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Category Archives: Totally laparoscopic AAA replacement

Stent-graft > EVAR > New findings on abdominal aortic aneurysm AAA > Mortality > Endovascular technology > Hospital volume > Proportion of AAA repaired with EVAR > Increased from 27% to 39%

Thursday, July 17, 2008

Did the introduction of endovascular (EVAR) technology change the relationship of hospital volume to mortality with abdominal aortic aneurysm repair?Are higher-volume hospitals are more likely to use the endovascular approach? Is the greater use of the endovascular procedure at high-volume hospitals accounting for the difference in mortality between high-and low-volume hospitals?

IIP > read on here […]

Filed in Aorfix Dacron stent-graft, Surgical revision, Stent graft migration following endovascular aneurysm r, Type I endoleaks, Endovascular techniques prone to similar complications, Aneurysm rupture, GORE EXCLUDER AAA Endoprosthesis, Life Line Screening, Fixation of stent grafts, Stent graft fixation product, Stent grafts have a tendency to migrate, Endoleaks, Benefit from screening, Keep the graft in place, Paraplegia secondary to spinal cord ischaemia, Complication of stent-graft repair, Abdominal aortic aneurysm AAA repair, Endovascular and coronary products, Abdominal aortic aneurysms have no symptoms, Endovascular abdominal aortic aneurysm repair, Abdominal Aortic Aneurysm, Endovascular Aneurysm Repair EVAR Trials, EndoRefix endostapling device, Endovascular resection, Interventional procedures, Men in England are to be offered AAA screening, Vascular Surgeons, Endovascular aneurysm repair EVAR, Endovascular repair of abdominal aortic aneurysms EVAR, Endovascular Therapy, Stent Stapler, Stapling may replace stitching, Watchful waiting, Treatment of aneurysms, Open aneurysm repair, Surgical aneurysm repair, Endoaneurysmorrhaphy, Elective surgical treatment of AAA, Albert Einstein, Sudden severe back or abdominal pain, Ultrasound screening, Rupture of an abdominal aortic aneurysm, Abdominal aortic aneurysm AAA, Endovascular stent graft, Risk of developing AAA, Silent killer, Totally laparoscopic AAA replacement, Larger aneurysms can leak or rupture, Free screening for AAA, Ascending aortic aneurysm, Welcome to Medicare physical, Screen the aorta, Endoscopy Endoscopic, Scanning and visualizing the aorta, Simple $50 ultrasound scan, Stent-graft technology under serious scrutiny, Need for reintervention, Endovascular stenting, Long-term graft performance, AAA stent-graft device, Subsidiary of a major stent-graft company, Endoluminal Endolumenal Hollow Vessel | Comments Off

Endovascular abdominal aortic aneurysm repair > Under severe regulatory body scrutiny > Cost effectiveness as a function of cost and clinical benefit > National Institute of Clinical Excellence NICE > Unfit for open repair and not high risk > Endovascular Aneurysm Repair EVAR Trials > Dutch Randomized Endovascular Aneurysm Management DREAM > Open Versus Endovascular Repair OVER trial > Multi-center experience > Cook > Medtronic > Gore

Friday, July 11, 2008

Are there two populations of patients considered for EVAR, those fit for open repair and those unfit? Is there ever more evidence that the fitness of the patient is of crucial importance in the decision-making? Are trial results pointing toward EVAR being of poor or even no benefit in the very sick patients?

IIP > read […]

Filed in Endovascular aneurysm repair EVAR, Connecting AAA graft to aortic neck, Men in England are to be offered AAA screening, Stent-graft, Endovascular Therapy, Stent Graft Fixation Device, Endovascular resection, Endovascular repair of abdominal aortic aneurysms EVAR, Complication of stent-graft repair, Paraplegia secondary to spinal cord ischaemia, Aorfix Dacron stent-graft, Surgical revision, GORE EXCLUDER AAA Endoprosthesis, Stent graft migration following endovascular aneurysm r, Type I endoleaks, Endovascular techniques prone to similar complications, Aneurysm rupture, Endovascular and coronary products, Abdominal aortic aneurysm AAA repair, Regulatory body scrutiny, Cost effectiveness, Core laboratory, Cost effectiveness as a function of cost and clinical b, National Institute of Clinical Excellence NICE, Cook, Gore, Roger Greenhalgh, Multi-center experience, Unfit for open repair and not high risk, Quo Vadis EVAR, Abdominal aortic aneurysms have no symptoms, Stent-grafting, Endovascular abdominal aortic aneurysm repair, Endovascular Aneurysm Repair EVAR Trials, Open Versus Endovascular Repair OVER trial, Dutch Randomized Endovascular Aneurysm Management DREAM, Life Line Screening, Medtronic, Elective surgical treatment of AAA, Surgical aneurysm repair, Open aneurysm repair, Endoaneurysmorrhaphy, Totally laparoscopic AAA replacement, Need for reintervention, Endovascular stenting, Larger aneurysms can leak or rupture, Watchful waiting, Treatment of aneurysms, Endovascular stent graft, Abdominal aortic aneurysm AAA, Ultrasound screening, Silent killer, Risk of developing AAA, Albert Einstein, Sudden severe back or abdominal pain, Long-term graft performance, AAA stent-graft device, Stent graft fixation product, Stent Stapler, Stapling may replace stitching, Fixation of stent grafts, Stent grafts have a tendency to migrate, Benefit from screening, Keep the graft in place, Endoleaks, Scanning and visualizing the aorta, Screen the aorta, Stent-graft technology under serious scrutiny, Subsidiary of a major stent-graft company, Warning letter, Simple $50 ultrasound scan, Ascending aortic aneurysm, Welcome to Medicare physical, Free screening for AAA, Rupture of an abdominal aortic aneurysm | Comments Off

Complex aneurysm > Treated using new fenestrated endograft stent > New York > Presbyterian Hospital > Columbia University Medical Center > Zenith Fenestrated AAA Endovascular > Graft by Cook Medical

Thursday, July 10, 2008

Has stent-grafting with a traditional endograft been difficult or impossible for about ten per cent of abdominal aortic aneurysm patients? Is open surgery usually not an option since most of these patients are aged 70 and older, and often with medical complications? Does the fenestrated endograft procedure take more time and skill than repair of […]

Filed in Abdominal aortic aneurysm AAA repair, Surgery usually not an option, Stent-grafting, Fenestrated endograft procedure, Columbia University Medical Center, Men in England are to be offered AAA screening, Columbia University College of Physicians and Surgeons, Benefit from screening, Life Line Screening, Aneurysm rupture, Repair of standard aneurysms, Angeliki Vouyouka, Treated using new fenestrated endograft stent, Presbyterian Hospital, Zenith Fenestrated AAA Endovascular, Graft by Cook Medical, Complex aneurysm, James McKinsey, Abdominal aortic aneurysms have no symptoms, Weill Cornell, New York-Presbyterian Hospital Medical College, Stapling may replace stitching, Scanning and visualizing the aorta, Albert Einstein, Treatment of aneurysms, Watchful waiting, Open aneurysm repair, Sudden severe back or abdominal pain, Risk of developing AAA, Ultrasound screening, Abdominal aortic aneurysm AAA, Silent killer, Surgical aneurysm repair, Elective surgical treatment of AAA, Ascending aortic aneurysm, Free screening for AAA, Welcome to Medicare physical, Screen the aorta, Simple $50 ultrasound scan, AAA stent-graft device, Endoaneurysmorrhaphy, Totally laparoscopic AAA replacement, Larger aneurysms can leak or rupture, Rupture of an abdominal aortic aneurysm | Comments Off

Aortic Stent Grafts > Growing physician preference for minimally invasive procedures > Boost Canadian and Japanese Peripheral Vascular Markets > Grow at CAGRs of nearly 60% and 20%

Tuesday, June 24, 2008

Is stent-graft design in an evolutionary dead-end or can device innovation improve the success rates of aortic stent grafts? Can improved devices actually expand the treatable patient population? Will growing patient awareness of and demand for minimally invasive aortic procedures will drive the adoption of aortic stent grafts?

IIP > read on here > http://www.earthtimes.org…
…According […]

Filed in Life Line Screening, Benefit from screening, GORE EXCLUDER AAA Endoprosthesis, Surgical revision, Aorfix Dacron stent-graft, Keep the graft in place, Endoleaks, Stent Stapler, Stapling may replace stitching, Stent graft fixation product, Fixation of stent grafts, Stent grafts have a tendency to migrate, Stent graft migration following endovascular aneurysm r, Type I endoleaks, Endovascular repair of abdominal aortic aneurysms EVAR, Endovascular Therapy, Endovascular resection, Endovascular and coronary products, Abdominal aortic aneurysm AAA repair, Endovascular aneurysm repair EVAR, Endovascular Valve, Endovascular techniques prone to similar complications, Aneurysm rupture, Paraplegia secondary to spinal cord ischaemia, Complication of stent-graft repair, Men in England are to be offered AAA screening, Scanning and visualizing the aorta, Screen the aorta, Treatment of aneurysms, Albert Einstein, Watchful waiting, Open aneurysm repair, Surgical aneurysm repair, Sudden severe back or abdominal pain, Risk of developing AAA, Ultrasound screening, Rupture of an abdominal aortic aneurysm, Abdominal aortic aneurysm AAA, Endovascular stent graft, Silent killer, Elective surgical treatment of AAA, Endoaneurysmorrhaphy, Stent-graft technology under serious scrutiny, Subsidiary of a major stent-graft company, Simple $50 ultrasound scan, Ascending aortic aneurysm, Free screening for AAA, Warning letter, AAA stent-graft device, Larger aneurysms can leak or rupture, Totally laparoscopic AAA replacement, Endovascular stenting, Need for reintervention, Long-term graft performance, Endoluminal Endolumenal Hollow Vessel | Comments Off

Hand-assisted laparoscopic surgery HALS > Laparoscopy-assisted > Abdominal aortic aneurysm AAA repair > Early and middle-term results > Consecutive series of 122 cases > University of Pisa > Hybrid Procedure for Endoaneurysmorrhaphy > Intraluminal vascular graft placement

Tuesday, June 3, 2008

Is the hybrid procedure of laparoscopic-assisted abdominal aortic aneurysms repair the latest MIS treatment for elective surgical replacement with synthetic graft? Are the laparoscopic-assisted techniques well refined and ready for widespread adaptation? Is the technique applicable to a broader AAA patient base as compared to the limited application of stent-grafting?

IIP > read on here > […]

Filed in Surgical revision, GORE EXCLUDER AAA Endoprosthesis, Aorfix Dacron stent-graft, Stent graft migration following endovascular aneurysm r, Aneurysm rupture, Type I endoleaks, Life Line Screening, Benefit from screening, Fixation of stent grafts, Stent graft fixation product, Stent grafts have a tendency to migrate, Endoleaks, Keep the graft in place, Endovascular techniques prone to similar complications, Paraplegia secondary to spinal cord ischaemia, Abdominal aortic aneurysm AAA repair, Laparoscopy-assisted, Early and middle-term results, Consecutive series of 122 cases, Intraluminal vascular graft placement, University of Pisa, Endovascular and coronary products, Endovascular resection, Men in England are to be offered AAA screening, Complication of stent-graft repair, Endovascular aneurysm repair EVAR, Endovascular Therapy, Endovascular repair of abdominal aortic aneurysms EVAR, Stent Stapler, Stapling may replace stitching, Watchful waiting, Treatment of aneurysms, Open aneurysm repair, Surgical aneurysm repair, Endoaneurysmorrhaphy, Elective surgical treatment of AAA, Albert Einstein, Sudden severe back or abdominal pain, Abdominal aortic aneurysm AAA, Ultrasound screening, Endovascular stent graft, Silent killer, Risk of developing AAA, Totally laparoscopic AAA replacement, Larger aneurysms can leak or rupture, Simple $50 ultrasound scan, Stent-graft technology under serious scrutiny, Free screening for AAA, Welcome to Medicare physical, Scanning and visualizing the aorta, Screen the aorta, Subsidiary of a major stent-graft company, Warning letter, Endovascular stenting, Hand-assisted laparoscopic surgery HALS, Need for reintervention, Long-term graft performance, AAA stent-graft device, Rupture of an abdominal aortic aneurysm | Comments Off

Medtronic’s Securant > Lombard Medical > U.S. clinical trial for its EndoRefix endostapling device > New Stent Graft Fixation Device > Stent Stapler Closer to Launch

Wednesday, May 7, 2008

What are the limited European launch results that followed on the conclusion of a 10-patient clinical study? Is the clinical utility of EndoRefix to serve as an adjunctive procedure to endovascular abdominal aortic aneurysms stent-graft repair? Will Medtronic improve the proximal fixation of the Aneurx stent-graft with the technology?

