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

Slides:

Advertisements

Similar presentations

Larisse K. Lee, MD, Peter L. Faries, MD Journal of Vascular Surgery

Advertisements

Preliminary experience with superparamagnetic iron oxide-enhanced dynamic magnetic resonance imaging and comparison with contrast-enhanced computed tomography.

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

Carbon dioxide digital subtraction angiography–assisted endovascular aortic aneurysm repair in the azotemic patient Alex Chao, MD, Kevin Major, MD, Subramanyan.

Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P

Type II endoleaks Journal of Vascular Surgery

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

Endovascular procedures under near–real-time magnetic resonance imaging guidance: An experimental feasibility study Yves-Marie Dion, MD, MSc, FRCSCa,

Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks Zoran Rancic, MD, PhD, Thomas Pfammatter,

Hari R. Kumar, MD, Mark K. Eskandari, MD

A comparison between contrast-enhanced ultrasound imaging and multislice computed tomography in detecting and classifying endoleaks in the follow-up after.

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft Blaine J. Ruby, MD, Thomas H. Cogbill,

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

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

Novel technique for endovascular salvage of a folded aortic endograft

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

Prospective intraindividual comparison of unenhanced magnetic resonance imaging vs contrast-enhanced computed tomography for the planning of endovascular.

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

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

David Nabi, MD, Erin H. Murphy, MD, Jimmy Pak, MD, Christopher K

Emergent endovascular treatment of a bleeding recurrent aortoenteric fistula as a “bridge” to definitive surgical repair Enrico Maria Marone, MD, Daniele.

Arash Bornak, MD, Ross Milner, MD Journal of Vascular Surgery

Late Gore Excluder endoprosthesis fabric tear leading to abdominal aortic aneurysm rupture 5 years after initial implant Anand Dayama, MD, Nikolaos Tsilimparis,

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

Andreas M. Lazaris, MD, Anastasios N. Maheras, MD, Spyros N

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

Endovascular Aneurysm Repair in the Treatment of Abdominal Aortic Invasion by Metastatic Small Cell Lung Cancer in the Duodenum Adam H. Korayem, MD,

Bitubular graft as an adjunct for laparoscopic hybrid repair of an abdominal aortic aneurysm Raphaël Coscas, MD, Clément Capdevila, MD, Olivier Goeau-Brissonniere,

Lower extremity compartment syndrome after elective percutaneous fenestrated endovascular repair of an abdominal aortic aneurysm John F. Charitable,

Endovascular repair of a thoracic aortic aneurysm in pregnancy at 22 weeks of gestation Veer Chahwala, MD, Jun Tashiro, MD, MPH, Atif Baqai, MD, Edward.

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

Matthew P. Sweet, MD Journal of Vascular Surgery

Thoracic endovascular repair as a safe management strategy for aortobronchial fistulas Charles J. Bailey, MD, Seth Force, MD, Ross Milner, MD, Karthikeshwar.

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

Niyant V. Patel, MD, Graham W. Long, MD, Zulfiqar F

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

Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft Gustavo S. Oderich, MD, Mateus.

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

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.

A novel hybrid approach to the treatment of common iliac aneurysms: Antegrade endovascular hypogastric stent grafting and femorofemoral bypass grafting

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

Anatomical repair of a congenital aneurysm of the distal abdominal aorta in a newborn Sergueï Malikov, MD, PhD, Arnauld Delarue, MD, PhD, Pierre-Olivier.

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

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

Carbon dioxide digital subtraction angiography as an option for detection of endoleaks in endovascular abdominal aortic aneurysm repair procedure Eijun.

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

Late endovascular aneurysm repair infection presenting with juxatrenal aortic rupture treated with in situ aortic replacement Charles A. West, MD, Joseph.

Successful treatment of multiple mycotic aortic aneurysms, using a hybrid procedure Yasunori Iida, MD, PhD, Yukio Obitsu, MD, PhD, Yoshihiko Yokoi, MD,

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

Mid- and long-term device migration after endovascular abdominal aortic aneurysm repair: A comparison of AneuRx and Zenith endografts Britt H. Tonnessen,

Peter L Faries, MD, Hadley Cadot, MD, Gautam Agarwal, MD, K

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

Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm Olivier Hartung,

Endovascular management of ascending aortic pathology

Endovascular repair of bilateral common iliac artery aneurysms following open abdominal aortic aneurysm repair with preservation of both hypogastric arteries.

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,

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

Pan-aortic hybrid treatment of mega-aorta syndrome

A hybrid approach using a composite endovascular and open graft procedure for a symptomatic common femoral aneurysm extending well above the inguinal.

Endovascular management of thoracic aortic aneurysms

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

Lefeng Qu, MD, PhD, Zaiping Jing, MD, PhD, Rui Feng, MD, PhD

Totally laparoscopic explantation of migrated stent graft after endovascular aneurysm repair: A report of two cases Judith C. Lin, MD, Ralf Kolvenbach,

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

Contrast-enhanced Duplex surveillance after endovascular abdominal aortic aneurysm repair: Improved efficacy using a continuous infusion technique Esteban.

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

Samuel S. Ahn, MD, Robert B. Rutherford, MD, K

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

Endovascular repair of two abdominal aortic aneurysms

Presentation transcript:

First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms Reinhard Kopp, MD, Werner Zürn, MD, Rolf Weidenhagen, MD, Georgios Meimarakis, MD, Dirk A. Clevert, MD Journal of Vascular Surgery Volume 51, Issue 5, Pages 1103-1110 (May 2010) DOI: 10.1016/j.jvs.2009.12.050 Copyright © 2010 Terms and Conditions

Fig 1 Intraoperative visualization of an infrarenal aortic aneurysm using contrast enhanced ultrasonography (a) in comparison to three-dimensional reconstruction of the magnetic resonance imaging (MRI) data obtained during MR angiography (b). The red arrow shows the infrarenal aortic kinking and the yellow arrows demonstrate the distal landing zone at level of the common iliac arteries. Journal of Vascular Surgery 2010 51, 1103-1110DOI: (10.1016/j.jvs.2009.12.050) Copyright © 2010 Terms and Conditions

Fig 2 Visualization of the proximal infrarenal landing zone by intraoperative contrast-enhanced ultrasound (iCEUS) using an endoluminal balloon catheter dilatation (yellow arrows), giving a contrast-sparing zone within the aortic lumen. The length of the balloon catheter is measured between the white cross markers (measured length: 4.07 cm; original length of the catheter as described by the manufacturer: 4.0 cm). The red arrow shows again the kinking of the aorta. Stent graft release was planned within the straight infrarenal aortic segment just below the zone of aortic kinking. Journal of Vascular Surgery 2010 51, 1103-1110DOI: (10.1016/j.jvs.2009.12.050) Copyright © 2010 Terms and Conditions

Fig 3 Intraoperative contrast-enhanced ultrasound (iCEUS): proximal infrarenal landing zone. iCEUS demonstrating complete proximal sealing of the stent graft. The yellow arrows show the sealing of the stent graft along the wall of the excluded proximal aortic segment. Proximal stent graft release is just below the aortic kinking, as intended. Red arrows show contrast air bubbles within the aneurysm sac, as expected, because distal aortic stent graft extension has not yet been performed. This picture would otherwise be identical to a distal type II or III endoleak. Journal of Vascular Surgery 2010 51, 1103-1110DOI: (10.1016/j.jvs.2009.12.050) Copyright © 2010 Terms and Conditions

Fig 4 Intraoperative contrast-enhanced ultrasonography demonstrating the right iliac stent graft (yellow arrows) extension without a detectable endoleak. Journal of Vascular Surgery 2010 51, 1103-1110DOI: (10.1016/j.jvs.2009.12.050) Copyright © 2010 Terms and Conditions

Fig 5 Postinterventional type III endoleak (white arrows) at the distal connection site of the left iliac extension (red arrows) endoleak following EVAR for an infrarenal aortic aneurysm. The type III endoleak disappeared after balloon dilatation of the left iliac stent graft connection site. Journal of Vascular Surgery 2010 51, 1103-1110DOI: (10.1016/j.jvs.2009.12.050) Copyright © 2010 Terms and Conditions