Endovascular grafts and other image-guided catheter-based adjuncts to improve the treatment of ruptured aortoiliac aneurysms

Annals of Surgery
T Ohki, Frank Veith

Abstract

To report a new management approach for the treatment of ruptured aortoiliac aneurysms. This approach includes hypotensive hemostasis, minimizing fluid resuscitation, and allowing the systolic blood pressure to fall to 50 mmHg. Under local anesthesia, a transbrachial guidewire was placed under fluoroscopic control in the supraceliac aorta. A 40-mm balloon catheter was inserted over this guidewire and inflated only if the blood pressure was less than 50 mmHg, before or after the induction of anesthesia. Fluoroscopic angiography was used to determine the suitability for endovascular graft repair. When possible, a prepared, "one-size-fits-most" endovascular aortounifemoral stented PTFE graft was used, combined with occlusion of the contralateral common iliac artery and femorofemoral bypass. If the patient's anatomy was unsuitable for endovascular graft repair, standard open repair was performed using proximal balloon control as needed. Twenty-five patients with ruptured aortoiliac aneurysms (18 aortic, 7 iliac) were managed using this approach. Balloon inflation for proximal control was required in nine of the 25 patients. Twenty patients were treated with endovascular grafts. Five patients required open repair. The ruptured aneur...Continue Reading

References

Jan 1, 1977·AJR. American Journal of Roentgenology·A C Ng, E C Ochsner
Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Dec 1, 1991·Journal of Vascular Surgery·L M HarrisJ J Ricotta
Feb 1, 1991·Journal of Vascular Surgery·E S Crawford
Jul 1, 1995·Annals of Surgery·J D Richardson, H C Polk
Oct 27, 1994·The New England Journal of Medicine·W H BickellK L Mattox
Dec 10, 1994·Lancet·S W YusufB R Hopkinson
Dec 10, 1994·Lancet·E E Castilla, J E Paz
Sep 1, 1994·Journal of Vascular Surgery·M L MarinW D Suggs
Apr 22, 1993·The New England Journal of Medicine·C B Ernst
Jan 2, 1997·The New England Journal of Medicine·U BlumT Hölzenbein
Dec 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·R C DarlingR P Leather
May 1, 1997·American Journal of Surgery·B K OelschlagerM H Meissner
Mar 1, 1997·Annals of Vascular Surgery·M K LazaridesJ N Dayantas
Mar 1, 1997·Annals of Vascular Surgery·T OhkiF J Veith
Aug 1, 1997·Journal of Vascular Surgery·J G YuanR T Lyon
Jan 10, 1998·Journal of Vascular Surgery·V J HalpernJ R Cohen
Feb 4, 1998·The British Journal of Surgery·A W BradburyC V Ruckley
Mar 31, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H P van DongenA de Boer
Mar 4, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S E PranceS Ashley
Jul 13, 1999·Journal of the American College of Surgeons·T OhkiR T Lyon
Sep 24, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·C SchönholzJ C Parodi
Mar 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E P TurtonR C Kester
Mar 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H W KniemeyerM K Widmer
Apr 25, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·R K GreenbergR M Green
Apr 1, 1964·Archives of Surgery·T SHIRESS LIGHTFOOT
Nov 14, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S AcostaZ Zdanowski

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Citations

Apr 11, 2003·Current Treatment Options in Cardiovascular Medicine·Matt M. Thompson
Feb 22, 2005·American Journal of Surgery·Jonathan B Towne
Sep 6, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Sean P RoddyDhiraj M Shah
Oct 28, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Linda M Reilly
Dec 24, 2003·Seminars in Vascular Surgery·Evan C LipsitzReese A Wain
Apr 4, 2013·Annals of Surgery·Jorik J ReimerinkUNKNOWN Amsterdam Acute Aneurysm Trial Collaborators
Feb 3, 2007·Postgraduate Medical Journal·M G A NorwoodR D Sayers
Dec 24, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·W Richard W WilsonMatthew M Thompson
Oct 11, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Martin MalinaBjorn Sonesson
May 19, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·V G RamaiahE B Diethrich
Sep 12, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·W Anthony LeeJames M Seeger
Jan 28, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Harald TeufelsbauerPeter Polterauer
May 20, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jonathan R Boyle, Matthew M Thompson
Aug 23, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Timothy ReschKrassi Ivancev
Aug 23, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Reinhard Scharrer-PamlerLudger Sunder-Plassmann
Aug 23, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roy K GreenbergKenneth Ouriel
Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Isabelle Van HerzeeleFrank Vermassen
Aug 9, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jonathan D WoodyRodney A White
Nov 16, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jan A Ten BoschJoep A W Teijink
Apr 5, 2014·Annals of Vascular Surgery·Rodolfo PiniAndrea Stella
Aug 21, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H DienerE S Debus
Oct 21, 2014·International Journal of Vascular Medicine·Thomas KotsisKassiani Theodoraki
Jan 5, 2011·Seminars in Vascular Surgery·Manish MehtaR Clement Darling
Jan 8, 2010·Annals of Vascular Surgery·Simon RinckenbachJean-Georges Kretz
Sep 22, 2009·Seminars in Vascular Surgery·Manish Mehta
Oct 18, 2008·The American Journal of Emergency Medicine·Chao-Han LaiChung-Dann Kan
Jul 2, 2008·Journal of Vascular and Interventional Radiology : JVIR·Michael Monge, Mark K Eskandari
Nov 2, 2007·Advances in Surgery·Matthew J BownPeter R F Bell
Oct 26, 2005·Journal of Vascular Surgery·Thomas S GerassimidisGeorgios Sfyroeras
Feb 14, 2006·Journal of Vascular Surgery·Mark A Farber
Jan 10, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hakan CakırSelçuk Pala
Dec 6, 2005·Journal of Cardiothoracic and Vascular Anesthesia·John E Ellis, Sheela S Pai
Apr 17, 2003·The Journal of Thoracic and Cardiovascular Surgery·Gerard BabatasiAndre Khayat
Jan 23, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M Björck, A Wanhainen
Jul 5, 2013·Annals of Vascular Diseases·Hidemitsu OginoNaoko Isogai
Dec 12, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J A RodriguezE B Diethrich
Jan 8, 2008·Journal of Vascular Surgery·Tara M MastracciCatherine M Clase
Aug 25, 2009·Journal of Vascular Surgery·Hugh G Beebe

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