Preliminary clinical outcome and imaging criterion for endovascular prosthesis development in high-risk patients who have aortoiliac and traumatic arterial.

Slides:

Advertisements

Similar presentations

Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan Dean T. Sato, MD, RVT, Charles D.

Advertisements

Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery

Endoluminal repair of atypical dissecting aneurysm of descending thoracic aorta and fusiform aneurysm of the abdominal aorta James May, MS, FRACS, Geoffrey.

Modular component separation and reperfusion of abdominal aortic aneurysm sac after endovascular repair of the abdominal aortic aneurysm: A case report

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD

Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V

Intraprocedural imaging: Thoracic aortography techniques, intravascular ultrasound, and special equipment Rodney A. White, MD, Carlos E. Donayre, MD,

Acute blunt traumatic injury to the descending thoracic aorta

Endovascular grafts for noninfected aortoiliac anastomotic aneurysms

Three-dimensional spiral computed tomographic angiography: An alternative imaging modality for the abdominal aorta and its branches Geoffrey D. Rubin,

Early report from an investigator-initiated investigational device exemption clinical trial on physician-modified endovascular grafts Benjamin Ware Starnes,

Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD

Intravascular ultrasonography allows accurate assessment of abdominal aortic aneurysm: An in vitro validation study Jeroen A. van Essen, MD, Aad van.

Initial experience characterizing a type I endoleak from velocity profiles using time- resolved three-dimensional phase-contrast MRI Thomas A. Hope, MD,

Impact of transrenal aortic endograft placement on endovascular graft repair of abdominal aortic aneurysms Michael L. Marin, MD, Richard E. Parsons,

Douglas M. Cavaye, FRACS, William J. French, MD, Rodney A

Treatment of complex abdominal aortic aneurysms by a combination of endoluminal and extraluminal aortofemoral grafts James May, MS, FRACS, FACS, Geoffrey.

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD

Overt colon ischemia after endovascular aneurysm repair: The importance of microembolization as an etiology Nishan Dadian, MD, Takao Ohki, MD, Frank.

Endovascular treatment of infrarenal abdominal aneurysms by the Stentor system: Preliminary results of 79 cases Claude Mialhe, MD, Claude Amicabile,

Endoleak after aortic stent graft repair: Diagnosis by color duplex ultrasound scan versus computed tomography scan Dean T. Sato, MD, RVT, Charles D.

Time-resolved magnetic resonance angiography as a noninvasive method to characterize endoleaks: initial results compared with conventional angiography

Contemporary management of isolated iliac aneurysms

James May, MS, FRACS, FACS, Geoffrey H

Endovascular rescue of long-term vascular graft implants and need for continuous surveillance Brian M. Leoce, BS, Herbert Dardik, MD, FACS, Phillip Bahramipour,

Risk Factors of Neurologic Deficit After Thoracic Aortic Endografting

John K. Politz, MD, Virginia S. Newman, MD, Mark T. Stewart, MD

Midterm results from a physician-sponsored investigational device exemption clinical trial evaluating physician-modified endovascular grafts for the treatment.

Aortoduodenal fistula after endovascular stent-graft of an abdominal aortic aneurysm Bertrand Janne d'Othée, MD, Philippe Soula, MD, Philippe Otal, MD,

Tae K. Song, MD, Carlos E. Donayre, MD, Irwin Walot, MD, George E

Three-dimensional spiral computed tomographic angiography: An alternative imaging modality for the abdominal aorta and its branches Geoffrey D. Rubin,

Ali Khoynezhad, MD, Irwin Walot, MD, Matthew J

The role of cinefluoroscopy and intravascular ultrasonography in evaluating the deployment of experimental endovascular prostheses Rodney A. White, MD,

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

Carlos E. Donayre, MD, Christopher K. Zarins, MD, Dainis K

Heitham T. Hassoun, MD, R. Scott Mitchell, MD, Michel S

Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate-term follow-up Roy Greenberg, MD, Timothy Resch, MD,

Vladimir Neychev, MD, PhD, Emilia Krol, MD, Alan Dietzek, MD

Contrast-enhanced ultrasound versus color duplex ultrasound imaging in the follow-up of patients after endovascular abdominal aortic aneurysm repair

Early endovascular grafts at Montefiore Hospital and their effect on vascular surgery Frank J. Veith, MD, Jacob Cynamon, MD, Claudio J. Schonholz, MD,

Juan Carlos Parodi, MD Journal of Vascular Surgery

Stent graft migration after endovascular aneurysm repair: importance of proximal fixation Christopher K Zarins, MD, Daniel A Bloch, PhD, Tami Crabtree,

Rodney A. White, MD, Thomas J. Fogarty, MD, George E

Douglas M. Cavaye, FRACS, Rodney A. White, MD, George E

Vascular complications of cardiac catheterization

Jon S. Matsumura, MD, Wesley S. Moore, MD Journal of Vascular Surgery

Endovascular rescue of long-term vascular graft implants and need for continuous surveillance Brian M. Leoce, BS, Herbert Dardik, MD, FACS, Phillip Bahramipour,

