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Urgent EVAR: technical refinements to improve the clinical results


Mayer, D; Rancic, Z; Hechelhammer, L; Pfammatter, T; Lachat, Mario L (2009). Urgent EVAR: technical refinements to improve the clinical results. In: Becquemin, J P; Alimi, Y S; Gérard, J L. Controversies and updates in vascular surgery. Torino, Italy: Edizioni Minerva Medica, 120-126.

Abstract

Technical refinements in the strict sense (improvements of endovascular techniques) may help to further improve the results of emergency endovascular aneurysm repair. However, major improvements in clinical results of emergency EVAR concern the overall management of patients with ruptured abdominal aortic aneluysms. Standard operating procedures in the management of acute aortic lesions, emergency EVAR protocols, preoperative diagnostic imaging, the concept of hypotensive hemostasis, the use of transfemoral supraceliac aortic balloon occlusion, the use of local anesthesia, timely diagnosis and treatment of abdominal compartment syndrome and logistic issues may therefore be seen as technical refinements in the wider sense. This chapter highlights each of these technical issues and the authors expose how they are handled in their institution. Additionally, the concept of damage control endovascular aneurysm repair (dEVAR) is discussed.

Abstract

Technical refinements in the strict sense (improvements of endovascular techniques) may help to further improve the results of emergency endovascular aneurysm repair. However, major improvements in clinical results of emergency EVAR concern the overall management of patients with ruptured abdominal aortic aneluysms. Standard operating procedures in the management of acute aortic lesions, emergency EVAR protocols, preoperative diagnostic imaging, the concept of hypotensive hemostasis, the use of transfemoral supraceliac aortic balloon occlusion, the use of local anesthesia, timely diagnosis and treatment of abdominal compartment syndrome and logistic issues may therefore be seen as technical refinements in the wider sense. This chapter highlights each of these technical issues and the authors expose how they are handled in their institution. Additionally, the concept of damage control endovascular aneurysm repair (dEVAR) is discussed.

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Additional indexing

Item Type:Book Section, not refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2009
Deposited On:13 Jan 2010 15:23
Last Modified:20 Nov 2017 11:52
Publisher:Edizioni Minerva Medica
ISBN:978-88-7711-488-4
Related URLs:http://www.minervamedica.it/en/books/medical-specialties/vascular-surgery/scheda.php?cod=L1773 (Publisher)

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