scholarly journals A technical note and report of two patients with acute aortic syndrome who were treated with the new generation Ankura thoracic stent graft

2021 ◽  
Author(s):  
Theodoros Kratimenos ◽  
Constantine N. Antonopoulos ◽  
Dimitrios Tomais ◽  
Panagiotis Dedeilias ◽  
Michail Argiriou
Vascular ◽  
2020 ◽  
pp. 170853812092784
Author(s):  
Michele Antonello ◽  
Francesco Squizzato ◽  
Michele Piazza

Introduction The covered endovascular reconstruction of the aortic bifurcation (CERAB) represents a promising technique for the treatment obstructive lesions involving the aortic bifurcation. The aim of this report is to describe the use of a new generation balloon-expandable stent-graft (Viabahn VBX, W.L. Gore&Associates, AZ, USA), in the CERAB configuration for the treatment of aorto-iliac obstructive lesions involving the infrarenal aorta and bifurcation. Technical note: This technique was adopted in two patients with severe aorto-iliac obstructive lesions. After bilateral iliac recanalization, an 11 mm diameter VBX stent was deployed in the infrarenal aorta; a post-dilatation up to 16 mm with a non-compliant balloon was performed to adapt the proximal edge of the stent to the aortic diameter. Two 8 mm diameter VBX stents were then deployed at the aortic bifurcation in a kissing conformation, overlapping with the previously positioned aortic stent for 15 mm. A post-ballooning with two kissing 12 × 20 mm compliant balloons (Powerflex Pro PTA, Cordis, CA, USA) was performed to adapt the parallel stents to the aortic cuff. A post-operative angio-CT demonstrated optimal conformability of the aortic cuff to the aortic wall, and apposition of the kissing stents to the aortic cuff. Conclusions This preliminary experience shows that the VBX stent may allow an effective reconstruction of the aortic bifurcation; the conformability and flaring capability may allow to overcome the diameter mismatch between the aorta and the iliac arteries.


Author(s):  
Rafael Sanzio Araújo dos Anjos ◽  
Jose Leandro de Araujo Conceição ◽  
Jõao Emanuel ◽  
Matheus Nunes

The spatial information regarding the use of territory is one of the many strategies used to answer and to inform about what happened, what is happening and what may happen in geographic space. Therefore, the mapping of land use as a communication tool for the spatial data made significant progress in improving sources of information, especially over the last few decades, with new generation remote sensing products for data manipulation.


2020 ◽  
Author(s):  
Hazem El Beyrouti ◽  
Nancy Halloum ◽  
Daniel Dohle ◽  
Christian Friedrich Vahl ◽  
Bernhard Dorweiler

2011 ◽  
Vol 34 (4) ◽  
pp. 845-851 ◽  
Author(s):  
Elika Kashef ◽  
Zaid Aldin ◽  
Michael P. Jenkins ◽  
Richard Gibbs ◽  
Colin D. Bicknell ◽  
...  

2002 ◽  
Vol 9 (2_suppl) ◽  
pp. II-92-II-97 ◽  
Author(s):  
Rodney A. White ◽  
Carlos Donayre ◽  
Irwin Walot ◽  
James Lee ◽  
George E. Kopchok

Purpose: To describe the successful endovascular repair and regression of an extensive descending thoracoabdominal aortic dissection associated with thoracic and abdominal aortic aneurysms. Case Report: An 83-year-old man presented with acute chest pain and shortness of breath. A descending thoracoabdominal aortic dissection that extended from near the left subclavian artery (LSA) to the right common iliac artery was found on computed tomography. Separate aneurysms in the thoracic and abdominal aorta were also identified. Staged endovascular procedures were undertaken to (1) close the single entry site and exclude the aneurysm in the thoracic aorta with an AneuRx thoracic stent-graft, (2) exclude the abdominal aneurysm and distal re-entry site with a bifurcated AneuRx endograft, and (3) treat a newly dilated thoracic segment between the LSA and first thoracic stent-graft. At 1 year, the false lumen had completely disappeared, the thoracic aneurysm had collapsed onto the endograft, and the abdominal aneurysm had shrunk by 30%. Conclusions: The potential to treat extensive aortic dissections with the hope that they might regress is promising, but repair of highly complex lesions involving one or more aneurysms in addition to the dissection requires meticulous imaging studies both preoperatively and intraprocedurally.


2010 ◽  
Vol 51 (5) ◽  
pp. 1096-1101 ◽  
Author(s):  
Karthik Kasirajan ◽  
Christopher J. Kwolek ◽  
Naren Gupta ◽  
Ronald M. Fairman

Vascular ◽  
2013 ◽  
Vol 21 (3) ◽  
pp. 159-162 ◽  
Author(s):  
Lucas Ribé Bernal ◽  
Juan Luis Portero ◽  
María Vila ◽  
Diego Fernando Ruiz ◽  
Luis Manuel Reparaz

This is one of the first reports of a left subclavian pseudoaneurysm in a patient presenting with massive hemoptysis. We present a challenging case of a patient who consulted for hemoptysis. Imaging revealed a left subclavian artery pseudoaneurysm that caused a pulmonary parenchymal lesion. Treatment with a self-expanding thoracic stent-graft and a subclavian occluder was successful.


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