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Journal of Endovascular Therapy

August Ysa, Marta Lobato, Ederi Mikelarena, Amaia Arruabarrena, Roberto Gómez, Ana Apodaka, Matthew Metcalfe, Juan L Fonseca
PURPOSE: To describe a maneuver to facilitate percutaneous arteriovenous fistula creation during venous arterialization procedures in patients with no-option critical limb ischemia. TECHNIQUE: Following a failed arterial recanalization attempt, a balloon catheter is passed up to the tip of the guidewire. Venous access is gained distally, a 4-F sheath is antegradely passed, and a 4-mm GooseNeck snare is advanced through it. A fluoroscopic view that overlaps the snare and the inflated balloon is obtained...
February 15, 2019: Journal of Endovascular Therapy
Lennart van de Velde, Aleksandra C Zoethout, Jan-Willem H P Lardenoije, Michel M P J Reijnen
PURPOSE: To describe a proximal extension of a failed chimney endovascular aneurysm sealing repair (chEVAS) using a chEVAS-in-chEVAS procedure in 2 cases with successful treatment outcome at 2-year follow-up. CASE REPORT: Two patients with an infrarenal abdominal aortic aneurysm were treated with an elective chEVAS procedure with 1 chimney stent for a unilateral renal artery. At 18 and 24 months, respectively, both patients showed aneurysm growth with an associated decrease in proximal seal...
February 15, 2019: Journal of Endovascular Therapy
Costantino Del Giudice, Roberto Gandini
PURPOSE: To evaluate the safety and efficacy of low-frequency, high-intensity ultrasound energy delivered via a new dedicated ultrasound catheter followed by conventional balloon angioplasty to treat calcified infrapopliteal lesions. MATERIALS AND METHODS: A prospective, nonrandomized, single-center pilot study enrolled 12 patients (mean age 72.2±5.3 years; 8 men) with critical limb ischemia (9 Rutherford category 5 and 3 category 6) between January and November 2017...
February 11, 2019: Journal of Endovascular Therapy
Haekyung Jeon-Slaughter, Harish Krishnamoorthi, David Timaran, Amanda Wall, Bala Ramanan, Subhash Banerjee, Carlos H Timaran, J Gregory Modrall, Shirling Tsai
PURPOSE: To investigate the effect of abdominal aortic aneurysm (AAA) size on mid- and long-term survival after endovascular aneurysm repair (EVAR). MATERIALS AND METHODS: Retrospective data were collected from 325 consecutive patients (mean age 69.7 ± 8.5 years; 323 men) who underwent EVAR for intact AAA at a single institution between January 2003 and December 2013. The primary endpoint was death at 3, 5, and 10 years after EVAR. Optimal cutoff points for AAA size and age were determined using receiver operating characteristics (ROC) curves...
February 11, 2019: Journal of Endovascular Therapy
Nicolas Diehm, Stefanie Marggi, Yasushi Ueki, Dagmar Schumacher, Hak Hong Keo, Christian Regli, Dai Do Do, Tilmann Moeltgen, Philipp Grimsehl, Stephen Wyler, Heinz Schoenhofen, Lorenz Räber, Martin Schumacher
PURPOSE: To report the 1-year outcomes of a single-center, all-comers registry aimed to assess effectiveness and safety of endovascular revascularization for atherosclerotic erectile dysfunction (ED) in an unselected patient cohort. MATERIALS AND METHODS: Between April 2016 and October 2017, 50 consecutive patients (mean age 59.6±10.3 years) underwent endovascular revascularization for ED owing to >50% stenosis in 82 erection-related arteries. Patients were treated by means of standard balloon angioplasty (16%), drug-coated balloon angioplasty (27%), or drug-eluting stent (55%) implantation...
