Endovascular Treatment (EVAR) is considered the treatment of choice for the majority of Abdominal Aortic Aneurysms (AAA) nowadays, since it demonstrates improved perioperative morbidity and aneurysm-related mortality, comparing to conventional open repair. However, despite the initial technical success and early discharge of the patient, this technique is amenable to early and late complication...

Here we present three cases performed using a novel technique where aortic flow is compartmentalized proximal to the target vessels through a physician-modified endograft. The visceral segment is then further compartmentalized by the use of another physician modified endograft. By compartmentalizing the flow proximal to the visceral segment, both the true lumen and false lumen can be used as co...

We report a case of a 72-year-old patient considered unfit for open surgery, presenting with paraanastomotic aneurysms of all three anastomoses, 13 years after an open aortobiiliac reconstruction for abdominal aortic aneurysm. This patient was successfully treated with an endovascular approach using a left aortouniiliac endograft and a right iliac tubular endograft, followed by crossover femoro...

An increase in the number of endovascular procedures has let to a concomitant increase in iatrogenic arterial lesions such as catheter-induced arterial perforation or vessel rupture after PTA. The traditional way of treating these problems is by way of an open surgical approach, balloon tamponade, insertion of uncovered stents or covering the rupture site with an endograft. The present case des...

Surgeon-modified retrograde branched extension limb assembling technique and bridged endografts were successfully used to exclude an asymptomatic pararenal abdominal aortic aneurysm and to reconstruct the superior mesenteric artery and bilateral renal arteries in a case with high-grade celiac artery stenosis, nondilated aorta above the superior mesenteric artery, and large lumen below the renal...

OBJECTIVE The technical evolution of endografts for the interventional management of infrarenal abdominal aortic aneurysms (AAA) has allowed a continuous expansion of indications. This study compares the established Talent endograft with its successor, the Endurant endograft, taking individual aortoiliac anatomy into account. METHODS From June 2007 to December 2010, 35 patients with AAA were ...

PURPOSE To examine the feasibility of a direct videoscopic approach to the descending thoracic aorta for branched endograft delivery to the aortic arch and abdominal aorta. METHODS Aneurysms were created in the aortic arch and pararenal aorta of 3 human cadavers, and pulsatile flow was established using a roller pump. Thoracoscopically, 2 double-felted purse-string sutures were placed on the ...

OBJECTIVE We describe our initial experience with the use of the TriVascular Ovation endograft system for the treatment of abdominal aortic aneurysms (AAA). METHODS We retrospectively reviewed data from patients treated for AAA using the Ovation endograft at two institutions from January 2011 to September 2012. Main outcomes included primary success, survival, complications, and device-relate...

isolated bilateral internal iliac artery (iia) aneurysm is a rare and potentially lethal disease. endovascular repair of this disorder is a matter of debate. a symptomatic 68-year-old male presented with severe pelvic pains. computed tomography revealed a leaking 46-mm aneurysm in the right iia, a 27-mm aneurysm in the left iia, and ectatic changes at a diameter of 31 mm in the right common ili...