OBJECTIVE We report on our experience with percutaneous interventional techniques for retrieval of intravascular foreign bodies or repositioning of misplaced endovascular prostheses. MATERIALS AND METHODS Over a period of 6 years, we attempted percutaneous treatment of intravascular foreign bodies in 45 patients. The 45 foreign objects consisted of 12 endovascular stents, 14 catheter fragment...

BACKGROUND Inadequate iliac artery diameter, calcification, and tortuosity are associated with increased incidence of iliac injury during abdominal (EVAR) and thoracic endovascular aneurysm repair (TEVAR). Despite careful preoperative assessment and use of iliac conduits, inadvertent iliac rupture is a source of morbidity and mortality. This report details our single-center, 10-year experience ...

A 78-year-old male with a history of a ruptured abdominal aortic aneurysm, repaired emergently with a tube Dacron graft, presented with bilateral common iliac aneurysms, 3.4 cm left and 2.9 cm right, and a 5-cm aortic bifurcation that extended to the iliac bifurcations. The patient underwent a diagnostic arteriogram (A) and selective embolization of the right internal iliac artery (IIA). He sub...

PURPOSE The operative risk and natural history rupture risk for the treatment of unruptured intracranial aneurysms (UIAs) should be evaluated. The purpose of this study was to report our experience with treating UIAs and to outline clinical risk factors associated with procedure-related major neurological complications. MATERIALS AND METHODS We treated 1158 UIAs in 998 patients over the last ...

OBJECTIVE To evaluate the feasibility of using endovascular repair to treat penetrating arterial injuries with covered stents. Feasibility was examined according to the circumferential extent of the injury. INTRODUCTION Surgical trauma often increases the risk of major morbidity and mortality associated with vascular injury, and endovascular repair has many advantages in such situations. ME...

endovascular devices and techniques will evolve to expand applicability and provide therapy for most aortic diseases, including a growing number of diseases of the arch and the ascending aorta [4]. Complex aortic aneurysms that involve major aortic branch origins include those juxtaposed or involving the renal arteries (juxtarenal, perirenal), the visceral arteries (thoraco-abdominal) and the g...

Since Parodi reported the first successful endovascular aneurysm repair procedure in 1991, this procedure has gained wide acceptance for the treatment of abdominal aortic aneurysms in the past two decades. This minimally invasive approach has been proven effective and safe in the treatment of abdominal aortic aneurysm patients with lower early morbidity and mortality rates compared to open surg...

acute aortic dissection (aad) is the most frequent catastrophic event of the aorta; it occurs nearly three times as frequently as the rupture of abdominal aortic aneurysm . sixty percent of dissection cases are classified as proximal or type a and 40% as distal or type b, according to the stanford classification. the most frequent causes of death in acute type b dissection are aortic rupture an...

When endovascular treatment is performed, angulation of the access route for a device can make the operative procedure difficult. We encountered a case in which we successfully completed thoracic endovascular aortic repair (TEVAR) in a patient with severely angulated aorta by applying 'double-wire technique'. The patient was an 80-year-old woman. An aneurysm with a 71-mm diameter was observed i...

OBJECTIVE To evaluate of the impact of endovascular aneurysm repair on the rate of open surgical repair and on the overall treatment of abdominal aortic aneurysms (AAAs). METHODS All patients with AAA who were treated during two consecutive 40-month periods were reviewed. During the first period, only open surgical repair was performed; during the subsequent 40 months, endovascular repair and...