Descending thoracic aortic aneurysms (TAAs) are categorized into three types. In type A the descending TAA starts at the level of the left subclavian artery and ends at the level of T6. Type B starts at T6 and ends at…
Endovascular aneurysm repair, which requires neither direct aortic exposure nor temporary interruption of aortic flow, is particularly appealing when treating thoracoabdominal aortic aneurysms (TAAAs). Yet more than a decade has passed since a multibranched stent graft was first used to…
Viabahn open revascularization technique (VORTEC) is a stent graft–based vascular connection technique that achieves 97% successful end-to-end sutureless anastomoses, which is useful especially when the traditional suture technique is cumbersome. Open graft repair of the aortic arch and thoracoabdominal aorta,…
It is not always feasible to obtain adequate sealing regions for endovascular grafts without compromising renal artery and visceral arterial blood flow when treating juxtarenal abdominal aortic aneurysms (AAAs) and thoracoabdominal aortic aneurysms (TAAAs). Similar anatomic constraints exist with respect…
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The first description of a remote placement of a stent graft was by Volodos in 1986, although it was undertaken in treating a stenosis and dissection. Because it was published in Russian, there was little notice in the English-speaking countries.…
Abdominal compartment syndrome (ACS) and intraabdominal hypertension (IAH) caused by elevated intraabdominal pressure (IAP) are commonly encountered in patients with ruptured abdominal aortic aneurysms (AAAs) and carry a high morbidity and mortality risk ( Table 1 ). However, IAH/ACS are…
Concomitant intraabdominal procedures with abdominal aortic aneurysm (AAA) repair are seldom necessary. The most life-threatening issue for the patient with concurrent nonvascular disease and an AAA is dealt with first, followed by the secondary procedure when it is medically safe.…
Aortic reconstructions for an abdominal aortic aneurysm (AAA) in kidney transplant recipients have been increasing steadily since the 1990s for a variety of reasons: These patients often have accelerated atherosclerosis caused by hemodialysis and other cardiovascular risk factors; renal transplantation…
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