Wolosker N,Yazbek G,Zerati AE,Nishimoto IN

    更新日期:2006-11-01 00:00:00

  • Mesenteric and celiac duplex scanning: a validation study.

    abstract:PURPOSE:To validate the accuracy of previously established duplex ultrasound criteria for > or =50% superior mesenteric artery (SMA) and celiac artery (CA) stenosis by comparison with arteriography. METHODS:Duplex criteria established retrospectively in our laboratory in 1991 identified an end-diastolic velocity (EDV)...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(98)60010-0

    authors: Zwolak RM,Fillinger MF,Walsh DB,LaBombard FE,Musson A,Darling CE,Cronenwett JL

    更新日期:1998-06-01 00:00:00

  • Adenoviral-mediated gene transfer of ICP47 inhibits major histocompatibility complex class I expression on vascular cells in vitro.

    abstract:PURPOSE:Many viruses have evolved mechanisms to evade detection by the host immune system. The herpes simplex gene ICP47 encodes a protein that binds to the host antigen-processing transporter, inhibiting the formation of major histocompatibility complex class I (MHC-I) antigens in infected cells. MHC-I antigen express...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Furukawa L,Brevetti LS,Brady SE,Johnson D,Ma M,Welling TH,Messina LM

    更新日期:2000-03-01 00:00:00

  • Antisense basic fibroblast growth factor gene transfer reduces early intimal thickening in a rabbit femoral artery balloon injury model.

    abstract:PURPOSE:The purpose of this study was to determine whether endogenous basic fibroblast growth factor (bFGF) production contributes to the intimal hyperplastic response to injury in a model of rabbit femoral artery balloon injury. Inhibition of de novo production of bFGF protein was targeted by intramural adenoviral gen...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(98)70299-x

    authors: Neschis DG,Safford SD,Hanna AK,Fox JC,Golden MA

    更新日期:1998-01-01 00:00:00

  • Bovine carotid artery biologic graft outperforms expanded polytetrafluoroethylene for hemodialysis access.

    abstract:OBJECTIVE:Arteriovenous grafts remain reliable substitutes for permanent hemodialysis access in patients without a suitable autogenous conduit. Advances in conduit design and endovascular management of access-related complications question the preference for synthetic conduits over biologic grafts in contemporary pract...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2016.10.080

    authors: Arhuidese I,Reifsnyder T,Islam T,Karim O,Nejim B,Obeid T,Qazi U,Malas M

    更新日期:2017-03-01 00:00:00

  • Occluding aortic endoluminal stent graft combined with extra-anatomic axillofemoral bypass as alternative management of abdominal aortic aneurysms for patients at high risk with complex anatomic features: a preliminary report.

    abstract:PURPOSE:To describe an exclusion endoluminal technique for management of abdominal aortic aneurysms among high-risk patients with complex anatomic features. METHODS:From January 1995 to December 1996, among 143 patients with infrarenal abdominal aortic aneurysm treated by means of endograft placement, 9 (6.3%) had com...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(98)70090-4

    authors: Le Minh T,Motte S,Hoang AD,Ferreira J,Golzarian J,Dehon P,Cavenaile JC,Michel P,Guyot S,Giot C,Wautrecht JC,Dereume JP

    更新日期:1998-10-01 00:00:00

  • Carotid artery stenting: analysis of data for 105 patients at high risk.

    abstract:OBJECTIVES:Carotid artery stenting (CAS) has been recommended as an alternative to carotid endarterectomy (CEA) by some clinicians. However, recently published clinical trials have reported 30-day stroke and death rates of 10% to 12%. This prompted review of our experience with CAS in patients at high risk, to document...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(02)75448-7

    authors: Hobson RW 2nd,Lal BK,Chakhtoura E,Goldstein J,Haser PB,Kubicka R,Cerveira J,Pappas PJ,Padberg FT,Jamil Z

    更新日期:2003-06-01 00:00:00

  • Access to occluded infrainguinal bypass grafts with a loopsnare.

    abstract::Thrombolysis for the treatment of occluded bypass grafts is used in selected clinical circumstances. Unfortunately, a minority of these procedures are technical failures because of the inability to access the occluded graft. We describe a technique that greatly increases the chances of technical success. ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(99)70328-9

    authors: Nosher JL,Siegel RL,Bodner LJ

    更新日期:1999-04-01 00:00:00

  • Carotid endarterectomy contralateral to an occluded carotid artery: perioperative risk and late results.

