Anatomic factors associated with acute endograft collapse after Gore TAG treatment of thoracic aortic dissection or traumatic rupture Bart E. Muhs, MD,

Slides:

Advertisements

Similar presentations

The impact of bird-beak configuration on aortic remodeling of distal arch pathology after thoracic endovascular aortic repair with the Zenith Pro-Form.

Advertisements

Dynamic magnetic resonance angiography of the aneurysm neck: Conformational changes during the cardiac cycle with possible consequences for endograft.

In situ laser fenestration during emergent thoracic endovascular aortic repair is an effective method for left subclavian artery revascularization Richard.

Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease Markus G.M. Steinbauer, MD, Alexander Stehr, MD, Karin.

The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture Felix J.V. Schlösser, MD, PhD, John E. Aruny,

Acute blunt traumatic injury to the descending thoracic aorta

Stent-graft repair of traumatic thoracic aortic disruptions

Branched Endovascular Therapy of the Distal Aortic Arch: Preliminary Results of the Feasibility Multicenter Trial of the Gore Thoracic Branch Endoprosthesis

Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm Salvatore T. Scali, MD, Robert.

Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation Juan C. Parodi, MD, Luis Mariano.

Randall R. De Martino, MD, MS, Jill Johnstone, MD, Elizabeth A

Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm Ludovic.

Aortic neck enlargement after endovascular aneurysm repair using balloon-expandable versus self-expanding endografts Janis Savlovskis, MD, Dainis Krievins,

Impact on outcomes by measuring tortuosity with reporting standards for thoracic endovascular aortic repair Chun-Ku Chen, MD, I-Ping Liang, MD, Hsiao-Ting.

Combined surgical and endovascular treatment of aortic arch aneurysms

Visceral embolus protection by catheters with balloon-inflatable tips during hybrid repair of thoracoabdominal aortic aneurysm Mojtaba Sadeghi-Azandaryani,

Novel technique for endovascular salvage of a folded aortic endograft

Thoracic endovascular aortic repair with the chimney graft technique

A technique for increased accuracy in the placement of the “giant” Palmaz stent for treatment of type IA endoleak after endovascular abdominal aneurysm.

Endoleak management and postoperative surveillance following endovascular repair of thoracic aortic aneurysms Joseph J. Ricotta, MD Journal of Vascular.

Thoracic endovascular aortic repair for traumatic aortic transection

Twenty consecutive cases of endograft repair of traumatic aortic disruption: Lessons learned David G. Neschis, MD, Sina Moaine, MD, Rao Gutta, MD, Kirk.

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

Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta Philipp Fueglistaler, MD, Thomas Wolff, MD, Lorenz Guerke, MD, Peter Stierli,

Thoracic Stent Grafting for Acute Aortic Pathology

Christopher L. Stout, MD, Eric C. Scott, MD, Gordon K

Stent misalignment of the Zenith Dissection Endovascular System

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

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

Endovascular repair of thoracic stent-graft bulging rupture in a patient with multiple thoracic aneurysms due to Takayasu disease Guido Regina, MD, Alessandro.

Frederik H. W. Jonker, MD, Hence J. M. Verhagen, MD, PhD, Peter H

Staged hybrid approach using proximal thoracic endovascular aneurysm repair and distal open repair for the treatment of extensive thoracoabdominal aortic.

Efficacy and durability of the chimney graft technique in urgent and complex thoracic endovascular aortic repair Adel Bin Jabr, MD, Bengt Lindblad, 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.

Endovascular treatment of the descending thoracic aorta in a patient with a hydatid pseudoaneurysm Pierro Volpe, MD, Ilias Dalainas, MD, PhD, Maurizio.

Total Viabahn endoprosthesis collapse

Diseases of the thoracic aorta in women

Late complications of thoracic endografts

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

Acute iatrogenic type A aortic dissection following thoracic aortic endografting Gabriele Piffaretti, MD, Giovanni Mariscalco, MD, PhD, Matteo Tozzi,

Placement of a branched stent graft into the false lumen of a chronic type B aortic dissection Dominic Simring, FRACS (Vasc), Jowad Raja, MRCS, FRCR,

Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: A 10-year experience William Quinones-Baldrich, MD, Juan Carlos.

Frederik H. W. Jonker, MD, Hence J. M

Surgical versus endovascular treatment of traumatic thoracic aortic rupture Philippe Amabile, MD, Frédéric Collart, MD, Vlad Gariboldi, MD, Gilles Rollet,

Double-chimney technology for treating secondary type I endoleak after endovascular repair for complicated thoracic aortic dissection Rui Feng, MD, PhD,

Coil embolization of persistent false lumen after stent graft repair of type B aortic dissection Enrique María San Norberto, MD, Vicente Manuel Gutiérrez,

W. Anthony Lee, MD, Tomas D. Martin, MD, Philip J. Hess, MD, Thomas M

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

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

Sideways displacement of the endograft within the aneurysm sac is associated with late adverse events after endovascular aneurysm repair Evert J. Waasdorp,

Late neurological recovery of paraplegia after endovascular repair of an infected thoracic aortic aneurysm Barend M.E. Mees, MD, PhD, Frederico Bastos.

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

The first endovascular repair of an acute type A dissection using an endograft designed for the ascending aorta Matthew J. Metcalfe, MD, MRCS, Alan Karthikesalingam,

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

Aortic arch rupture after multiple multilayer stent treatment of a thoracoabdominal aneurysm Emanuele Ferrero, MD, Lorenzo Gibello, MD, Michelangelo.

Endovascular management of thoracic aortic aneurysms

Supra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results Yiu Che Chan, BSc MB, BS, MD,

Jade S. Hiramoto, MD, Catherine K. Chang, MD, Linda M

Endovascular treatment of traumatic thoracic aortic injury—should this be the new standard of treatment? Peter H. Lin, MD, Ruth L. Bush, MD, Wei Zhou,

Feasibility of the Inoue single-branched stent-graft implantation for thoracic aortic aneurysm or dissection involving the left subclavian artery: Short-

Aortic neck enlargement after endovascular aneurysm repair using balloon-expandable versus self-expanding endografts Janis Savlovskis, MD, Dainis Krievins,

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

Sukgu M. Han, MD, Warren J. Gasper, MD, Timothy A.M. Chuter, MD

Endovascular repair of stent graft collapse by stent-protected angioplasty using a femoral-brachial guidewire Drosos Kotelis, MD, Ruben Lopez-Benitez,

A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia Sophie Wang, BS, Mahmoud.

Endovascular repair of a type B aortic dissection with a ventricular septal defect occluder Guangqi Chang, MD, Huishen Wang, MD, Wei Chen, MD, Chen Yao,

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

Michael P. Jenkins, MD, Stéphan Haulon, MD, PhD, Roy K

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

Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction Apostolos T. Mamopoulos, MD, Thomas.

Presentation transcript:

Anatomic factors associated with acute endograft collapse after Gore TAG treatment of thoracic aortic dissection or traumatic rupture Bart E. Muhs, MD, Ron Balm, MD, PhD, Geoffrey H. White, MD, Hence J.M. Verhagen, MD, PhD Journal of Vascular Surgery Volume 45, Issue 4, Pages 655-661 (April 2007) DOI: 10.1016/j.jvs.2006.12.023 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Measurements included (A) aortic arch angulation, (B) angle of endograft extending into the aortic lumen, (C) endograft lip length, (D) confirmation of infolding, presence of motion artifact, endograft distance from the subclavian artery, and aortic diameters perpendicular to the center lumen line at the proximal, intragraft, and distal landing zones. Journal of Vascular Surgery 2007 45, 655-661DOI: (10.1016/j.jvs.2006.12.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 A-D, Representative images of the collapsed endoprosthesis in four patients are shown. Journal of Vascular Surgery 2007 45, 655-661DOI: (10.1016/j.jvs.2006.12.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 In one patient, attempts were made to correct the graft infolding through endovascular salvage with the implantation of additional endoprosthesis inside a collapsed TAG. This attempt was unsuccessful. A, A TAG (28 mm × 10 cm) was deployed first, but owing to a proximal type I endoleak, a second TAG (28 mm × 15 cm) was deployed slightly more proximally. B and C, Computed tomography (CT) imaging showed clear infolding of the second TAG. D, To treat the infolding, a giant Palmaz stent was deployed. A CT scan 1 day after the placement of the Palmaz stent showed complete infolding of both the second TAG as well as the Palmaz stent. Journal of Vascular Surgery 2007 45, 655-661DOI: (10.1016/j.jvs.2006.12.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 Attempts were made in one patient to correct the graft infolding by using endovascular salvage with additional balloon angioplasty inside a collapsed TAG. This attempt was successful. A, Infolding was observed on the postoperative computed tomography (CT). B, The patient was taken back to the operating room for balloon angioplasty. C, The follow-up CT scan after balloon angioplasty demonstrated correction of the infolding. Journal of Vascular Surgery 2007 45, 655-661DOI: (10.1016/j.jvs.2006.12.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 5 Open explant and repair was performed successfully in one patient. The explanted stent graft demonstrated infolding and two rows of fractured stents. Journal of Vascular Surgery 2007 45, 655-661DOI: (10.1016/j.jvs.2006.12.023) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions