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EVAR involves the placement of an expandable stent graft within the aorta to treat aortic disease without operating directly on the aorta. In 2003, EVAR surpassed open aortic surgery as the most common technique for repair of AAA, [1] and in 2010, EVAR accounted for 78% of all intact AAA repair in the United States. [2]
Open surgery typically involves exposure of the dilated portion of the aorta and insertion of a synthetic (Dacron or Gore-Tex) graft (tube). Once the graft is sewn into the proximal (toward the patient's head - and more specifically, towards their aortic valve) and distal (toward the patient's foot) portions of the aorta, the aneurysmal sac is ...
Abdominal aortic aneurysm (AAA) is a localized enlargement of the abdominal aorta such that the diameter is greater than 3 cm or more than 50% larger than normal. [1] An AAA usually causes no symptoms, except during rupture. [1] Occasionally, abdominal, back, or leg pain may occur. [2] Large aneurysms can sometimes be felt by pushing on the ...
Acute graft occlusion is the occlusion (blockage) of a vascular bypass graft shortly after the bypass is performed. Its causes, which are distinct from those of chronic graft occlusion , include technical failure (e.g. anastomotic stricture, incomplete valve lysis in non-reversed vein) and thrombosis.
The tube visible at the bottom is the aortic cannula, which returns blood from the heart–lung machine. The tube above it (obscured by the surgeon on the right) is the venous cannula, which receives blood from the body. The patient's heart is stopped and the aorta is cross-clamped. The patient's head (not seen) is at the bottom.
After completing his residency and becoming a cardiovascular surgeon, Fogarty continued to invent new medical devices. One of his most successful products is the Stent-Graft, which dealt with the difficult problem of abdominal aortic aneurysms (a term referring to a weakened blood vessel). The old method was to remove the bad part of a weakened ...
A stent graft or covered stent is type of vascular stent with a fabric coating that creates a contained tube but is expandable like a bare metal stent. Covered stents are used in endovascular surgical procedures such as endovascular aneurysm repair. Stent grafts are also used to treat stenoses in vascular grafts and fistulas used for hemodialysis.
Autograft: graft taken from one part of the body of an individual and transplanted onto another site in the same individual, e.g., skin graft. Isograft: graft taken from one individual and placed on another individual of the same genetic constitution, e.g., grafts between identical twins.
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