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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm 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...
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Aneurysm 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...

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Related Experiment Video

Updated: Jul 18, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Access for endovascular aneurysm repair.

David Murray1, Jonathan Ghosh, Nadeem Khwaja

  • 1Department of Vascular Surgery, Manchester Royal Infirmary, Manchester M13 9WL, UK.

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|December 13, 2006
PubMed
Summary

Endovascular aneurysm repair faces challenges with arterial access, particularly due to vessel anatomy and disease. However, various techniques and alternative access routes can overcome these difficulties for successful treatment.

Related Experiment Videos

Last Updated: Jul 18, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Endovascular aneurysm repair (EVAR) is a common treatment for aortic aneurysms.
  • Access-related complications remain a significant challenge despite technological advancements.

Purpose of the Study:

  • To systematically review arterial access techniques and complications in EVAR from 1994-2005.
  • To identify common causes of access problems and methods to overcome them.

Main Methods:

  • Systematic literature review of endovascular access techniques and complications.
  • Analysis of articles published between 1994 and 2005.

Main Results:

  • Common access problems include iliac tortuosity, calcification, occlusive disease, and small vessel caliber.
  • Many access issues are predictable with preoperative imaging.
  • Ancillary procedures like iliac conduits, brachiofemoral wires, and arterial reconstruction can resolve most problems.
  • Alternative access routes, including the common carotid artery and direct aortic access, are viable options.

Conclusions:

  • Difficult arterial access is a known complication of EVAR.
  • A range of techniques and alternative access routes exist to manage these challenges.
  • Successful EVAR can be achieved even in cases with challenging vascular anatomy.