The Impact of Aortic Tortuosity on Delayed Type I or III Endoleak after Endovascular Aortic Repair.

Abstract:

BACKGROUND:Endovascular aneurysm repair (EVAR) becomes the treatment of choice for patients with abdominal aortic aneurysm (AAA). Type I or III endoleak is related to high risk of rupture and reintervention, but little is known about the delayed presentation of these. We sought to evaluate the delayed type I or III endoleak after EVAR and assess the early morphological portending factors. METHODS:We retrospectively reviewed a database of 249 patients who underwent endovascular repair with a Zenith AAA stent graft (Cook Medical, Bloomington, IN) in a single institute from October 2005 to December 2013. Age, aneurysm size, angulation, tortuosity index (TI), and follow-up evaluations were recorded and analyzed. Patients having <1 year of follow-up were excluded. RESULTS:One hundred eighteen patients were included in this study. There was no delayed type Ia endoleak. Ten patients (9.3%) were found to have a delayed type Ib or III endoleak. The mean diagnosis time was 49.1 months (range, 22-91 months) after EVAR. All of them were treated with endovascular repair except one had combined open revision. Three of the patients (30%) with delayed endoleaks presented with a ruptured aneurysm, and two of them (20%) died after reintervention. Postoperative TI was found to be the most significant morphological factor associated with increased risk of type Ib or III endoleak. CONCLUSIONS:Delayed type Ib or III endoleak was not rare in our study population and was found to have a high risk of rupture and mortality. Aneurysm tortuosity is associated with increased risk of endoleaks, and postoperative TI can be an indicator in the early period of follow-up.

journal_name

Ann Vasc Surg

authors

Chen PL,Hsu HL,Chen IM,Chen YY,Chou KY,Kuo TT,Shih CC

doi

10.1016/j.avsg.2016.09.020

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

110-117

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(17)30257-1

journal_volume

41

pub_type

杂志文章
  • Fenestrated Endovascular Repair for Pararenal or Juxtarenal Abdominal Aortic Aneurysms: a Systematic Review.

    abstract:BACKGROUND:This review aims to collect all available data on early and late outcomes in patients undergoing fenestrated endovascular aortic aneurysm repair (F-EVAR) for pararenal or juxtarenal abdominal aortic aneurysms (AAAs). METHODS:The Pubmed, Embase, Scopus and Cochrane Library databases were systematically searc...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2019.09.016

    authors: Mohamed N,Galyfos G,Anastasiadou C,Sachmpatzidis I,Kikiras K,Papapetrou A,Giannakakis S,Kastrisios G,Papacharalampous G,Geroulakos G,Maltezos C

    更新日期:2020-02-01 00:00:00

  • Use of autologous superficial femoral artery in surgery for aortic prosthesis infection.

    abstract::The surgical management of aortic prosthesis infection remains an enormous challenge for the vascular surgeon and a critical issue for the patient's well-being and life. Several techniques for its management have been devised and employed over the years, but none of them has been totally satisfactory. Thus new alterna...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s10016-004-0080-z

    authors: Dinis da Gama A,Rosa A,Soares M,Moura C

    更新日期:2004-09-01 00:00:00

  • Axillofemoral bypass for kidney transplant protection during open repair of abdominal aortic aneurysm.

    abstract::The need to treat an abdominal aortic aneurysm (AAA) in kidney transplanted patient is a rare event. To date, no method to protect the kidney during the aneurysm treatment has been identified as undeniably relevant. On the other hand, the advantage of endovascular treatment of the aneurysm (EVAR) is to avoid transplan...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2015.04.058

    authors: Monnot A,Rouer M,Horion J,Plissonnier D

    更新日期:2015-08-01 00:00:00

  • Multicenter Registry about the Use of EndoAnchors in the Endovascular Repair of Abdominal Aortic Aneurysms with Hostile Neck Showed Successful but Delayed Endograft Sealing within Intraoperative Type Ia Endoleak Cases.

