TOTAL DEBRANCHING OF THE AORTIC ARCH! Julien GAUDRIC! Hôpital Pitié-Salpêtrière, Paris.!
|
|
|
- Amie Robertson
- 6 years ago
- Views:
Transcription
1 TOTAL DEBRANCHING OF THE AORTIC ARCH! Julien GAUDRIC! Hôpital Pitié-Salpêtrière, Paris.!
2 DISCLOSURES o NONE
3 TOTAL DEBRANCHING POOR SURGICAL RISK HYBRID TECHNIQUE Sternotomy Andersen N. JVS 2013 CHIMNEY TECHNIQUE No dedicated component to SAV Yoshida R. EJVES 2011 BRANCHED DEVICES Ishimaru S. JET 2004 Piffare< G. JVS 2013
4 CHIMNEY TECHNIQUES OFF THE SHELF «EASY TO USE» ONE OR MORE TRUNKS DURABILITY? ENDOLEAKS (GUTTERS)? Total endovascular Debranching of the aortic Arch. Yoshida R, Kolvenbach R et al.ejves 2011!
5 ! LITTERATURE REVIEW Article( Pt(No( Branches( assessed( Baldwyn(et(al.( 3! IA=3! (2008)( LCCA=0! Sugiura(et(al.( (2009)( 3! IA=3! LCCA=0! Feng(et(al.((2011)( 1! IA=1! LCCA=1( Cires(et(al.((2011)( 2! IA=2! LCCA=0! Yoshida(et(al.( 2! IA=2! (2011)( LCCA=2( Vallejo(et(al.( (2012)( 3! IA=3! LCCA=0! Shahverdyan(et( 6! IA=6! al.((2013)( LCCA=6( Synowiecz(et(al.( 1! IA=1! (2013)( LCCA=0! TOTAL( 21( IA=100%( LCCA=43%( Aortic( stentgraft( Chimney(Graft(type( Overlap( lenght( Technical( success( Gore!TAG! Luminex! N/D! 100%!! Gore!TAG! Wallstent+Luminex! Gore!TAG! Zilver+Wallstent! Gore!TAG! TFLE+Wallstent! N/D! 100%!! Cook!tho! TFLE+Wallstent! Cook!tho! TFLE+Wallstent! Bolton! Sinus!stent! N/D! 100%!! Relay!! N/D! Balloon!expandable! N/D! 100%!!! stents! Cook! TFLE!(IA)!Viabahn! 7cm( 100%!! proform! (LCC)! N/D! Viabahn+Wallstent! N/D! N/D! N/D! 100%!! Gore!TAG! Viabahn! 5cm( 100%!! N/D! Ballon!expandable! steel!stent! ( Bare(stent=39%( Covered(stent=61%( N/D! 100%!! ( 100%( ( Overall caracteristics of currently available articles on chimney-graft technique preserving supra aortic trunks in landing zone 0 stentgrafting.!
6 LITTERATURE REVIEW Article Complications Mortality Proximal Endoleak I CG perméability Follow- up (month) Baldwyn et al. Stroke (n =1) % <24m Sugiura et al (gutters) 100% 12m Feng et al % 12m Cires et al % 12m Yoshida et al % 17m Vallejo et al. N/D N/D N/D 100% N/D Shahverdyan et al Synowiecz et al. SCI (n=1) 1 5 (I prox, 2 gutters, 1 IA, 1 LCCA) 100% 2,5m % N/D TOTAL Stroke :5,5% SCI :5,5% 5,5% 33,3% 100% 13m
7 CHIMNEY TECHNIQUES Off the shelf endovascular approach «easy» because of no branches or fenestration catheterism Low morbidity rates BUT Small sample of patients Short term follow-up High endoleak rate? NO CONCLUSION ABOUT LONG TERM EFFICACY
8 SURGICAL DEBRANCHING
9 LITTERATURE REVIEW Carrel T (2005) Hughes (2006) Saleh H (2006) Bergeron P (2006) Zhou W (2006) Chan Y (2008) Chen I (2008) Wang S (2008) Weigang E (2009) Chiesa R (2010) Holt P (2010) Geisbusch P (2010) Canaud L (2010) Our serie (2013)! n Mortality J30 Stroke Aortic Dissection Paraplegia FU (month) Bypass permeability Endoleak I Technical succes N/D N/D 0 100% N/D N/D 0 100% N/D 100% 0 100% 15 1 (6,7%) 0 1 (6,7%) 1 (6,7%) % 1 (6,7%) 87% 8 1 (12,5) N/D N/D 0 100% % 0 100% N/D 0 N/D N/D 0 100% 4 0 N/D N/D 0 N/D N/D N/D N/D 26 4 (15,4%) 24 3 (12,5%) 1 (3,8%) 3 (12,5%) 0 0 N/D N/D N/D N/D % 1 (4,2%) 91,7% 9 1 (11,1%) N/D 100% 1 (11,1%) 97,4% 10 1 (10%) 0 N/D 0 36 N/D 3 (30%) 80% 6 0 MORTALITY= 8.46% ENDOLEAK TYPE I OR III= 3.97% 1 (16,5%) STROKE= 3.17% 1 (16,7%) 1 (16,7%) N/D N/D 0 100% 25 7 (28%) 2 (8%) 4 (16%) % 0 Litterature revew of total debranching in zone 0 for hybrid treatment of aortic arch desease.! 92%
10 PITIÉ-SALPÊTRIERE S EXPERIENCE From 1999 to 2012 High surgical risk (ASA 3) = 48%, mean log EuroSCORE= 35% Patients(caracteristics( n( %( Number(of(patients( 25(! Age((mean)( 75,5!y!! Sex((male/female)( 20!M/5!F!! ASA( 3( 12! 48%! Hypertension(n((%)( 21! 84%! Smoker(n((%)( 20! 80%! Diabetes(mellitus(n((%)( 6! 20%! Dyslipidémia(n((%)( 10! 40%! CAD(n(%)( Fangioplasty( Fcoronary(bypass( 12! 6! 2! 40%! 24%! 8%! COPD( 6! 20%! Mean(creat(clearance(( 62,5ml/mn!! Aortic(lesion( Faneurysm( Fsacciform(aneurysm(! 22! 3! (!!!! 88%! 12%!
11 PITIÉ-SALPÊTRIERE S EXPERIENCE Carrel T (2005) Hughes (2006) Saleh H (2006) Bergeron P (2006) Zhou W (2006) Chan Y (2008) Chen I (2008) Wang S (2008) Weigang E (2009) Chiesa R (2010) Holt P (2010) Geisbusch P (2010) Canaud L (2010) Our serie (2013)! n Mortality J30 Stroke Aortic Dissection Paraplegia FU (month) Bypass permeability Endoleak I Technical succes N/D N/D 0 100% N/D N/D 0 100% N/D 100% 0 100% 15 1 (6,7%) 0 1 (6,7%) 1 (6,7%) % 1 (6,7%) 87% 8 1 (12,5) N/D N/D 0 100% % 0 100% N/D 0 N/D N/D 0 100% 4 0 N/D N/D 0 N/D N/D N/D N/D 26 4 (15,4%) 24 3 (12,5%) 1 (3,8%) 3 (12,5%) 0 0 N/D N/D N/D N/D % 1 (4,2%) 91,7% 9 1 (11,1%) N/D 100% 1 (11,1%) 97,4% 10 1 (10%) 0 N/D 0 36 N/D 3 (30%) 80% (16,5%) 1 (16,7%) 1 (16,7%) N/D N/D 0 100% 25 7 (28%) 2 (8%) 4 (16%) % 0 92%
12 MORTALITY n=7 (28%) 1 pneumopathy 1 left ventricular guidewire perforation 1 hemorragic shock 2 strokes (consecutives to femoro-sav bypass) 2 type A dissection
13 MORTALITY n=7 (28%) 1 pneumopathy 1 left ventricular guidewire perforation 1 hemorragic shock 2 strokes (consecutives to femoro-sav bypass) 2 type A dissection
14 ! MORTALITY n=7 (28%) 1 pneumopathy 1 left ventricular guidewire perforation 1 hemorragic shock 2 strokes (consecutives to femoro-sav bypass) 2 type A dissection
15 Femoral artery as inflow? n=3 Previous history of Aorto Coronary Bypass Unfit for sternotomy Mortality n=2/3 (66%) NOT RECOMMANDED
16 Secondary type A dissection and debranching n=4 (16%) Mortality n=2 (50%) Proximal stent Debranching grai (proximal anastomosis) AorMc tear
17 CONCLUSION CHIMNEY TECHNIQUE Favorable results But endoleak rate? Best kind of device? Proximal overlap lenght 5cm HYBRID TECHNIQUE Long term stability Low rate of endoleaks High mortality rates High risk of type A dissecmon
Title. Different arch branched devices are available, is morphology the. main criteria of choice? Ciro Ferrer, MD
Different arch branched devices are available, is morphology the Title main criteria of choice? Ciro Ferrer, MD Vascular Surgery Unit Sapienza University of Rome Disclosure Speaker name: Ciro Ferrer Proctoring/speaking
Aortic Arch pathology options: Open,Hybrid, fenestration, Chimney or branched stent-graft?
