Management of aortic dissection with a novel endovascular technique known as thoracic endovascular aortic repair (TEVAR) paired with surgical debranching as a less invasive alternative to conventional repair has gained widespread acceptance. However, experience for complicated, Stanford type B dissection involving the aortic arch is still limited.

OBJECTIVES Although endovascular aneurysm repair of aorto-caval fistula offers a safe and efficient approach compared to traditional open repair, endovascular techniques for the treatment of aorto-caval fistula with ruptured abdominal aortic aneurysms in emergency circumstance are not well established. This study aims to evaluate the effect of endovascular repair of aorto-caval fistula of a pat...

Polycystic kidney disease (PCKD) is rarely associated with aortic dissection (AD), which is a life-threatening disease. Although endovascular stent-graft repair tends to show better outcomes than conventional therapies in complicated type B AD (TBAD), successful endovascular intervention of TBAD with malperfusion in a patient with PCKD has not been reported. This case shows a 37-year-old male w...

BACKGROUND Endovascular aneurysm repair (EVAR) has become a common approach to the management of ruptured abdominal aortic aneurysms (rAAA). The use of iodinated contrast during EVAR for rAAA has several disadvantages, including contrast nephropathy, potential allergic response, and the need for high-pressure injection. We evaluated the use of carbon dioxide (CO(2)) as the primary contrast agen...

Although the standard treatment of abdominal aortic aneurysm has shifted from open surgery to endovascular repair, open surgery has remained the standard of care for complex aneurysms involving the visceral arteries and in patients unsuitable for endovascular aneurysm repair. Postoperative renal insufficiency may occur after open surgical repair of suprarenal abdominal aortic aneurysm. Methods ...

BACKGROUND Endovascular repair of aorta in comparison to open surgery has a low early operative mortality rate, but its long-term results are uncertain. OBJECTIVES The current study describes for the first time our initial four-year experience of elective endovascular aortic repair (EVAR) at Tehran heart center, the first and a major referral heart center in Iran, as a pioneer of EVAR in Iran...

INTRODUCTION Endovascular aneurysm repair (EVAR) was introduced as a less aggressive treatment of abdominal aortic aneurysms (AAA) for patients ineligible for open repair (OR). OBJECTIVE To analyze EVAR's incorporation impact in the treatment of infra-renal abdominal aortic aneurysms in our institution. METHODS A retrospective study of the patients with diagnostic of infra-renal AAA treated...

An 82-year-old patient presented with a history of fever for 2 weeks and occasional rectal bleeding. He had undergone endovascular repair of a left internal iliac artery aneurysm (IIAA) 3 years previously (●" Fig.1); distal occlusion of the IIAA with coil embolization and proximal occlusion using an aorto–external iliac artery stent graft achieved successful exclusion of the IIAA (●" Fig.2). Co...

Background: Popliteal artery injury (PAI) is the second most common infrainguinal arterial injury and is being increasingly treated with an endovascular approach. Objective: We examined the outcomes of surgical repair of popliteal artery injury. Methods: Patients who underwent surgery for PAI were identified from National Trauma Database (NTDB) using ICD-9 and CPT codes. Patients with severe he...

PURPOSE To determine the safety and efficacy of total percutaneous access closure for endovascular aortic aneurysm repair with a suture-mediated preclosing technique. MATERIALS AND METHODS One hundred thirty-two femoral access sites in 70 patients who underwent endovascular aortic aneurysm repair were closed percutaneously with off-label use of two F-6 Perclose AT devices preapplied at a 90 d...