The Value of Hybrid Repair in TAAA
|
|
|
- Christian Andrews
- 5 years ago
- Views:
Transcription
1 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 Hamburg-Eppendorf, Germany
2 UHC Extensive Aortic Disease different Techniques Crawford, total replacement Total endovascular Repair Hybrid Techniques Combinations Abdominal Debranching: > 2700 publ still under discussion G A
3 Marfan, dtaaa, FET 3
4 Hybrid Debranching With Endovascular Repair for Thoracoabdominal Aneurysms: A Comparison With Open Repair Himanshu J. Patel, MD, Gilbert R. Upchurch, MD, Jonathan L. Eliason, MD, Enrique Criado, MD, John Rectenwald, MD, David M. Williams, MD, G. Michael Deeb, MD The Annals of Thoracic Surgery, Volume 89, Issue 5, Pages (May 2010) Conclusions. Hybrid debranching procedures may reduce early morbidity and yield similar late survival, even in a group considered high risk for open surgery. These data support the increasing utilization of a hybrid debranching and endovascular approach for patients requiring thoracoabdominal aneurysmectomy. 4
5 Staged total abdominal debranching and thoracic endovascular aortic repair for thoracoabdominal aneurysm G. Chad Hughes, MD,a Michael E. Barfield, et al. JVS 56:3 (2012) n=47 Conclusions Hybrid TAAA repair through complete visceral debranching and endovascular aneurysm exclusion is a good option for elderly high-risk patients less suited to conventional repair in centers with the requisite surgical expertise with visceral revascularization. A staged approach to debranching and endovascular aneurysm exclusion during a single hospitalization appears to yield optimal results. 5
6 Five-year Patency Rates of Renal and Visceral Bypasses after Abdominal Debranching for Thoraco-abdominal Aortic Aneurysms R. Shahverdyan *, M. Gawenda, J. Brunkwall Department of Vascular Surgery, University Hospital of Cologne, Kerpener Str. 62, Cologne D-50937, Germany EJVES 54:6 (2013) n=46 survival patency Conclusion: Hybrid repair demonstrates excellent results regarding long-term bypass 6 graft patency of renovisceral arteries except for the right renal artery.
7 Performance of Abdominal Debranching? Author Patients (n) 30-d-Mortality (%) Paraplegia (%) Renal Insufficiency (%) Mortality (%) Black et al, Resch et al, Zhou et al, Jenkins et al., NA Bockler et al, Wolf et al, Lee at al, Chiesa et al, Kabbani et al, Wan Ham et al,
8 EJVES pts / 10 y?
9 Limitations Survey Retrospective Different indications Emergency 15-37% Survey 6-13 years Different techniques of debranching Tactics: simultaneous staged Surgeon, OP-time, others. Conclusion? Hamburg UKE Retrospective: n = 32 Different indications Emergency 47% Survey 4.5 years Different techniques of debranching Tactics: staged 2 surgeons, min,.
10 Retrospective, n=30 (2010-7/2014) Criterium Aneurysm size 66 mm TAAA 7 (23,3%) Acute TBD 7 (23,3%) main Crawford type Type IV TAAA; 11 (36,7%) E_CDs/anesthesia/site/content/figures/ 4051F08.gif
11 Comorbidities Comorbidity Nicotine 6 (20%) Diabetes mellitus 6 (20%) Hypertension 27 (90%) Renal insufficiency 9 (30%) Kongestive Heart Failure 4 (13,3%) CHD 12 (40%) COPD 7 (23,3%) Marfan s Disease 6 (20%) ASA 3 20 (66,6%) ASA 4 11 (33,4%) BMI Re-OP Aorta 23,77 (19 46) 20 (66,7%)
12 Patency N=9 stenoses / occlusion (30%) N=7 secondary intervention Artery Artery operated N occlusion (% ) In follow up occluded/ stenosed? (%) Right renal A 25 (83,3%) 5 (20%) 1 Left renal A 25 (83,3%) 6 (24%) 1 SMA 29 (96,7%) 4 (13,8%) 0 27 (90%) 2 (7,4%) 0 Celiac Trunc Sec. Patency: 29/31 (93,5 %)
13 Outcome (30 days) Outcome 30-d mortality 11 (36,7%) Respiratory tract 7 (23,3%) Apoplex/TIA 2 (6,7%) Paraplegia 4 (13,3%) Renal impairment Hemodialysis 13 (43,3%) 4 (13,3%) Pancreatitis 1 (3,3%) Ischaemic Colitis 4 (13,3%) Intestinal Ischaemia 6 (20%) Peritonitis 4 (13,3%) Vascular Complications 11 (36,7%)
14 Hybrid Procedures in Marfan 12/09 03/14 7 Patients: 2 Loeys-Dietz (1 female) 5 Marfan (4 female) Operative course uneventfull No serious periprocedural complications 2 y follow-up
15 TEVAR in Marfan-Patients Catheterization and Cardiovascular Interventions 00: (2012)
16 Gore Hybrid Graft in Abdominal Debranching 16/13 07/14 9 Patients, 27 Grafts 2 Graft Occlusions follow-up uneventful
17 Conclusion Summary Abdominal Debranching are evolving In pts not prone for TotalEndoRepair or TotalOpenReplacement high risk, uncomfortable anatomy separate entity Surveys, literature: poor Quality Own Experience: Demanding Serios morbidity in Serious Disease High % Urgent Treatment and New Technology Favourable Outcome in TBD and Marfan Should Remain in our Armamentarium
18 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 Hamburg-Eppendorf, Germany
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
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,
Thoracoabdominal Aorta: Advances and Novel Therapies
Thoracoabdominal Aorta: Advances and Novel Therapies Robert Meisner, MD FACS Sidney Kimmel Medical Center Assistant Professor of Surgery Vascular / Endovascular Surgeon at Lankenau Medical Center November
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
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
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
Complex Thoracic and Abdominal Aortic Repair Using Hybrid Techniques
Complex Thoracic and Abdominal Aortic Repair Using Hybrid Techniques Tariq Almerey MD, January Moore BA, Houssam Farres MD, Richard Agnew MD, W. Andrew Oldenburg MD, Albert Hakaim MD Department of Vascular
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
The SPIDER-Graft for Thoracoabdominal Aortic Repair a feasability study in pigs
The SPIDER-Graft for Thoracoabdominal Aortic Repair a feasability study in pigs Wipper S, Kölbel T, Manzoni D, Duprée A, Sandhu H, Nelis V, Debus ES University Heart Center Hamburg University Heart Center
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
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)
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
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
The Role of Debranching in Endovascular Repair
The Role of Debranching in Endovascular Repair of TAAAs Hybrid repair is an alternative in patients who are not candidates for open surgery or total endovascular approaches. By Gustavo S. Oderich, MD Hybrid
What is the best treatment for False Lumen growth after type B Dissection
What is the best treatment for False Lumen growth after type B Dissection Nikolaos Tsilimparis, Fiona Rohlffs, Yuk Law, Sebastian Debus, Tilo Kölbel N. Tsilimparis, MD, PhD, FEBVS Deputy Head of German
Anatomical applicability of current off-the-shelf branched endografts in thoracoabdominal aortic aneurysms managed by open surgery.
Leipzig Interventional Course Update on clinical trials Tuesday, January 30 th, 2018 Anatomical applicability of current off-the-shelf branched endografts in thoracoabdominal aortic aneurysms managed by
OPEN REOPERATIONS FOR COMPLICATIONS OF ENDOVASCULAR AORTIC PROCEDURES: TIP OF THE ICEBERG?
OPEN REOPERATIONS FOR COMPLICATIONS OF ENDOVASCULAR AORTIC PROCEDURES: TIP OF THE ICEBERG? NICHOLAS T. KOUCHOUKOS, MD DIVISION OF CARDIOVASCULAR AND THORACIC SURGERY MISSOURI BAPTIST MEDICAL CENTER ST.
Paraplegia in endovascular repair of TAA and in TEVAR: Incidence, prevention and therapy. Johannes Lammer Medical University Vienna, Austria
Paraplegia in endovascular repair of TAA and in TEVAR: Incidence, prevention and therapy Johannes Lammer Medical University Vienna, Austria Conflict of interests: none 68y, male, PAU in coral reef aorta,
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
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
Animesh Rathore, MD, RPVI Sentara Vascular Specialists. Debate 4: Complex endovascular aortic repair will make open surgery obsolete
Animesh Rathore, MD, RPVI Sentara Vascular Specialists Debate 4: Complex endovascular aortic repair will make open surgery obsolete Definition Complex aortic pathology (aneurysms/dissection) Involvement
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
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
Hybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm
Hybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm Virendra I. Patel MD MPH Assistant Professor of Surgery Massachusetts General Hospital Division of Vascular and Endovascular Surgery Disclosure
As it currently stands, the mortality rate of
Fenestrated Endografting for the Treatment of Descending Thoracic Aneurysms A series of custom fenestrations including an in-situ fenestration of the celiac and superior mesenteric arteries to improve
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
Postoperative Outcomes of Complex Aortic Aneurysm Repair Using Hybrid Open-Endovascular Techniques
Research Article imedpub Journals www.imedpub.com Journal of Vascular and Endovascular Surgery DOI: 10.21767/2573-4482.100054 Abstract Postoperative Outcomes of Complex Aortic Aneurysm Repair Using Hybrid
ROLE OF VASCULAR SURGERY, CARDIAC SURGERY AND RADIOLOGY IN THE TREATMENT OF THORACIC AORTIC ANEURYSMS
ROLE OF VASCULAR SURGERY, CARDIAC SURGERY AND RADIOLOGY IN THE TREATMENT OF THORACIC AORTIC ANEURYSMS Armando Mansilha MD, PhD, FEBVS Joel Sousa MD 16 th National Congress of the Italian Society of Vascular
Open fenestration for complicated acute aortic B dissection
Art of Operative Techniques Open fenestration for complicated acute aortic B dissection Santi Trimarchi 1, Sara Segreti 1, Viviana Grassi 1, Chiara Lomazzi 1, Marta Cova 1, Gabriele Piffaretti 2, Vincenzo
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,
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,
Ascending Aorta: How I Do It.
Ascending Aorta: Is The Endovascular Approach Realistic? How I Do It. Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Disclosure Speaker name: Tilo Kölbel I have the
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
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
Alma Mater Studiorum Bologna University. S.Orsola-Malpighi, Bologna, Italy Vascular Surgery
Alma Mater Studiorum Bologna University S.Orsola-Malpighi, Bologna, Italy Vascular Surgery L orientamento dell arteria renale influenza gli outcomes renali nel trattamento endovascolare degli aneurismi
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
4 th International Aortic Summit October, 11-13, 2017 Hilton Aruba Hotel SCIENTIFIC PRELIMINARY PROGRAM
4 th International Aortic Summit October, 11-13, 2017 Hilton Aruba Hotel SCIENTIFIC PRELIMINARY PROGRAM WEDNESDAY, OCTOBER 11, 2017 10:00 AM ARRIVALS & REGISTRATION 12:00PM WELCOME Joseph V. Lombardi &
Daniela Branzan MD, Department of Vascular Surgery and Department of Interventional Angiology University Hospital Leipzig
Ischemic Preconditioning with Minimally Invasive Segmental Artery Coil Embolization (MISACE) prior to Endovascular TAAA Repair: Clinical Experience in 50+ Patients Daniela Branzan MD, Department of Vascular
Current treatment of Aortic Aneurysms and Dissections. Adam Keefer, MD, FACS Sean Hislop, MD, FACS
Current treatment of Aortic Aneurysms and Dissections Adam Keefer, MD, FACS Sean Hislop, MD, FACS Patient 1 69 year old well-educated man with reoccurring pain in his upper abdomen and a pulsatile mass.
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
Possible graft-related complications in visceral debranching for hybrid B dissection repair
Featured Article Possible graft-related complications in visceral debranching for hybrid B dissection repair Roberto Chiesa, Yamume Tshomba, Davide Logaldo, Andrea Kahlberg, Domenico Baccellieri, Luca
Aortic Center of Excellence at Sentara
Gordon K. Stokes, MD, FACS Eastern Virginia Medical School Sentara Vascular Specialists Norfolk, VA Aortic Center of Excellence at Sentara April 25, 2014 Disclosures I have no disclosures relevant to this
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
No-Repair and Open Surgical Treatment should be considered more often in the Rx of some patients with complex-anatomy large aneurysms
No-Repair and Open Surgical Treatment should be considered more often in the Rx of some patients with complex-anatomy large aneurysms Frank J Criado, MD, FACS, FSVM MedStar Union Memorial Hospital Baltimore,
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
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
False Lumen Backflow In Chronic Aortic Dissections: What Is Its Role and How Can It Be Treated?
University Heart Center Hamburg GERMAN AORTIC CENTER False Lumen Backflow In Chronic Aortic Dissections: What Is Its Role and How Can It Be Treated? Tilo Kölbel, Nikos Tsilimparis, Sabine Wipper, Sebastian
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
Open Vascular Surgery
Open Vascular Surgery Still Relevant in 2017? Carotid Endarterectomy vs Stenting? Aortic Endografts vs Grafting? Mesenteric Stents vs Reconstruction? Saphenous Stripping vs RFA? Carotid Endarterectomy
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
Patency and durability of presewn multiple branched graft for thoracoabdominal aortic aneurysm repair
Patency and durability of presewn multiple branched graft for thoracoabdominal aortic aneurysm repair Alexander Kulik, MD, MPH, a Catherine F. Castner, RN, b and Nicholas T. Kouchoukos, MD, b Boca Raton,
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
Abdominal Aortic Aneurysm - Part 1. Learning Objectives. Disclosure. University of Toronto Division of Vascular Surgery
University of Toronto Division of Vascular Surgery Abdominal Aortic Aneurysm - Part 1 Dr Mark Wheatcroft & Dr Elisa Greco Vascular Surgeon, St Michael s Hospital, Toronto & University of Toronto Disclosure
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
4 8mm warfarin potassium
15 29 33 2006 1 4 10 44Marfan 1 2 2 15 29 33 2006 Marfan 4 10 Marfan 1 44Marfan 4 9 21 II + IIIb 4 10 8 Bentall Björk-Sheily 25mm + Hemashield 28mm graft Tel: 098-895-1168 903-0215207 2004 12 27 2005 11
Thoracic Endovascular Aortic Repair (TEVAR) Indications and Basic Procedure
Thoracic Endovascular Aortic Repair (TEVAR) Indications and Basic Procedure Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Disclosure Speaker name: Tilo Kölbel, MD I
Conflicts of Interest. Endovascular Repair of Thoracoabdominal Aneurysm. Overview PLANNING ANATOMIC CONSIDERATIONS FOR COMPLEX AORTIC REPAIR
Endovascular Repair of Thoracoabdominal Aneurysm Tim Resch MD Björn Sonesson MD, Nuno Dias MD Vascular Center Skane University Hospital Conflicts of Interest COOK Medical - Consulting, Speakers Bureau,
Neurological Complications of TEVAR. Frank J Criado, MD. Union Memorial-MedStar Health Baltimore, MD USA
ISES Online Neurological Complications of Frank J Criado, MD TEVAR Union Memorial-MedStar Health Baltimore, MD USA frank.criado@medstar.net Paraplegia Incidence is 0-4% after surgical Rx of TAAs confined
Current strategies to prevent spinal cord ischemia in TAAA repair
Current strategies to prevent spinal cord ischemia in TAAA repair Geert Willem Schurink Barend Mees Noud Peppelenbosch Michiel de Haan Michael Jacobs Maastricht University Medical Center, the Netherlands
Best surgical option for thoracoabdominal aneurysm repair - the hybrid approach
Perspective Best surgical option for thoracoabdominal aneurysm repair - the hybrid approach Celia V. Riga 1, Michael P. Jenkins 2 1 NIHR TCC IAT Clinical Lecturer in Surgery; 2 Regional Vascular Unit,
Antegrade Thoracic Stent Grafting during Repair of Acute Debakey I Dissection: Promotes Distal Aortic Remodeling and Reduces Late Open Re-operation
Antegrade Thoracic Stent Grafting during Repair of Acute Debakey I Dissection: Promotes Distal Aortic Remodeling and Reduces Late Open Re-operation Vallabhajosyula, P: Szeto, W; Desai, N; Pulsipher, A;
Aortic Arch/ Thoracoabdominal Aortic Replacement
Aortic Arch/ Thoracoabdominal Aortic Replacement Joseph S. Coselli, M.D. Vice Chair, Department of Surgery Professor, Chief, and Cullen Foundation Endowed Chair Division of Cardiothoracic Surgery Baylor
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
INNOVATION IN CARDIOVASCULAR MEDICINE. AORTA CLINIC. Dr. Jaime Camacho M. Director, Aorta Clinic
AORTA CLINIC Aorta Clinic Calle 163 A # 13 B- 60 Fundadores Building, 3rd floor Bogota D.C. Colombia Direct Telephone: 6672791 PBX: 667-2727 ext. 3149 e-mail: clinicadeaorta@cardioinfantil.org AORTA CLINIC.