    abstract:BACKGROUND:The durability of endovascular aortic aneurysms repair (EVAR) is highly related to several anatomical constraints. The term "hostile neck" describes several anatomical features that usually make EVAR treatment technically demanding despite having higher risk of failure. The aim of the study was to describe a...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.avsg.2019.01.017

    authors: Reyes Valdivia A,Beropoulis E,Pitoulias G,Pratesi G,Alvarez Marcos F,Barbante M,Gandarias C,Torsello G,Bisdas T,Donas K

    更新日期:2019-10-01 00:00:00

  • Operative Mortality and Morbidity in Ruptured Abdominal Aortic Aneurysms in the Endovascular Age.

    abstract:BACKGROUND:Controversy exists about technique of repair for ruptured abdominal aortic aneurysms (rAAA). We studied rAAA treated at a single tertiary center from 2005 to 2015 to determine operative morbidity and mortality in open and endovascular aortic aneurysm repair (EVAR) of rAAA. METHODS:All rAAA (n = 144) treated...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2019.10.073

    authors: Acher C,Acher CW,Castello Ramirez MC,Wynn M

    更新日期:2020-07-01 00:00:00

  • Abdominal Aortic Aneurysm with Severe Chronic Heart Failure: Usefulness of Mechanical Hemodynamic Cardiac Support.

    abstract::We present a case of abdominal aortic aneurysm open repair planned with temporary left ventricular support (Impella®) in a patient suffering from severe chronic heart failure. Only 1 single similar case was reported in the literature from 1974. ...

    journal_title:Annals of vascular surgery

    pub_type:

    doi:10.1016/j.avsg.2020.05.060

    authors: Palmier M,Plissonnier D

    更新日期:2020-11-01 00:00:00

  • Treatment of popliteal aneurysms by femoral artery transposition: long-term evaluation.

    abstract::A multicentric retrospective study was carried out on 29 operations (28 patients) to evaluate the long-term results of the treatment of popliteal artery aneurysms by transposition of the superficial femoral artery (SFA). This treatment consisted in proximal and distal ligation and bypass grafting or endoaneurysmorrhap...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.avsg.2008.05.020

    authors: Lemonnier T,Feugier P,Ricco JB,de Ravignan D,Chevalier JM

    更新日期:2009-11-01 00:00:00

  • Coronary artery disease in patients with aortic aneurysm: a classification of 302 coronary angiograms and results of surgical management.

    abstract::In an attempt to reduce early and late mortality caused by myocardial infarction in patients with aortic aneurysms, coronary arteriography and, when indicated, myocardial revascularization were performed prior to elective aortic reconstruction in 302 patients with infrarenal (289) or thoracoabdominal (13) aortic aneur...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/S0890-5096(06)60700-0

    authors: Young JR,Hertzer NR,Beven EG,Ruschhaupt WF 3rd,Graor RA,O'Hara PJ,De Wolfe VG,Kramer JR,Simpfendorfer CC

    更新日期:1986-05-01 00:00:00

  • Endovascular occlusive intervention in the management of trauma.

    abstract::This report summarizes a 10-year experience (1978-1987) in a metropolitan hospital with 102 patients sustaining a variety of complex or inaccessible vascular injuries. Management included the application of occlusive interventional arteriographic techniques. Regional injuries included head and neck (56%), trunk (13%),...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/S0890-5096(07)60064-8

    authors: Klein SR,Mehringer CM,Bongard FS

    更新日期:1990-09-01 00:00:00

  • Saphenous vein loop to femoral artery arteriovenous fistula: a practical alternative.

    abstract::Secondary to central venous stenosis or thrombosis, alternate sites for permanent hemodialysis need to be explored. The authors' experience with the greater saphenous vein to common femoral artery loop arteriovenous fistula (GSV-CFA AVF) is presented. A retrospective review was performed of 4 women and 3 men with a me...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s10016-004-0016-7

    authors: Pierre-Paul D,Williams S,Lee T,Gahtan V

    更新日期:2004-03-01 00:00:00

  • Manual high-dose regional intraoperative thrombolysis of lower extremity emboli after open repair of a ruptured abdominal aortic aneurysm.

