Late aortic rupture following successful endovascular repair of abdominal aortic aneurysm still does occur. It represents the ultimate failure of endovascular aortic repair of abdominal aortic aneurysm (EVAR) and subjects patients to equivalent risk of death as de novo rupture. Unfortunately, it is difficult to identify patients at risk for post-EVAR rupture as many present with aortic rupture ...

The aortic arch presents specific challenges to endovascular repair. Hybrid repair is increasingly evolving as an alternative option for selected patients, and promising initial results have been reported. The aim of this study was to introduce our experiences and evaluate mid-term results of supra aortic transpositions for extended endovascular repair of aortic arch pathologies. From December ...

BACKGROUND Randomized trials and observational studies have shown that perioperative morbidity and mortality are lower with endovascular repair of abdominal aortic aneurysm than with open repair, but the survival benefit is not sustained. In addition, concerns have been raised about the long-term risk of aneurysm rupture or the need for reintervention after endovascular repair. METHODS We ass...

It may be difficult to access a route to deliver a stent-graft for abdominal aortic aneurysm in high-risk patients with bilateral iliofemoral occlusive disease. These two patients underwent both endovascular aortic aneurysm repair by a modified iliac access conduit technique and sequential ipsilateral iliofemoral artery bypass using the conduit, which provided excellent results. The iliac acces...

Endovascular repair of blunt aortic injury is now a first-line approach in management. This can warrant coverage of the left subclavian artery (LSA), which could lead to posterior strokes. In this case report, we present a severe complication of endovascular repair of a traumatic aortic aneurysm. A 53-year-old man presented with blunt aortic injury, endovascular repair was carried out where the...

Endovascular repair is increasingly being adopted as the treatment of choice for many thoracic aortic conditions. As the application of this technology widens, developing an evidence-based understanding of which patients are most likely to benefit is a priority. A barrier to this has been the relatively few number of procedures that are performed, so that randomized controlled trials on the sca...

Despite recent advances in technique, spinal cord ischemia remains one of the most dreaded complications of thoracic aortic surgery. Recently, it has been suggested that thoracic endovascular aortic repair may decrease the risk of paraplegia. We present a case of delayed paraplegia following thoracic endovascular aortic repair that was successfully reversed on 3 separate occasions in the same p...

BACKGROUND AND OBJECTIVES We describe our experience with combined open and endovascular repair in patients who have aortic arch pathology. SUBJECTS AND METHODS This study is a retrospective analysis of 7 patients who underwent combined open and endovascular repair for aortic arch pathology. Medical records and radiographic information were reviewed. RESULTS A total of 7 consecutive patient...

OBJECTIVE To document mortality after endovascular repair of ruptured abdominal aortic aneurysms (RAAAs). DATA SOURCES MEDLINE and EMBASE databases. STUDY SELECTION Articles that reported data on mortality after endovascular repair of RAAAs were identified. Only patients with true ruptures were included. Additionally, information on mortality after concurrent open repair was sought. DATA ...

Aortic dissection involving a right-sided aortic arch (RAA) is extremely rare with an incidence in adults of 0.04% to 0.1%. Thoracic aortic dissection associated with RAA is even a more uncommon and life-threatening condition. For complicated aortic dissection, conventional open surgical repair is considered a standard therapy. However, in such cases, endovascular repair has emerged as the proc...