CLINICAL RESEARCH STUDIES
CLINICAL RESEARCH STUDIES From the Society for Clinical Vascular Surgery Staged hybrid approach using proximal thoracic endovascular aneurysm repair and distal open repair for the treatment of extensive
ADSORB trial results: Is it enough to switch the paradigm?
ADSORB trial results: Is it enough to switch the paradigm? Jan Brunkwall, MD, PhD Professor and Chairman Complications to acute type B dissection Mortality Rupture Organ Ischemia Dilatation/Aneurysm Refractory
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
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
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
Case Report Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping
Hindawi Case Reports in Medicine Volume 2017, Article ID 7432032, 6 pages https://doi.org/10.1155/2017/7432032 Case Report Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component:
Applying Sandwich Techniques for Complex Aortoiliac and Thoracoabdominal Aortic Aneurysms
Applying Sandwich Techniques for Complex Aortoiliac and Thoracoabdominal Aortic Aneurysms Tips and tricks to optimize the interventional experience. BY ARMANDO C. LOBATO, MD, PhD; LUCIANA CAMACHO-LOBATO,
How to manage the left subclavian and left vertebral artery during TEVAR
How to manage the left subclavian and left vertebral artery during TEVAR Jürg Schmidli Chief of Vascular Surgery Inselspital Hamburg 2017 Dept Cardiovascular Surgery, Bern, Switzerland Disclosure No Disclosures
The results of EVT for Chronic Aortic Occlusion - a multicenter retrospective study - Taku Kato, MD Rakuwakai Otowa Hospital, Kyoto, Japan
The results of EVT for Chronic Aortic Occlusion - a multicenter retrospective study - Taku Kato, MD Rakuwakai Otowa Hospital, Kyoto, Japan COI disclosure Disclosure Speaker name: Taku Kato... I have the
TEVAR FOR! THORACIC AORTIC TRAUMA"
10th HKL Vascular Surgery Conference and Workshop" TEVAR FOR! THORACIC AORTIC TRAUMA" Dr Hanif Hussein" Vascular and General Surgeon" Department of Surgery" Hospital Kuala Lumpur" Source: MIROS! Thoracic
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
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 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
Abdominal Aortic Aneurysm
Abdominal Aortic Aneurysm David N. Duddleston, MD VP and Medical Director Southern Farm Bureau Life Jackson, Mississippi A Case Ms. Ima Bolgin,, age 54, $1.2 million, sent to you for review. Smoker, ½
What is the benefit. of MEP s in BEVAR for TAAA. in preventing paraplegia?
What is the benefit of MEP s in BEVAR for TAAA in preventing paraplegia? P M Kasprzak Department of Vascular Surgery, Endovascular Surgery University Hospital Regensburg, Germany Disclosures Dr. Kasprzak
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,
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,
Is Hybrid Procedure the Best Treatment Option for Thoraco-Abdominal Aortic Aneurysm?
Eur J Vasc Endovasc Surg (2009) 38, 26e34 EDUCATIONAL SERIES ON THORACIC AORTA (EDITED BY R. FATTORI) Is Hybrid Procedure the Best Treatment Option for Thoraco-Abdominal Aortic Aneurysm? R. Chiesa*, Y.
An Unusual Case of Dysphagia After Endovascular Exclusion of Thoracoabdominal Aortic Aneurysm
238 CASE REPORT An Unusual Case of Dysphagia After Endovascular Exclusion of Thoracoabdominal Aortic Aneurysm Andrea Kahlberg, MD; Massimiliano M. Marrocco-Trischitta, MD, PhD; Enrico M. Marone, MD; Alexandre
Distal False Lumen Occlusion in Aortic Dissection With a Homemade Extra-Large Vascular Plug: The Candy-Plug Technique
484 J ENDOVASC THER 2013;20:484 489 TECHNICAL NOTE Distal False Lumen Occlusion in Aortic Dissection With a Homemade Extra-Large Vascular Plug: The Candy-Plug Technique Tilo Kölbel, MD, PhD; Christina
National Vascular Registry
National Vascular Registry AAA Repair Patient Details Patient Consent* 0 No 2 Not Required If patient not consented: Date consent recorded / / (DD/MM/YYYY) Do not record NHS number, NHS number* name(s)
RETROGRADE BRANCH. Gustavo S. Oderich MD Professor of Surgery Director of Endovascular Therapy Division of Vascular and Endovascular Surgery
RETROGRADE BRANCH Gustavo S. Oderich MD Professor of Surgery Director of Endovascular Therapy Division of Vascular and Endovascular Surgery FACULTY DISCLOSURE Consulting* Cook Medical Inc., WL Gore Research
Ascending and Arch Branch Endografts Incl. Carbondioxide Flushing To Prevent Air Embolism
Ascending and Arch Branch Endografts Incl. Carbondioxide Flushing To Prevent Air Embolism Tilo Kölbel, Fiona Rohlffs, Sebastian Debus, Nikolaos Tsilimparis German Aortic Center Hamburg Dept. Of Vascular
Reinhard Kopp, Karin Pfister, Beatrix Cucuruz, Konstantinos Gallis, Piotr M Kasprzak
Immediate, delayed and late spinal cord ischemia after extended endovascular thoracoabdominal aortic repair Reinhard Kopp, Karin Pfister, Beatrix Cucuruz, Konstantinos Gallis, Piotr M Kasprzak Disclosure
Why is co-morbidity important for cancer patients? Michael Chapman Research Programme Manager
Why is co-morbidity important for cancer patients? Michael Chapman Research Programme Manager Co-morbidity in cancer Definition:- Co-morbidity is a disease or illness affecting a cancer patient in addition
View Report Details. Global Aortic Aneurysm Market: Trends and Opportunities ( )
View Report Details Global Aortic Aneurysm Market: Trends and Opportunities (2014-2019) View Report Details Scope of the Report The report titled Global Aortic Aneurysm Market: Trends and Opportunities
TOTAL DEBRANCHING OF THE AORTIC ARCH! Julien GAUDRIC! Hôpital Pitié-Salpêtrière, Paris.!
TOTAL DEBRANCHING OF THE AORTIC ARCH! Julien GAUDRIC! Hôpital Pitié-Salpêtrière, Paris.! DISCLOSURES o NONE TOTAL DEBRANCHING POOR SURGICAL RISK HYBRID TECHNIQUE Sternotomy Andersen N. JVS 2013 CHIMNEY
Optimised management of type A aortic dissection with visceral malperfusion concept to reconsider
Optimised management of type A aortic dissection with visceral malperfusion concept to reconsider Matthias Thielmann, MD, PhD, FAHA Thoracic and Cardiovascular Surgery, West-German Heart and Vascular Center
Risks for Retrograde Type-A Dissection After TEVAR
Risks for Retrograde Type-A Dissection After TEVAR Frank R. Arko, III, MD Chief, Vascular and Endovascular Surgery Professor, Cardiovascular Surgery Co-Director, Aortic Institute Sanger Heart and Vascular
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,
Clinical outcomes of hybrid repair for thoracoabdominal aortic aneurysms
Featured Article Clinical outcomes of hybrid repair for thoracoabdominal aortic aneurysms Yamume Tshomba, Germano Melissano, Davide Logaldo, Enrico Rinaldi, Luca Bertoglio, Efrem Civilini, Daniele Psacharopulo,
OPTIONS IN AORTIC ARCH RECONSTRUCTION: CONVENTIONAL vs. FROZEN ELEPHANT TRUNK. Ricardo R Dias
OPTIONS IN AORTIC ARCH RECONSTRUCTION: CONVENTIONAL vs. FROZEN ELEPHANT TRUNK Ricardo R Dias ricardo.dias@incor.usp.br No disclosure 2 SURGERY should be considered maximal diameter 55mm symptons signs
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,
The risk of air embolism in TEVAR and how to handle it!
University Heart Center Hamburg GERMAN AORTIC CENTER No fun without bubbles? The risk of air embolism in TEVAR and how to handle it! Tilo Kölbel, Franziska Heidemann, Sebastian Debus, Nikolaos Tsilimparis
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
Epidemiology of Aortic Aneurysm Repair in the United States from 1993 to 2003
Epidemiology of Aortic Aneurysm Repair in the United States from 1993 to 2003 JOHN A. COWAN, JR., JUSTIN B. DIMICK, PETER K. HENKE, JOHN RECTENWALD, JAMES C. STANLEY, AND GILBERT R. UPCHURCH, Jr. University