Article
Surgery
Toru Ide, Kazuo Shimamura, Takayuki Shijo, Toru Kuratani, Ryoto Sakaniwa, Shigeru Miyagawa
Summary: This study investigated the impact of the number of patent lumbar arteries (LAs) on sac enlargement after endovascular aneurysm repair (EVAR). The results showed that when the inferior mesenteric artery (IMA) was patent pre-operatively, a high number of patent LAs significantly promoted sac enlargement with type II endoleak (T2EL). However, when the IMA was occluded pre-operatively, a high number of patent LAs had limited influence on sac enlargement.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Yoshimasa Seike, Hitoshi Matsuda, Hideyuki Shimizu, Shin Ishimaru, Katsuyuki Hoshina, Nobuaki Michihata, Hideo Yasunaga, Kimihiro Komori
Summary: This study based on the Japanese Committee for Stentgraft Management registry reveals a correlation between persistent type II endoleak (p-T2EL) and late adverse events, including aneurysm sac enlargement, reintervention, rupture, and abdominal aortic aneurysm-related mortality following endovascular aneurysm repair. Apart from p-T2EL, older age, female sex, chronic kidney disease, and dilated proximal neck were associated with sac enlargement.
Article
Radiology, Nuclear Medicine & Medical Imaging
Ge Hu, Ning Ding, Zhiwei Wang, Zhengyu Jin
Summary: This study explores the feasibility of using unenhanced CT images for endoleak detection in AAA after EVAR. The results show that unenhanced CT has high sensitivity and specificity and can help detect endoleaks in AAA. This is of great importance for patients who cannot use contrast media.
EUROPEAN RADIOLOGY
(2023)
Article
Surgery
Shinichi Iwakoshi, Yukihisa Ogawa, Michael D. Dake, Yusuke Ono, Hiroki Higashihara, Akira Ikoma, Motoki Nakai, Takanori Taniguchi, Takahiro Ogi, Hiroshi Kawada, Akio Tamura, Yoshirou Ieko, Ryoichi Tanaka, Etsuji Sohgawa, Satoru Nagatomi, Reiko Woodhams, Osamu Ikeda, Kensaku Mori, Hiroshi Nishimaki, Jun Koizumi, Terutoshi Senokuchi, Makiyo Hagihara, Masashi Shimohira, Shohei Takasugi, Akira Imaizumi, Wataru Higashiura, Shoji Sakaguchi, Shigeo Ichihashi, Takeshi Inoue, Takashi Inoue, Kimihiko Kichikawa
Summary: This study aimed to investigate the mid-term outcomes of embolization procedures for type II endoleak after endovascular abdominal aortic repair and identify the risk factors for aneurysm enlargement. The results showed that embolization procedures were generally ineffective in preventing further expansion of abdominal aortic aneurysms in patients with type II endoleaks, especially in those with a large abdominal aortic aneurysm and/or a presence of a Moyamoya endoleak.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Matthew Major, Graham W. Long, Christine L. Eden, Diane M. Studzinski, Rose E. Callahan, O. William Brown
Summary: This study evaluated the incidence and long-term outcomes of postoperative Type 1a endoleak (PT1a) following endovascular aortic aneurysm repair (EVAR). The study found that PT1a incidence was 8.2% with an average onset time of 52 months. Patients who developed PT1a were more likely to be female and had higher mortality rates. Patients with successful intervention for PT1a showed no significant difference in median survival.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Stefano Gennai, Francesco Andreoli, Nicola Leone, Luigi Alberto Maria Bartolotti, Gianmarco Maleti, Roberto Silingardi
Summary: This study assessed the incidence, outcomes, and risk factors of type III endoleaks (TIIIEL) after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs). TIIIEL had a significant impact on patient survival, and the risk factors included old endografts, non-proprietary extensions, large AAAs, and angulated and calcified necks.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Review
Surgery
Petroula Nana, Konstantinos Spanos, Franziska Heidemann, Giuseppe Panuccio, George Kouvelos, Fiona Rohlffs, Athanasios Giannoukas, Tilo Koelbel
Summary: Transcaval embolization for the treatment of type II endoleak shows high technical success rate and low mortality in the early and mid-term period. The persistence rate of type II endoleak is low during the available 12-month follow-up.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Hazel L. Marecki, Eric J. Finnesgard, Sri Nuvvula, Tammy T. Nguyen, Laura T. Boitano, Douglas W. Jones, Andres Schanzer, Jessica P. Simons
Summary: This study investigated the incidence and complexity of type II endoleaks after F/B-EVAR. The results showed that nearly half of the patients experienced endoleaks, with the majority being type II and nearly a fifth associated with sac expansion. Treatment of type II endoleaks often led to increased complexity, with the presence of significant type I or III endoleaks. Further research is needed to determine the treatment goal for complex aneurysm repair and the management of type II endoleaks.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
John F. Charitable, Peter Patalano, Karan Garg, Thomas S. Maldonado, Glenn R. Jacobowitz, Caron B. Rockman, Frank J. Veith, Neal S. Cayne
Summary: TLE is a safe and effective treatment for T2Es following EVAR, with most patients experiencing complete endoleak resolution and sac stabilization. However, some patients may have persistent T2Es after initial TLE and require further intervention. Factors such as larger aneurysm diameter and use of antiplatelet agents may be associated with persistent endoleak and the need for subsequent procedures.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Biotechnology & Applied Microbiology
Xiao Li, Qilong Wang, Yang Zhang, Xiwei Sun, Hang Yin, Hua Zhang, Sean X. Luo, Zhongying Wang, Qi Yu, Zhiming Chen, Zhihua Cheng
Summary: Peripheral vascular disease caused by brucellosis is often overlooked, leading to a lack of screening and delayed treatment. There is currently no standard for diagnosing and treating this condition. This study reports on the treatment of abdominal aortic pseudoaneurysm caused by brucellosis and reviews its incidence, treatment, and prognosis.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Surgery
Franziska Heidemann, Fiona Rohlffs, Nikolaos Tsilimparis, Kostantinos Spanos, Christian-Alexander Behrendt, Ahmed Eleshra, Giuseppe Panuccio, E. Sebastian Debus, Tilo Kolbel
Summary: The study showed that TCE is a viable treatment option for type II endoleak with aneurysm sac enlargement after EVAR for infrarenal abdominal aortic aneurysms and F/BEVAR for juxtarenal and type IV thoracoabdominal aortic aneurysms.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Xin Li, Pengcheng Guo, Lunchang Wang, Quanming Li, Lei Zhang, Jian Qiu, Hao He, Jiehua Li, Chenzi Yang, Chang Shu
Summary: This study aimed to assess the efficacy of different treatment strategies for endoleak. Data from 30 patients who underwent endovascular abdominal aortic aneurysm repair (EVAR) and developed endoleak were analyzed. The results indicated that endoleak is the most frequent complication that impacts survival and re-intervention rates.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Medicine, General & Internal
Roy Zuidema, Anna C. M. Geraedts, Willemina van Veldhuizen, Sana Mulay, Jean-Paul P. M. de Vries, Richte C. L. Schuurmann, Ron Balm
Summary: This study investigated the evolution of the shortest apposition length (SAL) post-EVAR and found that a declining SAL during follow-up may be an indicator for the development of late type 1a endoleaks (T1aELs). It is important to include apposition analysis during follow-up as SAL < 10mm is an indicator for T1aEL.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Aurelien Hostalrich, Thomas Mesnard, Raphael Soler, Paul Girardet, Adrien Kaladji, Elixene Jean Baptiste, Serguei Malikov, Thierry Reix, Jean-Baptiste Ricco, Xavier Chaufour
Summary: The study evaluated the effectiveness of fenestrated/branched EVAR (F/BEVAR) in treating failed EVAR with type Ia endoleak, showing a technical success rate of 94%. However, some patients still required secondary endovascular and open surgical procedures, with a low rate of post-operative complications.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2021)
Review
Surgery
Gianmarco Zuccon, Mario D'Oria, Frederico Bastos Goncalves, Carlota Fernandez-Prendes, Kevin Mani, Daniel Caldeira, Mark Koelemay, Daniele Bissacco, Santi Trimarchi, Isabelle Van Herzeele, Anders Wanhainen
Summary: This scoping review assessed the rate and risk factors of type Ib endoleak in patients undergoing endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA), and evaluated the evidence linking type Ib endoleak to short and long term outcomes. The study found that the frequency of type Ib endoleak ranged from 0% to 8%, and it was associated with certain anatomical features. In some cases, type Ib endoleak can be corrected by endovascular means.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Toru Ide, Kenta Masada, Toru Kuratani, Kazuo Shimamura, Takayuki Shijo, Shigeru Miyagawa
Summary: This article presents a case of a female patient with a saccular aneurysm in the coral reef aorta (CRA), who underwent thoracic endovascular aortic repair (TEVAR). Despite encountering difficulties during the procedure, the aneurysm was successfully excluded.
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES
(2022)
Article
Surgery
Toru Ide, Kazuo Shimamura, Toru Kuratani, Takayuki Shijo, Ryoto Sakaniwa, Yoshiki Watanabe, Koichi Maeda, Kenta Masada, Kizuku Yamashita, Ryota Matsumoto, Shigeru Miyagawa
Summary: This study investigated the specific impact of preoperative patent inferior mesenteric artery (IMA) on 7-year outcomes after endovascular aneurysm repair (EVAR). The results showed that IMA patency could affect late reintervention and aneurysm sac enlargement but did not have a significant impact on mortality. Preoperative assessment and embolization of IMA might be an important factor for improvement in late EVAR outcomes.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Surgery
Toru Ide, Kazuo Shimamura, Takayuki Shijo, Toru Kuratani, Ryoto Sakaniwa, Shigeru Miyagawa
Summary: This study investigated the impact of the number of patent lumbar arteries (LAs) on sac enlargement after endovascular aneurysm repair (EVAR). The results showed that when the inferior mesenteric artery (IMA) was patent pre-operatively, a high number of patent LAs significantly promoted sac enlargement with type II endoleak (T2EL). However, when the IMA was occluded pre-operatively, a high number of patent LAs had limited influence on sac enlargement.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Yeju Kang, Halbert Bai, Jason B. Storch, Jenny Chen, Pavel Kibrik, Windsor Ting
Summary: Diabetes, hypertension, and smoking were common among CVI patients, but unlike in PAD patients, they had little to no impact on long-term outcomes or reinterventions after IVS.
ANNALS OF VASCULAR SURGERY
(2024)