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Related Concept Videos

Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Aneurysm IV: Nursing Management01:22

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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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Aneurysm III: Interprofessional Care01:26

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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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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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[Thoracoabdominal aneurysms].

Raphael Soler1, Aurelien Vallee1, Dominique Fabre1

  • 1Centre de l'aorte, hôpital Marie-Lannelongue, chirurgie vasculaire, 133, avenue de la Résistance, 92350 Le Plessis-Robinson, France.

Presse Medicale (Paris, France : 1983)
|February 27, 2018
PubMed
Summary
This summary is machine-generated.

Fenestrated and branched endovascular aortic repair (F-BEVAR) offers a less invasive option for thoracoabdominal aneurysms (T-AAA). This advanced technique shows favorable outcomes in expert centers, expanding endovascular treatment possibilities.

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aortic Aneurysm Repair

Background:

  • Thoracoabdominal aneurysms (T-AAA) involve both thoracic and abdominal aorta, posing significant treatment risks with open repair.
  • Initial endovascular aneurysm repair (EVAR) for T-AAA relied on "hybrid solutions" with variable results.
  • Limitations of hybrid repairs highlight the need for less invasive, purely endovascular approaches.

Purpose of the Study:

  • To review advancements in endovascular treatment for thoracoabdominal aneurysms (T-AAA).
  • To discuss the development and application of fenestrated and branched endovascular aortic repair (F-BEVAR) for T-AAA.
  • To evaluate the outcomes and patient selection criteria for F-BEVAR in complex aortic pathologies.

Main Methods:

  • Review of technological advancements in custom-made endografts for T-AAA.
  • Analysis of the complexities in device design, planning, and deployment of F-BEVAR.
  • Evaluation of reported outcomes from expert centers performing F-BEVAR for T-AAA.

Main Results:

  • Fenestrated and branched endovascular aortic repair (F-BEVAR) has emerged as a viable endovascular alternative to open repair for T-AAA.
  • F-BEVAR requires meticulous planning and experienced surgical teams due to its complexity.
  • Favorable outcomes are reported with F-BEVAR, enabling treatment of more complex aortic conditions, including T-AAA with chronic dissection.

Conclusions:

  • Fenestrated and branched endovascular aortic repair (F-BEVAR) represents a significant advancement in treating thoracoabdominal aneurysms (T-AAA).
  • Successful F-BEVAR necessitates careful patient selection, precise anatomical assessment, and specialized surgical expertise.
  • The application of F-BEVAR is expanding to include complex aortic pathologies, offering a less invasive treatment option.