Richard E. Parsons, MD, Michael L. Marin, MD, Frank J

First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms Reinhard Kopp,

Endovascular repair of extent I thoracoabdominal aneurysms with landing zone extension into the aortic arch and mesenteric portion of the abdominal aorta

Endoleak as a predictor of outcome after endovascular aneurysm repair: AneuRx multicenter clinical trial Christopher K. Zarins, MDa, Rodney A. White,

Transesophageal echo-guided endovascular exclusion of thoracic aortic mobile thrombi Enrique Criado, MD, Phillip Wall, MD, Paul Lucas, MD, Antonios Gasparis,

Fenestrated and branched endovascular aortic repair for chronic type B aortic dissection with thoracoabdominal aneurysms Atsushi Kitagawa, MD, Roy K.

Diagnosis and relining techniques for delayed type IIIB endoleaks with the second- generation AFX endograft Gary Lemmon, MD, Andrew Barleben, MD, Peter.

One-year follow-up after total endovascular repair of a contained-ruptured thoracoabdominal aortic aneurysm with the sandwich technique Theodosios Bisdas,

Duplex ultrasound scanning versus computed tomographic angiography for postoperative evaluation of endovascular abdominal aortic aneurysm repair Yehuda.

Aortoiliac surgery in renal transplant patients

Mark A. Farber, MD, Robert R. Mendes, MD Journal of Vascular Surgery

Isolated spontaneous dissection of the superior mesenteric artery treated by percutaneous stent placement: Case report Ivan B. Casella, MD, Maria A.

Rupture of an abdominal aortic aneurysm after endovascular graft placement and aneurysm size reduction Yves S. Alimi, MD, PhD, Nabil Chakfe, MD, PhD,

Predictive factors and clinical consequences of proximal aortic neck dilatation in 230 patients undergoing abdominal aorta aneurysm repair with self-expandable.

Diagnosis and relining techniques for delayed type IIIB endoleaks with the second- generation AFX endograft Gary Lemmon, MD, Andrew Barleben, MD, Peter.

Endoleaks after endovascular graft treatment of aortic aneurysms: Classification, risk factors, and outcome Reese A. Wain, MD, Michael L. Marin, MD,

Type B aortic dissection after endovascular abdominal aortic aneurysm repair causing endograft collapse and severe malperfusion Vikram Iyer, MD, Mark.

Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies David B. Kaplan, MD, Christopher C. Kwon, MD,

AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms: Multicenter prospective clinical trial Christopher K. Zarins, MD, Rodney.

Mesenteric vascular insufficiency and claudication following acute dissecting thoracic aortic aneurysm Thomas H. Cogbill, M.D., A.Erik Gundersen, M.D.,

William J. Quiñones-Baldrich, MD, Thomas F. Panetta, MD, Candace L

Rupture of abdominal aortic aneurysm: Concurrent comparison of outcome of those occurring after endovascular repair versus those occurring without previous.

Endovascular repair of two abdominal aortic aneurysms

Presentation transcript:

