Prediction of altered endograft path during endovascular abdominal aortic aneurysm repair with the Gore Excluder David R. Whittaker, MD, Jeff Dwyer,

Slides:

Advertisements

Similar presentations

Directional tip control technique for optimal stent graft alignment in angulated proximal aortic landing zones Toshio Takayama, MD, PhD, Patrick J. Phelan,

Advertisements

Results of transcaval embolization for sac expansion from type II endoleaks after endovascular aneurysm repair Kristina A. Giles, MD, Mark F. Fillinger,

Catheter-less angiography for endovascular aortic aneurysm repair: A new application of carbon dioxide as a contrast agent Enrique Criado, MD, Loay Kabbani,

Endovascular aortic repair of a postdissecting thoracoabdominal aneurysm using intraoperative fusion imaging Adrien Kaladji, MD, Aurélien Dumenil, PhD,

A staged repair of crossed fused renal ectopia with complex abdominal aortic and iliac aneurysms Mary Teresa O'Donnell, MD, John Maddox, MD, Gary Wind,

Preloaded guidewires to facilitate endovascular repair of thoracoabdominal aortic aneurysm using a physician-modified branched stent graft Gustavo S.

The value of 3D-CT angiographic assessment prior to carotid stenting

Retrograde migration of an abdominal aortic aneurysm endograft leading to postoperative renal failure Barry T. Katzen, MD, Alexandra A. MacLean, MD,

Three new techniques for creation of a steerable sheath, a 4F snare, and bidirectional sheath inversion using existing endovascular materials Alexandros.

Outcome after concomitant unilateral embolization of the internal iliac artery and contralateral external-to-internal iliac artery bypass grafting during.

Technical aspects, current indications, and results of chimney grafts for juxtarenal aortic aneurysms Raphael Coscas, MD, Hicham Kobeiter, MD, Pascal.

Visceral vessel relocation techniques

Daniel F. Leotta, PhD, Benjamin W. Starnes, MD

Novel technique for endovascular salvage of a folded aortic endograft

Intraoperative contrast-enhanced cone beam computed tomography to assess technical success during endovascular aneurysm repair Christof Johannes Schulz,

Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection Steffan.

Results of transcaval embolization for sac expansion from type II endoleaks after endovascular aneurysm repair Kristina A. Giles, MD, Mark F. Fillinger,

Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms Giovanni Torsello, MD, Dierk Scheinert,

Bruce A. Perler, MD, MBA Journal of Vascular Surgery

Karan Garg, MD, Todd L. Berland, MD, Frank J. Veith, MD, Neal S

Initial experience with the Ventana fenestrated system for endovascular repair of juxtarenal and pararenal aortic aneurysms Andrew Holden, MD, Renato.

Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency Enrique Criado, MD, Gilbert R. Upchurch,

Preservation of internal iliac arteries during endovascular aneurysm repair using “eye of the tiger” technique Tariq Almerey, MD, W. Andrew Oldenburg,

Martijn L. Dijkstra, BA, Matthew J. Eagleton, MD, Roy K

Matthew P. Sweet, MD Journal of Vascular Surgery

Mark F. Conrad, MD, Robert S. Crawford, MD, Christopher J

Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms Mark Edward O’Donnell, DSEM, MRCS, Stephen A. Badger,

Barry J. Doyle, B. Eng, Anthony Callanan, B. Eng, Paul E

Results of a double-barrel technique with commercially available devices for hypogastric preservation during aortoilac endovascular abdominal aortic aneurysm.

Endovascular treatment of iliac aneurysm: Concurrent comparison of side branch endograft versus hypogastric exclusion Fabio Verzini, MD, Gianbattista.

Endovascular abdominal aortic aneurysm repair in patients with common iliac artery aneurysms – Initial experience with the Zenith bifurcated iliac side.

Successful off-label use of the GORE EXCLUDER Iliac Branch Endoprosthesis to preserve gluteal perfusion during staged endovascular repair of bilateral.

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

Thomas S. Monahan, MD, Timothy A. M. Chuter, MD, Linda M

Customized endovascular repair of common iliac artery aneurysms

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

The value of 3D-CT angiographic assessment prior to carotid stenting

The trifurcated endograft technique for hypogastric preservation during endovascular aneurysm repair David J. Minion, MD, Eleftherios Xenos, MD, Ehab.

Geometry and respiratory-induced deformation of abdominal branch vessels and stents after complex endovascular aneurysm repair Brant W. Ullery, MD, Ga-Young.

The effect of endograft relining on sac expansion after endovascular aneurysm repair with the original-permeability Gore Excluder abdominal aortic aneurysm.

The sandwich technique to treat complex aortoiliac or isolated iliac aneurysms: Results of midterm follow-up Armando C. Lobato, MD, PhD, Luciana Camacho-Lobato,

Joss D. Fernandez, MD, John M. Craig, MD, H

Philippe Piquet, MD, Philippe Amabile, MD, Gilles Rollet, MD

Comparison of fenestrated endografts and the snorkel/chimney technique

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

Juan Carlos Jimenez, MD, Wesley S. Moore, MD, William J

Anthony Carnicelli, BA, Adam Doyle, MD, Michael Singh, MD

David J. Minion, MD, Christian C. Rodriguez, MD, Erin M

Jasper W. van Keulen, MD, Frans L. Moll, MD, PhD, Joost A

Endovascular aneurysm repair for ruptured abdominal aortic aneurysm: The Albany Vascular Group approach Manish Mehta, MD, MPH Journal of Vascular Surgery

Successful endovascular repair of a ruptured abdominal aortic aneurysm in a patient with unfavorable anatomy Benjamin R. Grey, MB. ChB, MRCS, John S.

Endovascular abdominal aortic aneurysm repair in patients with common iliac artery aneurysms – Initial experience with the Zenith bifurcated iliac side.

Outcomes of original and low-permeability Gore Excluder endoprosthesis for endovascular abdominal aortic aneurysm repair William Tanski, MD, Mark Fillinger,

Aortic type B dissection with acute expansion of iliac artery aneurysm in previous endovascular repair with iliac branched graft Raffaele Pulli, MD,

Endovascular management of thoracic aortic aneurysms

C. Y. Maximilian Png, BA, James W. Cornwall, MD, Peter L

Aortoiliac surgery in renal transplant patients

Screening and ultrasound surveillance of large abdominal aortic aneurysms do not improve suitability for endovascular repair Andrew R. Thompson, MB BS,

Journal of Vascular Surgery

Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report Roel Hobo, MSc, Jacob Buth,

Relationship between access side used to deliver the main body of bifurcated prostheses for endovascular aneurysm repair and speed of cannulation of the.

What imaging studies are necessary for abdominal aortic endograft sizing? A prospective blinded study using conventional computed tomography, aortography,

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,

Endovascular repair of a Kommerell's diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta Paul J. Riesenman,

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

Fenestrated endograft for recurrent paravisceral aortic pseudoaneurysm after thoracoabdominal aortic aneurysm open repair Mauro Gargiulo, MD, PhD, Enrico.

A staged replacement of the entire aorta from the ascending arch to the hypogastric arteries using a hybrid approach Juan Carlos Jimenez, MD, Wesley.

Endovascular repair of two abdominal aortic aneurysms

Presentation transcript:

Prediction of altered endograft path during endovascular abdominal aortic aneurysm repair with the Gore Excluder David R. Whittaker, MD, Jeff Dwyer, BA, Mark F. Fillinger, MD Journal of Vascular Surgery Volume 41, Issue 4, Pages 575-583 (April 2005) DOI: 10.1016/j.jvs.2005.01.033 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Comparison of length measurements with three-dimensional (3D) and angiographic marker catheter imaging, illustrating that multiple interpretations of the potential endograft path are possible. In A, the 3D lumen centerline length from the renal artery to the left hypogastric artery is 17 cm., whereas in B, the 3D user-defined path using “virtual graft” technique to account for the actual graft size is 15.8 cm. In C, the angiographic marker catheter length is 22 cm if the catheter is unconstrained but is only 14 cm if a stiff guidewire is placed within the marker catheter. Journal of Vascular Surgery 2005 41, 575-583DOI: (10.1016/j.jvs.2005.01.033) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Example of measurements used to evaluate tortuosity. Shown here are 3D measurements for the renal artery-to-hypogastric artery tortuosity index (RHTI), where RHTI = (lumen centerline length – straight line length) as measured from the center of the aorta just below the lowest renal artery to the center of the common iliac artery just proximal to the hypogastric artery origin. The other tortuosity indices are calculated in similar fashion as described in Table I. Journal of Vascular Surgery 2005 41, 575-583DOI: (10.1016/j.jvs.2005.01.033) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Virtual graft simulation to demonstrate the potential effect of endograft rotation and insertion site for the main device (trunk and ipsilateral limb). Configurations shown are A, main device inserted via right with docking limb in standard contralateral position; B, main device inserted via right with docking limb rotated 90 degrees, to an anterior position; C, main device inserted via left with docking limb in standard contralateral position; D, and main device inserted via left with docking limb rotated 90 degrees, to an anterior position. The device length is the same in each simulation, but has different endpoints because of the side of insertion and rotation. A shorter device should be chosen in each case and illustrates the utility of simulating the endograft insertion side, length, diameter, and amount of rotation within the anatomy rather than constraining the simulation rigidly to the centerline. Configurations B or D are preferred in this case, as they allow the device to bend along its most flexible axis. The configuration shown in A might compress the docking limb and collapse it before cannulation, and the configuration shown in C would make cannulation of the docking limb much more difficult. Device length would be adjusted to account for the chosen configuration and where the device will be deployed relative to the renal arteries. Journal of Vascular Surgery 2005 41, 575-583DOI: (10.1016/j.jvs.2005.01.033) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions