Perioperative neurologic outcomes of right versus left upper extremity access for fenestrated-branched endovascular aortic aneurysm repair

Scott, Carla K.; Driessen, Anna L.; Gonzalez, Marilisa Soto; Malekpour, Fatemeh; Guardiola, Gerardo G.; Baig, Mirza S.; Kirkwood, Melissa L.; Timaran, Carlos H.

doi:10.1016/j.jvs.2021.08.093

Cited by 16 publications

(2 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16 Various studies have also compared outcomes between left and RUEM access in EVAR repairs. 9,17 The assumption is that left-sided access avoids part of the aortic arch thus reducing the risk of plaque disruption. In our analysis, we did not find statistically significant differences for stroke, although left-sided access was associated with a lower risk for MI.…”

Section: Discussionmentioning

confidence: 99%

Upper Extremity Access Has Worse Outcomes in F/BEVAR Using the VQI Dataset

Patel¹,

Sibona²,

Malas³

et al. 2023

Annals of Vascular Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Upper Extremity Access Has Worse Outcomes in F/BEVAR Using the VQI Dataset

Patel¹,

Sibona²,

Malas³

et al. 2023

Annals of Vascular Surgery

View full text Add to dashboard Cite

“…A recent study reported a 4.6% incidence of CVA after complex EVAR. 3,4 In this study we describe our experience with the chimney technique in a community hospital. thoracoabdominal aneurysm treated with the chimney technique between 1th January 2011 and 31th December 2020.…”

Section: Introductionmentioning

confidence: 99%

Results of the Chimney Technique in a Community Hospital

Brunschot

Tevs

Holzhey

2023

Vasc Endovascular Surg

View full text Add to dashboard Cite

Background The chimney technique, fenestrated or branched endovascular aortic repair are endovascular options in patients with a juxtarenal, suprarenal or type IV thoraco-abdominal aneurysm. The chimney technique has specific advantages and disadvantages. A retrospective single center study was performed to describe the results. Patients and methods All consecutive patients in whom the chimney technique was used between 1th January 2011 and 31th December 2020 were included. We excluded patients who needed a revision of an existing EVAR and patients with a para-anastomotic aneurysm. Outcomes were reported in accordance with the reporting standards. Results 38 Patients were included in the study, a total of 59 chimney grafts were deployed. At a median follow-up duration of 26.6 months, there were 9 patients with occlusion of the chimney graft. In 1 patient an iliac renal bypass was performed. In the other patients the renal function stabilized and no further therapy was necessary. All chimneys in the mesenteric arteries remained patent. Gutter endoleak was seen in 5 patients, 3 patients were successfully treated and in the other 2 patients the gutter endoleak disappeared spontaneously. Conclusions Conclusions should be drawn carefully as this is a retrospective non-comparative study. Results from 38 patients treated with the chimney technique are presented. Chimney graft occlusion rate was 15.3% at the end of follow-up. However, the majority (77.8%) of the occluded stents were self-expandable stents, stressing the importance of selecting the right devices.

show abstract