abdominal aortic aneurysm

A deformed Lunderquist wire in a percutaneous endovascular aortic aneurysm repair procedure

February 28, 2024

Abstract Introduction: An endovascular aortic aneurysm repair (EVAR) is a minimally invasive procedure for repairing an abdominal aneurysm. The advantage of this procedure is that EVAR does not require a laparotomy, hence reducing the physical insult to the body with a quicker recovery time for the patient. Percutaneous EVAR (PEVAR) involves accessing the femoral arteries…

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Endovascular aneurysm repair using the Gore Excluder Conformable Abdominal Aortic Aneurysm Endoprosthesis with active control system in octogenarians with highly angulated aneurysm neck: a UK single-centre experience

December 15, 2023

Introduction In March 2020 the National Institute for Health and Care Excellence (NICE) guidelines recommended open repair as the primary treatment option for unruptured abdominal aortic aneurysms (AAAs), while suggesting endovascular aneurysm repair (EVAR) as a viable alternative for individuals with a high anaesthetic risk. Octogenarians constitute a subset of the high-risk population. They exhibit…

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Changes in functional health status following open abdominal aortic aneurysm repair and the role of exercise-based rehabilitation: a systematic review

November 20, 2023

Introduction Patients with abdominal aortic aneurysms (AAA) are usually older adults with widespread atherosclerosis and considerable cardiovascular risk factors.1–3 As a result, open surgical repair is associated with significant perioperative morbidity which may require a prolonged inpatient or intensive care stay.4,5  The associated metabolic and cardiopulmonary challenges may have substantial resultant consequences on functional status…

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Transfusion requirements in elective open abdominal aortic aneurysm repair: a network review of practice

March 23, 2023

Background During a recent NHS blood transfusion (NHSBT) Amber Alert1 for a shortage of Group O red cells available for transfusion, a recommendation to review higher risk surgeries which may require transfusion was implemented. Vascular surgery, and particularly open abdominal aortic aneurysm (AAA) repair, is often cited as being a particularly high-risk group (>15% transfusion…

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Use of a Heli-FX System Guide steerable sheath for internal iliac artery bridging stent re-intervention following iliac branch procedure via a contralateral femoral approach

January 30, 2023

Abstract Endovascular aneurysm repair (EVAR) offers lower early morbidity and mortality at the expense of increased long-term re-intervention. Dilatation of distal landing zones is increasingly managed with iliac branch procedures. Re-intervention for endoleak from the internal iliac artery (IIA) bridging stent component is usually approached from arm access due to concerns regarding inducement of displacement…

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