Related Experiment Video
Updated: Aug 3, 2026
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Advances in endovascular aneurysm treatment: are we making a difference?
Jeffrey M Katz1, Apostolos J Tsiouris, Alessandra Biondi
1Department of Neurology, New York Presbyterian Hospital-Weill Medical College of Cornell University, New York, NY 10021, USA.
Neuroradiology
|July 20, 2005
Summary
Newer endovascular aneurysm repair technologies, including bioactive coils and intracranial stents, show high success rates for aneurysm occlusion. These advanced techniques offer safe and effective treatment options for complex aneurysms with minimal complications.
Area of Science:
- Neurosurgery
- Interventional Radiology
- Vascular Surgery
Background:
- Endovascular aneurysm repair (EVAR) has advanced with new devices like bioactive/expansile coils and intracranial stents.
- These innovations aim to improve aneurysm occlusion rates and long-term durability.
- Assessing outcomes of these newer technologies is crucial for clinical practice.
Purpose of the Study:
- To evaluate the immediate and midterm clinical and angiographic outcomes of endovascular aneurysm repair using novel technologies.
- To assess the safety and efficacy of bioactive coils and intracranial stents in treating a diverse range of aneurysms.
- To determine complication rates, recanalization, and retreatment rates associated with these advanced EVAR techniques.
Main Methods:
- Retrospective analysis of 134 patients with 142 aneurysms treated between 2001 and 2004.
- Independent neurological and neuroradiological review of clinical and angiographic data.
- Detailed analysis of device utilization, including Matrix coils, HydroCoils, and Neuroform stents.
Main Results:
- Total or subtotal angiographic occlusion achieved in 76% initially, increasing to 96% at last follow-up.
- Aneurysm recanalization occurred in 14%, with 18% requiring retreatment.
- Clinically relevant complications were 6.0%, with low procedure-related morbidity (0.6%) and mortality (0.6%) at 6 months.
Conclusions:
- Newer embolization technologies, including bioactive coils and stents, are effective for complex aneurysms.
- These advanced EVAR techniques demonstrate successful aneurysm occlusion with low morbidity and mortality.
- The study supports the successful application of novel endovascular devices in aneurysm treatment.
Related Concept Videos
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...