Matches in SemOpenAlex for { <https://semopenalex.org/work/W4210647592> ?p ?o ?g. }
Showing items 1 to 77 of
77
with 100 items per page.
- W4210647592 endingPage "100051" @default.
- W4210647592 startingPage "100051" @default.
- W4210647592 abstract "To report a case of a symptomatic type IIIb endoleak treated by a transgraft embolization approach. A 66-year-old Caucasian male with a 5.7 cm type IV thoracoabdominal aneurysm (TAAA), which was previously urgently repaired with a four-vessel physician-modified endovascular graft (PMEG), presented with worsening of back pain. The patient has been deemed a prohibitive surgical risk for any open vascular procedure due to episodes of unstable angina and his poor candidacy for additional coronary revascularization despite multiple previous coronary stents. He was found to have a type IIIb endoleak, which was associated with the left renal fenestration on computed tomography (CT) angiogram. The patient was taken to the operating room and an initial attempt to improve the left renal artery stent apposition was unsuccessful after performing balloon angioplasty plus intravascular ultrasound interrogation. However, a tear underneath the fenestration ring was confirmed by placing a catheter underneath the fenestration ring. Thus, a decision was made to employ a transgraft approach to repair the endoleak and avoid transcaval or translumbar approach. A laser-assisted fenestration through the left iliac limb of the previous endograft was performed to access the aneurysm sac. Of note, there was no room to deploy an aortic cuff without converting the repair into a four-vessel chimney endovascular aortic repair (ChEVAR). A combination of microcoils and Gelfoam® thrombin particulates was carefully placed to the nidus of the leak from the inside of the stent-graft lumen forming a “sandwich” (thrombin behind coils) patch configuration. The patient was free of any symptoms or pertinent vascular findings at the one-year follow-up. A CTA showed a complete resolution of the previous endoleak and associated symptoms, and regression of the aneurysmal sac diameter. Transgraft embolization appears feasible in completely excluding a challenging type IIIb endoleak in patients not amenable to open repair. This method should be considered an alternative to relining the defect with the deployment of additional components (e.g., ChEVAR) or additional aortic stent-grafts, especially in inadequate luminal space and room between bridging stents." @default.
- W4210647592 created "2022-02-08" @default.
- W4210647592 creator A5012413548 @default.
- W4210647592 creator A5037660158 @default.
- W4210647592 creator A5039721985 @default.
- W4210647592 creator A5080405125 @default.
- W4210647592 date "2022-03-01" @default.
- W4210647592 modified "2023-09-26" @default.
- W4210647592 title "Transgraft endovascular repair of symptomatic type IIIb endoleak following endovascular repair of a thoracoabdominal aneurysm" @default.
- W4210647592 cites W1633540424 @default.
- W4210647592 cites W1998426913 @default.
- W4210647592 cites W2006990154 @default.
- W4210647592 cites W2028477410 @default.
- W4210647592 cites W2067821794 @default.
- W4210647592 cites W2090101281 @default.
- W4210647592 cites W2095152679 @default.
- W4210647592 cites W2098181773 @default.
- W4210647592 cites W2102114980 @default.
- W4210647592 cites W2128228172 @default.
- W4210647592 cites W2140294573 @default.
- W4210647592 cites W2148732809 @default.
- W4210647592 cites W2322598776 @default.
- W4210647592 cites W2530136362 @default.
- W4210647592 cites W2586262190 @default.
- W4210647592 cites W2799894467 @default.
- W4210647592 cites W2904002684 @default.
- W4210647592 cites W2906611292 @default.
- W4210647592 cites W2964760980 @default.
- W4210647592 cites W3031675014 @default.
- W4210647592 doi "https://doi.org/10.1016/j.avsurg.2022.100051" @default.
- W4210647592 hasPublicationYear "2022" @default.
- W4210647592 type Work @default.
- W4210647592 citedByCount "0" @default.
- W4210647592 crossrefType "journal-article" @default.
- W4210647592 hasAuthorship W4210647592A5012413548 @default.
- W4210647592 hasAuthorship W4210647592A5037660158 @default.
- W4210647592 hasAuthorship W4210647592A5039721985 @default.
- W4210647592 hasAuthorship W4210647592A5080405125 @default.
- W4210647592 hasBestOaLocation W42106475921 @default.
- W4210647592 hasConcept C126838900 @default.
- W4210647592 hasConcept C141071460 @default.
- W4210647592 hasConcept C2776098176 @default.
- W4210647592 hasConcept C2776543907 @default.
- W4210647592 hasConcept C2778583881 @default.
- W4210647592 hasConcept C2779993416 @default.
- W4210647592 hasConcept C2780326628 @default.
- W4210647592 hasConcept C2781267111 @default.
- W4210647592 hasConcept C71924100 @default.
- W4210647592 hasConceptScore W4210647592C126838900 @default.
- W4210647592 hasConceptScore W4210647592C141071460 @default.
- W4210647592 hasConceptScore W4210647592C2776098176 @default.
- W4210647592 hasConceptScore W4210647592C2776543907 @default.
- W4210647592 hasConceptScore W4210647592C2778583881 @default.
- W4210647592 hasConceptScore W4210647592C2779993416 @default.
- W4210647592 hasConceptScore W4210647592C2780326628 @default.
- W4210647592 hasConceptScore W4210647592C2781267111 @default.
- W4210647592 hasConceptScore W4210647592C71924100 @default.
- W4210647592 hasIssue "1" @default.
- W4210647592 hasLocation W42106475921 @default.
- W4210647592 hasOpenAccess W4210647592 @default.
- W4210647592 hasPrimaryLocation W42106475921 @default.
- W4210647592 hasRelatedWork W1982778236 @default.
- W4210647592 hasRelatedWork W2013767293 @default.
- W4210647592 hasRelatedWork W2017103660 @default.
- W4210647592 hasRelatedWork W2137190715 @default.
- W4210647592 hasRelatedWork W2330404122 @default.
- W4210647592 hasRelatedWork W2336904041 @default.
- W4210647592 hasRelatedWork W2799846699 @default.
- W4210647592 hasRelatedWork W3037686638 @default.
- W4210647592 hasRelatedWork W4235420789 @default.
- W4210647592 hasRelatedWork W3014013020 @default.
- W4210647592 hasVolume "2" @default.
- W4210647592 isParatext "false" @default.
- W4210647592 isRetracted "false" @default.
- W4210647592 workType "article" @default.