conclusions considering the unique construct of the powerlink stents, this is thought to represent aneurysmal degeneration of the outer fabric material from the metal struts and may potentially pressurize the excluded sac with risk for rupture. case presentation a 65-year-old woman who had endovascular aortic repair (evar) of an abdominal aortic aneurysm with endologix powerlink system develope...

Computer-aided imaging can aid complex endovascular repair of aortic dissections in locating the narrow true lumen and identifying perfusion of visceral vessels by the true and/or false lumen. Although these anatomic data are available for analysis during planning, they are not readily available during the procedure with conventional imaging systems. We report the use of "fusion imaging" to fac...

T HORACOABDOMINAL aortic aneurysm (TAAA) repair presents a challenging and complex task for both the surgeon and anesthesiologist. Historically, morbidity and mortality for TAAA repair has been high, and is both surgeonand institution-dependent. However, the TAAA complication rate has improved significantly in the past decade via research, improved surgical technique, and perioperative manageme...

PURPOSE To evaluate the effectiveness of selective visceral perfusion during repair of an thoracoabdominal aortic aneurysm (TAAA), we compared the postoperative renal and hepatic functions (blood urea nitrogen, serum creatinine, total bilirubin, glutamate pyruvate transaminase) between the two groups with and without perfusion. PATIENTS AND METHODS We operated on 52 patients with TAAA. Among ...

Thoracoabdominal aortic aneurysms (TAAAS) are perrnanent localized dilations of the aorta that involve the celiac axis and extend proximally or distally from this point. Open surgical repair of TAAAS has traditionally involved greater operative risk than repairs of aneurysms in other aortic segments. However, experienced surgical centers now have much lower mortality and morbidity rates for TAA...

BACKGROUND In 2006, we began our experience with a novel technology for fully endovascular thoracoabdominal aneurysm repair, based on a custom-made, branched stent graft design. After 48 cases, we have learned and achieved substantial progress both in technical and in clinical skills. This paper describes the partial results of this ongoing experience. METHODS Patients in this series were sel...