Visceral aneurysms: Technical options Coils, Plugs, Stents and liquid agents. Pierre P. GOFFETTE St-Luc University Hospital Brussels - Belgium
|
|
|
- Clifton Hoover
- 6 years ago
- Views:
Transcription
1 Visceral aneurysms: Technical options Coils, Plugs, Stents and liquid agents Pierre P. GOFFETTE St-Luc University Hospital Brussels - Belgium
2 Pierre Goffette, M.D. Consultant/Advisory Board: Covidien (Neuro) and Terumo
3 Endovascular tools Coils (Plug) Framing Filling, expandable Detachable Bare stent Stent assistance Flow diversion Covered stents Liquids (NBCA-Onyx) Safer & Cheaper Onyx/NBCA FDS Balloon occlusion Adapted from Chiaradia M. Diag & Interventional Radiol 2015
4 Endovascular treatment options Saccular VAA Fusiform VAA VAA involving bifurcation Terminal Branches VAA Narrow neck Sac exclusion Large neck Stent/balloonassisted sac embo FDS Isolation Stent-graft (FDS+coils) False aneurysm Mycotic Isolation FDS Sac exclusion Free-flow embo + parent vessel embo Adapted from Vignali Claudio CIRSE 2008
5 Visceral /renal (pseudo)-aneurysms Literature from 2005 (series >15Pts) N VA (PA) Rupture Embol. Tech Prim TS % Pitton (2015) 45 (NA) 73% Coils/ NBCA/st-gft 93.3 Dohan (2014) 17 (17) 100% Coils/ gelfoam 94 Etezadi (2012) 41 (11) 32% Coils/gelf/thromb/st-gft 98 Spiliopoulos ( 12) 58 (37) 70% Coils 100 Ikeda (2010) 37 (37) ~70% Coils Isolation 89 Fankhauser ( 10) 185(119) 46% Coils/ Gelfoam/st-grt 98 Ikeda (2008) 22 (0) NA Coils (packing/isolation) 100 Tulsyan (2007) 48 (28) 37% Coils / NBCA 18% 98 Lagana (2006) 29 (7) 27% Coils/ NBCA/st-graft 100
6 Trapping technique Chronic pancreatitis - acute bleeding / shock Distal /proximal coiling: Micro Nester 2&3 mm
7 Male 44 yr old Alcoholic cirrhosis- Cx Pancreatitis Splenic pseudoaneurysm within pseudo-cyst Cobra C2 4 Fr 2 AVP IV 7 & 8mm
8 Narrow neck Packing technique 3D coils + Vortex/fiber/Azur (micro)-coils Additional glue-onyx to hasten thrombosis Contra-indicated for pseudoaneurysm Risk of compaction and recanalization?
9 JVIR 2013, 24(3): VAA Fup 37 MO Mean An size 19 cm Mean packing density 19 % Coil compaction 4%(46 Mo) Recanalisation 26%(24 Mo) Relationship packing density/coil compaction-recanalization P Minimal pack density Threshold value 24%
10 Balloon remodeling assisted coiling Compliant balloons: Scepter C & XC Eclipse Parent artery protection Wide-neck aneurysm Bi(tri)furcation aneurysm Packing density - µkt stability safety (small A.) Stent assisted coiling Jailing technique Coiling through struts Coiling techniques Sequential coiling and stenting
11 Balloon remodeling technique 3D Detachable coils Immediate Result 1 yr angio follow-up Passeo Prowler Plus µkt EV3 AXIUM coils (3X) AZUR µcoils (15x)
12 63 yr old female, Left hilum renal aneurysm Increased diameter over 6 months
13 63 yr old female, Left hilum renal aneurysm Enterprise Stent Neuro Coils Axium 3D (EV3) + Hydrocoils
14 Liquid embolic agents Advantages and Indications Single injection through small tortuous vessels Efficacy not affected by coagulopathy Rare for packing (Ratio NBCA/Ethiodol 1:1, 1:2) Additional tool after coiling Peristent aneurysmal flow through collaterals Careful use Spillage of glue NBCA (+ethiodol) Izaki K, JVIR 2011, 3: Kirby J, CVIR 2008, 31: Brox Jimenez A, Pancreas 2009, 38:
15 Acute necrotizing pancreatitis Massive upper GI bleeding and hemoperitoneum Coeliac trunc stenosis Glue embolization
16 Onyx for VAA exclusion Compatible balloon Onyx HD 34/500 Advantages over coils and glue Close conformation to the aneurysmal wall Very low rate of recanalization Accurate control of injection Indications Recurrence after primary coiling Primary embol of large an. bifucation an. Bratby CVIR 2006, Vanninen CVIR 2008, Güven CVIR 2009
17 Güven (CVIR 2009) Large SMA aneurysm completely filled with ONYX 500
18 Stent-Graft for VAA Author N (Rupt) Künzle S. (JVIR 2013) Boufi M et (J Vasc Surg 2011) Fankhauser (J Vasc Surg 2010) Pasklinsky (Vasc Endov S. 11) Rossi M. (CVIR 2008) 19(10) 10 (8) Type Jostent (coil 33%) Viabahn (2 in 2Pts) TS % 30d M F-up( Mo) Patency % 28 82% 80 20% Surg 10 (4) NR % 2 (2) 4 (1) Icast Fluency Jostent Adventa 100 0% % Pancr % % 5 & % % Aneur thromb. 92% 100% 100% 100% 100%
19 Stent-Graft for VAA Promising Overall Results (90-100%TS) Wall reconstruction (False-A, mycotic, Ehler-Danlos,..) Rare reperfusion (endoleaks) Asymptomatic delayed occlusion F-up by CTA Limitations Künzle S JVIR 2013 Landing zones, tortuous access, distal vessels Endoleaks (bi(tri)furcation) Long-term antiplatelets Künzle S et al JVIR 2013; 24: Rossi M et al. CVIR 2008;31:36-42.
20 Jostent GraftMaster 2 stainless steel stents + 1 extensible PTFE Balloon expandable PTFE expansion in one direction Monorail inch No shortening
21 FDS for Visceral aneurysm Multiple monolayer (FDS) vs Multilayer Silk (Balt) : SMA (Shlomovitz 2011) Pipeline (EV3): SAA (Abraham 2012) Cardiatis : most commonly used (Italian groups) Promising short-medium term results.. Preservation of side-branches Time to achieve complete thrombosis No strict correlation thrombosis / sac shrinkage Expensif
22 FDS for Visceral aneurysm Meyer C, CVIR 2011, 34:
23 Multilayer stent: Results Ruffino multicenter registry: Cardiatis stent - 19Pt J Endovasc Ther. 2012; 19: Primary patency 89% (1mo) Secondary patenccy 90,1% (1 yr) Side branch occlusion 0% Aneurysm thrombosis/shrinkage: 87%/75% No major adverse event Mortality rate 5.3%
24 CT (US)-guided percutaneous approach Failed/incomplete endovascular approach CT(Dyna CT) + Angio guidance (US for solid organs) 20-22G Chiba needle ( µkt) / 5frTeflon+µKt NBCA / Ethiodol (½ ¼) Onyx 34 Thrombin ( IU ) (µ)-coils Complications Parent artery embolization Rupture Chan R, CVIR 2004, 27: Ghassemi A, J Vasc Surg 2006,4 3: Nicholson JVIR 2007, 17:
25 Pancreatico-duodenal arcade aneurysm Day 3
26 Posterior percutaneous approach 22G Chiba 1.2 ml Thrombine Complete occlusion 3Day CT control
27 Take Home Messages Choice of emboli agent dictated by aneurysm origin & morphology and arterial access (Assisted)-Coiling techniques remains the most commonly used technique but limitations Stent-grafts and FDS are promising alternatives solutions in some anatomical conditions Percutaneous approach could be useful
Splenic Trauma Where to Occlude and with what
Splenic Trauma Where to Occlude and with what Trauma session, Thurday May 5, 2016 Pierre GOFFETTE St-Luc University Hospital Brussels Pierre Goffette, M.D. Consultant/Advisory Board: Covidien (Neuro) and
Visceral aneurysm. Diagnosis and Interventions M.NEDEVSKA
Visceral aneurysm Diagnosis and Interventions M.NEDEVSKA History 1953 De Bakeyand Cooley Visceral aneurysm VAAs rare, reported incidence of 0.01 to 0.2% on routine autopsies. Clinically important Potentially
SPLENIC ANEURYSM: SAVING OR EMBOLIZING THE VESSEL
SPLENIC ANEURYSM: SAVING OR EMBOLIZING THE VESSEL Ziv J Haskal MD FSIR FAHA FACR FCIRSE GEST Director / Co-Founder Professor of Radiology Vascular & Interventional Radiology Editor in Chief, Journal of
Direct Intrahepatic Porta-Caval Shunt Technique & Tips-Tricks. Pierre GOFFETTE, MD, St-Luc University Hospital University of Leuven Brussels
Direct Intrahepatic Porta-Caval Shunt Technique & Tips-Tricks Pierre GOFFETTE, MD, St-Luc University Hospital University of Leuven Brussels Pierre Goffette, M.D. Consultant/Advisory Board: Covidien (Neuro)
Three year experience with multilayer stent in the treatment of thoracoabdominal aneurysms no evidence for aneurysm stabilization
Three year experience with multilayer stent in the treatment of thoracoabdominal aneurysms no evidence for aneurysm stabilization Thomas Larzon, MD, PhD Head of Vascular Surgery Dept of Cardiothoracic
The Importance of Coil Packing
The Importance of Coil Packing Keigo Osuga, MD, PhD Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine Keigo Osuga, M.D., Ph.D. No relevant financial relationship
Endovascular Techniques for Visceral Artery Aneurysm Treatment
Wednesday, January 31, 2017 17:21-17:27 Endovascular Techniques for Visceral Artery Aneurysm Treatment S.Müller-Hülsbeck, MD, EBIR, FCIRSE, FICA, FSIR ACADEMIC HOSPITALS Flensburg of Kiel University Faculty
Faculty Disclosure. Glue, Particulates, Thrombin, Coils and the Kitchen Sink for Type II Endoleak Management. Background.
Glue, Particulates, Thrombin, Coils and the Kitchen Sink for Type II Endoleak Management Faculty Disclosure I disclose the following financial relationships: UCSF Vascular Symposium 2013 Receive grant/research
Minimally Invasive Treatment Options for Renal Artery FMD
Minimally Invasive Treatment Options for Renal Artery FMD FMDSA Meeting 2016 Alan H. Matsumoto, M.D., FSIR, FACR, FAHA Professor and Chair Department of Radiology & Medical Imaging University of Virginia
Interventions in Visceral Artery Bleed
Interventions in Visceral Artery Bleed Dr. Arun Gupta Consultant, Interventional Radiology Sir Ganga Ram Hospital, Delhi, India. INTRODUCTION Visceral artery aneurysms (VAAs) are rare, reported incidence
Type II Endoleak Embolization Choice of Materials: EVOH, Glue, Thrombin & Coils. Michael S. Rosenberg, MD Assistant Professor of Radiology
Type II Endoleak Embolization Choice of Materials: EVOH, Glue, Thrombin & Coils Michael S. Rosenberg, MD Assistant Professor of Radiology Michael Rosenberg, M. D. No relevant financial relationship reported
Endovascular management of visceral artery aneurysms and pseudoaneurysms
Endovascular management of visceral artery aneurysms and pseudoaneurysms Poster No.: C-2321 Congress: ECR 2016 Type: Authors: Keywords: DOI: Scientific Exhibit I. Paladini, C. Marcato, S. Bruni, E. Epifani,
World Journal of Radiology. Endovascular management of visceral artery aneurysms: When to watch, when to intervene?
W J R World Journal of Radiology Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.4329/wjr.v7.i7.143 World J Radiol 2015 July 28; 7(7): 143-148
Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm
Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm Andrew Unzeitig MD Piedmont Atlanta Hospital Georgia Vascular Society 2017 Annual Meeting Lake Oconee, Georgia Disclosures None Case
Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry
Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry Michel MPJ Reijnen, MD, PhD Department of Vascular Surgery, Rijnstate Hospital
The Continuing Role of Pushable Coils: Advances and Fiscal Responsibilities JAMES F BENENATI MD
The Continuing Role of Pushable Coils: Advances and Fiscal Responsibilities JAMES F BENENATI MD James Benenati, MD Royalty: Penumbra Stock: Covidien Consultant/Advisory Board: Penumbra, Endoshape, Scientia
Case Report 1. CTA head. (c) Tele3D Advantage, LLC
Case Report 1 CTA head 1 History 82 YEAR OLD woman with signs and symptoms of increased intra cranial pressure in setting of SAH. CT Brain was performed followed by CT Angiography of head. 2 CT brain Extensive
Visceral Artery Aneurysms Endovascular vs. Open?
Disclosures Visceral Artery Aneurysms Endovascular vs. Open? John S. Lane III, MD Professor and Acting Chief of Vascular Surgery UC San Diego, Department of Surgery None relevant UCSF Vascular Symposium,
Endovascular Treatment of Type II Endoleak Following TEVAR for Thoracic Aortic Aneurysm: Squeeze Technique to Reach the Aneurysmal Sac
Endovascular Treatment of Type II Endoleak Following TEVAR for Thoracic Aortic Aneurysm: Squeeze Technique to Reach the Aneurysmal Sac Chang Won Kim Department of Radiology Pusan National University Hospital
History of the Powerlink System Design and Clinical Results. Edward B. Diethrich Arizona Heart Hospital Phoenix, AZ
History of the Powerlink System Design and Clinical Results Edward B. Diethrich Arizona Heart Hospital Phoenix, AZ Powerlink System: Unibody-Bifurcated Design Long Main Body Low-Porosity Proprietary eptfe
Approaches to type II Endoleaks: Transcaval, transarterial, translumbar. Saher Sabri,MD University of Virginia
Approaches to type II Endoleaks: Transcaval, transarterial, translumbar Saher Sabri,MD University of Virginia Saher Sabri, M.D. Speakers Bureau: W.L.Gore & Associates, Abbott Type 2 Endoleaks after EVAR
Treatment of a Hepatic Artery Aneurysm by Endovascular Exclusion Using the Multilayer Cardiatis Stent
Cardiovasc Intervent Radiol (2010) 33:1282 1286 DOI 10.1007/s00270-010-9913-z LETTER TO THE EDITOR Treatment of a Hepatic Artery Aneurysm by Endovascular Exclusion Using the Multilayer Cardiatis Stent
What's on the Horizon for AAA: Unilateral & Percutaneous, "UP-EVAR" System Zoran Rancic M.D., Ph.D.
