Abstract
Endovascular repair of aortic aneurysms has a higher incidence of late complications, and open conversion (OC) associated with high mortality may be required. As alternatives to OCs, we propose minimal invasive laparo-/thoracoscopic approaches, either to control endoleaks after endovascular repair, or to convert non-endovascular treatable cases due to a hostile neck anatomy by inserting a peri-aortic PTFE collar before endovascular repair. Such interventions may reduce complications and the necessity for OCs in the future. In twelve pigs, were 10 had infra-/juxtrarenal AAAs, externally placed collars/aneuwraps around the proximal AAA neck and just below the left subclavian artery and division of the aortic side branches were carried out laparo-and thoracoscopically. For the laparoscopic and thoracoscopic procedures respectively, mean operative time was 143 ± 41 min and 86 ± 51 min and a mean of 2.6 and 2.25 aortic side branches were ligated/divided. For both procedures, the last half in the series were carried out significantly faster (p < 0.05) indicating a learning curve. Blood loss was minimal and no procedure related complications were seen. Using these minimal invasive endoscopic approaches, it seems feasible to externally...Continue Reading
References
Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Dec 16, 1998·JAMA : the Journal of the American Medical Association·W D ClouseL J Melton
Feb 15, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B SonessonB Lindblad
Mar 2, 2002·The British Journal of Surgery·R A P ScottH A Ashton
Sep 10, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M CoggiaO Goëau-Brissonnière
Nov 22, 2002·Lancet·H A AshtonUNKNOWN Multicentre Aneurysm Screening Study Group
Mar 4, 2005·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Petr UtíkalEva Buriánková
Jun 10, 2005·Journal of Vascular Surgery·Toshifumi KudoSamuel S Ahn
Dec 6, 2006·Circulation·Christian OlssonFredrik Granath
Feb 12, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A D RodwayR M Greenhalgh
Feb 26, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I FourneauA Nevelsteen
Dec 25, 2008·Circulation·William H PearceUNKNOWN American Heart Association Writing Group 6
Apr 19, 2012·JAMA : the Journal of the American Medical Association·Rubie Sue JacksonJulie A Freischlag
Nov 6, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P W StatherE Choke
Dec 26, 2012·Journal of Vascular Surgery·George A AntoniouDavid Murray
May 21, 2013·Journal of Vascular Surgery·Jip L TolenaarJoost A van Herwaarden
May 13, 2014·Journal of Vascular Surgery·Salvatore T ScaliAdam W Beck
Jun 22, 2014·Vascular and Endovascular Surgery·Kakra HughesOurania Preventza
Jan 27, 2015·Journal of Vascular Surgery·Tara M MastracciKatherine Wolski
Feb 17, 2015·Annals of Medicine and Surgery·Brian O KlosterJes S Lindholt
Mar 31, 2015·Journal of Vascular Surgery·George KouvelosMiltiadis Matsagkas