Aptus Endosystems Completes $15 Million Series AA Financing
Funding will Support Further Clinical Activity for Novel Aortic Aneurysm Treatment
SUNNYVALE, Calif.--(Healthcare Sales & Marketing Network)--Aptus Endosystems, Inc., a medical device company developing advanced technology for endovascular aneurysm repa... Devices, Venture CapitalAptus Endosystems, endovascular aneurysm repair (Source: HSMN NewsFeed)...
POSTED 08/30/2010 at 08:32 AM --
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Thrombosed abdominal aortic aneurysm associated with an extensively âshaggyâ aorta repaired anatomically via a thoracoabdominal approach with supraceliac aortic clamping: Report of a case
Abstract A 76-year-old man with a history of multiple laparotomies and severe coronary artery disease was referred to our hospital
after the sudden development of pain and numbness in the lower extremities. Computed tomography showed a thrombosed abdominal
aortic aneurysm and diffuse aortic atherosclerosis; compatible with a âshaggy aorta.â A good response to thrombolytic therapy
permitted elective scheduling of abdominal aortic surgery after coronary artery bypass grafting. We operated via an extended
left retroperitoneal approach through a thoracoabdominal incision. Epiaortic ultrasonography revealed that only the supraceliac
aorta was free of mobile thrombi and had minimal plaque; we therefore placed a proximal aortic cross-clamp there. Anatomic
aortic reconstructio......
POSTED 08/26/2010 at 03:05 AM --
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Open Repair for Ruptured Abdominal Aortic Aneurysm and the Risk of Spinal Cord Ischemia: Review of the Literature and Risk-factor Analysis.
CONCLUSION: Spinal cord ischemia after ruptured AAA is a rare complication with an incidence of 1.2% (range 0-2.8%).
PMID: 20739199 [PubMed - as supplied by publisher] (Source: PubMed: Eur J Vasc Endovasc ...)...
POSTED 08/22/2010 at 06:00 PM --
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Endovascular infrarenal aortic aneurysm repair combined with laparoscopic cholecystectomy
The present review updates the current knowledge on the question of whether high fructose consumption is harmful or not and details new findings which further pushes this old debate. Due to large differences in its metabolic handling when compared to glucose, fructose was indeed suggested to be beneficial for the diet of diabetic patients. However its growing industrial use as a sweetener, especially in soft drinks, has focused attention on its potential harmfulness, possibly leading to dyslipidemia, obesity, insulin resistance/metabolic syndrome and even diabetes. Many new data have been generated over the last years, confirming the lipogenic effect of fructose as well as risks of vascular dysfunction and hypertension. Fructose exerts various direct effects in the liver, affecting both he......
POSTED 08/21/2010 at 01:39 AM --
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Successful reversal of delayed paraplegia associated with chronic type A aortic dissection using a spinal drain [Case report - Vascular general]
We report a rare case where cerebrospinal fluid drainage reversed DND that happened 18 months following type A dissection repair. (Source: Interactive CardioVascular and Thoracic Surgery)...
POSTED 08/18/2010 at 11:18 AM --
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A diagnostic odyssey and successful repair of a progressive aneurysmal expansion after complex aortic surgery and stent grafting of the descending aorta [Case report - Aortic and aneurysmal]
A 48-year-old patient with Marfan syndrome presented with an ascending aortic and arch periprosthesis hematoma (14.0x9.0 cm) and a descending aortic aneurysm (8.7x9.1 cm) developed over the last 2.5 years, after several operations on the ascending aorta and arch as well as stent-graft placement in the descending aorta. After a diagnostic odyssey, the small true aortic lumen was identified as the source for the ascending aortic periprosthesis hematoma and descending aortic aneurysm expansion. The present case report underlines several important issues in the combined surgical and interventional management of patients requiring multiple and complex procedures on the thoracic aorta. (Source: Interactive CardioVascular and Thoracic Surgery)...
POSTED 08/18/2010 at 11:18 AM --
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EVAR for EveryoneâWhy and Why Not
Endovascular aneurysm repair has proven to be a viable alternative approach in repairing aneurysms of the abdominal, thoracic, and thoracoabdominal aorta. However, this procedure cannot be offered to every patient that presents with an aortic aneurysm requiring repair. Each patient must be considered on an individual basis and must be thoroughly assessed prior to embarking on an endovascular repair. (Source: Journal of Vascular Nursing)...
POSTED 08/17/2010 at 02:00 AM --
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Minimal Incision Aortic Aneurysm Repair: An Underutilized But Safe Technique
Objective: To evaluate our experience with minimal incision aortic repair (MIAR, incision < 15 cm) and compare the results of abdominal aortic aneurysm (AAA) repair to traditional open surgery (OR) and endovascular repair (EVAR). (Source: Journal of Vascular Nursing)...
POSTED 08/17/2010 at 02:00 AM --
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Type II Endoleak Embolization after Endovascular Abdominal Aortic Aneurysm Repair with Use of Real-time Three-dimensional Fluoroscopic Needle Guidance
Current treatment for type II endoleak includes transarterial embolization and translumbar puncture, but each method has its drawbacks. With real-time three-dimensional fluoroscopy guidance, a cone-beam computed tomography (CT) image is created in which the needle trajectory is determined. The trajectory is superimposed on the fluoroscopy image, allowing real-time needle placement for precise embolization. We have used this method to treat five patients with complex type II endoleaks. All interventions were successful and uncomplicated. At 6-month follow-up, CT scan showed no recurrences. Direct puncture and injection with real-time three-dimensional fluoroscopy guidance shows encouraging results as treatment for complex type II endoleaks after endovascular abdominal aortic aneurysm repair......
POSTED 08/11/2010 at 06:00 PM --
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Aptus Completes First EndoStapling Procedures In Europe
Aptus Endosystems Inc., a medical device company developing advanced technology for endovascular aneurysm repair (EVAR), announced that several patients with aortic aneurysm disease have been successfully treated with the Aptus EndoStapling System in Europe (Source: Medical Design Online News)...
POSTED 08/09/2010 at 07:05 AM --
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Evolution of mycotic aortic aneurysm treatment by endovascular repair
Conclusion Endovascular management of aortic mycotic aneurysms provides an alternate and potentially safer method of intervention, particularly
in patients deemed unsuitable for open repair.
Content Type Journal ArticleDOI 10.1007/s11845-010-0544-9Authors
L. Nqwena, Departments of Interventional Radiology and Vascular Surgery, St. Vincentâs University Hospital, Elm Park, Dublin 4, IrelandM. A. Moloney, Departments of Interventional Radiology and Vascular Surgery, St. Vincentâs University Hospital, Elm Park, Dublin 4, IrelandD. H. OâDonnell, Departments of Interventional Radiology and Vascular Surgery, St. Vincentâs University Hospital, Elm Park, Dublin 4, IrelandS. Sheehan, Departments of Interventional Radiology and Vascular Surgery, St. Vincentâs Univers......
POSTED 08/08/2010 at 12:03 PM --
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Aortic and Iliac Fixation of Seven Endografts for Abdominal-aortic Aneurysm Repair in an Experimental Model Using Human Cadaveric Aortas.
CONCLUSIONS: Devices with fixation hooks displayed higher proximal fixation. Moulding-balloon dilatation increased proximal and distal fixation. Suprarenal support did not affect proximal fixation.
PMID: 20696599 [PubMed - as supplied by publisher] (Source: PubMed: Eur J Vasc Endovasc ...)...
POSTED 08/06/2010 at 06:00 PM --
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Emergency Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysm: The Way Forward?
Are there benefits to treating all anatomically suitable ruptured abdominal aortic aneurysms by emergency endovascular aneurysm repair, regardless of hemodynamic instability? Vascular (Source: Medscape Today Headlines)...
POSTED 08/04/2010 at 05:36 AM --
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Abdominal Aortic Aneurysm Surgery in Renal, Cardiac and Hepatic Transplant Recipients.
Authors: Sadat U, Huguet EL, Varty K
With advancements in transplantation and improved long-term allograft survival, the once rare clinical scenario of an abdominal aortic aneurysm (AAA) in a patient with a functioning allograft has become much more frequent. In transplant recipients, AAA repair has the potential to cause irreversible ischaemic injury to the transplanted organ. Different case series and case reports have mentioned a variety of techniques to offer protection to the transplanted organs during aneurysm repair such as cold perfusion, shunting, temporary surgical bypass and extracorporeal circuits etc. Critical review of these adjuncts seems to suggest that that they do not give any better results than just using a "clamp and go" approach. Endovascular aneurysm repair (EVAR......
POSTED 08/03/2010 at 06:00 PM --
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Spinal Cord Protection with a Cerebrospinal Fluid Drain in a Patient Undergoing Thoracic Endovascular Aortic Repair
Paralysis and paraparesis are dreaded complications of thoracic endovascular aortic repair (TEVAR) that occur with an incidence of 2%â6%. Risks factors include the type of thoracic aortic pathology treated, coverage of the left subclavian artery origin without revascularization, concomitant infrarenal abdominal aortic aneurysm repair, extent of stent graft coverage of the thoracic aorta, and renal failure. Cerebral spinal fluid (CSF) drains have been advocated as one of several protective strategies to prevent spinal cord ischemia. This case discussion briefly addresses the evidence supporting the use of CSF drains in patients undergoing TEVAR and offers an algorithm for managing CSF drains. (Source: Journal of Vascular and Interventional Radiology : JVIR)...
POSTED 08/03/2010 at 06:00 PM --
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Elective Matsui-Kitamura Stent Graft Repair for Descending Thoracic Aortic Aneurysm and Chronic Type-B Aortic Dissection
This study evaluates outcomes after TEVAR performed electively using our original Matsui-Kitamura stent graft (MKSG) to treat descending thoracic aortic aneurysms (dTAA) and chronic type-B aortic dissection (type-B AD), and elucidates the risk factors for postoperative spinal cord ischemia (SCI). TEVAR was performed using an MKSG in 66 patients (age: 70.8 ± 9.2 years). The underlying etiology was atherosclerotic change in 39 patients, chronic type-B aortic dissection in 23 patients, and other in 4 patients. No perioperative deaths occurred. Three patients showed temporary paralysis due to postoperative SCI. Abdominal aortic aneurysm (AAA) surgery was a risk factor for postoperative SCI ( = 0.04). The 5-year survival rate was 81.2 %. The present study demonstr......
POSTED 08/03/2010 at 04:06 AM --
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Long-term follow-up of neck expansion after endovascular aortic aneurysm repair
Conclusions: After EVAR with the Zenith stent graft, the neck dilates until its diameter approximates the diameter of the stent graft. Neck dilation was not associated with type I endoleak or migration of the stent graft. (Source: Journal of Vascular Surgery)...
POSTED 07/31/2010 at 06:00 PM --
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I know about Jack and you're no Jack Kevorkian
âThe transition between life and death should be gentle in the winter of life.âRudolph Matas, Father of Vascular Surgery You are a member of the Ethics Committee at a moderately-sized private hospital. Dr D.E. Mure, a seasoned vascular surgeon, asks the Committee's advice. Dr Mure repaired an 80-year-old male's ruptured abdominal aortic aneurysm two weeks ago. The patient, a popular retired minister, remains in deep coma but has not been declared brain dead. Moreover, the multiple organ dysfunction score has gradually worsened so that survival is very unlikely. The patient's family feels fervently that he will survive to live a useful life again. Dr Mure discussed discontinuing life-sustaining treatment with the family last evening but suddenly could not continue. He explains that he ......
POSTED 07/31/2010 at 06:00 PM --
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Revised Cardiac Risk Index (Lee) and Perioperative Cardiac Events as Predictors of Long-Term Mortality in Patients Undergoing Endovascular Abdominal Aortic Aneurysm Repair
Conclusion: Long-term mortality is high after endovascular repair of abdominal aortic aneurysm (AAA). In the setting of endovascular AAA repair, the Lee Index may be useful for stratifying short-term and long-term mortality in high-risk patients. (Source: Journal of Vascular Surgery)...
POSTED 07/31/2010 at 06:00 PM --
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Long-Term Outcome of Open or Endovascular Repair of Abdominal Aortic Aneurysm
Conclusions: Long-term survival after open and endovascular abdominal aortic aneurysm (AAA) repair is the same, but endovascular repair is more expensive and is associated with more reinterventions. (Source: Journal of Vascular Surgery)...
POSTED 07/31/2010 at 06:00 PM --
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