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Hybrid Decision Support System for Endovascular Aortic Aneurysm Repair Follow-Up [chapter]

Jon Haitz Legarreta, Fernando Boto, Iván Macía, Josu Maiora, Guillermo García, Céline Paloc, Manuel Graña, Mariano de Blas
2010 Lecture Notes in Computer Science  
Conclusions and Future Work Hybrid Decision Support System for Endovascular Aortic Aneurysm Repair Follow-Up HAIS 2010 What is an abdominal aortic aneurysm?  ...   An abdominal aortic aneurysm (also known as AAA) is a localized dilatation (ballooning) of the abdominal aorta, exceeding the What is an endoleak or leak?  ... 
doi:10.1007/978-3-642-13769-3_61 fatcat:fqg5rkdjovhslg62hsf2dlpcsu

Thoracoabdominal aortic aneurysm: hybrid repair outcomes

G Chad Hughes, Nicholas D Andersen, Jennifer M Hanna, Richard L McCann
2012 Annals of Cardiothoracic Surgery  
These updated results continue to support hybrid TAAA repair via complete visceral debranching and endovascular aneurysm exclusion as a good option for elderly high-risk patients less suited to conventional  ...  This report presents an update of our robust single-institution experience with "hybrid" TAAA repair including complete visceral debranching and endovascular aneurysm exclusion in high-risk patients.  ...  In summary, hybrid TAAA repair with visceral debranching followed by endovascular aneurysm exclusion remains a good option for elderly, high-risk patients less suited for conventional open repair in centers  ... 
doi:10.3978/j.issn.2225-319x.2012.08.13 pmid:23977513 pmcid:PMC3741781 fatcat:uekhju66hjgdvkn6dotp5gp5oy

Chimney Technique with Nellix EndoVascular Aneurysm Sealing System (EVAS) in a Patient with Single Kidney and Juxtarenal Abdominal Aortic Anurysm

Kaspars Kisis, Dainis Krievins, Janis Savlovskis, Marcis Gedins, Natalija Ezite, Edgars Zellans
2016 Aorta  
The case was successfully treated with the Nellix En-doVascular Aneurysm Sealing system combined with a chimney technique.  ...  We present a saccular asymptomatic juxtarenal abdominal aortic aneurysm in a 70-year-old male with a very short left renal artery supplying the only kidney.  ...  Introduction Endovascular aneurysm repair (EVAR) has become the method of choice for abdominal aortic aneurysm (AAA) repair, especially in patients deemed intermediate or high risk for open aneurysm repair  ... 
doi:10.12945/j.aorta.2016.16.013 pmid:28097196 pmcid:PMC5217731 fatcat:n7olybuukbh7lbw3gnul223u7a

Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: A 10-year experience

William Quinones-Baldrich, Juan Carlos Jimenez, Brian DeRubertis, Wesley S. Moore
2009 Journal of Vascular Surgery  
Results: From 1998 to 2008, 20 patients were treated with hybrid repairs for thoracoabdominal aneurysm (TAA) (15; four with dissection), aortic arch aneurysm (two), symptomatic supravisceral abdominal  ...  Objective: The first combined endovascular and surgical approach for thoracoabdominal aortic aneurysm was performed at our institution in 1998.  ...  The authors concluded that the hybrid repair did not lead to significant improvement in outcome and that further follow-up and larger series were needed to evaluate this approach.  ... 
doi:10.1016/j.jvs.2008.12.003 pmid:19394542 fatcat:cnio56feszg6ll3wzuhg6wvoda

Endovascular Treatment of Late Thoracic Aortic Aneurysms after Surgical Repair of Congenital Aortic Coarctation in Childhood

Robert Juszkat, Bartlomiej Perek, Bartosz Zabicki, Olga Trojnarska, Marek Jemielity, Ryszard Staniszewski, Wiesław Smoczyk, Fryderyk Pukacki, Vincenzo Lionetti
2013 PLoS ONE  
Results: Follow-up studies revealed TAA in seven cases (19%) (including six with the gothic type of the aortic arch) and mild recoarctation in other six (16%).  ...  The purposes of this study were: (1) to systematically evaluate asymptomatic adults after Dacron patch repair in childhood, (2) to estimate the formation rate of secondary thoracic aortic aneurysms (TAAs  ...  Results CTA and echocardiographic follow-up Based on follow-up CTA, three types of aortic arches were distinguished following surgical repair of coarctation (romanesque (n = 20), gothic (n = 9), and  ... 
doi:10.1371/journal.pone.0083601 pmid:24386233 pmcid:PMC3873330 fatcat:cvqfgz7lnnbvzcireh433ia2ou

Transcatheter Embolisation of Type 1 Endoleaks after Endovascular Aortic Aneurysm Repair with Onyx: When No Other Treatment Option is Feasible

J.-Y. Chun, R. Morgan
2013 European Journal of Vascular and Endovascular Surgery  
Type 1 endoleaks following endovascular aortic aneurysm repair are associated with poor outcomes and re-intervention is recommended as soon as possible after diagnosis.  ...  When standard endovascular or surgical treatment options are unsuitable due to severe co-morbidity or adverse anatomic factors, patients can be treated by transcatheter embolisation of the endoleak itself  ...  The success of endovascular aneurysm repair (EVAR) relies on achieving an adequate proximal and distal seal to exclude the aneurysm sac from the systemic circulation.  ... 
doi:10.1016/j.ejvs.2012.11.010 pmid:23276679 fatcat:xxz6ppjponfb7h54gnb3lfa6yu

Endovascular Repair of Thoracoabdominal Aneurysms

R. K. Greenberg, B. Lytle
2008 Circulation  
Hybrid procedures whereby an extra-anatomic bypass procedure is used to provide inflow to the renal and mesenteric arteries followed by aortic relining with stent grafts were reviewed and tabulated.  ...  Conclusions-Endovascular repair of thoracoabdominal aneurysms is feasible and is associated with relatively low perioperative mortality.  ...  Disclosures Dr Greenberg receives research support from Cook Inc, W.L. Gore, Bolton Medical, Cordis Endovascular, Terumo Vascutek, and Terarecon Inc.  ... 
doi:10.1161/circulationaha.107.716134 pmid:18443250 fatcat:kl56vslibbdclf5lru672hlzha

Mycotic thoracoabdominal aneurysms

Usman Jaffer, Richard Gibbs
2012 Annals of Cardiothoracic Surgery  
Kan et al. performed a systematic review of endovascular treatment for mycotic aortic aneurysms.  ...  Some medium-term follow-up data post-TEVAR for MAA reports patients alive as long as 83 months with a survival of 73% at median follow-up of 20 months (13) .  ... 
doi:10.3978/j.issn.2225-319x.2012.08.17 pmid:23977531 pmcid:PMC3741763 fatcat:pk2qg2l2vneslcn6kvxfqz7fmy

Hybrid thoracic endovascular aortic repair: Pushing the envelope

Houssam K. Younes, Mark G. Davies, Jean Bismuth, Joseph J. Naoum, Eric K. Peden, Michael J. Reardon, Alan B. Lumsden
2010 Journal of Vascular Surgery  
Objective: Thoracic endovascular aortic repair (TEVAR) can be limited by inadequate proximal and distal landing zones.  ...  Conclusions: Hybrid procedures can successfully extend the range of patients suitable for a subsequent TEVAR.  ...  This approach allows supra-aortic trunk debranching through an anterior thoracotomy followed by endovascular repair of a large proximal arch aneurysm.  ... 
doi:10.1016/j.jvs.2009.09.043 pmid:19954918 fatcat:hx67di5ndzdrtli5apqctf3raa

Midterm results with thoracic endovascular aortic repair for chronic type B aortic dissection with associated aneurysm

Cyrus J. Parsa, Judson B. Williams, Syamal D. Bhattacharya, Walter G. Wolfe, Mani A. Daneshmand, Richard L. McCann, G. Chad Hughes
2011 Journal of Thoracic and Cardiovascular Surgery  
Conclusions: Thoracic endovascular aortic repair for chronic type B dissection with associated aneurysm is safe and effective at midterm follow-up.  ...  Longer-term follow-up is needed to determine the durability of thoracic endovascular aortic repair for this aortic pathology.  ...  Tong, MD, MHS, for statistical review of this article.  ... 
doi:10.1016/j.jtcvs.2010.10.043 pmid:21241855 pmcid:PMC3688644 fatcat:czgk7vzw3rbdxhoy73zq6m7tpm

Endovascular Repair of Descending Thoracic Aneurysms: Results With "On-Label" Application in the Post Food and Drug Administration Approval Era

G. Chad Hughes, Sean M. Lee, Mani A. Daneshmand, Syamal D. Bhattacharya, Judson B. Williams, Sonny W. Tucker, Richard L. McCann
2010 Annals of Thoracic Surgery  
At a mean follow-up of 23 ±17 months (range, 6 to 55), there were 2 (2.5%) late aortic deaths from graft infection (n = 1) and aneurysm rupture (n = 1).  ...  Background-Most studies of thoracic endovascular aortic repair (TEVAR) published since the technology gained US Food and Drug Administration (FDA) approval in March 2005 have included multiple applications  ...  All follow-up was done at the Duke University Center for Aortic Surgery. This report includes all data collected through the patients' most recent follow-up visit.  ... 
doi:10.1016/j.athoracsur.2010.03.052 pmid:20609753 pmcid:PMC3688634 fatcat:zt5htwq2rrdyvlk7fqy3gotaxa

Contemporary Management of Descending Thoracic and Thoracoabdominal Aortic Aneurysms: Endovascular Versus Open

M. F. Conrad, R. P. Cambria
2008 Circulation  
These results, although limited by short follow-up, support an expanded role for fenestrated endografts in the treatment of TAA; as this technology improves, it will likely replace the hybrid procedure  ...  The mean follow-up was 24 months, and there were 11 late aneurysm-related deaths (7 ruptures) for a 9% risk of aortic death at 36 months.  ... 
doi:10.1161/circulationaha.107.690958 pmid:18268161 fatcat:pzolw53vjncvlcyupmt7rkgkda

Transposition of the supraaortic branches for extended endovascular arch repair☆

Martin Czerny, Roman Gottardi, Daniel Zimpfer, Maria Schoder, Martin Grabenwoger, Johannes Lammer, Ernst Wolner, Michael Grimm
2006 European Journal of Cardio-Thoracic Surgery  
Supraaortic branches limit extended application of endovascular aortic repair. For this purpose, we applied extensive reconstructions.  ...  Methods: Between October 2002 and March 2005, 11 patients (mean age 72.3 years) presented with acute or chronic aortic diseases originating from the aortic arch (arch aneurysms n = 8, type B dissections  ...  Follow-up period The mean follow-up period was 18 months (range 1-29 months). Patients were readmitted for completion CT scans after three months and biannually, thereafter.  ... 
doi:10.1016/j.ejcts.2005.12.058 pmid:16520043 fatcat:tb2lpyu6tvbfljiyezdoqs3zbq

Risk factors for 1-year mortality after thoracic endovascular aortic repair

Asad A. Shah, Damian M. Craig, Nicholas D. Andersen, Judson B. Williams, Syamal D. Bhattacharya, Svati H. Shah, Richard L. McCann, G. Chad Hughes
2013 Journal of Thoracic and Cardiovascular Surgery  
Results: During the study period, 282 patients underwent at least 1 thoracic endovascular aortic repair; index procedures included descending aortic repair (n ¼ 189), hybrid arch repair (n ¼ 55), and hybrid  ...  In an effort to identify patients most likely to benefit from intervention, the present study sought to determine the risk factors for 1-year mortality after thoracic endovascular aortic repair.  ...  data should play a role in clinical decision making for thoracoabdominal aortic aneurysm repair.  ... 
doi:10.1016/j.jtcvs.2012.05.005 pmid:22698564 fatcat:vkc45psprvc3jjuvy5yossmb3e

Evolution of Endovascular Treatment for Complex Thoracic Aortic Disease

Eric E Roselli
2008 Annals of Vascular Diseases  
A fundamental concept to optimize durability of endovascular repair is the need for fixation and seal in healthy tissue.  ...  ascending and aortic root repair, and all of the cardiac valves.  ...  up. 4, 5) A more focused look at aneurysm-related death demonstrated a slight benefit for endovascular repair.  ... 
doi:10.3400/avd.avdsc00107 pmid:23555334 pmcid:PMC3610224 fatcat:ibne4s2ujreorii4opyelu6ava
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