Branched Grafting for Aortoiliac Aneurysms

Haulon, Stéphan; Greenberg, Roy K.; Pfaff, Kathryn; Francis, Catherine; Koussa, Mohamad; West, Karl

doi:10.1016/j.ejvs.2006.12.008

Cited by 116 publications

(88 citation statements)

References 12 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These observations have caused us to carefully consider the use of ER in patients with prior distal repairs, particularly in the presence of compromised internal iliac circulation. In a number of cases in the ER group (after 2004), internal iliac branched grafts 46 were used in concert with visceral branch devices to maintain antegrade pelvic blood flow. The absence of SCI after the ER of aneurysms with aortic dissections was also noted; however, most patients with aneurysmal dilation and chronic aortic dissections had limited distal aortic involvement.…”

Section: Greenberg Et Al Thoracic and Thoracoabdominal Aneurysm Repairmentioning

confidence: 99%

Contemporary Analysis of Descending Thoracic and Thoracoabdominal Aneurysm Repair

et al. 2008

View full text Add to dashboard Cite

show abstract

Section: Greenberg Et Al Thoracic and Thoracoabdominal Aneurysm Repairmentioning

confidence: 99%

Contemporary Analysis of Descending Thoracic and Thoracoabdominal Aneurysm Repair

et al. 2008

View full text Add to dashboard Cite

show abstract

“…More recently, fenestrated and branched graft designs have become available for aortas with more challenging anatomy but these are expensive and do not reflect current standard EVAR practice. [125][126][127] Over the last 15 years, various manufacturers have developed a number of grafts, but all of these have required some form of technical revision and some have been withdrawn from the market due to high complication rates. 128 Given that EVAR is still a relatively young treatment modality, the long-term efficacy remains unknown and this has meant that most clinicians still monitor their patients following EVAR.…”

Section: Endovascular Aneurysm Repairmentioning

confidence: 99%

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

Brown

Powell²,

Thompson³

et al. 2012

Health Technol Assess

206

170

View full text Add to dashboard Cite

How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects...

show abstract

“…All of the devices, regardless of the branch design, may be coupled with distal aortic bifurcated components and may also be combined with branched grafts used to treat common and internal iliac aneurysms. 40 It must be understood that a great deal of the decision making pertaining to device design relates to patientspecific anatomy. For example, severe aortic tortuosity may limit the ability to predict how reinforced fenestrations will align with branches or may actually cause compression of long branches.…”

Section: Greenberg and Lytle Endovascular Repair Of Thoracoabdominal mentioning

confidence: 99%

Endovascular Repair of Thoracoabdominal Aneurysms

2008

View full text Add to dashboard Cite

Background-Morbidity and mortality after conventional repair of thoracoabdominal aneurysms remain high. Alternative techniques have been proposed and are the subject of this report. Methods and Results-Endovascular grafts that have a means of incorporating the visceral vessels into the aortic repair were divided into devices with fenestrations and those with formal branches. Hybrid procedures whereby an extra-anatomic bypass procedure is used to provide inflow to the renal and mesenteric arteries followed by aortic relining with stent grafts were reviewed and tabulated. A description of the techniques and review of the current results are provided. Only 4 series with Ͼ10 cases of hybrid procedures have been published. The experience with such a procedure suggests feasibility, but most reports describe a persistently high risk of mortality (up to 25%). Larger series of fenestrated stent grafts to treat juxtarenal aneurysms have been published, and intermediate-term results confirm the safety and efficacy of the procedure. A larger multicenter trial is under way. Other pure endovascular methods have been used to treat thoracoabdominal aneurysms with both reinforced fenestrations and directional branches. Without counting small series (Ͻ10 cases), 2 series exist with Ϸ100 cases that noted perioperative mortality rates between 3% and 6%, without evidence of late ruptures. Conclusions-Endovascular repair of thoracoabdominal aneurysms is feasible and is associated with relatively low perioperative mortality. Several methods of visceral vessel incorporation have been described. Because of persistently high mortality, hybrid procedures will likely be relegated to nonsurgical and nonendovascular patients with sizable aneurysms. Endografts with branches continue to evolve and will be assessed in the context of clinical trials.

show abstract

Branched Grafting for Aortoiliac Aneurysms

Abstract: The placement of endovascular prostheses that maintain antegrade perfusion of one or both internal iliac arteries is feasible, and early results provide evidence for optimism with regard to safety and efficacy.

Cited by 116 publications

References 12 publications

Contemporary Analysis of Descending Thoracic and Thoracoabdominal Aneurysm Repair

Contemporary Analysis of Descending Thoracic and Thoracoabdominal Aneurysm Repair

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

Endovascular Repair of Thoracoabdominal Aneurysms

Contact Info

Product

Resources

About