    abstract::We describe a case of high-dose regional intraoperative thrombolysis subsequent to mechanical thrombectomy for the treatment of postoperative distal extremity embolization of the right lower limb owing to open repair of a ruptured abdominal aortic aneurysm. Mechanical thrombectomy was performed from the popliteal arte...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2011.03.010

    authors: Bakoyiannis CN,Kafeza M,Economopoulos KP,Tsekouras N,Georgopoulos S,Papalambros E

    更新日期:2011-10-01 00:00:00

  • A strategy for treatment of type III and IV thoracoabdominal aortic aneurysm.

    abstract::The aim of this study was to describe the results of resection and graft replacement for type III and IV thoracoabdominal aortic aneurysm repair. In this retrospective study, 27 patients underwent resection and graft replacement for type III (10) or type IV (17) thoracoabdominal aortic aneurysms. Nine patients had rup...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s10016-004-0048-z

    authors: Eide TO,Romundstad P,Saether OD,Myhre HO,Aadahl P

    更新日期:2004-07-01 00:00:00

  • The age effect in increasing operative mortality following delay in elective abdominal aortic aneurysm repair.

    abstract:BACKGROUND:Elective repair of large abdominal aortic aneurysms (AAAs) is associated with the risk of significant perioperative mortality. When abdominal aneurysm repair is delayed, patients with asymptomatic large AAAs face the risk of death from rupture. In addition to the risk of rupture, the advancing age of the pat...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2015.03.041

    authors: Arhuidese IJ,Salami A,Obeid T,Qazi U,Abularrage CJ,Black JH,Perler B,Malas MB

    更新日期:2015-08-01 00:00:00

  • Factors influencing the outcome of paramalleolar bypass grafts.

    abstract::Reported patency rates for paramalleolar bypass grafts have varied widely. To determine factors predictive of outcome, we reviewed our experience with 80 consecutive paramalleolar reconstructions in 68 patients performed between December 1986 and May 1995. All procedures were performed for critical limb ischemia defin...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/BF02286779

    authors: Plecha EJ,Lee C,Hye RJ

    更新日期:1996-07-01 00:00:00

  • Endovascular exclusion coupled with operative anterior leg compartment decompression in a case of postthromboembolectomy tibialis anterior false aneurysm.

    abstract::The aim of this study was to present a case of iatrogenic thromboembolectomy-related tibialis anterior false aneurysm (FA) treated with endovascular FA exclusion and anterior leg compartment (ALC) operative decompression and to assess the current management options in posttraumatic leg vessel FAs. A 68-year-old man ha...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.avsg.2012.09.013

    authors: De Santis F,Mani G,Martini G,Zipponi D

    更新日期:2013-10-01 00:00:00

  • Surgical Management of Peripheral Vascular Manifestations of Loeys-Dietz Syndrome.

    abstract:BACKGROUND:Loeys-Dietz syndrome (LDS) is characterized by a triad of aortic aneurysm, vessel tortuosity, and hypertelorism. LDS patients often harbor additional aneurysms and dissections throughout their vasculature. The optimal management of these additional lesions is poorly understood. Accordingly, we sought to anal...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2016.06.007

    authors: Beaulieu RJ,Lue J,Ehlert BA,Grimm JC,Hicks CW,Black JH 3rd

    更新日期:2017-01-01 00:00:00

  • Operative results and death predictors for nonruptured abdominal aortic aneurysms in the elderly.

    abstract::Elective repair of abdominal aortic aneurysms (AAA) in the elderly has conventionally been associated with higher mortality rates than in younger patients, although some authors do not agree with this view. The aim of this study is to look into current results of surgical treatment in elderly patients with nonruptured...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s100160010082

    authors: Alonso-Pérez M,Segura R,Pita S,Cal L

    更新日期:2001-05-01 00:00:00

  • Endovascular management of a traumatic renal-caval arteriovenous fistula in a pediatric patient.

