Presentation is loading. Please wait.

Presentation is loading. Please wait.

Treatment of type II endoleaks with a novel polyurethane thrombogenic foam: Induction of endoleak thrombosis and elimination of intra-aneurysmal pressure.

Published byEvangeline Rodgers Modified over 6 years ago

Similar presentations

Presentation on theme: "Treatment of type II endoleaks with a novel polyurethane thrombogenic foam: Induction of endoleak thrombosis and elimination of intra-aneurysmal pressure."— Presentation transcript:

1 Treatment of type II endoleaks with a novel polyurethane thrombogenic foam: Induction of endoleak thrombosis and elimination of intra-aneurysmal pressure in the canine model  Jason Y. Rhee, BA, Susan M. Trocciola, MD, Rajeev Dayal, MD, Stephanie Lin, MD, Rabih Chaer, MD, Naveen Kumar, MD, Albeir Mousa, MD, Joshua Bernheim, MD, Paul Christos, MPH, MS, Martin Prince, MD, Michael L. Marin, MD, Ronald Gordon, MD, Juan Badimon, PhD, Valentin Fuster, MD, PhD, K. Craig Kent, MD, Peter L. Faries, MD  Journal of Vascular Surgery  Volume 42, Issue 2, Pages (August 2005) DOI: /j.jvs Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Schematic diagram of retrograde (type II) endoleak treatment. A, The prosthetic aneurysm (A) is sewn as an interposition graft in the infrarenal aorta. Paired lumbar arteries are reimplanted onto the aneurysm as a Carrel patch. The strain-gauge pressure transducer (T) enables intra-aneurysmal pressure determination. B, The retrograde (type II) endoleak is created by deploying a stent graft (SG) coaxially through the aneurysm to exclude it from antegrade perfusion. C, Polyurethane foam (PUF) is implanted into the aneurysm sac at the same setting once the distal end of the SG has been deployed through the endovascular graft (EVG) catheter. The PUF delivery catheter is positioned within the aneurysm sac before deployment of the stent graft and is withdrawn after deployment. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Intraoperative photograph of aneurysm creation. The lumbar arteries (yellow arrow) have been anastomosed to the posterior aspect of the prosthetic aneurysm by using a Carrel patch. The pressure-transducer cable can be seen exiting the anterior aspect of the aneurysm. B, Coronal magnetic resonance angiogram before aneurysm exclusion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Polyurethane foam implant (Biomerix, Rockville, Md) and delivery system. The self-expanding polyurethane foam is extruded from the delivery catheter. The delivery system is composed of coaxially placed catheters and push rods. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Intraoperative angiography during polyurethane foam (PUF) implantation. A, Intraoperative angiogram demonstrating placement of a PUF implant-loaded catheter (small white arrow) via the contralateral femoral artery. Note the patent lumbar arteries (black arrows). The PUF may be visualized as filling defects within the aneurysm sac (large white arrows). B, Completion angiogram demonstrating complete exclusion of the aneurysm without retrograde flow from implanted lumbar arteries. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Gross specimen of polyurethane foam (PUF)-treated aneurysm with the endovascular stent graft removed. Note the presence of thrombus amid the PUF in the aneurysm sac. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Comparison of intra-aneurysmal pressures.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

8 Fig 7 Photomicrograph of polyurethane foam (PUF)-treated aneurysm. A, Thrombus within PUF (black arrow) inside of a prosthetic aneurysm (magnification, ×40; stain, hematoxylin and eosin). B, Higher magnification illustrating incorporation of thrombus with red blood cells, red blood cell fragments, fibrin, and occasional white blood cells within PUF (magnification, ×100; stain, hematoxylin and eosin). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Download ppt "Treatment of type II endoleaks with a novel polyurethane thrombogenic foam: Induction of endoleak thrombosis and elimination of intra-aneurysmal pressure."

Similar presentations

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

Larisse K. Lee, MD, Peter L. Faries, MD  Journal of Vascular Surgery 
Mark J.W. Koelemay, MD, PhD  Journal of Vascular Surgery 

Mark J.W. Koelemay, MD, PhD  Journal of Vascular Surgery 
Carbon dioxide digital subtraction angiography–assisted endovascular aortic aneurysm repair in the azotemic patient  Alex Chao, MD, Kevin Major, MD, Subramanyan.

