Journal of Vascular Surgery

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TAA7. Coverage of Left Subclavian Artery in Blunt Traumatic Aortic Injury Repair Is Rarely Indicated

October 31, 2018 - 23:00
Endovascular repair is the standard treatment of blunt traumatic aortic injury (BTAI). Occlusion of the left subclavian artery (LSA) is sometimes encountered for an adequate landing zone. We propose that coverage of the LSA is not necessary for BTAI with an inadequate landing zone.

TAA6. Transradial Left Subclavian Artery Embolization Through 4F Sheath

October 31, 2018 - 23:00
The objective of this study was to present our experience with transradial left subclavian artery (LSA) embolization after thoracic endovascular aortic repair (TEVAR).

TAA5. Technical Feasibility and Early Results of a Custom-Made Iliac Fenestrated Device

October 31, 2018 - 23:00
Iliac branch devices (IBDs) are undergoing rapid popularization. They allow salvage of an iliac aneurysm while preserving blood flow to the hypogastric artery. Certain anatomic criteria are necessary for the use of an iliac side branch device to be technically feasible. Custom-made fenestrated iliac stent grafts may provide an alternative when anatomic criteria for an IBD are not met. There is a paucity of data on the technical performance of these new devices. The objective of this study was to present a case series and to report immediate technical and clinical results for patients treated with custom-made Anaconda iliac fenestrated devices (Vascutek/Terumo, Inchinnan, Scotland, United Kingdom).

TAA4. Endovascular Treatment of Thoracoabdominal Aortic Aneurysms Using Multibranched Stent Grafts

October 31, 2018 - 23:00
The endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs) has become the “gold standard” procedure in most vascular centers. The purpose of this study was to present our single-center experience using multibranched stent grafts to treat TAAA.

TAA3. Quick-Fenestrater in Retrograde In Situ Fenestration of Complicated Thoracic Endovascular Aortic Repair

October 31, 2018 - 23:00
Endovascular treatment of complex thoracic aorta is difficult, especially in situ fenestration of the aortic arch. We developed a new type of endovascular reconstructive device for the superior branch of the aorta.

TAA2. Different Zones (0-2) of Hybrid Debranching Endovascular Aortic Repair: Outcome and Stroke Analysis

October 31, 2018 - 23:00
The aim of this study was to summarize our single-center experience of hybrid debranching endovascular repair of arch and proximal descending thoracic aorta (DTA) as regards the midterm outcome with highlight of the rate and risk factors of stroke associated with these procedures.

TAA1. The Role of Intravascular Ultrasound for Endovascular Management of Stanford Type B Aortic Dissection: Systematic Review of the Literature

October 31, 2018 - 23:00
Thoracic endovascular aortic repair (TEVAR) is the first-line treatment of complicated acute type B aortic dissection (ATBAD). Transesophageal echocardiography (TEE) is fundamental in diagnostic and intraprocedural phases; otherwise, its role seems to be limited in case of abdominal aortic extension. Intravascular ultrasound (IVUS) with established diagnostic features may be useful in guiding endovascular procedures. A systematic literature search on the use of imaging tools was aimed at verifying the contribution of IVUS, TEE, angiography, and intraluminal phased-array imaging in the management of ATBAD.

AA15. Early Outcomes of Endovascular Aortic Aneurysm Repair in Difficult Anatomy in Thai Patients: Multicenter Study

October 31, 2018 - 23:00
The objective of this study was to prospectively compare early postoperative outcomes of endovascular aneurysm repair between favorable and difficult anatomy (hostile neck or difficult access) in abdominal aortic aneurysm (AAA) patients

AA14. Combined Urgent Transcatheter Aortic Valve Implantation and Endovascular Aneurysm Repair for Symptomatic Abdominal Aortic Aneurysm

October 31, 2018 - 23:00
Transcatheter aortic valve implantation (TAVI) and endovascular aneurysm repair (EVAR) have both been proved to be safe and increasingly attractive options for treating elderly patients with severe aortic stenosis and abdominal aortic aneurysm (AAA). In cases of imminent rupture of AAA in patients with severe aortic stenosis, valvular repair should be considered to perform an aneurysm repair safely.

AA13. Postoperative Imaging Follow-up at Two Years Predicts Long-Term Outcome After Endovascular Aneurysm Repair

October 31, 2018 - 23:00
Lifelong imaging follow-up is still the “gold standard” after endovascular aneurysm repair (EVAR). As the number of EVARs is growing, the individually optimized follow-up protocol is desired. The aim of this study was to investigate the possibility of creating a more individualized follow-up protocol by evaluating patients’ follow-up images and comparing reintervention-free survival and rupture rate according to the findings.

AA12. Acute Kidney Injury in Pararenal Abdominal Aortic Aneurysm Repair

October 31, 2018 - 23:00
Pararenal abdominal aortic aneurysms (AAAs) are defined by an insufficient aortic neck between the aneurysm and the renal arteries; 16% of patients with AAA have pararenal aneurysms. Because of an insufficient sealing zone, open surgical repair (OSR) of pararenal AAAs is the “gold standard,” whereas endovascular repair is reserved for those unfit for surgery. Renal outcomes in this cohort may provide insight into potential utility of endovascular techniques in certain cohorts.

