OBJECTIVES We evaluated mid-term results of the multicenter EVT/Guidant aortouniiliac endograft (AI) trial and ascertained the durability of this endovascular technique in patients unable to undergo standard bifurcated endografting. METHODS From November 1996 to December 1998, 121 patients were enrolled to receive the AI device on the basis of complex iliac artery anatomy contraindicating bif...

PURPOSE Cone shape neck is regarded as non-instruction for use (IFU) in most commercial stent graft. However, in real practice, liberal application of endovascular aneurysm repair (EVAR) for outside of IFU happens. We investigate non-adherence to conical neck anatomy in terms of early aneurysmal exclusion results. MATERIALS AND METHODS From January 2010 to December 2013, 105 patients with abd...

BACKGROUND We sought to evaluate and describe our centre's experience with the Amplatzer vascular plug (AVP) for the occlusion of common and internal iliac arteries (CIA; IIA) during endovascular aortic aneurysm repair (EVAR). METHODS We performed a retrospective analysis of 20 consecutive patients between October 2006 and December 2007, who underwent occlusion of the CIA or IIA before or dur...

INTRODUCTION AND OBJECTIVES The purpose of this study was to evaluate the experience of a multidisciplinary team in the percutaneous treatment of thoracic aorta disease. PATIENTS AND METHOD Between December 2001 and January 2004, 15 patients were selected for percutaneous treatment at the Thoracic Aorta Unit of the Hospital Universitario Central de Asturias. The motives for stent implantation...

OBJECTIVES This study sought to assess the safety and the effectiveness of endovascular stent grafting of chronic aortic dissection (AD) in Marfan patients. BACKGROUND The management of chronic AD of the descending thoracic aorta (DTA) is challenging. This is especially true in Marfan patients, who tend to exhibit poor short- and long-term results after conventional surgery. METHODS Fifteen...

We report a rare case of type A dissection involving a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum in a 76-year-old woman. Endovascular treatment for Kommerell's diverticulum including intimal tear of the dissection was performed. At the 5-year follow-up, the patient was doing well, with no endoleak or dilatation of the Kommerell's d...

We report two cases of descending thoracic aorta floating thrombus treated with Bolton Relay thoracic free-flow stent graft. The patients had symptoms of lower limb ischemia; they underwent preoperative angiography and CTscan, then we proceeded with endovascular exclusion of the thrombus from the systemic circulation. At 12 months, the graft was still patent in both patients, without any signs ...

S. A. Cornelissen, M. J. Van der Laan, K. L. Vincken, C. J. Bakker, H. J. Verhagen, W. P. Mali, F. L. Moll, L. W. Bartels Image Sciences Institute, University Medical Center, Utrecht, Netherlands, Surgery, Hilversum General Hospital, Hilversum, Netherlands, Vascular Surgery, University Medical Center, Utrecht, Netherlands, Radiology, University Medical Center, Utrecht, Netherlands Introduction ...

Abdominal Aortic Aneurysm Ruptured abdominal aortic aneurysm foll l lowing previous deployment of an endol l luminal graft is a relatively new vascular emergency. As more patients are treated by endovascular repair, more will present with postlEVAR acute AAA. This new challenging entity is raising the need for new treatment strategies. We describe a case of postlEVAR ruptured AAA that was manag...