Preliminary clinical outcome and imaging criterion for endovascular prosthesis development in high-risk patients who have aortoiliac and traumatic arterial lesions Rodney A. White, MD, Carlos E. Donayre, MD, Irwin Walot, MD, George E. Kopchok, BS, Eric P. Wilson, MD, Rowena Buwalda, RN, Christian deVirgilio, MD, Bruce Ayres, MD, Marek Zalewski, MD, C.Mark Mehringer, MD Journal of Vascular Surgery Volume 24, Issue 4, Pages 556-571 (October 1996) DOI: 10.1016/S0741-5214(96)70071-X Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Surface ultrasound image of endoluminal graft at 3 months demonstrates an endoleak from distal end of device connecting to lower portion of aneurysm. Aneurysm dimensions at time of exam had decreased from 5.2 cm before treatment to 4.6 cm. Single arrow, distal stent; double arrows, aneurysm wall. B, Axial CT images acquired at 6 months demonstrate persistence of endoleak, with the superior mesenteric artery (arrow on top image) communicating via a channel (arrow on lower image) in the aneurysm to a leak around the distal stent. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Surface ultrasound image of endoluminal graft at 3 months demonstrates an endoleak from distal end of device connecting to lower portion of aneurysm. Aneurysm dimensions at time of exam had decreased from 5.2 cm before treatment to 4.6 cm. Single arrow, distal stent; double arrows, aneurysm wall. B, Axial CT images acquired at 6 months demonstrate persistence of endoleak, with the superior mesenteric artery (arrow on top image) communicating via a channel (arrow on lower image) in the aneurysm to a leak around the distal stent. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Surface ultrasound image of endoluminal graft at 3 months demonstrates an endoleak from distal end of device connecting to lower portion of aneurysm. Aneurysm dimensions at time of exam had decreased from 5.2 cm before treatment to 4.6 cm. Single arrow, distal stent; double arrows, aneurysm wall. B, Axial CT images acquired at 6 months demonstrate persistence of endoleak, with the superior mesenteric artery (arrow on top image) communicating via a channel (arrow on lower image) in the aneurysm to a leak around the distal stent. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Composite photograph of predeployment and postdeployment images from patient who had contained perforations of aorta. The preintervention images demonstrate preintervention angiogram (left), axial CT scans from levels represented demonstrating chronic perforation indicated by arrows (center), and IVUS images from positions shown (right). The postdeployment images demonstrate contrast cinefluoroscopy (left), and longitudinal gray-scale reconstruction (right) of axial IVUS images along the lesion depicts isolation of the aneurysm by the endograft. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Composite photograph of predeployment and postdeployment images from patient who had contained perforations of aorta. The preintervention images demonstrate preintervention angiogram (left), axial CT scans from levels represented demonstrating chronic perforation indicated by arrows (center), and IVUS images from positions shown (right). The postdeployment images demonstrate contrast cinefluoroscopy (left), and longitudinal gray-scale reconstruction (right) of axial IVUS images along the lesion depicts isolation of the aneurysm by the endograft. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Composite photograph of predeployment and postdeployment images from abdominal aortic aneurysm that appeared to have an ideal neck for interposition aortoaortic endograft placement on preintervention angiogram and CT scan (left and middle images on preintervention panel). Axial IVUS images of same levels shown on CTs are displayed. IVUS evaluation demonstrated that length of neck was 1.4 cm, rather than 3.0 or 2.2 cm as measured on angiogram and CT, respectively. Postdeployment panels show contrast cinefluoroscopy that suggests complete sealing of aneurysm from the endograft lumen, but IVUS demonstrated persistent endoleak (arrow) that was not able to be closed by further interventions. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Composite photograph of predeployment and postdeployment images from abdominal aortic aneurysm that appeared to have an ideal neck for interposition aortoaortic endograft placement on preintervention angiogram and CT scan (left and middle images on preintervention panel). Axial IVUS images of same levels shown on CTs are displayed. IVUS evaluation demonstrated that length of neck was 1.4 cm, rather than 3.0 or 2.2 cm as measured on angiogram and CT, respectively. Postdeployment panels show contrast cinefluoroscopy that suggests complete sealing of aneurysm from the endograft lumen, but IVUS demonstrated persistent endoleak (arrow) that was not able to be closed by further interventions. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Composite photograph of spiral CT before intervention (left), with corresponding longitudinal 2-D reconstruction (center), and 3-D spiral CT reconstruction of aortoiliac exclusion of aneurysm after procedure (right). Longitudinal 2-D image demonstrated exclusion of aneurysm (single arrow) by endoluminal graft. 3-D reconstruction after procedure demonstrates no flow in aneurysm sac with occlusion of contralateral iliac artery by endoluminal occluder (double arrows). Femorofemoral reconstruction is not demonstrated on this photograph. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Composite photograph of spiral CT before intervention (left), with corresponding longitudinal 2-D reconstruction (center), and 3-D spiral CT reconstruction of aortoiliac exclusion of aneurysm after procedure (right). Longitudinal 2-D image demonstrated exclusion of aneurysm (single arrow) by endoluminal graft. 3-D reconstruction after procedure demonstrates no flow in aneurysm sac with occlusion of contralateral iliac artery by endoluminal occluder (double arrows). Femorofemoral reconstruction is not demonstrated on this photograph. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Composite photograph of spiral CT before intervention (left), with corresponding longitudinal 2-D reconstruction (center), and 3-D spiral CT reconstruction of aortoiliac exclusion of aneurysm after procedure (right). Longitudinal 2-D image demonstrated exclusion of aneurysm (single arrow) by endoluminal graft. 3-D reconstruction after procedure demonstrates no flow in aneurysm sac with occlusion of contralateral iliac artery by endoluminal occluder (double arrows). Femorofemoral reconstruction is not demonstrated on this photograph. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Composite photograph of pretreatment and posttreatment images acquired during IVUS-guided deployment of endoluminal graft to treat arteriovenous fistula of right axillary artery after gunshot injury. IVUS images acquired at beginning of procedure revealed dimensions of proximal and distal artery and length of injury to vessel. Corresponding duplex surface gray-scale surface ultrasound image of lesion before beginning intervention demonstrates arteriovenous connection. Postdeployment angiogram demonstrates complete isolation and exclusion of arteriovenous fistula, which is confirmed by IVUS inspection and postprocedure gray-scale surface duplex imaging of device. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Composite photograph of pretreatment and posttreatment images acquired during IVUS-guided deployment of endoluminal graft to treat arteriovenous fistula of right axillary artery after gunshot injury. IVUS images acquired at beginning of procedure revealed dimensions of proximal and distal artery and length of injury to vessel. Corresponding duplex surface gray-scale surface ultrasound image of lesion before beginning intervention demonstrates arteriovenous connection. Postdeployment angiogram demonstrates complete isolation and exclusion of arteriovenous fistula, which is confirmed by IVUS inspection and postprocedure gray-scale surface duplex imaging of device. Journal of Vascular Surgery 1996 24, 556-571DOI: (10.1016/S0741-5214(96)70071-X) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions