First experience in human beings with a permanently implantable intrasac pressure transducer for monitoring endovascular repair of abdominal aortic aneurysms

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Presentation transcript:

First experience in human beings with a permanently implantable intrasac pressure transducer for monitoring endovascular repair of abdominal aortic aneurysms Sharif H. Ellozy, MD, Alfio Carroccio, MD, Robert A. Lookstein, MD, Michael E. Minor, MD, Claudie M. Sheahan, MD, Jacob Juta, BA, Andrew Cha, BA, Rolando Valenzuela, BA, Michael D. Addis, MD, Tikva S. Jacobs, MD, Victoria J. Teodorescu, MD, Michael L. Marin, MD Journal of Vascular Surgery Volume 40, Issue 3, Pages 405-412 (September 2004) DOI: 10.1016/j.jvs.2004.06.027 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, Impressure abdominal aortic aneurysm sac pressure transducer (Remon Medical). B, Pressure transducer sewn to contralateral limb of bifurcated Talent device. C, Digital subtraction angiogram shows distal type I endoleak (arrow, pressure transducer). D, Transducing intrasac pressures in recovery room after surgery. Journal of Vascular Surgery 2004 40, 405-412DOI: (10.1016/j.jvs.2004.06.027) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 2 Scatterplots demonstrate concordance between intrasac catheter and ultrasound transducer measurements. A, Systolic pressure. B, Diastolic pressure. C, Pulse pressure. Simultaneous intraoperative measurements were not available for 4 patients. Journal of Vascular Surgery 2004 40, 405-412DOI: (10.1016/j.jvs.2004.06.027) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 3 Pressure trends in a patient with completely excluded aneurysm. Solid lines, Systemic pressure (systolic and diastolic); dashed lines, sac pressure (systolic and diastolic). Journal of Vascular Surgery 2004 40, 405-412DOI: (10.1016/j.jvs.2004.06.027) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 4 Pressure trends in a patient with type II endoleak. Solid lines, Systemic pressure (systolic and diastolic); dashed lines, sac pressure (systolic and diastolic). Journal of Vascular Surgery 2004 40, 405-412DOI: (10.1016/j.jvs.2004.06.027) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 5 Pressure trends in a patient with type I endoleak that was corrected, now with type II leak. Solid lines, Systemic pressure (systolic and diastolic); dashed lines, sac pressure (systolic and diastolic). *Time of distal cuff placement. Journal of Vascular Surgery 2004 40, 405-412DOI: (10.1016/j.jvs.2004.06.027) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions