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

Slides:

Advertisements

Similar presentations

Predictors of early and late mortality following open extent IV thoracoabdominal aortic aneurysm repair in a large contemporary single-center experience

Advertisements

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

Risk factors, outcomes, and clinical manifestations of spinal cord ischemia following thoracic endovascular aortic repair Brant W. Ullery, MD, Albert.

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

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

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients Joseph.

Chris Burke, MD, Sherene Shalhub, MD, MPH, Benjamin W. Starnes, MD

Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E

Arch and visceral/renal debranching combined with endovascular repair for thoracic and thoracoabdominal aortic aneurysms Sung Wan Ham, MD, Terry Chong,

Combined surgical and endovascular treatment of aortic arch aneurysms

Clinical significance of type II endoleaks after thoracic endovascular aortic repair Moritz S. Bischoff, MD, Philipp Geisbüsch, MD, Drosos Kotelis, MD,

Leopoldo Marine, MD, Rishi Gupta, MD, Heather L. Gornik, MD, Vikram S

Melanie K. Rose, MD, Benjamin J. Pearce, MD, Thomas C

Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia Yuji Kawano, MD, Yuji Kanaoka, MD,

Left subclavian artery coverage during thoracic endovascular aortic repair: A single- center experience Edward Y. Woo, MD, Jeffrey P. Carpenter, MD, Benjamin.

Grace J. Wang, MD, Ronald M. Fairman, MD, Benjamin M

The hybrid elephant trunk procedure: A single-stage repair of an ascending, arch, and descending thoracic aortic aneurysm Ali Azizzadeh, MD, Anthony.

Jarod McAteer, MD, Robert Ricca, MD, Kaj H. Johansen, MD, PhD, Adam B

Risk factors, outcomes, and clinical manifestations of spinal cord ischemia following thoracic endovascular aortic repair Brant W. Ullery, MD, Albert.

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

Matthew P. Sweet, MD Journal of Vascular Surgery

Therapeutic management of superior mesenteric artery aneurysms

Thoracic endovascular aortic repair of aortobronchial fistulas

Suprarenal aortic occlusion

Raghuveer Vallabhaneni, MD, Luis A. Sanchez, MD

Spinal cord ischemia may be reduced via a novel technique of intercostal artery revascularization during open thoracoabdominal aneurysm repair Edward.

Fenestrated and branched endovascular aneurysm repair outcomes for type II and III thoracoabdominal aortic aneurysms Matthew J. Eagleton, MD, Matthew.

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.

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

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

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

Management of aneurysms involving branches of the celiac and superior mesenteric arteries: A comparison of surgical and endovascular therapy Ulka Sachdev,

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

Repair of recurrent visceral aortic patch aneurysm after thoracoabdominal aortic aneurysm repair with a branched endovascular stent graft Donald J. Adam,

Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm With a Right-Sided Aortic Arch and Aberrant Left Subclavian Artery Joseph J.

Outcomes of endovascular aneurysm repair with selective internal iliac artery coverage without coil embolization Konstantinos O. Papazoglou, MD, PhD,

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

Isolated spontaneous dissection of the splanchnic arteries

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

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

Use of a surgeon-modified branched thoracic endograft to preserve an aortorenal bypass during treatment of an intercostal patch aneurysm Jeffrey Jim,

Axillobifemoral bypass and aortic embolization for the treatment of two patients with ruptured infrarenal aortic aneurysms David Coleman, MD, Theodore.

Jagajan Karmacharya, MD, Shane S. Parmer, MD, James N

Endovascular treatment of thoracoabdominal aortic aneurysms

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

Pan-aortic hybrid treatment of mega-aorta syndrome

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,

Outcomes of planned celiac artery coverage during TEVAR

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

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

Derek P. Nathan, MD, Edward Y. Woo, MD, Ronald M. Fairman, MD, Grace J

Endovascular repair of a penetrating thoracic aortic ulcer by way of the carotid artery Michael J Heidenreich, MD, David G Neschis, MD, Michael J Costanza,

Benjamin M. Jackson, MD, Jeffrey P. Carpenter, MD, Ronald M

Outcome after celiac artery coverage during endovascular thoracic aortic aneurysm repair: Preliminary results Sarat K. Vaddineni, MD, Steve M. Taylor,

Predictors of decreased short- and long-term survival following open abdominal aortic aneurysm repair Derek P. Nathan, MD, Clayton J. Brinster, MD, Benjamin.