    abstract::To define better the short-term risk and long-term benefit of carotid endarterectomy opposite an occluded carotid artery, we reviewed our experience since 1961. Angiographic data are available for 598 of 670 (89.3%) patients in our carotid registry. In 63 (10.5%) patients the internal or common carotid artery on the s...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1990.20249

    authors: Mackey WC,O'Donnell TF Jr,Callow AD

    更新日期:1990-06-01 00:00:00

  • The risk of axillofemoral bypass grafting for acute vascular occlusion.

    abstract::The hypothesis of the present study is that axillofemoral bypass grafting for acute vascular occlusion has results significantly inferior to an elective procedure. We reviewed 53 patients undergoing primary axillofemoral bypass grafting at the University of Virginia from 1984 to 1989. We found that patients who were a...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1067/mva.1991.29422

    authors: Agee JM,Kron IL,Flanagan T,Tribble CG

    更新日期:1991-08-01 00:00:00

  • Screening for asymptomatic internal carotid artery stenosis: duplex criteria for discriminating 60% to 99% stenosis.

    abstract:PURPOSE:The Asymptomatic Carotid Atherosclerosis Study (ACAS) showed that carotid endarterectomy reduces stroke risk in symptom-free patients with 60% or greater internal carotid artery (ICA) stenosis. This will surely lead to the performance of an increased number of screening duplex examinations. Assuming that positi...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(95)70228-8

    authors: Moneta GL,Edwards JM,Papanicolaou G,Hatsukami T,Taylor LM Jr,Strandness DE Jr,Porter JM

    更新日期:1995-06-01 00:00:00

  • Cost-effectiveness of surgery for small abdominal aortic aneurysms on the basis of data from the United Kingdom small aneurysm trial.

    abstract:PURPOSE:Although the United Kingdom small aneurysm trial reported no survival benefit for early operation in patients with small (4. 0-5.5 cm) abdominal aortic aneurysms (AAAs), the trial lacked statistical power to detect small but potentially meaningful gains in life expectancy, particularly for specific subgroups. W...

    journal_title:Journal of vascular surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0741-5214(00)90152-6

    authors: Schermerhorn ML,Birkmeyer JD,Gould DA,Cronenwett JL

    更新日期:2000-02-01 00:00:00

  • Outcomes following infrapopliteal angioplasty for critical limb ischemia.

    abstract:OBJECTIVE:Infrapopliteal angioplasty (percutaneous transluminal angioplasty [PTA]) is routinely used to treat critical limb ischemia (CLI) despite limited data on long-term outcomes. METHODS:We reviewed all patients undergoing infrapopliteal PTA for CLI from 2004 to 2012 stratified by TransAtlantic Inter-Society Conse...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2012.10.109

    authors: Lo RC,Darling J,Bensley RP,Giles KA,Dahlberg SE,Hamdan AD,Wyers M,Schermerhorn ML

    更新日期:2013-06-01 00:00:00

  • Left ventricular hypertrophy is a possible biomarker for early mortality after type B aortic dissection.

    abstract:OBJECTIVE:Data regarding the cardiac abnormalities associated with Stanford type B aortic dissection (TBAD) and whether these abnormalities are related to outcomes are limited. We describe the prevalence of cardiac abnormalities in patients with TBAD as detected by echocardiography. METHODS:This retrospective review i...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2018.09.050

    authors: Taylor AP,Freeman RV,Bartek MA,Shalhub S

    更新日期:2019-06-01 00:00:00

  • Outcomes of an abdominal aortic aneurysm screening program.

    abstract:OBJECTIVE:In 2007, Medicare guidelines were established to identify persons at risk for the presence of an abdominal aortic aneurysm (AAA). The purpose of this study is to evaluate the 5-year outcomes of an AAA screening program in a regional Veterans Affairs (VA) health care system. METHODS:Data were extracted from a...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2012.08.038

    authors: Chun KC,Teng KY,Van Spyk EN,Carson JG,Lee ES

    更新日期:2013-02-01 00:00:00

  • Endovascular treatment as first line approach for infrarenal aortic occlusive disease.

    abstract:INTRODUCTION:The purpose of this study was to report the early and late results of primary stenting for focal atherosclerotic lesions of the infrarenal aorta. METHODS:A retrospective analysis of 52 consecutive patients treated for infrarenal occlusive aortic disease with primary stenting between January 2002 and Novem...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2011.02.007

    authors: Schwindt AG,Panuccio G,Donas KP,Ferretto L,Austermann M,Torsello G

    更新日期:2011-06-01 00:00:00

  • Carotid angioplasty and stenting, success relies on appropriate patient selection.

    abstract:OBJECTIVE:Carotid angioplasty and stenting (CAS) is a percutaneous alternative to carotid endarterectomy (CEA) for treating patients with carotid artery stenosis. This study sought to evaluate whether patients at increased perioperative risk for CEA may be treated with CAS while maintaining equivalent outcomes. METHOD...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2007.12.049

    authors: Sadek M,Hynecek RL,Sambol EB,Ur-Rehman H,Kent KC,Faries PL

    更新日期:2008-05-01 00:00:00

  • Prediction of aneurysm formation in vascular grafts of biologic origin.

    abstract::Other than review of clinical experience, no assay exists that can reliably predict the long-term potential for aneurysm formation in an arterial prosthesis of biologic origin. Since mural degeneration probably results from proteolytic digestion, an in vitro assay was devised that used graft perfusion with 1% collagen...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Hamilton G,Megerman J,L'Italien GJ,Warnock DF,Schmitz-Rixen T,Brewster DC,Abbott WM

    更新日期:1988-03-01 00:00:00

  • Presentation of the patient with recurrent varices after surgery (REVAS).

    abstract:AIM:To identify in patients with recurrent varices after surgery (REVAS) the clinical, etiologic, anatomic, and pathophysiologic patterns according to the CEAP classification, as well as the site, source, causes of recurrence, and contributory factors by using the REVAS classification. METHODS:Centers from eight count...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jvs.2005.10.053

    authors: Perrin MR,Labropoulos N,Leon LR Jr

    更新日期:2006-02-01 00:00:00

  • Erythropoietin preconditioning improves clinical and histologic outcome in an acute spinal cord ischemia and reperfusion rabbit model.

    abstract:OBJECTIVE:This study examined effects and functional outcome of recombinant human erythropoietin (rhEPO) and carbamylated erythropoietin fusion protein (cEPO-FC) preconditioning in a rabbit model for spinal cord ischemia and resulting paraplegia. This model was chosen because only a small surgical effect is needed to c...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2015.10.011

    authors: Simon FH,Erhart P,Vcelar B,Scheuerle A,Schelzig H,Oberhuber A

    更新日期:2016-12-01 00:00:00

  • Prevalence and clinical significance of posterolateral thigh perforator vein incompetence.

    abstract:PURPOSE:Posterolateral thigh perforator (PLTP) veins are part of the lateral thigh venous system, which in most people remains undeveloped. This study was designed to determine the prevalence and clinical significance of these veins. METHODS:Over the past 6 years, 2820 lower limbs with signs and symptoms of chronic ve...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(97)70085-5

    authors: Labropoulos N,Delis K,Mansour MA,Kang SS,Buckman J,Nicolaides AN,Baker WH

    更新日期:1997-11-01 00:00:00

  • Challenges of distal bypass surgery in patients with diabetes: patient selection, techniques, and outcomes.

    abstract::Surgical revascularization of the lower extremity using bypass grafts to distal target arteries is an established, effective therapy for advanced ischemia. Recent multicenter data confirm the primacy of autogenous vein bypass grafting, yet there remains significant heterogeneity in the utilization, techniques, and out...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jvs.2010.06.015

    authors: Conte MS

    更新日期:2010-09-01 00:00:00

  • Outcomes of accessory renal artery occlusion during endovascular aneurysm repair.

    abstract:OBJECTIVE:Accessory renal arteries are frequently encountered when patients are evaluated for endovascular abdominal aortic aneurysm repair (EVAR). Some have considered their presence a contraindication to EVAR in fear of endoleak and the end result of renal function. We sought to determine whether the coverage of acce...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.jvs.2005.09.008

    authors: Karmacharya J,Parmer SS,Antezana JN,Fairman RM,Woo EY,Velazquez OC,Golden MA,Carpenter JP

    更新日期:2006-01-01 00:00:00

  • Open surgical and endovascular treatment of superior vena cava syndrome caused by nonmalignant disease.

    abstract:OBJECTIVES:The purpose of this study was to evaluate the role of endovascular and open surgical reconstructions in patients with superior vena cava (SVC) syndrome caused by nonmalignant disease. METHODS:Clinical data from 32 consecutive patients who underwent endovascular or open surgical reconstruction of central vei...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/s0741-5214(03)00331-8

    authors: Kalra M,Gloviczki P,Andrews JC,Cherry KJ Jr,Bower TC,Panneton JM,Bjarnason H,Noel AA,Schleck C,Harmsen WS,Canton LG,Pairolero PC

    更新日期:2003-08-01 00:00:00