Conventional open repair for Thoracoabdominal aortic aneurysm (TAA) is associated with high morbidity and mortality. Spinal cord ischemia (SCI), renal failure, bowel ischemia and mortality are established complications following this procedure. With the advent of endovascular stent technology, various novel approaches have been described to reduce these complications, namely fenestrated stent g...

PURPOSE To compare early and late functional outcomes, as well as survival and recovery, following endovascular or open repair of abdominal aortic aneurysm (AAA). METHODS Between 1996 and 2000, 294 patients underwent AAA repair (141 open and 153 endovascular); 57 patients from each group had 12-month follow-up for functional outcome assessment. Recovery was measured as hospital length of stay...

BACKGROUND AND PURPOSE The incidence of poor-grade (Hunt and Hess grade IV and V) subarachnoid hemorrhage (SAH) is higher in elderly patients (>70 years) than in younger groups. The aim of this retrospective study was to analyze the outcome of these poor grade elderly patients after endovascular treatment. METHODS We retrospectively reviewed the clinical records of 27 patients older than 70 y...

INTRODUCTION There is a learning curve in the acquisition of endovascular skills for the treatment of vascular disease. Integration of Virtual reality (VR) simulator based training into the educational training curriculum offers a potential solution to overcome this learning curve. However evidence-based training curricula that define which tasks, how often and in which order they should be per...

OBJECTIVE The aim of this study was to determine whether endovascular or open revascularization provides an advantageous approach to symptomatic peripheral arterial disease (PAD) over the longer term. SUMMARY OF BACKGROUND DATA The optimal revascularization strategy for symptomatic lower extremity PAD is not established. METHODS We evaluated amputation-free survival, overall survival, and r...

BACKGROUND The endovascular treatment for acute traumatic aorta rupture has been proven to be safe in emergency. Technical aspects concerning the device fixation, the materials' durability, and the patients' selection criteria are still under discussion. We present our clinical experience and the mid-term follow-up. METHODS Between January 2001 and January 2005, twenty-five patients have been...

Central venous catheterization is a typical technique performed in the emergency department and intensive care unit. Most subclavian vein access may be inserted without help, using anatomic landmarks alone. This study aimed to present precise procedure of central via endovascular techniques simulation video clip.

OBJECT Considerable evolution has occurred in treatment options for cerebral aneurysms. Development of endovascular techniques has produced a significant change in the treatment of ruptured and unruptured intracranial aneurysms. Adoption of endovascular techniques and increasing numbers of patients undergoing endovascular treatment may affect health care expenditures. Geographic assessment of g...

BACKGROUND Aneurysms of the transverse aortic arch, especially those involving the mid to distal arch, are technically challenging to repair with conventional open techniques. We present our results with a combined open/endovascular approach ("hybrid repair") in such patients. METHODS From August 11, 2005, to September 18, 2008, 28 patients underwent hybrid arch repair. For patients (n = 9) w...

OBJECTIVES Endovascular repair of the descending thoracic aorta is a very promising technique in elective and, particularly, emergency situations. This study assessed the impact of urgency of the procedure on outcome and mid-term quality of life in surviving patients. METHODS Post hoc analysis of prospectively collected data of 58 consecutive patients (January 2001-December 2005) with surgica...