    abstract::Traumatic renal arteriovenous fistula involving the inferior vena cava (IVC) are exceptionally rare, but if left untreated can have devastating clinical consequences, including development of renovascular hypertension, cardiomegaly, and congestive heart failure. We report a rare, pediatric case of a renal-caval arteri...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.avsg.2013.04.028

    authors: Kuy S,Rossi PJ,Seabrook GR,Brown KR,Lewis BD,Rilling WS,Martin G,Patel B,Dua A,McMaster J,Desai S,Lee CJ

    更新日期:2014-05-01 00:00:00

  • Correlation between serum levels of small, dense low-density lipoprotein cholesterol and carotid stenosis in cerebral infarction patients >65 years of age.

    abstract:BACKGROUND:We studied the relationship between serum levels of small, dense low-density lipoprotein cholesterol (sdLDL-C) and carotid stenosis in elderly patients with ischemic cerebral infarction. METHODS:All patients >65 years of age with newly diagnosed ischemic cerebral infarction were enrolled. None received stat...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2013.01.029

    authors: Shen H,Zhou J,Shen G,Yang H,Lu Z,Wang H

    更新日期:2014-02-01 00:00:00

  • Alcohol Consumption, High-Density Lipoprotein Cholesterol, Antithrombin III, and Body Mass Index Are Associated with Great Saphenous Vein Reflux in the Thigh.

    abstract:BACKGROUND:Venous valvular reflux is the main cause of chronic venous dysfunction. However, the etiology of valvular reflux is not completely understood. We conducted this study to investigate new risk factors for venous reflux of the great saphenous vein (GSV) in the thigh. METHODS:We studied 139 consecutive patients...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2017.05.004

    authors: Kim H,Kim H,Park JH,Kim YH,Oh SJ,Suh BJ,Park JK

    更新日期:2017-10-01 00:00:00

  • Impact of Presence of Inferior Vena Cava Filter on Iliocaval Stent Outcomes.

    abstract:BACKGROUND:The impact of presence of an IVC filter in patients undergoing stenting for symptomatic femoroiliocaval obstruction has not been explored in detail. This study attempts to fill this gap by evaluating clinical and stent-related outcomes in such patients. The incidence of deep vein thrombosis (DVT) in this set...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2020.03.041

    authors: Jayaraj A,Noel C,Raju S

    更新日期:2020-10-01 00:00:00

  • Evaluation of cerebral hypoperfusion by nuclear medicine imaging in a patient with Takayasu's arteritis.

    abstract::In patients with Takayasu's arteritis presenting with cerebrovascular insufficiency, deciding whether and how to perform surgical intervention is difficult. We report successful extra-anatomical cerebrovascular reconstruction in a patient with Takayasu's arteritis involving the aortic arch. A 27-year-old woman was dia...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s10016-005-7714-7

    authors: Hosaka A,Miyata T,Momose T,Nakazawa T,Shigematsu H,Nagawa H

    更新日期:2005-11-01 00:00:00

  • Prophylactic carotid endarterectomy without arteriography in patients without hemispheric symptoms: surgical morbidity and mortality and long-term follow-up.

    abstract::Between January 1980 and December 1992, 75 prophylactic carotid endarterectomies (CE) were performed on 72 asymptomatic patients presenting high-grade stenosis of the internal carotid artery (ICA). In all patients preoperative assessment consisted of continuous Doppler or duplex scanning. There were 33 women and 39 me...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s100169900108

    authors: Campron H,Cartier R,Fontaine AF

    更新日期:1998-01-01 00:00:00

  • Outcome with surgical repair of extrahepatic portal vein aneurysms.

