Luehr M, Etz CD, Mohr FW, Borger MA: Surgical management after stent-graft failure during the frozen elephant trunk technique for acute type A aortic dissection. J Thorac Cardiovasc Surg 2012;144:e106-e108. Czerny M, Bachet J, Bavaria J, Bonser RS, Borger MA, De Paulis R, DiBartolomeo R, Grabenwoeger M, Lonn L, Loubani M, Mestres CA, Schepens MA, Weigang E, Carrel TP: The future of aortic surgery in Europe. Eur J Cardiothorac Surg 2013;43:226-30.
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n demonstration of the aorta after introduction of an opaque medium, either via a catheter passed along the femoral or brachial artery or by direct translumbar injection - aortographic adj, aortogram n, aortograph n. ...
Does anyone know if this code is a replacement code for 93544? We never did the aortic root injection but do the aortography? I cant see where there
Looking for online definition of translumbar aortography in the Medical Dictionary? translumbar aortography explanation free. What is translumbar aortography? Meaning of translumbar aortography medical term. What does translumbar aortography mean?
TY - JOUR. T1 - Patologia estesa dellaorta toracica. T2 - Trattamento ibrido con la tecnica del frozen elephant trunk. AU - Di Eusanio, Marco. AU - Armaro, Alessandro. AU - Di Marco, Luca. AU - Pacini, Davide. AU - Pantaleo, Antonio. AU - Di Bartolomeo, Roberto. PY - 2011/6. Y1 - 2011/6. N2 - Background. Aneurysms of the aortic arch extending beyond the origin of the left subclavian artery represent a challenging pathology in aortic surgery and, most commonly, are treated with different surgical, endovascular or hybrid two-staged procedures. In 2006, we initiated an intense surgical program with the frozen elephant trunk procedure that, combining together conventional surgery with endovascular techniques, allows single-stage treatment of patients with extended disease of the thoracic aorta. We here describe our surgical technique and the results with the single-stage frozen elephant trunk procedure. Methods. Between January 2007 and August 2010, 87 patients were treated with the frozen elephant ...
This paper contains a brief review of the cases, published earlier, of aneurysms of the sinuses of Valsalva, and a case is reported in which the diagnosis was made before rupture of the aneurysm by means of thoracic aortography. No reports are to be found in the literature of the diagnosis of unruptured aortic sinus aneurysms and of the associated clinical findings. Roentgenograms, aortograms and catheterization findings are included.. ...
Diagnostic Abdominal Aortography and Renal Angiography-Local Coverage Determination,1. The indications for renal arteriography adapted from the American College of Radiology (1999) include the following:
Angiographies of the supra-aortic vessels by magnetic imaging have become common recently. So it was the purpose of this study to evaluate the imaging potential of different contrast agents.. Three contrast agents for magnetic resonance imaging are compared in angiographies of the supra-aortic arteries in a intraindividual study of 10 patients.. All applications of these contrast agents are performed with a flow of 2 ml/s. One contrast medium is applicated a second time with a reduced flow of 1 ml/s.. The angiographies of the supra-aortic vessels are evaluated by two experienced readers in a consensus reading. The signal/noise- and contrast/noise-ratio of anatomic vessel segments of the carotic and vertebral arteries are measured and compared to each other. ...
07/11/2019 2nd Athens Cardiovascular & Thoracic Symposium , D. Kamentsidis , Hybrid treatment of an aortic arch aneurysm in a patient with patent LIMA and RIMA grafts ...
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Looking for online definition of Amplatz aortography catheter in the Medical Dictionary? Amplatz aortography catheter explanation free. What is Amplatz aortography catheter? Meaning of Amplatz aortography catheter medical term. What does Amplatz aortography catheter mean?
I. The Electrocardiogram … A. Admissibility in Evidence of Electrocardiogram … B. Physician Cannot Testify as to Electrocardiogram without Producing It … C. Electrocardiographic Recordings and Interpreting … D. Physician Who Testifies as to Electrocardiogram Does Not Have to Have Made It … E. Value of Electrocardiogram Lies in Plurality for Purpose of Comparison … F. Clinical Correlation II. The Myelogram … A. Attending Physician May Testify as to Pathology Revealed by Myelogram … B. No Introduction in Evidence of Myelogram after Hearing or Trial … C. May Employee be Compelled to Undergo Myelogram? III. The Aortogram … A. Dangers in Aortography … B. Cause of Paraplegia following Aortogram … C. Who Performs Aortography … D. Injuries following Attempted Aortogram … E. Physicians Negligent Acts in Attempting Aortography IV. The Electroencephalogram … A. Admissibility of Electroencephalograms in Evidence … B. Retroactive Admissibility … C. Foundations Must Be Laid … D.