Aortic Arch pathology options: Open,Hybrid, fenestration, Chimney or branched stent-graft? Chang Shu, M.D., Ph.D Vascular Surgery Center National Center for Cardiovascular Diseases. Fuwai Hospital, CAMS
Arch Repair with the Bolton Medical RelayBranch Thoracic Stent-graft system: Multicenter experience
Arch Repair with the Bolton Medical RelayBranch Thoracic Stent-graft system: Multicenter experience Joost van Herwaarden, MD, PhD University Medical Center, Utrecht Disclosure I have the following potential
Ascending Aorta: Is The Endovascular Approach Realistic?
Ascending Aorta: Is The Endovascular Approach Realistic? Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Disclosures Research-grants, travelling, proctoring speaking-fees,
Aortic Arch Treatment Open versus Endo Evidence versus Zeitgeist. M. Grabenwoger Dept. of Cardiovascular Surgery Hospital Hietzing Vienna, Austria
Aortic Arch Treatment Open versus Endo Evidence versus Zeitgeist M. Grabenwoger Dept. of Cardiovascular Surgery Hospital Hietzing Vienna, Austria Evidence Surgical aortic arch replacement with a Dacron
Techniques For Endovascular Aortic Arch Repair. Mario Lachat, MD University Hospital of Zurich Matteo Orrico, MD San Camillo-Forlanini Hospital, Rome
Techniques For Endovascular Aortic Arch Repair Mario Lachat, MD University Hospital of Zurich Matteo Orrico, MD San Camillo-Forlanini Hospital, Rome Disclosure Speaker name: Mario Lachat Endospan, Jotec,
Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS. Arch Pathology: The Endovascular Era is here
Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS Arch Pathology: The Endovascular Era is here Disclosures Consultant: Cook Medical, Bolton Medical, Medtronic Inc, Volcano,
How to achieve a successful proximal sealing in TEVAR? Pr L Canaud
How to achieve a successful proximal sealing in TEVAR? Pr L Canaud CHU de Montpellier France Disclosure I have the following potential conflicts of interest to report: Consulting: Medtronic. Proximal neck
DISCLOSURES ISOLATED DTA LESION? TYPE B DISSECTIONS TREATMENT OPTIONS
Endovascular Repair of Aortic Arch Pathologies; What is available/possible in the U.S. in 2018? Kaiser Permanente Endovascular Symposium 6/2/18 Sukgu M Han, MD, MS Assistant Professor of Clinical Surgery
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
Distal Arch and Descending Aorta: What Is the Optimal Therapy in 2017?
Distal Arch and Descending Aorta: What Is the Optimal Therapy in 2017? Eric E. Roselli, MD Chief, Adult Cardiac Surgery Director, Aorta Center Heart and Vascular Institute, Cleveland Clinic Disclosures
Endovascular Branched Aortic Arch Repair
Houston Aortic Symposium 2018 Endovascular Branched Aortic Arch Repair Nimesh D. Desai MD PhD Associate Professor of Surgery, University of Pennsylvania Co-Director, Penn Thoracic Aortic Surgery Program
Ascending Aorta: The Endovascular Approach
University Heart Center Hamburg GERMAN AORTIC CENTER Ascending Aorta: The Endovascular Approach Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Gold Standard for Ascending
Presente e futuro negli aneurismi dell arco aortico
Sessione Congiunta SICVE, SEACV, SCVE, SPACV Presente e futuro negli aneurismi dell arco aortico Roberto Chiesa Vascular Surgery, Vita-Salute University Scientific Institute San Raffaele Milano, Italy
Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan
The Gore GREAT Registry: Update about a real life data collection Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan Disclosures
Surgical Considerations of TEVAR
Surgical Considerations of TEVAR University of Alberta, June 14 th, 2013 Jehangir Appoo Libin Cardiovascular Institute University of Calgary, Today: Lesions/Pathology amenable to TEVAR On label Off label
Standardization of the CHEVAR procedure: How a standard approach has improved outcomes. Prof Peter Holt St George s, London
Standardization of the CHEVAR procedure: How a standard approach has improved outcomes Prof Peter Holt St George s, London Disclosure Speaker name: Prof Peter Holt I have the following potential conflicts
Current State of Thoracic Branch Devices and Ongoing Clinical Trials
Current State of Thoracic Branch Devices and Ongoing Clinical Trials Hiroo Takayama, MD, PhD Associate Professor of Surgery Director of Cardiovascular Institute Co-Director of Aortic Center NY Presbyterian/Columbia
The chimney-graft technique for preserving supra-aortic branches: a review
Perspective The chimney-graft technique for preserving supra-aortic branches: a review Konstantinos G. Moulakakis 1,2, Spyridon N. Mylonas 1,2,3, Ilias Dalainas 1, George S. Sfyroeras 1, Fotis Markatis
Challenges. 1. Sizing. 2. Proximal landing zone 3. Distal landing zone 4. Access vessels 5. Spinal cord ischemia 6. Endoleak
Disclosure I have the following potential conflicts of interest to report: Consulting: Medtronic, Gore Employment in industry Stockholder of a healthcare company Owner of a healthcare company Other(s)
Cite this article as:
doi: 10.21037/acs.2018. 04.08 Cite this article as: Ferrer C, Cao P. Endovascular arch replacement with a dual branched endoprosthesis.. doi: 10.21037/acs.2018.04.08 This is a PDF file of an edited manuscript
CUSTOM-MADE SCALLOPED THORACIC ENDOGRAFTS IN DIFFERENT HOSTILE AORTIC ANATOMIES
CUSTOM-MADE SCALLOPED THORACIC ENDOGRAFTS IN DIFFERENT HOSTILE AORTIC ANATOMIES A SERIES OF THREE CASE REPORTS Joel Sousa Department of Department of Angiology and Vascular Surgery Hospital S. João, Porto,
THORACOABDOMINAL AORTIC ANEURYSMS HYBRID REPAIR
Update on Open and Endovascular Therapeutic Option for Aortic Repair CENTRE CARDIO-TORACIQUE DE MONACO Friday November 7 th, 2014 THORACOABDOMINAL AORTIC ANEURYSMS HYBRID REPAIR Roberto Chiesa Vascular
Endovascular Repair of Aortic Arch/Thoracic Aneurysms: Bolton RelayBranch Device
Endovascular Repair of Aortic Arch/Thoracic Aneurysms: Bolton RelayBranch Device Luis A. Sanchez MD Gregorio A. Sicard Distinguished Professor of Surgery & Radiology Chief, Section of Vascular Surgery
Endovascular repair of an aortic arch pseudoaneurysm with double chimney stent grafts: a case report
Zhou et al. Journal of Cardiothoracic Surgery 2013, 8:80 CASE REPORT Endovascular repair of an aortic arch pseudoaneurysm with double chimney stent grafts: a case report Weimin Zhou *, Wei Zhou and Jiehua
Home-made Fenestrations for Various Pathologies of Abdominal Aorta
Home-made Fenestrations for Various Pathologies of Abdominal Aorta Chen, Jer-Shen Director of Vascular Surgery, Far Eastern Memorial Hospital Clinical Assistant Professor, National Yang-Ming University
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,
Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when?
Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when? Prof. Olgierd Rowiński II Department of Clinical Radiology Medical University of Warsaw Disclosure Speaker name: Olgierd
Combined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR
Combined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR William J. Quinones-Baldrich MD Professor of Surgery Director UCLA Aortic Center UCLA Medical Center Los Angeles,
Endovascular treatment of aortic arch using Relay branched stent grafts
Endovascular treatment of aortic arch using Relay branched stent grafts B. Saint-Lèbes Vascular surgery unit Rangueil Universitary hospital Toulouse France Disclosure of Interest Speaker name: SAINT-LEBES
I-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical Department National Taiwan University Hospital
Comparisons of Aortic Remodeling and Outcomes after Endovascular Repair of Acute and Chronic Complicated Type B Aortic Dissections I-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical
COMPLICATIONS OF TEVAR
COMPLICATIONS OF TEVAR P. Bergeron, A.Petrosyan, F.Markatis, T.Abdulamit, J.-C. Trastour IMAD CONGRESS 2010 Liège Belgium BACKGROUND Stentgrafting is a recognized treatment for TAA & TAD and has been proposed
Free Esophageal Perforation Following Hybrid Visceral Debranching and Distal Endograft Extension to Repair a Ruptured Thoracoabdominal Aortic
Free Esophageal Perforation Following Hybrid Visceral Debranching and Distal Endograft Extension to Repair a Ruptured Thoracoabdominal Aortic Aneurysm History A 56-year-old gentleman, who had been referred
WHAT IS THE BEST OPTION FOR ARCH ANEURYSMS?
WHAT IS THE BEST OPTION FOR ARCH ANEURYSMS? Prof. Furuzan Numan M.D Chief of Interventional Radiology Department Cerrahpasa Medical Faculty & Memorial Hospital, ISTANBUL, TURKIYE 3ad INTERNATIONAL MEETING
Conflicts of Interest. When and Why Complex EVAR in Tx of juxta/suprarenal AAA? Summary. Infrarenal EVAR for short necks 2y postop
When and Why Complex EVAR in Tx of juxta/suprarenal AAA? Tim Resch MD Vascular Center Skane University Hospital Conflicts of Interest COOK Medical - Consulting, Speakers Bureau, IP, Research support Medtronic
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
Re-interventions after TEVAR:
Re-interventions after TEVAR: How often does it occur and what are procedures most commonly utilized to treat these issues? Pacific Northwest Endovascular Conference Seattle, WA June 15, 2018 PENN Surgery
Objective assessment of current stent grafts: which graft for which lesion. Ludovic Canaud, MD, PhD Pierre Alric, MD, PhD Montpellier, France
Objective assessment of current stent grafts: which graft for which lesion Ludovic Canaud, MD, PhD Pierre Alric, MD, PhD Montpellier, France Conflict of interest: none 1 Introduction Different diseases
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
Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui
Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui Aortic Center, Lille University Hospital, France Disclosures
Subclavian Artery Plug Embolization (SAPE study): a real experience about endovascular subclavian occlusion prior to thoracic vascular repair
Subclavian Artery Plug Embolization (SAPE study): a real experience about endovascular subclavian occlusion prior to thoracic vascular repair Simone Salvati, Luca Bertoglio, Alessandra Fittipaldi, Andrea
Early Results of Left Carotid Chimney Technique in Endovascular Repair of Acute Non-A Non-B Aortic Dissections
J ENDOVASC THER 477 CLINICAL INVESTIGATION Early Results of Left Carotid Chimney Technique in Endovascular Repair of Acute Non-A Non-B Aortic Dissections Chang Shu, MD, PhD 1 ; Ming-Yao Luo, MD 1,2 ; Quan-Ming
Endovascular Treatment of the Aorta with Fenestrated and Branched Grafts
Endovascular Treatment of the Aorta with Fenestrated and Branched Grafts Eric LG Verhoeven,MD, PhD, A. Katsargyris, MD Vascular and Endovascular Surgery, Paracelsus Medical University, Nuremberg, Germany
Pioneering EVAR techniques in aortic dissection
Pioneering EVAR techniques in aortic dissection Jianing Yue, Weiguo Fu Department of Vascular Surgery Zhongshan Hospital Fudan University Shanghai, China LINC Asia-Pacific 2016 March 8-10, 2016 Hong Kong
Best surgical option for arch extension of type B dissection: the endovascular approach
Perspective Best surgical option for arch extension of type B dissection: the endovascular approach Toru Kuratani Department of Minimally Invasive Cardiovascular Medicine, Osaka University Graduate School
Residual Dissection and False Lumen Aneurysm After TEVAR
WHAT WOULD YOU DO? Residual Dissection and False Lumen Aneurysm After MODERATOR: MARK FARBER, MD PANEL: YAZAN DUWAYRI, MD; MATTHEW J. EAGLETON, MD; WILLIAM D. JORDAN Jr, MD; TILO KÖLBEL, MD, PhD; AND ERIC
State of Art Hybrid Approach
State of Art Hybrid Approach for Complex Aorta Diseases Won Ho Kim, MD Division of Cardiology, Eulji University Hospital Eulji University School of Medicine, Daejeon, Korea Introduction.Hybrid procedure
Total Endovascular Repair Type A Dissection. Eric Herget Interventional Radiology
Total Endovascular Repair Type A Dissection Eric Herget Interventional Radiology 65 year old male Acute Type A Dissection Severe Aortic Regurgitation No co-morbidities Management? Part II Evolving Global
for Thoracoabdominal Aneurysms
Durability of F/BEVAR for Thoracoabdominal Aneurysms Athanasios Katsargyris, MD, Eric Verhoeven MD, PhD Department of Vascular and Endovascular Surgery Paracelsus Medical University, Nuremberg, Germany
Hostile Neck During EVAR, The Role Of Endoanchores
Hostile Neck During EVAR, The Role Of Endoanchores Samer Koussayer, MD, FACS, RVT Prof, Al Faisal University Section Head and consultant Vascular & Endovascular Surgery Division King Faisal Specialist
Martin Czerny & Jürg Schmidli on behalf of the writing committee
Das Bildelement mit der Beziehungs-ID rid2 wurde in der Datei nicht gefunden. Expert Consensus Document on AORTIC ARCH Pathologies and its Treatment An expert consensus document of the European Association
Technique and Outcome of Laser Fenestration For Arch Vessels
Technique and Outcome of Laser Fenestration For Arch Vessels Jean M. Panneton MD, FRCSC, FACS Professor of Surgery Chief & Program Director Division of Vascular Surgery Eastern Virginia Medical School
Development of Stent Graft. Kato et al. Development of an expandable intra-aortic prothesis for experimental aortic dissection.
Development of Stent Graft Kato et al. Development of an expandable intra-aortic prothesis for experimental aortic dissection. ASAIO J 1993 The New England Journal of Medicine Downloaded from nejm.org
Application of triple-chimney technique using C-TAG and Viabahn or Excluder iliac extension in TEVAR treatment of aortic arch dilation diseases
Original Article Application of triple-chimney technique using C-TAG and Viabahn or Excluder iliac extension in TEVAR treatment of aortic arch dilation diseases Lixin Wang 1,2,3#, Yulong Huang 3#, Daqiao
Endovascular Aortic Arch Repair
Endovascular ortic rch Repair n update on the devices and techniques available to treat this challenging anatomy. Y NIKOLOS TSILIMPRIS, MD, PhD, FEVS; KRSSI IVNCEV, MD, PhD; ND TILO KÖLEL, MD, PhD Today,
Endo-Bentall: Fact or Fiction?
Endo-Bentall: Fact or Fiction? Eric E. Roselli, MD Chief, Adult Cardiac Surgery Surgical Director, Aorta Center Heart and Vascular Institute, Cleveland Clinic Disclosures Bolton Cook Cryolife Edwards Gore
Analysis of Risk Factors for Early Type I Endoleaks After Thoracic Endovascular Aneurysm Repair
673326JETXXX10.1177/1526602816673326Journal of Endovascular TherapyKanaoka et al research-article2016 Clinical Investigation Analysis of Risk Factors for Early Type I Endoleaks After Thoracic Endovascular
No Disclosure. Aortic Dissection in Japan. This. The Challenge of Acute and Chronic Type B Aortic Dissections with Endovascular Aortic Repair
No Disclosure The Challenge of Acute and Chronic Type B Aortic Dissections with Endovascular Aortic Repair Toru Kuratani Department of Cardiovascular Surgery Osaka University Graduate School of Medicine,
The Role of Stent-Grafts in Marfan Syndrome
The Role of Stent-Grafts in Marfan Syndrome James H. Black, III, MD, FACS The David Goldfarb, MD, Associate Professor of Surgery Chief, Division of Vascular Surgery and Endovascular Therapy The Johns Hopkins
Ascending Aorta: Is The Endovascular Approach Realistic?
University Heart Center Hamburg GERMAN AORTIC CENTER UHC Ascending Aorta: Is The Endovascular Approach Realistic? Tilo Kölbel, Christian Detter, Yskert v. Kodolitsch, Sebastian Debus University Heart Center
Thoracic endovascular aortic repair (TEVAR) is
Expanding the Landing Zone for TEVAR A discussion of the longevity and durability of commonly used extrathoracic debranching techniques. BY DANIEL K. HAN, MD, RPVI; CHRISTINE JOKISCH, BS; AND JAMES F.
UC SF. Disclosures. Thoracic Endovascular Aortic Repair 4/24/2009. Management of Acute Dissections: Is There Still a Role for Open Surgery?
UC SF Management of Acute Dissections: Is There Still a Role for Open Surgery? Darren B. Schneider, M.D. Assistant Professor of Surgery and Radiology Division of Vascular Surgery University of California
Patient selection in Hostile Necks and how. to prevent endoleaks a word of caution
Patient selection in Hostile Necks and how to prevent endoleaks a word of caution P M Kasprzak, K. Pfister Department of Vascular Surgery Endovascular Surgery University Hospital Regensburg, Germany Conflict
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
The Value of Hybrid Repair in TAAA
University Heart Center Hamburg GERMAN AORTIC CENTER UHC The Value of Hybrid Repair in TAAA ES Debus, M Biehl, A Larena, T Kölbel, N Tsilimparis Department of Vascular Medicine University Heart Center
Changing Spectrum of Re-Interventions following TEVAR. 31 st Annual Florida Vascular Society. PENN Surgery
Changing Spectrum of Re-Interventions following TEVAR 31 st Annual Florida Vascular Society PENN Surgery No Disclosures Background: Challenges of analyzing TEVAR Outcomes in regard to re-interventions
Optimal repair of acute aortic dissection
Optimal repair of acute aortic dissection Dept. of Vascular Surgery, The 2nd Xiang-Yale Hospital, Central-South University, China Hunan Major Vessels Diseases Clinical Center Chang Shu Email:changshu01@yahoo.com
Changwei Ren 1, Xi Guo 2, Lizhong Sun 1, Lianjun Huang 2, Yongqiang Lai 1, Shangdong Xu 1. Introduction
Original Article One-stage hybrid procedure without sternotomy for treating thoracic aortic pathologies that involve distal aortic arch: a singlecenter preliminary study Changwei Ren 1, Xi Guo 2, Lizhong
Challenges with Complex Anatomies Advancing Care in Endovascular Aortic Treatment
Challenges with Complex Anatomies Advancing Care in Endovascular Aortic Treatment Robert Y. Rhee, MD Chief, Vascular and Endovascular Surgery Director, Aortic Center Maimonides Medical Center Brooklyn,
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
Minimally Invasive Aortic Arch Surgery:
Minimally Invasive Aortic Arch Surgery: Where are we? Where are we headed? Jehangir J. Appoo Libin Cardiovascular Institute University of Calgary www.aorta.ca June 15, 2016 Cardiac Masters Day: Minimally
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
Tips and Tricks to Deliver a Stengraft to the Ascending Aorta
Tips and Tricks to Deliver a Stengraft to the Ascending Aorta Tilo Kölbel, MD, PhD University Heart Center University Hospital Eppendorf Hamburg, Germany Disclosures Research-grants, travelling, proctoring
THE EVOLUTION OF FET-TECHNIQUE
4 th Aortic Live Symposium THE EVOLUTION OF FET-TECHNIQUE Heinz Jakob, MD PhD West German Heart andvascular Center, University Duisburg-Essen, Germany Disclosure Speaker name: Heinz Jakob JOTEC GmbH, Hechingen,
Toward Total Endovascular Therapy of the Aorta. Adam W. Beck, MD. Associate Professor of Surgery Division of Vascular Surgery and Endovascular Therapy
Toward Total Endovascular Therapy of the Aorta Adam W. Beck, MD Associate Professor of Surgery Division of Vascular Surgery and Endovascular Therapy University of Alabama at Birmingham Disclosures Grant
WHICH PLACE FOR EMERGENT INTERVENTION IN COMPLICATED ACUTE TYPE B DISSECTION (ctbaod)
WHICH PLACE FOR EMERGENT INTERVENTION IN COMPLICATED ACUTE TYPE B DISSECTION (ctbaod) Epidemiology of type B Aortic Dissection TYPE B dissection: 0,5-2,1/100.000/year (40% of all dissection) Hospital mortality
Indications for use. Contraindications within the United States
Indications for use Indications within the United States The GORE TAG Thoracic Endoprosthesis is intended for endovascular repair of all lesions of the descending thoracic aorta, including: Isolated lesions
Endoanchor-assisted TEVAR
Endoanchor-assisted TEVAR May 29, 2015 NCVH2015 Grayson H. Wheatley III, MD Director of Aortic and Endovascular Surgery Associate Professor of Surgery Temple University School of Medicine Disclosures Consultant
Hybrid aortic repair with antegrade supra-aortic and renovisceral debranching from ascending aorta
Case Report Hybrid aortic repair with antegrade supra-aortic and renovisceral debranching from ascending aorta José Antonio Del Castro-Madrazo, Margarita Rivas-Domínguez, Carlota Fernández-Prendes, Amer
The Fate of Unexpected Events Occurring in Standard EVAR
The Fate of Unexpected Events Occurring in Standard EVAR Andrea Stella Alma Mater Studiorum - University of Bologna Disclosure Speaker name: Prof. Andrea Stella I have the following potential conflicts
TEVAR for the Ascending Aorta
TEVAR for the Ascending Aorta Himanshu J. Patel MD Joe D. Morris Collegiate Professor Section Head, Adult Cardiac Surgery University of Michigan Frankel Cardiovascular Center Disclosures Himanshu J. Patel
Percutaneous Approaches to Aortic Disease in 2018
Percutaneous Approaches to Aortic Disease in 2018 Wendy Tsang, MD, SM Assistant Professor, University of Toronto Toronto General Hospital, University Health Network Case 78 year old F Lower CP and upper
Evolution of Thoracic Aortic Surgery A Rapidly Advancing Paradigm. October 15 th, 2014 Family Practice Evening Course University of Calgary
Evolution of Thoracic Aortic Surgery A Rapidly Advancing Paradigm October 15 th, 2014 Family Practice Evening Course University of Calgary Jehangir Appoo Division of Cardiac Surgery Libin Cardiovascular
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
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
TEVAR for Chronic dissections: indications for TEVAR, long term results
TEVAR for Chronic dissections: indications for TEVAR, long term results J Sobocinski, R Azzaoui, B Maurel, R Spear, T Martin-Gonzalez, A Hertault, S Haulon Centre de l Aorte, Chirurgie vasculaire, Hôpital
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
ACQUIRED CARDIOVASCULAR DISEASE
ACQUIRED CARDIOVASCULAR DISEASE Less invasive surgical treatment for aortic arch aneurysms in high-risk patients: A comparative study of hybrid thoracic endovascular aortic repair and conventional total
Optimal Treatment of Chronic Dissection
Optimal Treatment of Chronic Dissection Chun-Che Shih 施俊哲 MD, Ph.D. Chief, Professor Institute of Clinical Medicine National Yang Ming University Division of Cardiovascular Surgery Taipei Veterans General
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
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
Transluminal Stent-graft Placement endovascular surgery
13 545 551 2004 Transluminal Stent-graft Placement endovascular surgery 1 1 2 2 1 1 1 3 2 1 1996 11Transluminal Stent-graft Placement TSGP 6 82 TSGP T42 O TSGP Th10 T 26 O 5 T 3 O 23T 6 O 2 T 47 A15B17B15O
6. Endovascular aneurysm repair
Introduction The standard treatment for aortic aneurysm, open repair, involves a large abdominal incision and cross-clamping of the aorta. In recent years, a minimally invasive technique, endovascular
The variation of carotid origin, the divergent orientation of common carotid (frequent posterior and left to right direction of right common as
1 Introduction The access to the common carotid during carotid stenting is very challenging and is responsible of a significant number of embolic complications in the ipsilateral but also in the contralateral
Modification in aortic arch replacement surgery
Gao et al. Journal of Cardiothoracic Surgery (2018) 13:21 DOI 10.1186/s13019-017-0689-y LETTER TO THE EDITOR Modification in aortic arch replacement surgery Feng Gao 1,2*, Yongjie Ye 2, Yongheng Zhang
Periscope endograft technique to revascularize the left subclavian artery during thoracic endovascular aortic repair
Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2013 Periscope endograft technique to revascularize the left subclavian artery
Management of the hypogastric artery during EVAR. Francesco Torella Liverpool Vascular & Endovascular Service
Management of the hypogastric artery during EVAR Francesco Torella Liverpool Vascular & Endovascular Service Disclosure of interest Professional fees Educational grants Research grant Case selection Hypogastric
Type II arch hybrid debranching procedure
Safeguards and Pitfalls Type II arch hybrid debranching procedure Prashanth Vallabhajosyula, Wilson Y. Szeto, Nimesh Desai, Caroline Komlo, Joseph E. Bavaria Division of Cardiovascular Surgery, University
Going the distance: Conformable Gore TAG device demonstrates durable outcomes over the long. D.Böckler University Hospital Heidelberg, Germany
Going the distance: Conformable Gore TAG device demonstrates durable outcomes over the long D.Böckler University Hospital Heidelberg, Germany Disclosures Speaker name: Dittmar Böckler I have the following