February 11, 2019: Journal of Endovascular Therapy
Jihad Mustapha, William Gray, Brad J Martinsen, Ryan W Bolduan, George L Adams, Gary Ansel, Michael R Jaff
PURPOSE: To report the 1-year results of a multicenter study of peripheral artery disease (PAD) treatment with a variety of endovascular treatment strategies employed in routine practice. MATERIALS AND METHODS: The LIBERTY trial ( identifier NCT01855412) is a prospective, observational, core laboratory-assessed, multicenter study of endovascular device intervention in 1204 subjects (mean age 69.8±10.7 years; 770 men) stratified by Rutherford category (RC): claudicants (RC2,3; n=501) and critical limb ischemia (CLI) with no/minimal tissue loss (RC4,5; n=603) or significant tissue loss (RC6; n=100)...
February 6, 2019: Journal of Endovascular Therapy
Ehrin J Armstrong, Syed Alam, Steve Henao, Arthur C Lee, Brian G DeRubertis, Miguel Montero-Baker, Carlos Mena, Bennett Cua, Luis Mariano Palena, Richard Kovach, Venita Chandra, Amjad AlMahameed, Craig M Walker
Critical limb ischemia (CLI), defined as ischemic rest pain or nonhealing ulceration due to arterial insufficiency, represents the most severe and limb-threatening manifestation of peripheral artery disease. A major challenge in the optimal treatment of CLI is that multiple specialties participate in the care of this complex patient population. As a result, the care of patients with CLI is often fragmented, and multidisciplinary societal guidelines have not focused specifically on the care of patients with CLI...
February 1, 2019: Journal of Endovascular Therapy
Andrés Reyes Valdivia, Francisco Álvarez Marcos, África Duque Santos, Julia Ocaña Guaita, Claudio Gandarias Zúñiga
PURPOSE: To assess if the suitability of endovascular aneurysm repair (EVAR) of ruptured abdominal aortic aneurysms (RAAAs) can be expanded by combining the Endurant stent-graft with the Heli-FX EndoAnchors. MATERIALS AND METHODS: Contrast-enhanced computed tomography (CT) scans of 90 patients (mean age 73.2±9 years; 87 men) with RAAA admitted between January 2014 and January 2018 in 2 tertiary care centers were analyzed in a 3-dimensional workstation. Anatomical features of the aneurysms according to the instructions for use (IFU) for the Endurant endograft were evaluated and expansion of treatment with Heli-FX EndoAnchors was assessed...
February 1, 2019: Journal of Endovascular Therapy
Osamu Iida, Kazushi Urasawa, Yasuo Komura, Yoshimitsu Soga, Naoto Inoue, Hidehiko Hara, Junji Yajima, Shigeru Nakamura, Takao Ohki, Hiroshi Ando, Keisuke Hirano, Yuki Horita, Kimihiko Kichikawa, Yoshiaki Yokoi, Akira Miyamoto, Masato Nakamura, Mitsuyoshi Takahara, Toshiaki Mano, Shinsuke Nanto
PURPOSE: To report the midterm outcomes of a trial comparing self-expanding nitinol stents to percutaneous transluminal angioplasty (PTA) with provisional stenting in the treatment of obstructive disease in the superficial femoral and popliteal arteries. MATERIALS AND METHODS: The SM-01 study ( identifier NCT01183117), a single-blinded, multicenter, randomized controlled trial in Japan, enrolled 105 consecutive patients with de novo or postangioplasty restenotic femoropopliteal lesions; after removing protocol violations (1 from each group), 51 patients (mean age 74±8 years; 36 men) in the stent group and 52 patients (mean age 73±8 years; 35 men) in the PTA group were included in the intention-to-treat analysis...
January 31, 2019: Journal of Endovascular Therapy
Jeffrey Forris Beecham Chick, Joseph J Gemmete, Anthony N Hage, Jacob J Bundy, Charles Brewerton, Jordan B Fenlon, Steven D Abramowitz, Dawn M Coleman, Ravi N Srinivasa, David M Williams
PURPOSE: To determine if stent placement across the renal vein inflow affects kidney function and renal vein patency. METHODS: Between June 2008 and September 2016, 93 patients (mean age 39 years, range 15-70; 54 women) with iliocaval occlusion underwent venous stent placement and were retrospectively reviewed. For this analysis, the patients were separated into treatment and control groups: 51 (55%) patients had suprarenal and infrarenal iliocaval venous disease requiring inferior vena cava stent reconstruction across the renal vein inflow (treatment group) and 42 (45%) patients had iliac vein stenting sparing the renal veins (control group)...
January 25, 2019: Journal of Endovascular Therapy
Beatrice Fiorucci, Francesco Speziale, Tilo Kölbel, Nikolaos Tsilimparis, Pasqualino Sirignano, Laura Capoccia, Gioele Simonte, Fabio Verzini
PURPOSE: To compare outcomes of patients treated for pararenal aortic aneurysms using fenestrated endovascular aneurysm repair (fEVAR) vs open surgical repair (OSR) in 3 high-volume centers. MATERIALS AND METHODS: A multicenter retrospective analysis was conducted of 200 pararenal abdominal aortic aneurysm patients electively treated with OSR (n=108) or fEVAR (n=92) from 1998 to 2015 at 3 tertiary institutions. Endpoints were 30-day morbidity and mortality, late reinterventions, visceral artery occlusion, and mortality...
December 28, 2018: Journal of Endovascular Therapy
Roberto Ferraresi, Andrea Casini, Fabrizio Losurdo, Maurizio Caminiti, Alessandro Ucci, Matteo Longhi, Michiel Schreve, Michael Lichtenberg, Steven Kum, Giacomo Clerici
PURPOSE: To describe a preliminary experience in treating no-option critical limb ischemia (CLI) patients with a hybrid foot vein arterialization (HFVA) technique combining open plus endovascular approaches. MATERIALS AND METHODS: Between May 2016 and January 2018, 35 consecutive patients (mean age 68±12 years; 28 men) with 36 no-option CLI limbs underwent HFVA in our center. All limbs had grade 3 WIfI (Wound, Ischemia, and foot Infection) ischemia, and the wound classification was grade 1 in 4 (11%) limbs, grade 2 in 4 (11%), and grade 3 in 28 (78%)...
December 28, 2018: Journal of Endovascular Therapy
Andrew Holden, Andrew Hill, Andrew Walker, Brendan Buckley, Stephen Merrilees, Przemysław Nowakowski, Marek Krzanowski, Marianne Brodmann
PURPOSE: To evaluate the safety and efficacy of the Serranator Alto PTA Serration Balloon Catheter in subjects with peripheral artery disease in the superficial femoral and popliteal arteries. MATERIALS AND METHODS: A prospective, multicenter, single-arm feasibility study enrolled 25 patients (mean age 66 years; 18 men) to evaluate Serranator inflation and postinflation effects under monitoring by independent core laboratories. Inclusion criteria were claudication or ischemic rest pain, de novo lesions or native artery restenosis, >70% stenosis, lesion length <10 cm, and a reference vessel diameter of 4 to 6 mm...
December 24, 2018: Journal of Endovascular Therapy
Theodorus M J van Bakel, Viviana Grassi, Himanshu J Patel, Santi Trimarchi
No abstract text is available yet for this article.
December 24, 2018: Journal of Endovascular Therapy
Li-Ming Wei, Yue-Qi Zhu, Pei-Lei Zhang, Hai-Tao Lu, Jun-Gong Zhao
PURPOSE: To assess the diagnostic performance of quiescent-interval single-shot magnetic resonance angiography (QISS-MRA) at 3 tesla in diabetic patients with critical limb ischemia (CLI) vs contrast-enhanced MR angiography (CE-MRA) using digital subtraction angiography (DSA) as the standard of reference. METHOD: Thirty-seven consecutive diabetic patients (mean age 71.8±7.2 years; 30 men) with CLI (Fontaine stage III-IV) underwent QISS-MRA and CE-MRA with calf compression; DSA was the standard...
December 24, 2018: Journal of Endovascular Therapy
Theodorus G van Schaik, Jorn P Meekel, Vincent Jongkind, Rutger J Lely, Maarten Truijers, Arjan W J Hoksbergen, Willem Wisselink, Jan D Blankensteijn, Kak K Yeung
PURPOSE: To investigate in an in vitro model if secondary endobag filling can reduce gutter size during chimney endovascular aneurysm sealing (chEVAS). MATERIALS AND METHODS: Nellix EVAS systems were deployed in 2 silicone juxtarenal aneurysm models with suprarenal aortic diameters of 19 and 24 mm. Four configurations were tested: EVAS with 6-mm balloon-expandable (BE) or self-expanding (SE) chimney grafts (CGs) in the renal branches of both models. Balloons were inflated simultaneously in the CGs and main endografts during primary and secondary endobag filling and polymer curing...
December 21, 2018: Journal of Endovascular Therapy
Baolei Guo, Daqiao Guo, Zhenyu Shi, Zhihui Dong, Weiguo Fu
PURPOSE: To describe endovascular treatment of mesenteric malperfusion in a multichannel aortic dissection (MCAD) with full true lumen (TL) collapse following thoracic endovascular aortic repair (TEVAR). CASE REPORT: A 54-year-old man presented with chronic mesenteric ischemia and a previous TEVAR for MCAD complicated by superior mesenteric artery (SMA) malperfusion. Computed tomography angiography (CTA) demonstrated a 3-channel aortic dissection with a "false-true-false" configuration...
December 14, 2018: Journal of Endovascular Therapy
Seline R Goudeketting, Jan Wille, Daniel A F van den Heuvel, Jan-Albert Vos, Jean-Paul P M de Vries
PURPOSE: To review midterm clinical outcomes of EndoAnchor placement during or after endovascular aneurysm repair (EVAR) or chimney EVAR (ch-EVAR). MATERIALS AND METHODS: A retrospective analysis was conducted of 51 consecutive patients [median age 75 years; 38 men] who underwent EVAR/ch-EVAR with EndoAnchor placement between June 2010 and December 2016 to prevent seal failures (31, 61%) or to treat type Ia endoleak and/or migration (20, 39%). Median aortic neck diameter was 27...
December 4, 2018: Journal of Endovascular Therapy
Erik Groot Jebbink, Suzanne Holewijn, Michel Versluis, Frederike Grimme, Jan Willem Hinnen, Sebastian Sixt, John F Angle, Walter Dorigo, Michel M P J Reijnen
PURPOSE: To evaluate short- and long-term technical and clinical outcomes after kissing stent treatment of aortoiliac occlusive disease (AIOD) based on an individual participant data (IPD) meta-analysis. MATERIALS AND METHODS: A search of the Scopus database identified 156 articles on KS treatment of AIOD; of these 22 met the inclusion criteria. Authors of 19 articles with contact information were approached to join an IPD consortium. Eight author groups responded and 5 provided anonymized data for merging into an IPD database...
November 30, 2018: Journal of Endovascular Therapy
Asma Yafawi, Richard G McWilliams, Robert K Fisher, Andrew England, Maria Karouki, Francesco Torella
PURPOSE: To investigate the incidence and extent of stent frame movement after endovascular aneurysm sealing (EVAS) in the abdominal aorta and its relationships to aneurysm growth and the instructions for use (IFU) of the Nellix endograft. METHODS: A retrospective single-center study was conducted to review the clinical data and computed tomography (CT) images of 75 patients (mean age 76±7.6 years; 57 men) who underwent infrarenal EVAS and had a minimum 1-year follow-up...
November 28, 2018: Journal of Endovascular Therapy
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