What's on the Horizon for AAA: Unilateral & Percutaneous, "UP-EVAR" System Zoran Rancic M.D., Ph.D. Clinic for Cardiovascular Surgery University Hospital Zurich DISCLOSURES COMMON SITUATIONS FOR UNILATERAL
Chungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University Hospital Sangmin Kim
Endovascular Procedures for Isolated Common Iliac and Internal Iliac Aneurysm Chungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University
Abdominal & retroperitoneal endovascular intervention, Bo Kalin, Karolinska Hospital
Abdominal & retroperitoneal endovascular intervention, Bo Kalin, Karolinska Hospital What is endovascular therapy. Diagnosing Traumatic Arterial Injury Clinical signs CT / CT-angiography To diminish a
Case 37 Clinical Presentation
Case 37 73 Clinical Presentation The patient is a 62-year-old woman with gastrointestinal (GI) bleeding. 74 RadCases Interventional Radiology Imaging Findings () Image from a selective digital subtraction
Talent Abdominal Stent Graft
Talent Abdominal with THE Xcelerant Hydro Delivery System Expanding the Indications for EVAR Treat More Patients Short Necks The Talent Abdominal is the only FDA-approved device for proximal aortic neck
FLEXIBLE, BALOON EXPANDABLE
EARLY RESULTS OF A CLINICAL TRIAL OF FLEXIBLE, BALOON EXPANDABLE COVERED STENT GRAFT IN ILIAC OCCLUSIVE DISEASE Chris LeCroy Coastal Vascular and Interventional Pensacola, Florida Clinical Trial WL GORE
SANWICH TECHNIQUE TO REDUCE COMPLICATIONS WHEN TREATING BILATERAL INTERNAL ILIAC ARTERY
SANWICH TECHNIQUE TO REDUCE COMPLICATIONS WHEN TREATING BILATERAL INTERNAL ILIAC ARTERY TRAN TRA GIANG.MD Interventional cardiovascular department Hanoi Heart Hospital, Hanoi, Viet Nam Nothing to Disclose
Francesco Giurazza, 1 Mattia Silvestre, 2 Amedeo Cervo, 2 and Franco Maglione Introduction. 2. Case Presentation
Case Reports in Vascular Medicine Volume 2015, Article ID 291953, 5 pages http://dx.doi.org/10.1155/2015/291953 Case Report Endovascular Treatment of a Dissected Celiac Trunk Aneurysm Complicated with
Durability of The Endurant Stent-Graft through 5 Years
Durability of The Endurant Stent-Graft through 5 Years Michel S. Makaroun MD Co-Director, UPMC Heart and Vascular Institute Professor and Chair, Division of Vascular Surgery University of Pittsburgh School
The Ventana Off-the-Shelf Graft for Pararenal AAA. Andrew Holden Associate Professor of Radiology Auckland Hospital
The Ventana Off-the-Shelf Graft for Pararenal AAA Andrew Holden Associate Professor of Radiology Auckland Hospital Disclosures Andrew Holden, MBChB, FRANZCR Investigator in Nellix and Ventana Trials Clinical
FEVAR FIFTEEN YEARS OF EFFICIENCY E.DUCASSE MD PHD FEBVS CHU DE BORDEAUX
FEVAR FIFTEEN YEARS OF EFFICIENCY E.DUCASSE MD PHD FEBVS CHU DE BORDEAUX 2018 A BIT OF HISTORY First use of F-EVAR : 1990s Park et al. J Vasc Interv Radiol. 1996;7:819-823. Faruqi et al. J Endovasc Surg.
Vascular V12. Covered Stent. The New Standard of Care
Vascular V12 Covered Stent The New Standard of Care Innovation Novel Thermo-Conformable Covered Stent 316L stainless steel stent completely encapsulated in a proprietary one piece eptfe film cast covering
Lessons learned from Ch-EVAR for the treatment of. Miltos Matsagkas MD, PhD, FEBVS Professor of Vascular Surgery University of Thessaly
Lessons learned from Ch-EVAR for the treatment of pararenal AAAs Miltos Matsagkas MD, PhD, FEBVS Professor of Vascular Surgery University of Thessaly Ch-EVAR Ch-EVAR = Chimney-EVAR Placement of single
Robert F. Cuff, MD FACS SHMG Vascular Surgery
Robert F. Cuff, MD FACS SHMG Vascular Surgery Objectives To become familiar with the commercially available fenestrated EVAR graft Discuss techniques to increase success Review available data to determine
Previously considered uncommon, visceral artery
Managing Visceral rtery neurysms urrent endovascular techniques and technologies for treating this increasingly encountered presentation. y Mikolaj Wojtaszek, M, Ph Previously considered uncommon, visceral
Anatomical challenges in EVAR
Anatomical challenges in EVAR M.H. EL DESSOKI, MD,FRCS PROFESSOR OF VASCULAR SURGERY CAIRO UNIVERSITY Disclosure Speaker name:... I have the following potential conflicts of interest to report: Consulting
Endovascular management of pseudoaneurysms.
