The Combination of Vacuum-Assisted Thromboaspiration and Covered Stent Graft for Acute Limb Ischemia due to Thromboembolic Complications of Popliteal Aneurysm

Donato, Gianmarco de; Pasqui, Edoardo; Galzerano, G; Anzaldi, Manfredi Giuseppe; Cappelli, Alessandro; Palasciano, Giancarlo

doi:10.1016/j.avsg.2022.08.013

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…On the other hand, De Donato et al [18] have presented a standardized protocol of endovascular revascularization, based on the combination of vacuum-assisted thromboaspiration to improve tibio-pedal outflow and covered stent graft to exclude the PAA, reporting as expected preliminary encouraging 30-day results in terms of limb salvage.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Popliteal Artery Aneurysms in Recently SARS-CoV-2-Infected Patients: The Microangiopathic Thrombosis That Undermines Treatment

et al. 2023

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Background: Arterial and venous thrombosis are complications in SARS-CoV-2-infected patients. The microangiopathic thrombosis in affected patients can compromise results in urgent limb revascularizations. Aim of our study is to report on the incidence of symptoms development in patients affected by popliteal artery aneurysm (PAA) and to analyze the effect of COVID-19 infection on outcomes. Methods: Data on patients surgically treated for PAA from the massive widespread of COVID-19 vaccine (March 2021) to March 2022 were prospectively collected. Factors considered for analysis were: presence of symptoms, aneurysm diameter and length, time from symptom onset and hospital referral, ongoing or recently COVID-19 infection. Outcomes measures were: death, amputation, and neurological deficit. Results: Between March 2021 and March 2022, 35 patients were surgically treated for PAA. Among them 15 referred to our hospital for symptomatic PAA and were urgently treated. Urgent treatments included both endovascular procedures and open surgeries. Nine out of 15 symptomatic patients had an ongoing or recently recovered COVID-19 infection. COVID-19 infection was strongly associated to symptoms development in patients affected by PAA and to surgical failure in those patients (OR 40, 95% CI 2.01–794.31, p = 0.005). Conclusion: In our series, presence of COVID-19 infection was strongly associated to ischemic symptoms onset and to complications after urgent treatment in symptomatic patients.

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Section: Discussionmentioning

confidence: 99%

Symptomatic Popliteal Artery Aneurysms in Recently SARS-CoV-2-Infected Patients: The Microangiopathic Thrombosis That Undermines Treatment

et al. 2023

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“…The results showed that in the 17 patients treated (all with PAA dimensions between 37.4 ± 11.2 mm), the use of VIABAHN resulted in mortality and amputation rates at 30-day follow-up of 0% and 5.9%. Secondary patency was achieved in all cases (100%), with freedom from re-intervention between 80.4% and 54.8% and limb salvage of 88.2% after follow-up of 6, 12 and 24 months [ 76 ]. Other case reports are given in the Appendix A section.…”

Section: Clinical Applications Of Covered Stentsmentioning

confidence: 99%

Expanded Polytetrafluoroethylene Membranes for Vascular Stent Coating: Manufacturing, Biomedical and Surgical Applications, Innovations and Case Reports

et al. 2023

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Coated stents are defined as innovative stents surrounded by a thin polymer membrane based on polytetrafluoroethylene (PTFE)useful in the treatment of numerous vascular pathologies. Endovascular methodology involves the use of such devices to restore blood flow in small-, medium- and large-calibre arteries, both centrally and peripherally. These membranes cross the stent struts and act as a physical barrier to block the growth of intimal tissue in the lumen, preventing so-called intimal hyperplasia and late stent thrombosis. PTFE for vascular applications is known as expanded polytetrafluoroethylene (e-PTFE) and it can be rolled up to form a thin multilayer membrane expandable by 4 to 5 times its original diameter. This membrane plays an important role in initiating the restenotic process because wrapped graft stent could be used as the treatment option for trauma devices during emergency situations and to treat a number of pathological vascular disease. In this review, we will investigate the multidisciplinary techniques used for the production of e-PTFE membranes, the advantages and disadvantages of their use, the innovations and the results in biomedical and surgery field when used to cover graft stents.

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Mechanical thrombectomy in acute limb ischemia: ad Interim results of the INDIAN UP Trial

DONATO¹,

PASQUI²,

RUFFINO³

et al. 2023

J Cardiovasc Surg

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The Combination of Vacuum-Assisted Thromboaspiration and Covered Stent Graft for Acute Limb Ischemia due to Thromboembolic Complications of Popliteal Aneurysm

Cited by 4 publications

References 15 publications

Symptomatic Popliteal Artery Aneurysms in Recently SARS-CoV-2-Infected Patients: The Microangiopathic Thrombosis That Undermines Treatment

Symptomatic Popliteal Artery Aneurysms in Recently SARS-CoV-2-Infected Patients: The Microangiopathic Thrombosis That Undermines Treatment

Expanded Polytetrafluoroethylene Membranes for Vascular Stent Coating: Manufacturing, Biomedical and Surgical Applications, Innovations and Case Reports

Mechanical thrombectomy in acute limb ischemia: ad Interim results of the INDIAN UP Trial

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