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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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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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Related Experiment Video

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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Aortic stenting.

Ionel Droc1, Francisca Blanca Calinescu2, Gabriela Droc3

  • 1a 1 Cardiovascular Surgery Department, Army's Center for Cardio-vascular Diseases , Bucharest, Romania.

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
|July 23, 2015
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Summary

Endovascular repair is increasingly used for aortic pathologies. This study reports successful outcomes for endovascular abdominal aortic repair (EVAR), highlighting its potential as a gold standard treatment.

Keywords:
Endovascular therapyaortic stent graftminimally invasive surgery

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aortic Pathology

Background:

  • Endovascular approaches are becoming standard for thoracic and abdominal aortic pathologies.
  • Thoracic endovascular repair (TEVAR) is widely accepted for descending thoracic aorta diseases.
  • Indications for TEVAR are expanding to include aortic arch and ascending aorta conditions.

Purpose of the Study:

  • To report the outcomes of elective endovascular abdominal aortic repair (EVAR) in a multi-center setting.
  • To evaluate the efficacy and safety of various endograft devices in EVAR procedures.
  • To assess the current status and future potential of EVAR for abdominal aortic aneurysms.

Main Methods:

  • Retrospective analysis of 55 elective EVAR cases from two vascular surgical centers.
  • Utilized various endoprostheses including E-vita Abdominal XT, Excluder, Talent, PowerLink, Endurant, and custom-made devices.
  • Follow-up included CT scans, duplex ultrasound, and contrast-enhanced ultrasound over a mean period of 18 months.

Main Results:

  • A low mortality rate of 2% was observed in the 55 elective EVAR cases.
  • Mean follow-up of 18 months demonstrated the feasibility and safety of the procedures.
  • A variety of endograft devices were used, indicating adaptability to different patient anatomies.

Conclusions:

  • EVAR is a highly effective treatment for abdominal aortic aneurysms, with potential to become the gold standard.
  • Technological advancements in endograft devices, particularly lower profile systems, will broaden anatomical indications.
  • Continued evolution of endovascular techniques promises improved outcomes and expanded applications in aortic disease management.