Carbon dioxide digital subtraction angiography–assisted endovascular aortic aneurysm repair in the azotemic patient  Alex Chao, MD, Kevin Major, MD, Subramanyan.
First experience in human beings with a permanently implantable intrasac pressure transducer for monitoring endovascular repair of abdominal aortic aneurysms 

First experience in human beings with a permanently implantable intrasac pressure transducer for monitoring endovascular repair of abdominal aortic aneurysms 
Type II endoleaks Journal of Vascular Surgery

Type II endoleaks Journal of Vascular Surgery
Endovascular management of pararenal aortic aneurysms with multiple overlapping uncovered stents  Yong-Xue Zhang, MD, Qing-Sheng Lu, MD, Jia-Xuan Feng,

Endovascular management of pararenal aortic aneurysms with multiple overlapping uncovered stents  Yong-Xue Zhang, MD, Qing-Sheng Lu, MD, Jia-Xuan Feng,
Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks  Zoran Rancic, MD, PhD, Thomas Pfammatter,

Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks  Zoran Rancic, MD, PhD, Thomas Pfammatter,
True extracranial carotid artery aneurysm in a child

True extracranial carotid artery aneurysm in a child
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.

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

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

Novel technique for endovascular salvage of a folded aortic endograft
Impact of transrenal aortic endograft placement on endovascular graft repair of abdominal aortic aneurysms  Michael L. Marin, MD, Richard E. Parsons,

Impact of transrenal aortic endograft placement on endovascular graft repair of abdominal aortic aneurysms  Michael L. Marin, MD, Richard E. Parsons,
A technique for increased accuracy in the placement of the “giant” Palmaz stent for treatment of type IA endoleak after endovascular abdominal aneurysm.

A technique for increased accuracy in the placement of the “giant” Palmaz stent for treatment of type IA endoleak after endovascular abdominal aneurysm.
Sang-Jun Park, MD, Mi-Na Kim, MD, Tae-Won Kwon, MD, PhD 

Sang-Jun Park, MD, Mi-Na Kim, MD, Tae-Won Kwon, MD, PhD 
Leopoldo Marine, MD, Rishi Gupta, MD, Heather L. Gornik, MD, Vikram S

Leopoldo Marine, MD, Rishi Gupta, MD, Heather L. Gornik, MD, Vikram S
Late Gore Excluder endoprosthesis fabric tear leading to abdominal aortic aneurysm rupture 5 years after initial implant  Anand Dayama, MD, Nikolaos Tsilimparis,

Late Gore Excluder endoprosthesis fabric tear leading to abdominal aortic aneurysm rupture 5 years after initial implant  Anand Dayama, MD, Nikolaos Tsilimparis,
Endoleak after endovascular graft repair of experimental aortic aneurysms: Does coil embolization with angiographic “seal” lower intraaneurysmal pressure? 

Endoleak after endovascular graft repair of experimental aortic aneurysms: Does coil embolization with angiographic “seal” lower intraaneurysmal pressure? 
Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta  Philipp Fueglistaler, MD, Thomas Wolff, MD, Lorenz Guerke, MD, Peter Stierli,

Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta  Philipp Fueglistaler, MD, Thomas Wolff, MD, Lorenz Guerke, MD, Peter Stierli,
Endovascular repair of tortuous recurrent femoral-popliteal aneurysm in a patient with Loeys-Dietz syndrome  Sophie Wang, BS, Amber Kernodle, MD, MPH,

Endovascular repair of tortuous recurrent femoral-popliteal aneurysm in a patient with Loeys-Dietz syndrome  Sophie Wang, BS, Amber Kernodle, MD, MPH,
Novel temporary endovascular shunt technique to assist in situ fenestration for endovascular reconstruction of the distal aortic arch  Jiang Xiong, MD,

Novel temporary endovascular shunt technique to assist in situ fenestration for endovascular reconstruction of the distal aortic arch  Jiang Xiong, MD,

Similar presentations

Ads by Google