Endovascular management of pseudoaneurysms. Poster No.: C-2242 Congress: ECR 2013 Type: Educational Exhibit Authors: V. Benito Santamaría, J. A. Molina, R. Guerrero, Y. Babun; Barcelona/ES Keywords: Interventional
Gastro-Intestinal Bleeding- Interventional Radiology turning off the tap. Simon McPherson, Vascular Interventional Radiologist, Leeds
Gastro-Intestinal Bleeding- Interventional Radiology turning off the tap Simon McPherson, Vascular Interventional Radiologist, Leeds Scale UK 100,000 /year Commonest Vascular IR on-call 75% UGIB 65% NVUGIB
Internal iliac artery aneurysms: When to intervene and outcomes of EVAR
Internal iliac artery aneurysms: When to intervene and outcomes of EVAR Frans Moll Wuttichai Saaengprakai, George Georgiadis, Joost van Herwaarden Department of Vascular Surgery, UMC Utrecht, The Netherlands
Popliteal Aneurysm: When is surgical therapy indicated? PROF. GRZEGORZ OSZKINIS
Popliteal Aneurysm: When is surgical therapy indicated? PROF. GRZEGORZ OSZKINIS Asymptomatic mass - 38-40%will develop symptoms at a rate of 14%/yr Intermittent claudic ation (chronic ischemia) - 25%-40%
Insights from the PROTAGORAS/PERICLES Registries: impact on ChEVAR results
Insights from the PROTAGORAS/PERICLES Registries: impact on ChEVAR results Konstantinos P. Donas, Giovanni Torsello Department of Vascular Surgery St. Franziskus Hospital Münster, Germany Disclosure Speaker
WLNC 2018 ISTANBUL CASES
WLNC 2018 ISTANBUL CASES WLNC 2018 KOBE / ISTANBUL CASES PT 1 NK 62 Y F Presented with dizziness 2 years ago MR-DSA: Falcotentorial Dural AVF WLNC 2018 KOBE / ISTANBUL CASES MRI 2017 WLNC 2018 KOBE / ISTANBUL
VISCERAL ANEURYSM MANAGEMENT WHICH ENDOVASCULAR OPTION? PATRICE MWIPATAYI
VISCERAL ANEURYSM MANAGEMENT WHICH ENDOVASCULAR OPTION? PATRICE MWIPATAYI FCS (SA), MMed, FRACS Professor of Vascular surgery Royal Perth Hospital, University of Western Australia, Perth, WA Conflict of
Low profile TEVAR: is it an added value? Michel Bosiers, G. Torsello Münster
Low profile TEVAR: is it an added value? Michel Bosiers, G. Torsello Münster Disclosure Speaker name:...michel Bosiers... I have the following potential conflicts of interest to report: Consulting Employment
Management of Endoleaks. Michael Meuse, M.D Vascular and Interventional Radiology 12/14/09
Management of Endoleaks Michael Meuse, M.D Vascular and Interventional Radiology 12/14/09 Endoleak Failure to totally exclude the abdominal aortic aneurysm (AAA) from continued perfusion and pressurization
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue
Diagnosis and Management of Femoral Access Site Complications IV: Novel Techniques for Endovascular Rescue Robert M. Bersin, M.D. Director, Endovascular Services Seattle Cardiology and the Cardiovascular
Multi-modality management of intracranial aneurysms
Multi-modality management of intracranial aneurysms Christopher Koebbe, Maj, USAF, MC Staff Neurosurgeon San Antonio Military Medical Consortium Clinical Assistant Professor Department of Neurological
Associate Professor Walter W. Buckley Endowed Chair in Research Cleveland Clinic Lerner College of Medicine-CWRU. Houston Aortic Symposium 2017
Matthew J. Eagleton, MD Associate Professor Walter W. Buckley Endowed Chair in Research Cleveland Clinic Lerner College of Medicine-CWRU Houston Aortic Symposium 2017 Aortica: Advisory Board Centerline
Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry
University of Milan Thoracic Aortic Research Center Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry Santi Trimarchi, MD, PhD Associate
Endoleaks after F-BEVAR How to Assess & Treat? Gustavo S. Oderich, MD Mayo Clinic Rochester, MN
Endoleaks after F-BEVAR How to Assess & Treat? Gustavo S. Oderich, MD Mayo Clinic Rochester, MN FACULTY DISCLOSURE Gustavo S. Oderich MD Consulting, DSMB, CEC* Cook Medical Inc., WL Gore, Lombardi Honoraria
Endovascular therapy for Ischemic versus Nonischemic complicated acute type B aortic dissection (catbad).
Endovascular therapy for Ischemic versus Nonischemic complicated acute type B aortic dissection (catbad). AS. Eleshra, MD 1, T. Kölbel, MD, PhD 1, F. Rohlffs, MD 1, N. Tsilimparis, MD, PhD 1,2 Ahmed Eleshra
Taming The Aorta. David Minion, MD Program Director, Vascular Surgery University of Kentucky Medical Center Lexington, Kentucky, USA
Taming The Aorta David Minion, MD Program Director, Vascular Surgery University of Kentucky Medical Center Lexington, Kentucky, USA Faculty Disclosure Consulting: Endologix, Cook 1 Objectives Review the
An endoleak is radiographic or ultrasonic evidence
Complex Coil Embolization of Multiple Type II Endoleaks Liquid embolics, detachable coils, and plugs to repair an enlarging abdominal aortic aneurysm sac 5 years after EVAR. BY FRANK R. ARKO, MD; ABRAHAM
Endovascular Management of Complex Renal Artery Aneurysms Using the Multilayer Stent
Cardiovasc Intervent Radiol DOI 10.1007/s00270-010-0047-0 CASE REPORT Endovascular Management of Complex Renal Artery Aneurysms Using the Multilayer Stent Carsten Meyer Frauke Verrel Gunther Weyer Kai
Outcomes of endovascular repair of isolated iliac artery aneurysms. A. Stella
Alma Mater Studiorum Bologna University S.Orsola-Malpighi, Bologna, Italy Vascular Surgery Outcomes of endovascular repair of isolated iliac artery aneurysms A. Stella Isolated iliac artery aneurysms treated
Management of Endoleaks
Management of Endoleaks Sarah Ikponmwosa, MD Brooklyn VA 6/20/08 Questions Advantages of endovascular repair Definition of an endoleak Types of endoleaks Management of type lll endoleak Diagnosis of type
Popliteal Artery Aneurysms: Diagnosis and Repair Options
Deepak N. Deshmukh DO April 27, 2018 Popliteal Artery Aneurysms: Diagnosis and Repair Options No Disclosures Popliteal Artery Aneurysms (PAAs) Male Predominanace Most common peripheral Aneurysm (70%) 30-50%
The New World of (Micro)Plugs. Jafar Golzarian Professor of Radiology and Surgery University of Minnesota Medical Center
The New World of (Micro)Plugs Jafar Golzarian Professor of Radiology and Surgery University of Minnesota Medical Center Jafar Golzarian, M.D. Stock: Embomedics Speakers Bureau: Boston Scientific, AngioDynamics,
Endovascular Trauma Management. Thomas Larzon, MD, PhD Dep of Cardiothoracic and Vascular Surgery Örebro University Hospital, Sweden
Endovascular Trauma Management Thomas Larzon, MD, PhD Dep of Cardiothoracic and Vascular Surgery Örebro University Hospital, Sweden Medtronic Symposium, LINC 2016 Disclosures I have the following potential
Accessi Iliaci Ostili
Alma Mater Studiorum Bologna University S.Orsola-Malpighi, Bologna, Italy Vascular Surgery Accessi Iliaci Ostili nel trattamento della patologia aortica E. Gallitto Iliac Navigations Alma Mater Studiorum
A New EVAR Device for Infrarenal AAAs
A New EVAR Device for Infrarenal AAAs Peter Nelson, MD, MS Assistant Professor of Surgery MM0203 Rev. 01 Current U.S. EVAR Devices Anatomical Fixation Proximal Fixation Powerlink - Endologix Excluder WL
Percutaneous Axillary Artery Access For Branch Grafting for complex TAAAs and pararenal AAAs: How to do it safely
Percutaneous Axillary Artery Access For Branch Grafting for complex TAAAs and pararenal AAAs: How to do it safely Daniela Branzan, MD, Department of Vascular Surgery University Hospital Leipzig Disclosure
Redo treatment and open conversion after TEVAR
Redo treatment and open conversion after TEVAR Roberto Chiesa Vascular Surgery, Vita-Salute University Scientific Institute San Raffaele Milan, Italy Number of procedures Off-Label indications for TEVAR
Chimney endovascular aneurysm sealing (ch-evas) for ruptured abdominal aortic aneurysms (AAA) due to type Ia endoleak following failed EVAS
Chimney endovascular aneurysm sealing (ch-evas) for ruptured abdominal aortic aneurysms (AAA) due to type Ia endoleak following failed EVAS Saritphat Orrapin MD FRCS (Thailand), Thoetphum Benyakorn, Tunyarat
Aortic Neck Issues Associated Clinical Sequelae/Implications for Graft Choice
Aortic Neck Issues Associated Clinical Sequelae/Implications for Graft Choice Eric Verhoeven, MD, PhD, A. Katsargyris, MD Department of Vascular and Endovascular Surgery, Paracelsus Medical University,
Abdominal Aortic Aneurysms. A Surgeons Perspective Dr. Derek D. Muehrcke
Abdominal Aortic Aneurysms A Surgeons Perspective Dr. Derek D. Muehrcke Aneurysm Definition The abnormal enlargement or bulging of an artery caused by an injury or weakness in the blood vessel wall A localized
Analysis of Type IIIb Endoleaks Encountered with Endologix Endografts
Analysis of Type IIIb Endoleaks Encountered with Endologix Endografts Alan R. Wladis, MD, FACS, David Varnagy, MD, FACS, Manuel R. Perez-Izquierdo, MD, Mark Ranson, MD FACS, Delos Clift, MD FACS, Rebecca
MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE
MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE AAA FACTS 200,000 New Cases Each Year Ruptured AAA = 15,000 Deaths per Year in U.S. 13th Leading Cause of Death 80% Chance of
Repair of Intracranial Vessel Perforation with Onyx-18 Using an Exovascular Retreating Catheter Technique
Repair of Intracranial Vessel Perforation with Onyx-18 Using an Exovascular Retreating Catheter Technique Michael Horowitz M.D. Pittsburgh, Pennsylvania Background Iatrogenic intraprocedural rupture rates
When to use standard EVAR with EndoAnchors or CHEVAR in short-neck AAAs LINC ASIA 18
When to use standard EVAR with EndoAnchors or CHEVAR in short-neck AAAs JEAN-PAUL P.M. DE VRIES, DIRECTOR OF VASCULAR SURGERY ST.ANTONIUS HOSPITAL NIEUWEGEIN, THE NETHERLANDS. LINC ASIA-PACIFIC HongKong,
My personal experience with INCRAFT in standard and challenging cases
My personal experience with INCRAFT in standard and challenging cases G Pratesi, MD Vascular Surgery University of Rome Tor Vergata giovanni.pratesi@uniroma2.it Disclosure Speaker name: Giovanni Pratesi,
Access More Patients. Customize Each Seal.