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

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

Retrograde visceral vessel revascularization followed by endovascular aneurysm exclusion as an alternative to open surgical repair of thoracoabdominal.

Combined Endovascular and Surgical Procedure for Recurrent Thoracoabdominal Aortic Aneurysm Masato Yoshida, MD, Nobuhiko Mukohara, MD, Tsutomu Shida,

Complete regression of a symptomatic, mycotic juxtarenal abdominal aortic aneurysm after treatment with fenestrated endovascular aneurysm repair Jonathan.

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,

Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection Neal R.

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

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

Endoleaks after endovascular repair of thoracic aortic aneurysms

Presentation transcript:

Endovascular repair of extent I thoracoabdominal aneurysms with landing zone extension into the aortic arch and mesenteric portion of the abdominal aorta Clayton J. Brinster, MD, Wilson Y. Szeto, MD, Joseph E. Bavaria, MD, Edward Y. Woo, MD, Ronald M. Fairman, MD, Benjamin M. Jackson, MD Journal of Vascular Surgery Volume 52, Issue 2, Pages 460-463 (August 2010) DOI: 10.1016/j.jvs.2010.03.010 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Three-dimensional reconstructions of a computed tomography angiogram using M2S software (West Lebanon, NH) show an extent I thoracoabdominal aortic aneurysm (A) preoperatively and (B) after thoracic endovascular aneurysm repair. Note the landing zone extension to include coverage of the left subclavian artery (white arrow) proximally and the celiac artery (yellow arrow) distally. Journal of Vascular Surgery 2010 52, 460-463DOI: (10.1016/j.jvs.2010.03.010) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 A, A predeployment aortogram shows the proximal extent of the thoracoabdominal aortic aneurysm. B, The postdeployment aortogram shows landing zone extension into the aortic arch with a patent left subclavian artery (LSA) bypass (arrow). C, The completion angiogram after thoracic endovascular aneurysm repair and proximal LSA coiling shows aneurysmal exclusion without endoleak; note the patent LSA bypass and antegrade distal LSA perfusion (arrow). D, The proximal LSA has been coil embolized through brachial artery access to prevent type II endoleak. Journal of Vascular Surgery 2010 52, 460-463DOI: (10.1016/j.jvs.2010.03.010) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 A, The distal extent of the thoracoabdominal aortic aneurysm is shown in this predeployment angiogram. B, An early-phase postdeployment lateral angiogram shows celiac artery coverage and antegrade superior mesenteric artery (SMA) perfusion. C, A late-phase postdeployment lateral angiogram shows antegrade SMA perfusion and subsequent retrograde filling of the celiac axis. D, Collateral filling of the hepatic and splenic arteries (arrows) can be seen in this anteroposterior view of the postdeployment completion angiogram. Journal of Vascular Surgery 2010 52, 460-463DOI: (10.1016/j.jvs.2010.03.010) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 A, A computed tomography angiogram reconstruction using M2S software (West Lebanon, NH) shows a distal type I endoleak (arrow) after the initial thoracic endovascular aneurysm repair, including celiac artery coverage. B, Antegrade superior mesenteric artery perfusion (black arrow) is evident in this angiogram, which also demonstrates a distal type I endoleak (white arrow) in the patient from Panel A. C, An angiogram shows distal sealing and aneurysmal exclusion after reintervention. D, An M2S reconstruction of a postreintervention computed tomography angiogram note the absence of endoleak. Journal of Vascular Surgery 2010 52, 460-463DOI: (10.1016/j.jvs.2010.03.010) Copyright © 2010 Society for Vascular Surgery Terms and Conditions