The Experts below are selected from a list of 2997 Experts worldwide ranked by ideXlab platform
S Mandumula - One of the best experts on this subject based on the ideXlab platform.
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a novel approach to the management of a ruptured type ii endoleak following endovascular repair of an internal Iliac Artery Aneurysm
British Journal of Radiology, 2011Co-Authors: S D Patel, A Perera, S MandumulaAbstract:Endovascular repair of isolated Iliac Artery Aneurysms is an established safe and effective management option. Type II endoleak is a potential complication, but rarely results in significant morbidity or mortality. We report a case of a patient who presented with a ruptured internal Iliac Artery Aneurysm secondary to a Type II endoleak. To our knowledge this and the following method of managing this have not been previously reported. Established methods of managing endoleaks, such as intravascular transfemoral embolisation and open or laparoscopic ligation, were not possible. Therefore, we resorted to a novel approach to this type of Aneurysm and successfully performed a transcutaneous direct puncture and embolisation of the superior gluteal Artery.
Wojciech Cwikiel - One of the best experts on this subject based on the ideXlab platform.
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percutaneous transosseous embolization of internal Iliac Artery Aneurysm type ii endoleak report of two cases
CardioVascular and Interventional Radiology, 2011Co-Authors: Joseph J Gemmete, Mohammad Arabi, Wojciech CwikielAbstract:This report describes two cases of successful treatment of an internal Iliac Artery Aneurysm (IIAA) type II endoleak utilizing a percutaneous transosseous access that could not be treated using an endovascular or standard percutaneous approach. A direct percutaneous approach through bone was chosen to avoid vital structures and the surrounding bowel. The procedure was successful and required minimal fluoroscopy time compared with other treatment options. We believe this procedure is an alternative to some of the more complex and technically challenging means of treating this lesion.
Ron Balm - One of the best experts on this subject based on the ideXlab platform.
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nationwide analysis of patients undergoing Iliac Artery Aneurysm repair in the netherlands
Journal of Vascular Surgery, 2020Co-Authors: Hamid Jalalzadeh, Reza Indrakusuma, Mark J W Koelemay, Ron BalmAbstract:Objective The new 2019 guideline of the European Society for Vascular Surgery (ESVS) recommends consideration for elective Iliac Artery Aneurysm (eIAA) repair when the Iliac diameter exceeds 3.5 cm, as opposed to 3.0 cm previously. The current study assessed diameters at time of eIAA repair and ruptured IAA (rIAA) repair and compared clinical outcomes after open surgical repair (OSR) and endovascular Aneurysm repair (EVAR). Methods This retrospective observational study used the nationwide Dutch Surgical Aneurysm Audit (DSAA) registry that includes all patients who undergo aorto-Iliac Aneurysm repair in the Netherlands. All patients who underwent primary IAA repair between 1 January 2014 and 1 January 2018 were included. Diameters at time of eIAA and rIAA repair were compared in a descriptive fashion. The anatomical location of the IAA was not registered in the registry. Patient characteristics and outcomes of OSR and EVAR were compared with appropriate statistical tests. Results The DSAA registry comprised 974 patients who underwent IAA repair. A total of 851 patients were included after exclusion of patients undergoing revision surgery and patients with missing essential variables. eIAA repair was carried out in 713 patients, rIAA repair in 102, and symptomatic IAA repair in 36. OSR was performed in 205, EVAR in 618, and hybrid repairs and conversions in 28. The median maximum IAA diameter at the time of eIAA and rIAA repair was 43 (IQR 38–50) mm and 68 (IQR 58–85) mm, respectively. Mortality was 1.3% (95% CI 0.7–2.4) after eIAA repair and 25.5% (95% CI 18.0–34.7) after rIAA repair. Mortality was not significantly different between the OSR and EVAR subgroups. Elective OSR was associated with significantly more complications than EVAR (intra-operative: 9.8% vs. 3.6%, post-operative: 34.0% vs. 13.8%, respectively). Conclusion In the Netherlands, most eIAA repairs are performed at diameters larger than recommended by the ESVS guideline. These findings appear to support the recent increase in the threshold diameter for eIAA repair.
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editor s choice nationwide analysis of patients undergoing Iliac Artery Aneurysm repair in the netherlands
European Journal of Vascular and Endovascular Surgery, 2020Co-Authors: Hamid Jalalzadeh, Reza Indrakusuma, Mark J W Koelemay, Ron Balm, L H Van Den Akker, P J Van Den Akker, G J Akkersdijk, W L Akkersdijk, M G Van Andringa De KempenaerAbstract:Objective The new 2019 guideline of the European Society for Vascular Surgery (ESVS) recommends consideration for elective Iliac Artery Aneurysm (eIAA) repair when the Iliac diameter exceeds 3.5 cm, as opposed to 3.0 cm previously. The current study assessed diameters at time of eIAA repair and ruptured IAA (rIAA) repair and compared clinical outcomes after open surgical repair (OSR) and endovascular Aneurysm repair (EVAR). Methods This retrospective observational study used the nationwide Dutch Surgical Aneurysm Audit (DSAA) registry that includes all patients who undergo aorto-Iliac Aneurysm repair in the Netherlands. All patients who underwent primary IAA repair between 1 January 2014 and 1 January 2018 were included. Diameters at time of eIAA and rIAA repair were compared in a descriptive fashion. The anatomical location of the IAA was not registered in the registry. Patient characteristics and outcomes of OSR and EVAR were compared with appropriate statistical tests. Results The DSAA registry comprised 974 patients who underwent IAA repair. A total of 851 patients were included after exclusion of patients undergoing revision surgery and patients with missing essential variables. eIAA repair was carried out in 713 patients, rIAA repair in 102, and symptomatic IAA repair in 36. OSR was performed in 205, EVAR in 618, and hybrid repairs and conversions in 28. The median maximum IAA diameter at the time of eIAA and rIAA repair was 43 (IQR 38–50) mm and 68 (IQR 58–85) mm, respectively. Mortality was 1.3% (95% CI 0.7–2.4) after eIAA repair and 25.5% (95% CI 18.0–34.7) after rIAA repair. Mortality was not significantly different between the OSR and EVAR subgroups. Elective OSR was associated with significantly more complications than EVAR (intra-operative: 9.8% vs. 3.6%, post-operative: 34.0% vs. 13.8%, respectively). Conclusion In the Netherlands, most eIAA repairs are performed at diameters larger than recommended by the ESVS guideline. These findings appear to support the recent increase in the threshold diameter for eIAA repair.
S D Patel - One of the best experts on this subject based on the ideXlab platform.
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a novel approach to the management of a ruptured type ii endoleak following endovascular repair of an internal Iliac Artery Aneurysm
British Journal of Radiology, 2011Co-Authors: S D Patel, A Perera, S MandumulaAbstract:Endovascular repair of isolated Iliac Artery Aneurysms is an established safe and effective management option. Type II endoleak is a potential complication, but rarely results in significant morbidity or mortality. We report a case of a patient who presented with a ruptured internal Iliac Artery Aneurysm secondary to a Type II endoleak. To our knowledge this and the following method of managing this have not been previously reported. Established methods of managing endoleaks, such as intravascular transfemoral embolisation and open or laparoscopic ligation, were not possible. Therefore, we resorted to a novel approach to this type of Aneurysm and successfully performed a transcutaneous direct puncture and embolisation of the superior gluteal Artery.
Hamid Jalalzadeh - One of the best experts on this subject based on the ideXlab platform.
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nationwide analysis of patients undergoing Iliac Artery Aneurysm repair in the netherlands
Journal of Vascular Surgery, 2020Co-Authors: Hamid Jalalzadeh, Reza Indrakusuma, Mark J W Koelemay, Ron BalmAbstract:Objective The new 2019 guideline of the European Society for Vascular Surgery (ESVS) recommends consideration for elective Iliac Artery Aneurysm (eIAA) repair when the Iliac diameter exceeds 3.5 cm, as opposed to 3.0 cm previously. The current study assessed diameters at time of eIAA repair and ruptured IAA (rIAA) repair and compared clinical outcomes after open surgical repair (OSR) and endovascular Aneurysm repair (EVAR). Methods This retrospective observational study used the nationwide Dutch Surgical Aneurysm Audit (DSAA) registry that includes all patients who undergo aorto-Iliac Aneurysm repair in the Netherlands. All patients who underwent primary IAA repair between 1 January 2014 and 1 January 2018 were included. Diameters at time of eIAA and rIAA repair were compared in a descriptive fashion. The anatomical location of the IAA was not registered in the registry. Patient characteristics and outcomes of OSR and EVAR were compared with appropriate statistical tests. Results The DSAA registry comprised 974 patients who underwent IAA repair. A total of 851 patients were included after exclusion of patients undergoing revision surgery and patients with missing essential variables. eIAA repair was carried out in 713 patients, rIAA repair in 102, and symptomatic IAA repair in 36. OSR was performed in 205, EVAR in 618, and hybrid repairs and conversions in 28. The median maximum IAA diameter at the time of eIAA and rIAA repair was 43 (IQR 38–50) mm and 68 (IQR 58–85) mm, respectively. Mortality was 1.3% (95% CI 0.7–2.4) after eIAA repair and 25.5% (95% CI 18.0–34.7) after rIAA repair. Mortality was not significantly different between the OSR and EVAR subgroups. Elective OSR was associated with significantly more complications than EVAR (intra-operative: 9.8% vs. 3.6%, post-operative: 34.0% vs. 13.8%, respectively). Conclusion In the Netherlands, most eIAA repairs are performed at diameters larger than recommended by the ESVS guideline. These findings appear to support the recent increase in the threshold diameter for eIAA repair.
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editor s choice nationwide analysis of patients undergoing Iliac Artery Aneurysm repair in the netherlands
European Journal of Vascular and Endovascular Surgery, 2020Co-Authors: Hamid Jalalzadeh, Reza Indrakusuma, Mark J W Koelemay, Ron Balm, L H Van Den Akker, P J Van Den Akker, G J Akkersdijk, W L Akkersdijk, M G Van Andringa De KempenaerAbstract:Objective The new 2019 guideline of the European Society for Vascular Surgery (ESVS) recommends consideration for elective Iliac Artery Aneurysm (eIAA) repair when the Iliac diameter exceeds 3.5 cm, as opposed to 3.0 cm previously. The current study assessed diameters at time of eIAA repair and ruptured IAA (rIAA) repair and compared clinical outcomes after open surgical repair (OSR) and endovascular Aneurysm repair (EVAR). Methods This retrospective observational study used the nationwide Dutch Surgical Aneurysm Audit (DSAA) registry that includes all patients who undergo aorto-Iliac Aneurysm repair in the Netherlands. All patients who underwent primary IAA repair between 1 January 2014 and 1 January 2018 were included. Diameters at time of eIAA and rIAA repair were compared in a descriptive fashion. The anatomical location of the IAA was not registered in the registry. Patient characteristics and outcomes of OSR and EVAR were compared with appropriate statistical tests. Results The DSAA registry comprised 974 patients who underwent IAA repair. A total of 851 patients were included after exclusion of patients undergoing revision surgery and patients with missing essential variables. eIAA repair was carried out in 713 patients, rIAA repair in 102, and symptomatic IAA repair in 36. OSR was performed in 205, EVAR in 618, and hybrid repairs and conversions in 28. The median maximum IAA diameter at the time of eIAA and rIAA repair was 43 (IQR 38–50) mm and 68 (IQR 58–85) mm, respectively. Mortality was 1.3% (95% CI 0.7–2.4) after eIAA repair and 25.5% (95% CI 18.0–34.7) after rIAA repair. Mortality was not significantly different between the OSR and EVAR subgroups. Elective OSR was associated with significantly more complications than EVAR (intra-operative: 9.8% vs. 3.6%, post-operative: 34.0% vs. 13.8%, respectively). Conclusion In the Netherlands, most eIAA repairs are performed at diameters larger than recommended by the ESVS guideline. These findings appear to support the recent increase in the threshold diameter for eIAA repair.
