The past decade has seen the evolution of an exciting technology that has changed forever the treatment of aortic aneurysmal disease. From rather crude homemade stent-grafts constructed in the surgical suite to elegant commercially manufactured devices in a variety of configurations and sizes, the aortic endograft has experienced a meteoric rise in popularity to become a beneficial, minimally i...

PURPOSE To present a technique for transfemoral implantation of parallel grafts into the renal arteries in patients with anatomy or morphology that blocks standard antegrade chimney graft delivery. TECHNIQUE In a totally percutaneous approach, a 5-F pigtail angiographic catheter is passed into the aorta above the renal arteries via a 0.035-inch hydrophilic guidewire, followed by an 8-F sheath...

PURPOSE To report a case of type IIIb endoleak developed six years after endovascular abdominal aortic aneurysm repair (EVAR). CASE REPORT A 75-year-old man underwent successful Talent™ stent-graft positioning to treat a 53 mm abdominal aortic aneurysm. Subsequently the patient did well and yearly routine control computerized tomography (CT) was unremarkable. Six years later the patient sudde...

OBJECTIVE The study aimed to review the results of endovascular aneurysm repair (EVAR) using a novel sac-anchoring endoprosthesis in patients with favourable and adverse anatomy. DESIGN This is a prospective, multicentre, clinical trial. MATERIALS The Nellix endoprosthesis consists of dual, balloon-expandable endoframes, surrounded by polymer-filled endobags, which obliterate the aneurysm s...

AIM The aim of this paper was to evaluate early and 3-year results of the endovascular repair (EVAR) for abdominal aortic aneurysm (AAA) using the AnacondaTM endograft in patients with severe proximal aortic neck angle. METHODS A retrospective analysis of the AnacondaTM Italian Registry was carried out. Two groups of patients were identified according to the presence of a severe (Group A, GA:...

Background: Infertility is defined as 1 year of unprotected intercourse without pregnancy. The main causes of infertility are as follows: male factor, Both mail and female, as well as unexplained etiologies. Tubal and peritoneal factors Aceount for 30%-40% of causes of female infertility. Tubal factors include damage and obstraction of the fallopian tube, usually associated with previous pelvic...

S ince first described by Parodi in 1991, endovascular aor-tic repair (EVAR) has progressively and dramatically changed the approach to treating abdominal aortic aneurysm (AAA) disease. 1 Whereas historically developed to treat patients unfit for open repair, EVAR now represents the primary paradigm by which most infrarenal AAAs are managed. This paradigm shift has occurred in the setting of lo...

OBJECTIVES Enzymatic pancreatic injury (EPI) in abdominal aortic aneurysm (AAA) treatment has been scarcely studied in the literature. Aim of this work was to compare perioperative EPI in AAA patients treated by endovascular repair (EVAR) or open repair (OR). METHODS Forty AAA patients consecutively treated with either EVAR (GI, 20 pts) or OR (GII, 20 pts) were prospectively evaluated in term...

Aneurysm Repair — Five Years Down the Road: Where to Now?”, it is necessary to consider what has been achieved to date. Following the first report on the feasibility of endovascular repair of abdominal aortic aneurysms (AAA) by Parodi, et al. in 1991, we commenced a program using a modification of his method in May 1992. By the following year, White, et al. had developed a non-stented endograft...