One of the fastest-growing developments in interventional cardiovascular medicine is the development of the hybrid suite. These are constructed either in a traditional operating room or catheterization laboratory (“cath lab”) environment, thereby permitting a combination of both open and catheter-based…
Introduction Today the vast majority of aortic and iliac vascular procedures can be performed by endovascular techniques, yet there are still some indications where open surgical repair or a less invasive technique is indicated. Some of these procedures can be…
A ruptured abdominal aortic aneurysm (AAA) is a relatively common but catastrophic problem that, if untreated, will almost always result in the death of a patient. However, with treatment, which can consist of open surgical repair or endovascular graft exclusion…
In 1991, Parodi and colleagues published a seminal study of patients who underwent abdominal aortic aneurysm (AAA) repair using an intraluminal, stent-anchored polyester prosthetic graft delivered retrograde from the common femoral artery and revolutionized the field of vascular surgery. Although…
Aneurysms of the abdominal aorta (AAAs) are common; the incidence (the number of new cases) and mortality increased steadily from the 1950s to the late 1990s in the United States and other Western countries. This was attributed to the aging…
Introduction Aortic dissection was first described in the autopsy of King George II of England in 1761, and later the term “dissecting aneurysm” was coined by Morgagni and Laennec in 1819: “aneurysme dissequant.” It is a life-threatening condition that is…
Introduction Endovascular repair has become the first treatment option in most patients with abdominal and thoracic aortic aneurysms. Prospective randomized studies have shown that endovascular aortic repair (EVAR) is associated with lower morbidity, mortality, blood loss, and earlier recovery compared…
A hybrid aortic repair consists of an open surgical bypass to perfuse a single or multiple vessels so that a stent-graft can be deployed across their origin(s) to treat aortic pathology. This combined approach was first used at the University…
Thoracic aortic pathology is one of the leading causes of death in the world in those over the age of 65 and in the United States accounts for more than 11,000 deaths annually. Thoracic aortic aneurysms (TAAs) occur less frequently…
The first reported repairs of descending thoracic aortic aneurysms were published in the early 1950s. The first to successfully perform a thoracoabdominal aortic aneurysm repair were Samuel Etheredge and colleagues in 1955 in Oakland, California. One year later, Michael DeBakey…