Pseudoaneurysm of the ascending aorta is a rare but potentially lethal complication arising after interventions involving surgical manipulation of the aorta. The classic therapeutic management strategy consists of high-risk surgical reintervention. In recent years, percutaneous treatment has emerged as an alternative to surgery. Here, we present a case of successful repair of an aortic pseudoaneurysm by percutaneous intervention.. An 81-year-old woman presented with persistent chest pain 3 weeks after surgical replacement of the aortic valve. Thoracic computed tomography revealed a pseudoaneurysm of the ascending aorta measuring 40×27 mm, with a narrow neck connected to the anterior face of the aorta (Ao) above the level of the pulmonary artery (PA) and the left main coronary artery (LMCA) (Figures 1A and B). The case was discussed in a medical-surgical session, and a decision was made to perform percutaneous closure of the pseudoaneurysm. An aortogram showed a rounded cavity connected to the ...
Traumatic aortic injury (TAI) is most often caused by blunt trauma (refered to as BTAI) and is best described in terms of injury location, type and and severity: abdominal aortic injury aortic pseudoaneurysm thoracic aortic injury minimal aor...
Patients involved in high-energy blunt trauma involving rapid deceleration are at significant risk for blunt aortic injury. The majority of blunt aortic injuries are due to motor vehicle collision. In the United States, blunt aortic injury is the sec
TY - JOUR. T1 - Treatment of a Salmonella-induced rapidly expanding aortic pseudoaneurysm involving the visceral arteries using the Cardiatis multilayer stent. AU - Reijnen, Michel M.P.J.. AU - Van Sterkenburg, Steven M.M.. PY - 2014/10/1. Y1 - 2014/10/1. N2 - Treatment of infection-induced aortic aneurysms is among the greatest challenges nowadays of vascular surgery because the use of prosthetic material is considered unsuitable. The Cardiatis multilayer stent (Cardiatis, Isnes, Belgium) is a flow-diverting bare stent with a proven efficacy in peripheral and visceral artery aneurysms. We present a unique case of a Salmonella serotype enteritidis-induced rapidly expanding aortic pseudoaneurysm with a penetrating ulcer that was treated with the Cardiatis multilayer stent. At 18 months of follow-up, the patient was in good clinical condition, with normalized C-reactive protein levels. Computed tomography angiography and 2-deoxy-2-[F18]-fluoro-d-glucose-positron-emission tomography/computed ...
The CX Aortic Edited Cases session yesterday provided the unique opportunity for the audience to interact with experts and ask questions about the cases being presented. The first session focused on thoracic aortic cases and the remainder were abdominal aortic cases.. Michael Dake (Stanford, USA) presented a case with the TAG thoracic branch endoprosthesis (Gore) which is part of a US feasibility multicentre trial that has evaluated 22 patients (mean age 74.1±10.5 years, 54.5% male) undergoing branched thoracic endovascular aortic repair (B-TEVAR) in Ishimaru zone 2.. According to Dake, the endograft features a single side branch designed to facilitate aortic coverage proximal to the left subclavian artery, while maintaining branch vessel patency. Pathology treated included fusiform (n=10) or saccular (n=12) aneurysm, with a mean aortic diameter of 5.7±1.1cm.. Reporting on the progress of the trial, he said that the primary endpoints of device delivery and branch vessel patency was achieved in ...
An improved stent design and stent delivery catheter assembly for repairing a main vessel and a side branch vessel forming a bifurcation. The stent includes rings aligned along a common longitudinal axis and connected by links, where the stent has one or more portals for aligning with and partially expanding into the opening to the side branch vessel. The stent is implanted at a bifurcation so that the main stent section is in the main vessel, and the portal section covers at least a portion of the opening to the side branch vessel. A second stent can be implanted in the side branch vessel and abut the expanded central section to provide full coverage of the bifurcated area in the main vessel and the side branch vessel. Radiopaque markers on the stent and on the tip of the delivery catheter assist in aligning the portal section with the opening to the side branch vessel.
The catheter assembly includes an expandable member mounted to the distal end of a placement catheter, for delivery of a therapeutic device in one of the branch vessels of a bifurcated vessel. The catheter assembly includes lumens for a tracking guide wire and a positioning guide member for placement of the therapeutic device. The therapeutic device is mounted on the expandable member, the tracking guide wire is placed into the target branch vessel, and the placement catheter is then introduced over the tracking guide wire. A positioning guide member is introduced through the catheter, extended through an exit port in the catheter proximal to the expandable member, and then placed in another branch vessel of the bifurcation. The placement catheter then is advanced until the positioning guide member engages the vessel carina between the branch vessels, and the therapeutic device then may be placed accurately in the target branch vessel. In another form of the catheter assembly, a secondary catheter
In this video, we show in a step-by-step fashion how we could perform what is, to the best of our knowledge, the first total arch replacement with Frozen Elephant Trunk (FET) without circulatory arrest (CA) in a patient with type A acute dissection ...
The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo ...
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article: A case of pediatric aortic coarctation: role of imaging - Journal of Radiological Review 2021 September;8(3):260-4 - Minerva Medica - Riviste
Learn more about Aortic Coarctation -- Adult at Grand Strand Medical Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
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TY - JOUR. T1 - Outcome of medical and surgical treatment in patients with acute type B aortic dissection. AU - Hsu, Ron Bin. AU - Ho, Yi Lwun. AU - Chen, Robert J.. AU - Wang, Shoei Shen. AU - Lin, Fang Yue. AU - Chu, Shu Hsun. PY - 2005/1/1. Y1 - 2005/1/1. N2 - Background. Optimal treatment of acute type B aortic dissection remain unclear. The aim of this study was to assess the clinical outcome of acute type B aortic dissection. Methods. In the last 8 years, 107 patients were admitted for acute type B aortic dissection. We medically treated patients at the time of onset with antihypertensives. Surgery was considered if there is intractable pain, uncontrolled hypertension, severe aortic branch malperfusion, or aneurysm expansion. Results. Twenty-nine patients had pleural effusion (27%), 9 patients had leg ischemia (8%), 5 patients had impending rupture, and 2 patients had aneurysm enlargement exceeding 60 mm on repeated imaging studies. A total of 16 patients (15%) underwent surgical ...
TY - JOUR. T1 - Patterns of aortic remodelling after total arch replacement with frozen elephant trunk for acute aortic dissection. AU - Iida, Yasunori. AU - Fujii, Susumu. AU - Shimizu, Hideyuki. AU - Sawa, Shigeharu. PY - 2019/12/1. Y1 - 2019/12/1. N2 - OBJECTIVES: We investigated the outcomes of total arch replacement with frozen elephant trunk (FET) for Stanford type A acute aortic dissection and the patterns of postoperative aortic remodelling from computed tomographic (CT) findings. METHODS: From April 2015 to November 2018, we performed total arch replacement with FET for Stanford type A aortic dissection in 30 patients. Postoperative contrast-enhanced CT showed the position of the FET distal end, the number and the site of communications between the lumina and the presence or absence of aortic remodelling. RESULTS: Primary entry tear was found in the ascending aorta (n = 6), proximal arch (n = 6), aortic arch (n = 11) and distal arch (n = 7). The mean diameter and length of FET were 26 ...
TY - JOUR. T1 - Technical video of endovascular repair of chronic postdissection thoracoabdominal aortic aneurysm using a five-vessel preloaded fenestrated-branched stent graft. AU - Mirza, Aleem K.. AU - Tenorio, Emanuel R.. AU - Kärkkäinen, Jussi M.. AU - Ozbek, Pinar. AU - Oderich, Gustavo S.. PY - 2019/1. Y1 - 2019/1. N2 - Fenestrated-branched endovascular repair has been applied to treat chronic postdissection thoracoabdominal aortic aneurysms (TAAAs). We report a patient with diffuse postdissection aortic aneurysm involving the arch and thoracoabdominal aorta treated in a staged fashion with redo aortic arch repair using the frozen elephant trunk technique, followed by completion endovascular TAAA using preloaded guidewire system and a five-vessel fenestrated and branched stent graft. A technical video illustrates the use of onlay fusion and sequential catheterization with the preloaded guidewire system to facilitate TAAA repair.. AB - Fenestrated-branched endovascular repair has been ...
SCVS 2020 Abstracts: Single-stage Hybrid Repair Of A Thoracoabdominal Aortic Aneurysm Complicated By Chronic Type B Aortic Dissection And Kommerells Diverticulum Via Simultaneous Median Sternotomy And Laparotomy
Thoracic endovascular aneurysm repair (TEVAR) is a safe and effective procedure for the treatment of thoracic aortic aneurysms (TAAs).
Current management and outcome of chronic type B aortic dissection: results with open and endovascular repair since the advent of thoracic endografting
Current management and outcome of chronic type B aortic dissection: results with open and endovascular repair since the advent of thoracic endografting
I think I have a vague memory of this from several years ago but this was an opportunity to properly look into it.. Most of this comes from a generally poor understanding of aortic diseases. I know Ive got myself in a muddle before with thoracic aortic aneurysms and thoracic aortic dissections and occasionally confabulating with the dissecting thoracic aneurysm…. Traumatic aortic injury is somewhat similar with most folk (including myself apparently) labelling it simply as an aortic dissection when in fact it probably isnt.. Where do you see these injuries:. ...
Aortic dissection, though rare, is an often fatal event.1 A recent population-based study from Oxford showed that women have higher mortality from aortic dissection and are more likely to die before hospital assessment,2 which was also shown by the worlds largest registry of aortic dissection.3 Importantly, most individuals with aortic dissection had inadequately controlled hypertension, suggesting that modifiable risk factors may play a role in prevention.2 Moreover, women have worse outcomes following surgery for aortic dissection,3 and the surgical risk is even higher during pregnancy.4 ,5 The majority of aortic dissections in women of childbearing age occur during pregnancy and have adverse consequences for the mother and the fetus.6 Data from the Swedish National Birth Registry in women ,40 years of age have shown that pregnancy is associated with a 25-fold increased risk of aortic dissection.6 The scientific literature regarding aortic dissection and pregnancy is largely made up of case ...
Sternotomy for AVR surgery. Bilateral hilar prominence; pulmonary arteries dilatation? On the lateral view, possibility of an enormous aortic pseudoaneurysm vs enormous pulmonary trunk. Those findings werent present in previous chest x-rays, before the surgery. ...
Endovascular aneurysm repair (EVAR) is the intervention of choice to treat abdominal aortic aneurysms (AAA).1 In comparison to open surgical repair, EVAR confers a reduction of mortality lasting into the short to intermediate term.2 However, EVAR is associated with complications which sometimes require secondary interventions in order to maintain efficacy of EVAR. This has been recognised since the inception of the technique and confirmed in observational studies as well as randomised controlled trials.3-6 Therefore, periodic surveillance imaging is recommended for life following EVAR.7 8 The importance of post-EVAR surveillance remains enduring, its value further highlighted by a recently published analysis of 15-year follow-up after EVAR.2 The most common complication in EVAR surveillance is an endoleak,9 which is persistent blood flow within the aneurysm sac but outside the stent graft.10 Endoleaks are classified based on the source of blood flow,10 but can be grouped into stent graft ...
Greenhalgh spoke to the audience about innovations and challenges to innovation in collecting data. He presented insights from the European Vascular and Endovascular Monitor, a consumption-based monitor covering 200 centres from Western Europe. He said that the advantage of a monitor approach was that it was enduring and effective in rapidly-shifting markets.. From the thoracic market, data showed that thoracic endovascular aneurysm repair remains the gold standard and that the current issues in the thoracic field were the size of the aneurysm, and the perceived need for a screening programme. For carotid procedures, Greenhalgh said the data indicated open surgery as the gold standard and that endovascular procedures were focused in the German and Italian markets.. Endovascular procedures continue to grow at the expense of open surgery, Greenhalgh commented on aortic-iliac procedures and femoropopliteal, with the use of drug-eluting balloons on the increase in the latter. Hefsyv identified ...
Endovascular Aortic Repair: Current Techniques with Fenestrated, Branched and Parallel Stent-Grafts by Gustavo S. Oderich English | 9 Apr. 2017 | ISBN: 3319151
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Pena, Constantino, Aortoiliac Aneurysms with No Distal Landing Zone: Strategies for Management of the Hypogastric Artery and External Iliac Extensions (2014). All Publications. 281 ...
Aortic dissection is a unique cardiac emergency that tests our collective understanding of vascular anatomy and pathology .It poses the ultimate challenge to the expertise and wisdom of both cardiologists, and surgeons. Its all about freezing the Time The philosophy of management swings between near-total Inaction* in some (As in most Type B & few…
Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Thoracic Aortic Endografts
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An endograft delivery device assembly is disclosed. The assembly comprises: a tip; a guide wire cannula, the guide wire cannula; a pusher disposed around the guide wire cannula, the pusher having a sheath assembly receiving portion at a proximal end thereof and a main portion extending distally from the sheath assembly receiving portion to a distal end, the sheath assembly receiving portion having at least one longitudinally extending groove; and a sheath assembly slidably mounted to the sheath assembly receiving portion of the pusher. The sheath assembly has a sheath portion, mountable over a endograft, and slide connecter portion. The slide connector portion has at least one inwardly projecting key, the key keying with the groove. The sheath assembly is slidably movable from an extended position over the endograft to a retracted position in which the endograft is uncovered.
Aortic Dissection is a condition that occurs when blood gets through a tear in the inner layer of the aorta.. Treatment: Aortic dissection is a medical emergency; treatment should be started as soon as possible in the intensive care unit of a hospital. In some cases, you will be given a sedative and fast-acting IV medicine to lower high blood pressure. In other cases, you may need surgery to replace the weakened part of the aorta with a graft of man-made material.. ...
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Read Wall stress correlates with intimal entry tear localization in Type A aortic dissection, Interactive CardioVascular and Thoracic Surgery on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
Learn about the causes, symptoms, diagnosis & treatment of Aneurysms and Aortic Dissection from the Home Version of the Merck Manuals.
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Aortic dissection is a condition in which the inner layer of the aortic wall splits open. The main situations in which an aortic...
An aortic dissection may complicate a number of conditions. Early recognition of the risk can result in prevention or an effective intervention.
Aortic Dissection - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical Professional Version.
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