AA11. Laparoscopic Retroperitoneal Washout of an Infected Aortobifemoral Graft: A Novel Technique

October 31, 2018 - 23:00
Aortic prosthesis infection is a challenging complication of aortic bypass surgery with high morbidity and mortality. We report a successful image-guided, minimally invasive retroperitoneal washout of an infected aortobifemoral graft with 11 × 13-cm collection in a 71-year-old patient.

AA10. Safety, Feasibility, and Efficacy of the Gore Excluder Side Branch Endoprosthesis in the Treatment of Aortobi-Iliac Aneurysms With Preservation of the Internal Iliac Artery in 23 Consecutive Patients

October 31, 2018 - 23:00
The Gore Excluder (W. L. Gore & Associates, Flagstaff, Ariz) side branch endoprosthesis for iliac arteries (iliac branch endoprosthesis [IBE]) is a new device for the treatment of solitary or combined aortobi-iliac arterial aneurysms, mainly to prevent major complications occurring from an occluded internal iliac artery. The objective of our study was to evaluate the safety, feasibility, and efficacy of the Gore Excluder IBE in the treatment of iliac artery aneurysms.

AA9. Macrophage-Derived Netrin 1 Promotes Abdominal Aortic Aneurysms by Activating Matrix Metalloproteinase 3 in Vascular Smooth Muscle Cells

October 31, 2018 - 23:00
Aberrant extracellular matrix (ECM) fragmentation and sustained inflammation are hallmarks of abdominal aortic aneurysms (AAAs). However, the mechanisms by which these events are coupled, thereby fueling focal vascular damage, are undefined. We have previously demonstrated critical immunoregulatory functions of the neuronal guidance cue netrin 1 in regulating macrophage accumulation in the vasculature. Here, we investigate the novel role of netrin 1 in the pathogenesis of AAA and test the hypothesis that netrin 1 mediates crosstalk between infiltrating macrophages and vascular smooth muscle cells (VSMCs), thereby promoting ECM degradation in AAA.

AA8. TrackCath System: New Approach to Cannulation

October 31, 2018 - 23:00
Cannulation, for either contralateral gating of a modular stent graft or targeting artery, is a challenging step in almost every endovascular procedure. A quick, effective, and safe cannulating maneuver may reduce irradiation and contrast medium volume used, contributing to the success of this challenging step within the procedure. To this day, cannulation remains an important challenge and in some cases may limit the use of advanced endovascular techniques (parallel grafts, fenestrated or branched endovascular aneurysm repair).

AA7. Comparison Between Aortobifemoral Bypass and Covered Endovascular Reconstruction of Aortic Bifurcation for Aortoiliac Obstructive Disease: Short-term and Midterm Results

October 31, 2018 - 23:00
The good results with the covered endovascular reconstruction of aortic bifurcation (CERAB) technique have led to questions of whether the aortobifemoral (ABF) bypass still remains the “gold standard” for TransAtlantic Inter-Society Consensus II class C and D aortoiliac disease. We sought to compare the short-term and midterm results of the ABF bypass vs CERAB for these patients.

AA6. Late Open Interventions After Endovascular Aneurysm Repair

October 31, 2018 - 23:00
Endovascular aneurysm repair (EVAR) is associated with high risk of reintervention. Endovascular reinterventions are not always successful. We aimed to assess the rate, indications, and outcomes of late open surgical intervention after EVAR.

AA5. Endovascular Treatment of Thoracoabdominal Aortic Aneurysms Using Physician-Modified Fenestrated and Branched Stent Grafts

October 31, 2018 - 23:00
The aim was to determine whether physician-modified stent grafts (PMSGs) are safe and effective for the treatment of high-risk patients with thoracoabdominal aortic aneurysms (TAAAs).

AA4. Endovascular Aneurysm Repair With Cordis Incraft in Extremely Narrow (<16 mm) Aortic Bifurcation Outside of Instructions for Use: A Multicenter Experience

October 31, 2018 - 23:00
The percentage of patients with abdominal aortic aneurysm (AAA) considered fit for standard endovascular aneurysm repair (EVAR) has expanded tremendously in the last years. Among the patients who can now be considered fit for standard EVAR, there are those with AAA and associated aortoiliac occlusive disease involving external or common iliac arteries, thus potentially jeopardizing the result of the procedure with the standard-profile endografts; those patients are now addressed to EVAR with low-profile grafts.

AA3. Endovascular Treatment of Isolated Common Iliac Artery Aneurysms Using Iliac Branch Stent Grafts Without Aortic Component: A National Multicenter Registry

October 31, 2018 - 23:00
Endovascular therapy for common iliac artery aneurysms (CIAAs) using iliac branch devices (IBDs) has become an increasingly popular means of preserving antegrade flow to the internal iliac artery. According to instruction for use, the iliac branch stent graft is to be used in conjunction with an aortobi-iliac stent graft. Our aim was to assess early and midterm outcomes of IBD implantation without an aortic stent graft for the treatment of isolated CIAA.