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

Slides:

Advertisements

Similar presentations

R. Huilgol, H. Verhagen, J.P. Harris, G.H. White

Advertisements

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

Use of custom Dacron branch grafts for “hybrid” aortic debranching during endovascular repair of thoracic and thoracoabdominal aortic aneurysms G. Chad.

Rana Canavati, MBBS, MRCS, Thien V. How, PhD, John A

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

Fenestrated and branched devices in the pipeline

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

Type II endoleaks Journal of Vascular Surgery

Prospective, multicenter experience with the Ventana Fenestrated System for juxtarenal and pararenal aortic aneurysm endovascular repair William J. Quiñones-Baldrich,

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

Endovascular techniques for arch vessel reconstruction

Outcomes of a novel technique of endovascular repair of aneurysmal internal iliac arteries using iliac branch devices Martin Austermann, MD, Theodosios.

Direct insertion of Amplatzer plugs to control lumbar arteries during open repair of type II endoleaks Kimberly Evans, MD, Anne C. Kim, MD, William C.

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.

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

Endovascular repair of thoracoabdominal aortic aneurysm using the off-the-shelf multibranched t-Branch stent graft Bernardo C. Mendes, MD, Gustavo S.

Abdominal aortic aneurysm repair: The carotid approach

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.

Failure modes of thoracic endografts: Prevention and management

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

Endovascular aortic aneurysm repair in patients with narrow aortas using bifurcated stent grafts is safe and effective Veljko Strajina, MD, Gustavo S.

Endovascular repair of aortic arch false aneurysm with branched endograft Andrew Schiro, MD, MRCS, Ganesh Kuhan, MD, FRCS, Adam Pichel, MB, ChB, FRCA,

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

Stephen C. Hanley, MD, PhD, Simon K

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

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

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

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

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

Endovascular abdominal aortic aneurysm repair in a patient with Ehlers-Danlos syndrome Maseer A. Bade, MD, Luis A. Queral, MD, Dipankar Mukherjee, MD,

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

Technical video of endovascular repair of chronic postdissection thoracoabdominal aortic aneurysm using a five-vessel preloaded fenestrated-branched stent.

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

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

Prospective, multicenter experience with the Ventana Fenestrated System for juxtarenal and pararenal aortic aneurysm endovascular repair William J. Quiñones-Baldrich,

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,

Juan Carlos Parodi, MD Journal of Vascular Surgery

Migration of the Nellix endoprosthesis

Intra-operative DynaCT improves technical success of endovascular repair of abdominal aortic aneurysms Lukla Biasi, MD, Tahir Ali, MBChB, MRCS, Lakshmi.

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

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

Alternative access techniques with thoracic endovascular aortic repair, open iliac conduit versus endoconduit technique Guido H.W. van Bogerijen, MD,

Endovascular treatment of ruptured axillary and large internal mammary artery aneurysms in a patient with Marfan syndrome Jessica F. Rose, DO, Layla.

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

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

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

Transbrachial branch cannulation during Zenith fenestrated endovascular aortic aneurysm repair using a robotically guided body-floss technique Sukgu.

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

Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts Reese A. Wain, MD, Ross T. Lyon, MD,

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

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

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

Transbrachial branch cannulation during Zenith fenestrated endovascular aortic aneurysm repair using a robotically guided body-floss technique Sukgu.

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

Late renal artery stent fracture with pseudoaneurysm after fenestrated endovascular abdominal aortic aneurysm repair Shanil M. Yapa, MSc, MBBS, Kishore.

The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair Roel Hobo, MSc, Robert J.F. Laheij,

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

Salvage of failed prior endovascular abdominal aortic aneurysm repair with fenestrated endovascular stent grafts Donald J. Adam, MD, FRCSEd, Robert A.

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

Repair of juxtarenal para-anastomotic aortic aneurysms after previous open repair with fenestrated and branched endovascular stent grafts Donald J. Adam,

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

Temporary axillobifemoral bypass as an adjunct to endovascular aneurysm repair using fenestrated stent grafts Brian J. Manning, MD, FRCSI, Obiekezie.

Surgical versus endovascular repair by iliac branch device of aneurysms involving the iliac bifurcation Konstantinos P. Donas, MD, PhD, Giovanni Torsello,

Combined transbrachial and transfemoral strategy to deploy an iliac branch endoprosthesis in the setting of a pre-existing endovascular aortic aneurysm.

Endovascular repair of two abdominal aortic aneurysms

Presentation transcript:

Endovascular abdominal aortic aneurysm repair in patients with common iliac artery aneurysms – Initial experience with the Zenith bifurcated iliac side branch device Ferdinand Serracino-Inglott, MD, MSc, DIC, FRCSI, FRCS (GenSurg), Alan E. Bray, MD, FRACS, DDU, Paul Myers, MBBS (Syd), FRCS (Eng), FRACS Journal of Vascular Surgery Volume 46, Issue 2, Pages 211-217 (August 2007) DOI: 10.1016/j.jvs.2007.03.040 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Photograph of the unsheathed Zenith bifurcated iliac side branch device. A, Anterior/posterior view; B, Side view to demonstrate the gold markers. The balloon expandable covered stents that are used to bridge the gap between the side branch and the internal iliac artery must not extend proximally above the third gold marker (counting from above). [Courtesy of William A. Cook Australia Pty Ltd]. Journal of Vascular Surgery 2007 46, 211-217DOI: (10.1016/j.jvs.2007.03.040) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Line diagrams depicting deployment of the Zenith bifurcated iliac side branch device (IBD): A, The indwelling catheter is snared within the aortic aneurysm sac and brought out via the contralateral femoral artery. B, The IBD is partly deployed to open up its side branch prior to advancing the Balkin sheath over the through-and-through wire, into the proximal segment of the IBD and out of its side branch, C. Another 0.035 wire is then introduced through the Balkin sheath to allow cannulation of the internal iliac artery. D, This wire is then changed to a stiffer wire over which covered stents are introduced and later deployed after fully unsheathing the IBD. [Line diagrams used with permission of William A. Cook Australia Pty Ltd.] Journal of Vascular Surgery 2007 46, 211-217DOI: (10.1016/j.jvs.2007.03.040) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Intraoperative fluoroscopy and digital subtraction images from case 3. A, Balkin sheath advanced over the aortic bifurcation, into the side branch of the partially deployed Zenith bifurcated iliac side branch device (IBD); B, The internal iliac artery has been cannulated and the wire advanced well into one of its branches, the IBD has been completely deployed, one covered stent has also been deployed, and a second one is about to be deployed; C, Completion angiograph at the end of the procedure (the right limb is not filling since no suction was applied to the sheath in the right groin to better visualize the left side). Journal of Vascular Surgery 2007 46, 211-217DOI: (10.1016/j.jvs.2007.03.040) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 Intraoperative digital subtraction images from case 5. A, Before stent insertion and deployment; B, At completion. Journal of Vascular Surgery 2007 46, 211-217DOI: (10.1016/j.jvs.2007.03.040) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 5 Intraoperative digital subtraction images from case 7: A, before stent insertion and deployment, demonstrating a distal type 1 endoleak despite the previous use of a “bell-bottom” technique and B, at completion demonstrating no endoleak after deployment of the Zenith bifurcated iliac side branch device and Advanta V12 stents. Journal of Vascular Surgery 2007 46, 211-217DOI: (10.1016/j.jvs.2007.03.040) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions