Utility of remote wireless pressure sensing for endovascular leak detection after endovascular thoracic aneurysm repair

The Annals of Thoracic Surgery
Cyrus J ParsaG Chad Hughes

Abstract

The goal of thoracic endovascular aneurysm repair (TEVAR) is to exclude and depressurize the aneurysm sac. Type I and III endovascular leaks (EL) transmit systemic pressure and represent treatment failures. The significance of type II EL is more controversial. Remote pressure sensing is a novel nonradiographic technology for EL detection and monitoring. However, little experience exists with regard to use in the thoracic aorta. We present our experience with the EndoSure wireless pressure measurement system (CardioMEMS, Atlanta, GA) for monitoring aneurysm sac pulse pressure (ASP) after TEVAR. Beginning May 2006, the EndoSure system was routinely implanted in TEVAR patients with suitable anatomy (36 aneurysm patients; 7 chronic dissection patients). The ASP measurements were taken predischarge and at scheduled follow-up visits. Computed tomography angiograms were performed at scheduled follow-up appointments. Data were prospectively maintained in an institutional aortic database. Through June 2008, 43 patients (34% of TEVARs performed during this interval) underwent implantation. In 10 patients (23%), the device was suboptimally positioned between the endovascular graft and the aortic wall, rather than in an area of thrombus-fr...Continue Reading

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Citations

May 9, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin GrabenwögerUNKNOWN European Association of Percutaneous Cardiovascular Interventions (EAPCI)
Jan 1, 2010·Sensors·Giulio FragiacomoErik V Thomsen
Aug 3, 2012·Journal of Vascular and Interventional Radiology : JVIR·Heiko UthoffPhilipp Geisbüsch
Jan 19, 2011·The Journal of Thoracic and Cardiovascular Surgery·Cyrus J ParsaG Chad Hughes
Nov 28, 2013·Journal of Cardiac Surgery·Spiridon BotsiosGuido Dohmen
Oct 28, 2014·IEEE Transactions on Bio-medical Engineering·Cristina OliveiraLuis Rocha
Sep 29, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A Katsargyris, E L G Verhoeven
Feb 1, 2011·Journal of Vascular Surgery·Ross MilnerPiergiorgio Cao
Feb 15, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R Milner
Feb 15, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P De RangoP Cao
Nov 28, 2012·Journal of Vascular Surgery·Shen WongEric L G Verhoeven
May 18, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Muhammad Safwan Riaz, Ashish Atreja
Aug 4, 2016·Expert Review of Medical Devices·Mahyar PourriahiYitzhak Rosen
May 18, 2011·Vascular and Endovascular Surgery·Ripal T GandhiPhilipp Geisbüsch
Apr 23, 2011·Expert Review of Respiratory Medicine·Robert P Frantz
May 19, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tanner I Kim, Peter A Schneider
Oct 22, 2013·International Neurourology Journal·Yeun-Ho Joung

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