Access More. Customize Each Seal. The Least Invasive Path Towards Proven Patency ULTRA LOW PROFILE TO EASE ADVANCEMENT The flexible, ultra-low 12F ID Ovation ix delivery system enables you to navigate
Cover stents vs Coilling or in Combination for bail out of Visceral aneurysms
Cover stents vs Coilling or in Combination for bail out of Visceral aneurysms Prof. Furuzan Numan M.D Chief of Interventional Radiology Department Cerrahpasa School of Medicine & Memorial Hospital, ISTANBUL,
Experience of endovascular procedures on abdominal and thoracic aorta in CA region
Experience of endovascular procedures on abdominal and thoracic aorta in CA region May 14-15, 2015, Dubai Dr. Viktor Zemlyanskiy National Research Center of Emergency Care Astana, Kazakhstan Region Characteristics
Optimizing Accuracy of Aortic Stent Grafts in Short Necks
Optimizing Accuracy of Aortic Stent Grafts in Short Necks Venkatesh Ramaiah, MD, FACS Medical Director Arizona Heart Hospital Director Peripheral Vascular and Endovascular Research Arizona Heart Institute
ENCORE, a Study to Investigate the Durability of Polymer EVAR with Ovation A Contemporary Review of 1296 Patients
ENCORE, a Study to Investigate the Durability of Polymer EVAR with Ovation A Contemporary Review of 1296 Patients The Ovation System is approved to treat infrarenal abdominal aortic aneurysms and is not
MINIMALLY INVASIVE MANAGEMENT OF RENOVASCULAR COMPLICATIONS AFTER RENAL GRAFT TRANSPLANTATION
MINIMALLY INVASIVE MANAGEMENT OF RENOVASCULAR COMPLICATIONS AFTER RENAL GRAFT TRANSPLANTATION Gortes, Francisco Javier B.S; Salsamendi, Jason Thomas M.D LEARNING OBJECTIVES Educate physicians on the prompt
(mm) tungsten alloy. Pushable Platinum 2,3, 4, 5, 6, 7, 8, 9,10,12,14. tungsten alloy. Pushable Platinum 3, 4, 5, 6, 8, 10, Embolization Coils
embolization coils (, Boston Scientific Corporation Cook Medical VortX Diamond-18 VortX-18 Fibered Platinum Straight-18 Figure 8-18 Multi-Loop-18 Complex -18 Fibered Platinum Interlock-18 Fibered IDC Occlusion
Increased Flexibility of AneuRx Stent-Graft Reduces Need for Secondary Intervention Following Endovascular Aneurysm Repair
583 Increased Flexibility of AneuRx Stent-Graft Reduces Need for Secondary Intervention Following Endovascular Aneurysm Repair Frank R. Arko, MD; W. Anthony Lee, MD; Bradley B. Hill, MD; Paul Cipriano,
Stent-assisted coil embolization of a wide-necked renal artery aneurysm
Stent-assisted coil embolization of a wide-necked renal artery aneurysm Bjoern Kitzing 1*, John Vedelago 1, Nick Bajic 1, Grace Lai 1, Richard Waugh 1 1. Department of Radiology, Royal Prince Alfred Hospital,
Abdominal and thoracic aneurysm repair
Abdominal and thoracic aneurysm repair William A. Gray MD Director, Endovascular Intervention Cardiovascular Research Foundation Columbia University Medical Center Abdominal Aortic Aneurysm Endografts
Tasopoulou KM 1, Argyriou C 1, Mantatzis M 2, Kantartzi K 3, Passadakis P 3, Georgiadis GS 1
Tasopoulou KM 1, Argyriou C 1, Mantatzis M 2, Kantartzi K 3, Passadakis P 3, Georgiadis GS 1 1 Department of Vascular Surgery, 2 Department of Radiology/Interventional Radiology Unit and 3 Department of
An Overview of Post-EVAR Endoleaks: Imaging Findings and Management. Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC
An Overview of Post-EVAR Endoleaks: Imaging Findings and Management Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC Disclosure Slide Mark O. Baerlocher: Current: Consultant for Boston
Endovascular options of treating iliac aneurysms
Endovascular options of treating iliac aneurysms Marek Majewski Department of Vascular Surgery of P. Desgranges Henri Mondor Hospital University Paris XII Créteil, France Common Iliac Artery Aneurysms
No Neck Is Needed! Treat the Aneurysm Instead! Andrew Holden, MD Associate Professor of Radiology Auckland City Hospital
