Aortic Aneurysm Endovascular management of ascending aortic pathology Kolvenbach RR, Karmeli R, Pinter LS, et al (Vascular Ctr Catholic Clinics Duesseldorf Augusta Hosp, Germany; Carmel Med Ctr, Haifa, Israel) J Vasc Surg 53:1431–1438, 2011§ D.L. Gillespie, MD, FACS Evidence Ranking • C Expert Rating • 1 Abstract Background Endovascular treatment of the ascending aorta is particularly challenging because of the anatomic features of this aortic segment. Only patients without connective tissue disorders, clinically relevant aortic regurgitation or stenosis, or concomitant coronary artery disease can be considered for an endovascular procedure. We report our results in a series of patients with aneurysms or intramural hematoma, penetrating ulcers, or floating thrombus who were scheduled for stent grafting. Methods Only patients with ascending aortic pathology who were unfit for open surgery were treated with an endograft. When preoperative computed tomography imaging showed severe calcification of the aortic arch or thrombus lining, temporary clamping of the carotid arteries before wire and catheter introduction was performed. An extracorporeal bypass from the right groin to both carotid arteries with a roller pump was established and maintained during the procedure. The endograft was placed across the aortic valve into the left ventricle and deployed in a retrograde fashion. At the end of the procedure, ventriculography and, if necessary, coronary angiography was performed to rule out any damage to the left ventricle or the valve apparatus. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Function Testing of Platelets and Long-term Outcome of Patients with Peripheral Arterial Disease Undergoing Transluminal Angioplasty Hemorrhage Is Much More Common After Carotid Stenting Than After Endarterectomy: Evidence From the National Inpatient Sample oral antiplatelet therapy may increase the risk of hemorrhagic complications in patients with acute ischemic stroke caused by large artery disease and Removal of Inferior Vena Cava Filters: National Trends in the Medicare Population Stay updated, free articles. Join our Telegram channel Join Tags: Year Book of Vascular Surgery 2012 Apr 1, 2017 | Posted by admin in CARDIOLOGY | Comments Off on management of ascending aortic pathology Full access? Get Clinical Tree
Aortic Aneurysm Endovascular management of ascending aortic pathology Kolvenbach RR, Karmeli R, Pinter LS, et al (Vascular Ctr Catholic Clinics Duesseldorf Augusta Hosp, Germany; Carmel Med Ctr, Haifa, Israel) J Vasc Surg 53:1431–1438, 2011§ D.L. Gillespie, MD, FACS Evidence Ranking • C Expert Rating • 1 Abstract Background Endovascular treatment of the ascending aorta is particularly challenging because of the anatomic features of this aortic segment. Only patients without connective tissue disorders, clinically relevant aortic regurgitation or stenosis, or concomitant coronary artery disease can be considered for an endovascular procedure. We report our results in a series of patients with aneurysms or intramural hematoma, penetrating ulcers, or floating thrombus who were scheduled for stent grafting. Methods Only patients with ascending aortic pathology who were unfit for open surgery were treated with an endograft. When preoperative computed tomography imaging showed severe calcification of the aortic arch or thrombus lining, temporary clamping of the carotid arteries before wire and catheter introduction was performed. An extracorporeal bypass from the right groin to both carotid arteries with a roller pump was established and maintained during the procedure. The endograft was placed across the aortic valve into the left ventricle and deployed in a retrograde fashion. At the end of the procedure, ventriculography and, if necessary, coronary angiography was performed to rule out any damage to the left ventricle or the valve apparatus. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Function Testing of Platelets and Long-term Outcome of Patients with Peripheral Arterial Disease Undergoing Transluminal Angioplasty Hemorrhage Is Much More Common After Carotid Stenting Than After Endarterectomy: Evidence From the National Inpatient Sample oral antiplatelet therapy may increase the risk of hemorrhagic complications in patients with acute ischemic stroke caused by large artery disease and Removal of Inferior Vena Cava Filters: National Trends in the Medicare Population Stay updated, free articles. Join our Telegram channel Join Tags: Year Book of Vascular Surgery 2012 Apr 1, 2017 | Posted by admin in CARDIOLOGY | Comments Off on management of ascending aortic pathology Full access? Get Clinical Tree
