Pub Date : 2024-12-17DOI: 10.1016/j.jvscit.2024.101707
Satoshi Sakakibara MD, Takashi Yamauchi MD, PhD
A 69-year-old man with chest pain was diagnosed with acute type B aortic dissection with the entry tear located at distal arch and a distal aortic arch aneurysm. Therefore, we performed debranching thoracic endovascular aortic repair 2 weeks after type B aortic dissection onset. First, the graft was anastomosed to bilateral axillary arteries. After clamping the left common carotid artery (LCCA), the regional cerebral oxygen saturation decreased notably. Therefore, we used selective cerebral perfusion using a roller pump with a filter to prevent embolization, a 24F sheath inserted into the left common femoral artery (drainage cannula), and a balloon perfusion catheter inserted into the LCCA (arterial cannula). This technique improved the rSO2 and was continued during anastomosis of the graft to the LCCA. Thoracic endovascular aortic repair was performed after debranching from the right axillary artery to the LCCA and left axillary artery. The patient was discharged 7 days postoperatively without cerebral complications.
{"title":"Selective cerebral perfusion for reduced cerebral blood flow during debranching thoracic endovascular aortic repair","authors":"Satoshi Sakakibara MD, Takashi Yamauchi MD, PhD","doi":"10.1016/j.jvscit.2024.101707","DOIUrl":"10.1016/j.jvscit.2024.101707","url":null,"abstract":"<div><div>A 69-year-old man with chest pain was diagnosed with acute type B aortic dissection with the entry tear located at distal arch and a distal aortic arch aneurysm. Therefore, we performed debranching thoracic endovascular aortic repair 2 weeks after type B aortic dissection onset. First, the graft was anastomosed to bilateral axillary arteries. After clamping the left common carotid artery (LCCA), the regional cerebral oxygen saturation decreased notably. Therefore, we used selective cerebral perfusion using a roller pump with a filter to prevent embolization, a 24F sheath inserted into the left common femoral artery (drainage cannula), and a balloon perfusion catheter inserted into the LCCA (arterial cannula). This technique improved the rSO<sub>2</sub> and was continued during anastomosis of the graft to the LCCA. Thoracic endovascular aortic repair was performed after debranching from the right axillary artery to the LCCA and left axillary artery. The patient was discharged 7 days postoperatively without cerebral complications.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101707"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.jvscit.2024.101714
Jack F. Donaghue BA , Kirthi S. Bellamkonda MD, MSc , Bjoern D. Suckow MD, MS , Jock N. McCullough MD
Intercostal artery pseudoaneurysm is an exceedingly rare complication seen after chest wall insult, either through trauma or operative procedures. We present a case of a 74-year-old man with mitral regurgitation and aortic stenosis who underwent aortic and mitral valve replacement via sternotomy. At the 1-month follow-up, a 1-cm pulsatile mass was noted adjacent to the left of the sternotomy in the sixth intercostal space. Concern for a pseudoaneurysm of the intercostal artery prompted evaluation with ultrasound, which demonstrated a pseudoaneurysm originating from an intercostal artery. This unusually located pseudoaneurysm was treated with ultrasound-guided thrombin injection with complete resolution.
{"title":"Intercostal pseudoaneurysm after median sternotomy treated with percutaneous thrombin injection","authors":"Jack F. Donaghue BA , Kirthi S. Bellamkonda MD, MSc , Bjoern D. Suckow MD, MS , Jock N. McCullough MD","doi":"10.1016/j.jvscit.2024.101714","DOIUrl":"10.1016/j.jvscit.2024.101714","url":null,"abstract":"<div><div>Intercostal artery pseudoaneurysm is an exceedingly rare complication seen after chest wall insult, either through trauma or operative procedures. We present a case of a 74-year-old man with mitral regurgitation and aortic stenosis who underwent aortic and mitral valve replacement via sternotomy. At the 1-month follow-up, a 1-cm pulsatile mass was noted adjacent to the left of the sternotomy in the sixth intercostal space. Concern for a pseudoaneurysm of the intercostal artery prompted evaluation with ultrasound, which demonstrated a pseudoaneurysm originating from an intercostal artery. This unusually located pseudoaneurysm was treated with ultrasound-guided thrombin injection with complete resolution.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101714"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143161759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.jvscit.2024.101710
Mitri K. Khoury MD, Richard T. Rogers MD, Venkatesh Ramaiah MD, Hasan Aldailami MD
Endovascular aortic repair has become the preferred treatment modality for patients with abdominal aortic aneurysms. However, there are no commercially available endovascular options in patients with infrarenal necks measuring <4 mm. To address the limitations of commercially available options, physician-modified endografts became a technique used by vascular surgeons. In this report, we describe a case of a patient treated with a physician-modified Gore conformable endograft using inner branches along with how to perform the procedure.
{"title":"Physician modification of the Gore conformable endovascular aortic device using inner branches","authors":"Mitri K. Khoury MD, Richard T. Rogers MD, Venkatesh Ramaiah MD, Hasan Aldailami MD","doi":"10.1016/j.jvscit.2024.101710","DOIUrl":"10.1016/j.jvscit.2024.101710","url":null,"abstract":"<div><div>Endovascular aortic repair has become the preferred treatment modality for patients with abdominal aortic aneurysms. However, there are no commercially available endovascular options in patients with infrarenal necks measuring <4 mm. To address the limitations of commercially available options, physician-modified endografts became a technique used by vascular surgeons. In this report, we describe a case of a patient treated with a physician-modified Gore conformable endograft using inner branches along with how to perform the procedure.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101710"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.jvscit.2024.101711
Francesco Sposato MD , Lucia Pia Mangiacotti MD , Ottavia Borghese MD , Yamume Tshomba MD
{"title":"Partial explant of an infected chimney endovascular aortic repair and in situ vascular reconstruction with an aorto-bifemoral bovine pericardium prosthesis","authors":"Francesco Sposato MD , Lucia Pia Mangiacotti MD , Ottavia Borghese MD , Yamume Tshomba MD","doi":"10.1016/j.jvscit.2024.101711","DOIUrl":"10.1016/j.jvscit.2024.101711","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101711"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.jvscit.2024.101706
Andres V. Figueroa MD, Carla Scott MD, Jacqueline Babb MD, Antonio Solano MD, Natalia Coronel MD, Carlos H. Timaran MD, Mirza S. Baig MD
Adverse iliofemoral anatomy represents a unique challenge for endovascular aortic aneurysm repair (EVAR). This report describes a transaxillary EVAR in a patient with severe iliofemoral occlusive disease and an infrarenal aortic aneurysm. A reversely mounted Gore Excluder graft was advanced and deployed in the infrarenal aorta using the left axillary artery. Lithoangioplasty and stenting were performed on bilateral iliofemoral anatomy. At the 1-year follow-up, the aneurysm sac revealed regression without endoleaks and the iliofemoral stents remained patent. The transaxillary approach may be a feasible access site for EVAR in patients with a high risk for open repair and prohibitive iliofemoral anatomy.
{"title":"Transaxillary endovascular aortic aneurysm repair using a reverse mounted Gore Excluder endograft for a patient with abdominal aortic aneurysm and severe iliofemoral occlusive disease","authors":"Andres V. Figueroa MD, Carla Scott MD, Jacqueline Babb MD, Antonio Solano MD, Natalia Coronel MD, Carlos H. Timaran MD, Mirza S. Baig MD","doi":"10.1016/j.jvscit.2024.101706","DOIUrl":"10.1016/j.jvscit.2024.101706","url":null,"abstract":"<div><div>Adverse iliofemoral anatomy represents a unique challenge for endovascular aortic aneurysm repair (EVAR). This report describes a transaxillary EVAR in a patient with severe iliofemoral occlusive disease and an infrarenal aortic aneurysm. A reversely mounted Gore Excluder graft was advanced and deployed in the infrarenal aorta using the left axillary artery. Lithoangioplasty and stenting were performed on bilateral iliofemoral anatomy. At the 1-year follow-up, the aneurysm sac revealed regression without endoleaks and the iliofemoral stents remained patent. The transaxillary approach may be a feasible access site for EVAR in patients with a high risk for open repair and prohibitive iliofemoral anatomy.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101706"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-17DOI: 10.1016/j.jvscit.2024.101712
Suthas Horsirimanont MD, Nutsiri Kittitirapong MD
The Achilles heel of revascularization in chronic limb-threatening ischemia is that a balloon is sometimes unable to cross the severely calcified below-the-knee lesion. We presented a new technique for crossing this lesion using the blunt needle endoluminal cracking over the strained through and through wire (BECOST) technique.
{"title":"A blunt needle endoluminal cracking over the strained through-and-through wire for balloon crossing the heavy calcification and chronic total occlusion in critical limb ischemia","authors":"Suthas Horsirimanont MD, Nutsiri Kittitirapong MD","doi":"10.1016/j.jvscit.2024.101712","DOIUrl":"10.1016/j.jvscit.2024.101712","url":null,"abstract":"<div><div>The Achilles heel of revascularization in chronic limb-threatening ischemia is that a balloon is sometimes unable to cross the severely calcified below-the-knee lesion. We presented a new technique for crossing this lesion using the blunt needle endoluminal cracking over the strained through and through wire (BECOST) technique.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101712"},"PeriodicalIF":0.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-05DOI: 10.1016/j.jvscit.2024.101700
Andrea Spertino MD, Matteo Spezia MD, Francesco Squizzato MD, Michele Antonello PhD
This report details the case of an 84-year-old male with an infrarenal abdominal aortic aneurysm and a dilated right common iliac artery eligible for endovascular treatment. A bifurcated stent graft (Medtronic Endurant IIs) was used to treat the aneurysm. To address the concerns of instability of the right iliac limb, four endoanchors (Heli-FX EndoAnchor, Medtronic) were placed at the distal landing zone to provide additional fixation. This case shows good result in the improvement of stability of the iliac limb with potentially enhanced durability.
{"title":"Endoanchors for the distal fixation of iliac limb in endovascular aneurysm repair","authors":"Andrea Spertino MD, Matteo Spezia MD, Francesco Squizzato MD, Michele Antonello PhD","doi":"10.1016/j.jvscit.2024.101700","DOIUrl":"10.1016/j.jvscit.2024.101700","url":null,"abstract":"<div><div>This report details the case of an 84-year-old male with an infrarenal abdominal aortic aneurysm and a dilated right common iliac artery eligible for endovascular treatment. A bifurcated stent graft (Medtronic Endurant IIs) was used to treat the aneurysm. To address the concerns of instability of the right iliac limb, four endoanchors (Heli-FX EndoAnchor, Medtronic) were placed at the distal landing zone to provide additional fixation. This case shows good result in the improvement of stability of the iliac limb with potentially enhanced durability.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101700"},"PeriodicalIF":0.7,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-03DOI: 10.1016/j.jvscit.2024.101704
Halim Yammine MD, Aravinda Abeysekera MD, Frank R. Arko III MD
We report a case of mesenteric ischemia after thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection performed at a different institution. Computed tomography angiography findings indicated that the previous TEVAR had been deployed distally into the false lumen. To mitigate this, a large fenestration was created between the false lumen and true lumen. This was then followed by distal extension of the original TEVAR to improve the distal seal. Intravascular ultrasound examination was used to differentiate between the true and false lumens, as well as evaluate the status of branch vessels intraoperatively. This case illustrates the importance of intravascular ultrasound examination in providing real-time feedback to ensure optimal outcomes during complex procedures.
{"title":"Jumping lumens, A case of mesenteric ischemia after thoracic endovascular aortic repair for type B aortic dissection","authors":"Halim Yammine MD, Aravinda Abeysekera MD, Frank R. Arko III MD","doi":"10.1016/j.jvscit.2024.101704","DOIUrl":"10.1016/j.jvscit.2024.101704","url":null,"abstract":"<div><div>We report a case of mesenteric ischemia after thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection performed at a different institution. Computed tomography angiography findings indicated that the previous TEVAR had been deployed distally into the false lumen. To mitigate this, a large fenestration was created between the false lumen and true lumen. This was then followed by distal extension of the original TEVAR to improve the distal seal. Intravascular ultrasound examination was used to differentiate between the true and false lumens, as well as evaluate the status of branch vessels intraoperatively. This case illustrates the importance of intravascular ultrasound examination in providing real-time feedback to ensure optimal outcomes during complex procedures.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101704"},"PeriodicalIF":0.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-03DOI: 10.1016/j.jvscit.2024.101705
Maani Hakimi MD , Alina Reeg MD , Juan Antonio Celi de la Torre MD , Georg Jung MD , Tomàs Reyes del Castillo MD , Justus Roos MD , Thiago Lima MD
Objective
The aim of this single-center case series is to demonstrate that an ultra-low dose (ULD) can be routinely achieved in the hybrid operating room in standard endovascular aortic repair (EVAR) for infrarenal abdominal aortic aneurysm by adjusting the manufacturer's predefined imaging parameters, hardware configurations and user protocols (including benchmarking).
Methods
The hybrid operating room manufacturer predefined EVAR software setup of the dose exposure control software (OPTIQ, Siemens Healthineers, Forchheim, Germany) at our university medical center was screened for possible improvements regarding radiation dose application. Tests on a water-equivalent as well as polymethyl methacrylate phantom model to assess the impact of technical settings were performed, including comparison of settings for exposure control software, different magnification, collimation configurations and detector distance. All results were transferred into modified setups for the exposure control software and a new ULD procedure protocol for EVAR. Additionally, to standardize the clinical pathway, the Lucerne EVAR Milestone Approach (LEMA) was introduced including preoperative, perioperative, and postoperative milestones for technical procedure content and dose benchmarking during EVAR. A validation of the new settings including revised software setup, procedure protocol, and applicability of LEMA on a consecutive EVAR case series was conducted. Ten consecutive patients undergoing EVAR for low and medium complexity infrarenal abdominal aortic aneurysm were included. The primary outcome parameter was intraoperative dose area product (DAP, measured in Gy·cm2). Secondary outcomes were median fluoroscopy time (in minutes:seconds), cumulative air kerma (in mGy), clinical success, and occurrence of endoleaks.
Results
New ULD settings compared with previous manufacturers standard settings of dose exposure control software reduced DAP for both fluoroscopy (0.0382 Gy·cm2/min vs 0.3 Gy·cm2/min) and angiography (2.36 Gy·cm2/min vs 2.48 Gy·cm2/min). Digital magnification and collimation decreased DAP. Application of the new ULD standard EVAR protocol resulted in a median DAP of 5.6 Gy·cm2 (range, 3.54-12.1 Gy·cm2). Median fluoroscopy time was 16 minutes and 32 seconds. Type I endoleaks occurred in no patients (0%), type II in five patients (50%), and type III in no patients (0%). No patient had to undergo reintervention owing to endoleak or absence of diameter shrinkage during the first postoperative year.
Conclusions
Revision of the manufacturer-predefined EVAR setup by testing and ensuring optimal imaging parameters and hardware configurations in combination with LEMA enabled performance of ULD standard EVAR procedures routinely without compromising imaging quality.
{"title":"Lucerne milestone approach for benchmarking and education: Towards ultra-low dose endovascular aortic repair","authors":"Maani Hakimi MD , Alina Reeg MD , Juan Antonio Celi de la Torre MD , Georg Jung MD , Tomàs Reyes del Castillo MD , Justus Roos MD , Thiago Lima MD","doi":"10.1016/j.jvscit.2024.101705","DOIUrl":"10.1016/j.jvscit.2024.101705","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this single-center case series is to demonstrate that an ultra-low dose (ULD) can be routinely achieved in the hybrid operating room in standard endovascular aortic repair (EVAR) for infrarenal abdominal aortic aneurysm by adjusting the manufacturer's predefined imaging parameters, hardware configurations and user protocols (including benchmarking).</div></div><div><h3>Methods</h3><div>The hybrid operating room manufacturer predefined EVAR software setup of the dose exposure control software (OPTIQ, Siemens Healthineers, Forchheim, Germany) at our university medical center was screened for possible improvements regarding radiation dose application. Tests on a water-equivalent as well as polymethyl methacrylate phantom model to assess the impact of technical settings were performed, including comparison of settings for exposure control software, different magnification, collimation configurations and detector distance. All results were transferred into modified setups for the exposure control software and a new ULD procedure protocol for EVAR. Additionally, to standardize the clinical pathway, the Lucerne EVAR Milestone Approach (LEMA) was introduced including preoperative, perioperative, and postoperative milestones for technical procedure content and dose benchmarking during EVAR. A validation of the new settings including revised software setup, procedure protocol, and applicability of LEMA on a consecutive EVAR case series was conducted. Ten consecutive patients undergoing EVAR for low and medium complexity infrarenal abdominal aortic aneurysm were included. The primary outcome parameter was intraoperative dose area product (DAP, measured in Gy·cm<sup>2</sup>). Secondary outcomes were median fluoroscopy time (in minutes:seconds), cumulative air kerma (in mGy), clinical success, and occurrence of endoleaks.</div></div><div><h3>Results</h3><div>New ULD settings compared with previous manufacturers standard settings of dose exposure control software reduced DAP for both fluoroscopy (0.0382 Gy·cm<sup>2</sup>/min vs 0.3 Gy·cm<sup>2</sup>/min) and angiography (2.36 Gy·cm<sup>2</sup>/min vs 2.48 Gy·cm<sup>2</sup>/min). Digital magnification and collimation decreased DAP. Application of the new ULD standard EVAR protocol resulted in a median DAP of 5.6 Gy·cm<sup>2</sup> (range, 3.54-12.1 Gy·cm<sup>2</sup>). Median fluoroscopy time was 16 minutes and 32 seconds. Type I endoleaks occurred in no patients (0%), type II in five patients (50%), and type III in no patients (0%). No patient had to undergo reintervention owing to endoleak or absence of diameter shrinkage during the first postoperative year.</div></div><div><h3>Conclusions</h3><div>Revision of the manufacturer-predefined EVAR setup by testing and ensuring optimal imaging parameters and hardware configurations in combination with LEMA enabled performance of ULD standard EVAR procedures routinely without compromising imaging quality.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101705"},"PeriodicalIF":0.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Repair of a type II thoracoabdominal aortic aneurysm with three equal-sized renal arteries and bilateral common iliac aneurysms using a completely percutaneous transfemoral approach","authors":"Sasank Kalipatnapu MBBS, MS, Kris Boelitz MD, Andres Schanzer MD, FACS, DFSVS","doi":"10.1016/j.jvscit.2024.101703","DOIUrl":"10.1016/j.jvscit.2024.101703","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 2","pages":"Article 101703"},"PeriodicalIF":0.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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