No Neck Is Needed! Treat the Aneurysm Instead! Andrew Holden, MD Associate Professor of Radiology Auckland City Hospital Disclosures Andrew Holden, MBChB, FRANZCR No financial investment to disclose Investigator
Endovascular Repair o Abdominal. Aortic Aneurysms. Cesar E. Mendoza, M.D. Jackson Memorial Hospital Miami, Florida
Endovascular Repair o Abdominal Aortic Aneurysms Cesar E. Mendoza, M.D. Jackson Memorial Hospital Miami, Florida Disclosure Nothing to disclose. 2 Mr. X AAA Mr. X. Is a 70 year old male who presented to
Rupture Risk and Etiology of Visceral Artery Aneurysms and Pseudoaneurysms: A Single-Center Experience
Original Manuscript Rupture Risk and Etiology of Visceral Artery Aneurysms and Pseudoaneurysms: A Single-Center Experience Vascular and Endovascular Surgery 2016, Vol. 50(1) 10-15 ª The Author(s) 2016
ChEVAR Vs. fevar for juxtarenal Aneurysm. E.Ducasse MD PhD FEVBS Unit of vascular surgery CHU bordeaux
ChEVAR Vs. fevar for juxtarenal Aneurysm E.Ducasse MD PhD FEVBS Unit of vascular surgery CHU bordeaux CH-EVAR VS. F-EVAR IN JAAAs Meta-analysis, 2001-2012 5 CH-EVAR studies (94 patients, 151 target vessels)
Influence of patient selection and IFU compliance on outcomes following EVAS
Influence of patient selection and IFU compliance on outcomes following EVAS LUNCH SYMPOSIUM LINC 2017 Jan MM Heyligers, MD, PhD, FEBVS Consultant Vascular Surgeon Elisabeth TweeSteden Hospital Tilburg,
Can Flow diverters be used in acute SAH
Can Flow diverters be used in acute SAH Dr. Hazem Habboub DMRD, FRCR, FACR King Hussein Medical Center Amman- Jordan Dr.I Qtqish Dr. M Khawladeh Dr. S. Haddad Dr. S Jfoot - Flow diverters represent a paradigm
How to Categorize the Infrarenal Neck Properly? I Van Herzeele Dept. Thoracic and Vascular Surgery, Ghent University, Belgium
How to Categorize the Infrarenal Neck Properly? I Van Herzeele Dept. Thoracic and Vascular Surgery, Ghent University, Belgium Disclosure Speaker name: Isabelle Van Herzeele I have the following potential
Disclosures. Iliac Stenting: How could I mess this up? Surgery vs. Stenting: Gold Standard?
Disclosures Boston Scientific, Medical Advisory Board Endologix Corp., Consultant and trainer, AFX Aorto-Iliac Disease: Bare Metal, Covered or Stent Grafts How I Decide John S. Lane III MD, FACS Professor
Detachable coil embolization for aneurysms and arteriovenous malformations in the pelvis: technical points, equipment and procedural details
Detachable coil embolization for aneurysms and arteriovenous malformations in the pelvis: technical points, equipment and procedural details Poster No.: C-2123 Congress: ECR 2011 Type: Educational Exhibit
Why Nellix? Treating Concomitant Common Iliac Aneurysms
INDICATIONS FOR USE The Nellix EndoVascular Aneurysm Sealing System can be used in patients who have an infrarenal abdominal aortic (AAA) or aortoiliac aneurysm with suitable anatomy as indicated below:
BC Vascular Day. Contents. November 3, Abdominal Aortic Aneurysm 2 3. Peripheral Arterial Disease 4 6. Deep Venous Thrombosis 7 8
BC Vascular Day Contents Abdominal Aortic Aneurysm 2 3 November 3, 2018 Peripheral Arterial Disease 4 6 Deep Venous Thrombosis 7 8 Abdominal Aortic Aneurysm Conservative Management Risk factor modification
The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations
The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations Joseph V. Lombardi, MD Professor & Chief, Division of Vascular & Endovascular Surgery Department of Surgery,
symptomatic aneurysms or aneurysms that grow >1cm/yr
1. Elective repair for aneurysm >5.5 cm, symptomatic aneurysms or aneurysms that grow >1cm/yr 2. Ruptured AAA Aneurysm Detection and Management Study (ADAM) and UK Small Aneurysm Trial early open surgery
Citation for published version (APA): Tielliu, I. F. J. (2010). Endovascular repair of peripheral artery aneurysms Groningen: s.n.
University of Groningen Endovascular repair of peripheral artery aneurysms Tielliu, Ignace François Jacques IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish