scholarly journals Sandwich EVAR is Salvageable Technique in Juxtarenal AAA

2021 ◽  
Vol 6 (2) ◽  
pp. 1-4
Author(s):  
Supatcha Prasertcharoensuk ◽  
Keyword(s):  
Blood Flow ◽  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Sandwich Technique ◽  
Landing Zone ◽  
Abdominal Aortic ◽  
Internal Iliac ◽  
Aneurysm Repair

The most common technical concern in Endovascular Aneurysm Repair (EVAR) is the proximal landing zone of stent. Sandwich technique is the effective procedure to preserve internal iliac blood flow. This case report describes using this procedure for successful EVAR in patient with juxtarenal abdominal aortic aneurysm.

scholarly journals Rupture of Abdominal Aortic Aneurysm due to Endograft Infection After Endovascular Aneurysm Repair (EVAR): A Case Report

EJVES Extra ◽  
2005 ◽  
Vol 10 (5) ◽  
pp. 110-113 ◽  
Author(s):  
R. Berchiolli ◽  
D. Adami ◽  
S.G. Sardella ◽  
A.Del Corso ◽  
R.Di Mitri ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic ◽  
Aneurysm Repair ◽  
Endograft Infection

scholarly journals Patient-specific modelling for the assessment of the hemodynamics risk of failure in endovascular aneurysm repair

2021 ◽  
Vol 4 (s1) ◽  
Author(s):  
Maurizio Lodi Rizzini ◽  
Paola Tasso ◽  
Anastasios Raptis ◽  
Miltiadis Matsagkas ◽  
Diego Gallo ◽  
...  
Keyword(s):  
Blood Flow ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Open Surgery ◽  
Endovascular Aneurysm Repair ◽  
Helical Flow ◽  
Patient Specific ◽  
Abdominal Aortic ◽  
Flow Features ◽  
Aneurysm Repair

Endovascular aneurysm repair (EVAR), despite its advantages over abdominal aortic aneurysm (AAA) open surgery, still presents risks of failure linked to Endograft (EG) migration. We here explore the link between intravascular blood flow features and Displacement Forces (DFs) acting on the EG. DFs are inversely associated with the amount of helical flow within the EG.

EVAR in Patients With Abdominal Aortic Aneurysm and Horseshoe Kidney: A Systematic Review

2021 ◽  
pp. 152660282110594
Author(s):  
Mauricio Gonzalez-Urquijo ◽  
Diana Paola Padilla-Armendariz ◽  
David Eugenio Hinojosa-Gonzalez ◽  
Gerardo Lozano-Balderas ◽  
Eduardo Flores-Villalba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Operative Time ◽  
Endovascular Aneurysm Repair ◽  
Horseshoe Kidney ◽  
Complication Rates ◽  
Abdominal Aortic ◽  
Endovascular Approach ◽  
Aneurysm Repair

Purpose: A systematic review of all patients that have been reported in the literature with abdominal aortic aneurysm (AAA) concomitant with horseshoe kidney (HSK) treated electively by endovascular aneurysm repair (EVAR) is presented. A new grouping system for describing HSK vasculature is implemented. Materials and Methods: We searched for published manuscripts using the Medical Subject Headings terms “abdominal aortic aneurysm,” “AAA,” “EVAR,” “endovascular aneurysm repair,” and “horseshoe kidney” in PubMed, Google Scholar, Scopus, and National Center for Biotechnology Information databases. Inclusion criteria include all published material of patients with AAA with HSK treated electively by an endovascular approach. We excluded patients who were treated by a hybrid or open repair or patients with ruptured AAA. Statistical analysis was carried out using SPSS Statistics version 25 (IBM Corp, Armonk, New York) software. Results: A total of 50 patients from 30 studies were included for analysis. Males made up 88% (n=44) of the population. The median age for this cohort was 70 years (range: 47–86 years). Median aneurysmal diameter was 6.0 cm (range: 4.0–10.3 cm). The median operative time for endovascular repair was 84 minutes (range: 40–332 minutes). The most common graft used was Zenith, used in 40% (n=20) of the cases, followed by Endurant in 14% (n=7). The overall complication rate was 14% (n=7). The median follow-up was 19 months (range: 1–108 months). While comorbidities did not appear to impact outcomes significantly, median operative times for smokers were higher than those in nonsmokers, 84 versus 118 minutes, respectively (p=0.048). Univariate linear regression modeling of aneurysmal size with age, operative time, and length of stay revealed a significant coefficient association between aneurysmal size and operative times. After adjusting for comorbidities and aneurysmal size, prior history of chronic kidney disease significantly increased odds for renal infarction. Conclusion: This review presents the most complete data set possible of patients with concomitant HSK and AAA treated by an endovascular approach. Furthermore, the A + B + C classification for grouping the HSK vasculature is implemented. This systematic review suggests EVAR to be an excellent option with low complication rates for the treatment of AAA in patients with HSK.

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