IIP > read on here > http://www.hemscott.com…
…Lombard […]

Filed in Complication of stent-graft repair, Paraplegia secondary to spinal cord ischaemia, Endovascular techniques prone to similar complications, Men in England are to be offered AAA screening, Interventional procedures, Interventional Cardiologists, Interventional Neuroradiologists, Interventional Radiologists, Aneurysm rupture, Type I endoleaks, Vascular disease, GORE EXCLUDER AAA Endoprosthesis, Life Line Screening, Surgical revision, Aorfix Dacron stent-graft, Stent graft migration following endovascular aneurysm r, Lombard Medical, Vascular Surgeons, Cook Medical, Endovascular repair of abdominal aortic aneurysms EVAR, Aortic aneurysms or occlusive disease, Endovascular Therapy, Endovascular resection, Medtronic's Securant, Closer to Launch, Stent Graft Fixation Device, EndoRefix endostapling device, Aortic Aneurysmal and Occlusive Disease, Aortic Stapler for End-to-End Anastomosis, Joseph Lombardi, Zenith Dissection Endovascular System, STABLE Aortic Dissection Trial, Thomas Jefferson University Hospital in Philadelphia, Zenith TX2 Endovascular Graft, Endovascular aneurysm repair EVAR, Endoscopic Surgical Procedures, Benefit from screening, Keep the graft in place, Surgical aneurysm repair, Open aneurysm repair, Watchful waiting, Elective surgical treatment of AAA, Endoaneurysmorrhaphy, Endovascular stenting, Larger aneurysms can leak or rupture, Totally laparoscopic AAA replacement, Treatment of aneurysms, Albert Einstein, Abdominal aortic aneurysm AAA, Ultrasound screening, Rupture of an abdominal aortic aneurysm, Endovascular stent graft, Silent killer, Sudden severe back or abdominal pain, Risk of developing AAA, Need for reintervention, Long-term graft performance, Stapling may replace stitching, Endoscopy Endoscopic, Scanning and visualizing the aorta, Stent Stapler, Stent graft fixation product, Endoleaks, Stent grafts have a tendency to migrate, Fixation of stent grafts, Screen the aorta, Welcome to Medicare physical, Subsidiary of a major stent-graft company, Warning letter, AAA stent-graft device, Stent-graft technology under serious scrutiny, Simple $50 ultrasound scan, Free screening for AAA, Ascending aortic aneurysm, Endoluminal Endolumenal Hollow Vessel | Comments (0)

Abdominal Aortic Aneurysm Research > Leicester Royal Infirmary > University of Leicester > Received over £900,000 funding from the Wellcome Trust > Part of a £30M international initiative

Tuesday, April 29, 2008

Is an aneurysm that is readily detectable by a simple ultrasound scan during the long latent period when the aneurysm is growing an excellent opportunity to prevent the need for surgery? Will pharmacological treatment prevent progression to rupture? When will the first pharmacotherapeutic agent be identified to treat aneurysms?
IIP > read on here > http://www.inloughborough.com…
…The […]

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Endovascular repair of abdominal aortic aneurysms EVAR > Temporary repair > New endoleak study post EVAR > University of Munich-Grosshadern > CT-angiography CTA compared to contrast-enhanced ultrasound CE-US > CE-US allowed better visualization and classification of type II and III endoleaks than CTA

Thursday, April 17, 2008

Is EVAR really a big leap for interventional radiology and a sigh of relief for the patients? Which patient segment is really suited for the temporary repair with EVAR? Does all the data that supports endovascular repair show that endoleak development post EVAR is the biggest problem of EVAR?

IIP > Read on here > […]