    abstract::Extrahepatic portal vein aneurysm is a rare clinical entity. The two most common locations for aneurysmal formation are at the confluence of the superior mesenteric vein (SMV) and the splenic vein, and at main portal vein trunk, just above the SMV-splenic vein confluence. In this article, two cases of extrahepatic por...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2011.02.046

    authors: Savadkohi S,Abouljoud M

    更新日期:2011-11-01 00:00:00

  • Expression of adhesion molecules and cytokines on saphenous veins in chronic venous insufficiency.

    abstract::The objective of this study was to assess the relationship of signaling molecules to monocyte/ macrophages as a precursor to venous valve and venous wall dysfunction in patients with varicose veins. One of the hallmarks of venous dysfunction is destruction of venous valves with subsequent reflux and elevation of dista...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1007/s100169910092

    authors: Takase S,Bergan JJ,Schmid-Schönbein G

    更新日期:2000-09-01 00:00:00

  • Combined Coil Embolization and Foam Sclerotherapy for the Management of Varicose Veins.

    abstract:BACKGROUND:We propose a novel technique for endovenous treatment of varicose veins (VVs) using combined coil embolization and foam sclerotherapy of the great saphenous vein (GSV). METHODS:A retrospective case-series analysis on patients undergoing fluoroscopically guided coil embolization of the GSV and foam sclerothe...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2016.05.101

    authors: Kayssi A,Oreopoulos G,Tan KT,Jaskolka J

    更新日期:2017-01-01 00:00:00

  • The Role of Animal Models in Elucidating the Etiology and Pathology of Abdominal Aortic Aneurysms: Development of a Novel Rupture Mechanism Model.

    abstract::Existing animal models do not replicate all aspects of abdominal aortic aneurysms (AAAs), including the rupture mechanisms. From histopathological analyses conducted in humans, it has been found that the vasa vasorum of the AAA wall is the starting point of circulatory failure and that bulging and dilatation of the ab...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.avsg.2019.08.082

    authors: Tanaka H,Zaima N,Kugo H,Yata T,Iida Y,Hashimoto K,Miyamoto C,Sasaki T,Sano H,Suzuki Y,Moriyama T,Shimizu H,Inuzuka K,Urano T,Unno N

    更新日期:2020-02-01 00:00:00

  • Spinal Cord Ischemia following Elective Endovascular Repair of Infrarenal Aortic Aneurysms: A Systematic Review.

    abstract:BACKGROUND:Spinal cord ischemia (SCI) after abdominal aortic aneurysm (AAA) endovascular abdominal aortic aneurysm repair (EVAR) is a rare but devastating complication. The mechanism underlying the occurrence of SCI after EVAR seems to be multifactorial and is underreported and not fully elucidated. The aim of the stud...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2018.03.042

    authors: Moulakakis KG,Alexiou VG,Karaolanis G,Sfyroeras GS,Theocharopoulos GN,Lazaris AM,Kakisis JD,Geroulakos G

    更新日期:2018-10-01 00:00:00

  • Arterioportal fistulas: twelve cases.

    abstract::During the last 20 years, we encountered 14 arterioportal fistulas in 12 patients. Gastrointestinal hemorrhage or mesenteric artery insufficiency were the most frequent conditions found after the diagnosis. Arterioportal arterial fistulas were congenital in two cases and acquired in 10; seven of these 10 were iatrogen...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/S0890-5096(06)60834-0

    authors: Pietri J,Remond A,Reix T,Abet D,Sevestre H,Sevestre MA

    更新日期:1990-11-01 00:00:00

  • Clinical Outcomes of Surgical Resection for Leiomyosarcoma of the Inferior Vena Cava.

    abstract:BACKGROUND:Leiomyosarcoma of the inferior vena cava (IVC) is a rare mesenchymal tumor with poor prognosis. Surgical resection is currently the only potential curative treatment. This study analyzed long-term outcomes of patients who underwent surgical resection of leiomyosarcoma of the IVC. METHODS:The charts of 12 pa...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章

    doi:10.1016/j.avsg.2019.05.053

    authors: Jeong S,Han Y,Cho YP,Kwon TW

    更新日期:2019-11-01 00:00:00