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Start Over Author "Salvatore T" Journal journal of endovascular therapy
8 results on '"Salvatore T"'

2. Classification of Chimney EVAR–Related Endoleaks: Insights From the PERICLES Registry

Author

Donas, Konstantinos P., Criado, Frank J., Torsello, Giovanni, Veith, Frank J., Minion, David J., Lachat, Mario, Pecoraro, Felice, Pfammatter, Thomas, Bisdas, Theodosios, Austermann, Martin, Li, Yukun, Mangialardi, Nicola, Ronchey, Sonia, Fazzini, Stefano, Velipekka, Suominen, Salenius, Juha, Seifert, Sven, Lee, Jason T., Dalman, Ronald, Tran, Kenneth, Scali, Salvatore T., Beck, Adam W., Damrauer, Scott M., Adovasio, Roberto, Mucelli, Fabio Pozzi, Gasparini, Daniele, Frigatti, Paolo, Riambau, Vincent, Mestres, Gaspar, and Mosquera, Nilo

Published
2017
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4. Collected Transatlantic Experience From the PERICLES Registry: Use of Chimney Grafts to Treat Post-EVAR Type Ia Endoleaks Shows Good Midterm Results

Author

Konstantinos P. Donas, Giovanni Torsello, Felice Pecoraro, Paul Kubilis, Frank J. Veith, Salvatore T. Scali, Sonia Ronchey, Stefano Fazzini, Nicola Mangialardi, Ronchey, Sonia, Fazzini, Stefano, Scali, Salvatore, Torsello, Giovanni, Kubilis, Paul, Veith, Frank, Donas, Konstantinos P., Pecoraro, Felice, and Mangialardi, Nicola

Subjects
Male, Time Factors, abdominal aortic aneurysm, chimney graft, chimney technique, endoleak, endovascular aneurysm repair, juxtarenal aortic aneurysm, parallel graft, pararenal aortic aneurysm, periscope graft, snorkel graft, medicine.medical_treatment, Juxtarenal aortic aneurysm, 030204 cardiovascular system & hematology, Settore MED/22 - Chirurgia Vascolare, Endovascular aneurysm repair, 0302 clinical medicine, Risk Factors, Retrospective analysis, Chimney, Registries, 030212 general & internal medicine, Aged, 80 and over, Endovascular Procedures, Chimney graft, Abdominal aortic aneurysm, Europe, Treatment Outcome, Female, Stents, Cardiology and Cardiovascular Medicine, Reoperation, medicine.medical_specialty, Prosthesis Design, Blood Vessel Prosthesis Implantation, 03 medical and health sciences, medicine, Humans, Radiology, Nuclear Medicine and imaging, Aged, Retrospective Studies, business.industry, medicine.disease, United States, Blood Vessel Prosthesis, Surgery, business, Aortic Aneurysm, Abdominal
Abstract

Purpose: The aim of this retrospective analysis was to evaluate the performance of the chimney (ch) technique in the treatment of type Ia endoleaks after standard endovascular aneurysm repair (EVAR). Methods: Between January 2008 and December 2014, 517 chEVAR procedures were performed in 13 US and European vascular centers (PERICLES registry). Thirty-nine patients (mean age 76.9±7.1 years; 33 men) were treated for persistent type Ia endoleak and had computed tomography angiography or magnetic resonance angiography follow-up at >1 month. Endurant abdominal stent-grafts were used in the 20 cases. Single chimney graft placement was performed in 18 (46%) patients and multiple in 21 (54%). Overall, 70 visceral vessels were targeted for revascularization. Results: Technical success was achieved in 35 (89.7%) cases; 3 persistent type Ia endoleaks and 1 chimney graft occlusion were detected within the first 30 days. Thirty-day mortality was 2.6%. Two other deaths (not aneurysm related) occurred during a mean follow-up of 21.9 months (0.23–71.3). Primary patency of the chimney grafts was 94.3% at 36 months. In a subgroup analysis comparing Endurant to other stent-grafts, no significant differences were observed regarding persistent endoleak [1/20 (5%) vs 2/19 (11%), p=0.6] or reintervention [1/20 (5%) vs 0/19 (0%)]. Conclusion: The present series demonstrates that chEVAR in the treatment of post-EVAR type Ia endoleaks has satisfactory results independent of the abdominal and chimney graft combinations. Midterm results show that chEVAR is an effective method for treating type Ia endoleaks.

Published
2018
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5. Multicenter Mid-Term Outcomes of the Chimney Technique in the Elective Treatment of Degenerative Pararenal Aortic Aneurysms.

Author

Pitoulias, Georgios A., Fazzini, Stefano, Donas, Konstantinos P., Scali, Salvatore T., D'Oria, Mario, Torsello, Giovanni, Veith, Frank J., and Puchner, Stefan B.

Abstract

Purpose: Chimney endovascular abdominal aortic aneurysm repair (CHEVAR) has predominantly been described as an alternative technique for the management of urgent presentations of degenerative pararenal aortic aneurysms (dPAAs). However, the role of CHEVAR in the treatment of asymptomatic patients remains unknown. The aim of current multinational study was to evaluate the outcomes of elective CHEVAR of dPAAs. Material and Methods: Retrospective analysis of 267 consecutive dPAA patients treated with elective CHEVAR at 13 European and US centers from 2008 to 2014. Primary endpoints were 30 days and out of hospital CHEVAR-related mortality. Secondary endpoints included persistent type Ia endoleak or endotension, angiographically confirmed occlusion and/or high-grade chimney graft (CG) or involved splanchnic vessel stenosis identified at index procedure and/or during follow-up, as well as CHEVAR-related re-intervention. Results: Mean follow-up time was 25.5±13.3 months. The 442 visceral vessels were involved and mean number of CGs per patient was 1.63±0.7. 436 targeted vessels were successfully cannulated. The aortic graft intentionally covered 6 renal arteries and immediate technical success was 98.6%. The 30 days mortality was 1.9% (n=5), while the in-hospital complication rate was 10.1% (n=27) including 3 strokes, 1 permanent dialysis, and 1 intestinal ischemia. No 30 day type Ia endoleaks were detected and 3.2% of CGs (n=14, including the intentionally covered) had evidence of occlusion and/or stenosis. The overall CHEVAR-related mortality was 2.2% (n=6). Freedom from primary and secondary type Ia endoleak/endotension rates at 3 years was 93.0% and 98.0%, respectively. Primary and secondary CG patency was 87.0% and 89.0%. Primary and secondary endovascular freedom from any endpoint at 3 years was 81.0% and 94.0% respectively. Conclusion: Elective use of CHEVAR in the management of dPAAs seems to be durable. These results are comparable to published outcomes with other total endovascular strategies, which justifies an expanded role for CHEVAR in the treatment of asymptomatic patients presenting with dPAAs. [ABSTRACT FROM AUTHOR]

Published
2022
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6. Fate of Aneurysmal Common Iliac Artery Landing Zones Used for Endovascular Aneurysm Repair

Author

Thomas S. Huber, Robert J. Feezor, Catherine K. Chang, Javairiah Fatima, Adam W. Beck, Claire L. Griffin, Salvatore T. Scali, and Kristina A. Giles

Subjects
Male, Change over time, medicine.medical_specialty, Time Factors, Databases, Factual, Endoleak, medicine.medical_treatment, Kaplan-Meier Estimate, Prosthesis Design, Aortography, Risk Assessment, Endovascular aneurysm repair, Blood Vessel Prosthesis Implantation, Risk Factors, Interquartile range, medicine.artery, Humans, Medicine, Endovascular Aneurysm Repair, Radiology, Nuclear Medicine and imaging, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Endovascular Procedures, Mean age, Middle Aged, Common iliac artery, Blood Vessel Prosthesis, Surgery, Treatment Outcome, Iliac Aneurysm, Instructions for use, Retreatment, Cohort, Florida, Linear Models, Female, Stents, Tomography, X-Ray Computed, Cardiology and Cardiovascular Medicine, business, Aortic Aneurysm, Abdominal
Abstract

Purpose: To determine outcomes of aneurysmal common iliac arteries (aCIA) used for landing zones (LZs) during endovascular aneurysm repair (EVAR). Methods: This single-center study retrospectively compared 57 EVAR patients (mean age 72±8 years; 56 men) with 70 aCIAs (diameter ≥20 mm) to 25 control EVAR subjects (mean age 73±7 years; 20 men) with 50 normal (≤15-mm) CIA LZs treated consecutively during the same time interval. The CIA LZ measurements were analyzed using random effects linear mixed models to determine diameter change over time. Life tables were used to estimate freedom from endoleak, reintervention, and all-cause mortality. Results: The mean maximum preoperative CIA diameter in the aCIA LZ group was 24.8±4.5 mm (range 20.0–47.3, median 23.9) vs 13.6±1.5 mm (range 9.2–15.0, median 13.9; p

Published
2015
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