Let us not be under any illusions, what we have heard from Wyss and Schanzer are very
important data. I think healthcare commissioners who are looking for “value for money”
would be very interested in these data and there is a need to justify the long-term durability
from EVAR. The critics of EVAR will say, “I told you so,” and the endovascular evangelists
will say “These are old data, and old devices and we have gone through this learning curve.”
It is best to stick to the facts. Wyss’ paper shows that actually the explanation for “catch-up”
mortality is because of rupture. There were 27 ruptures in 848 EVAR procedures and that
does explain the late “catch-up” mortality. I think by dividing these patients into anatomical
issues i.e. top neck diameter, iliac diameter and neck length against failure of endovascular
Lucerne (CH), AMTS, March 15-16, 2012
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Endovascular repair of abdominal aortic aneurysms outside manufacturer’s
instructions for use is associated with an unacceptable risk of proximal type I endoleak,
aneurysm-related and all-cause mortality, Jane Cross, University College Hospital,
London, UK, told delegates at the ESVS Annual Meeting.
CX St George’s Valve Technology Symposium
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Kliknite na "opširnije" za pregled novih kongresa iz područja intervencijske radiologije...
Randomised, controlled trials have shown that periprocedural rates of minor stroke are higher with carotid artery stenting than with endarterectomy. Also, diffusion-
weighted magnetic resonance imaging has shown that more silent new ischaemic brain
lesions develop after stenting as compared to endarterectomy. “However, carotid
endarterectomy is associated with a higher myocardial infarction rate (that impacts
significantly on four-year mortality) than carotid artery stenting. It is also associated
with significantly higher cranial nerve injury than stenting. In the CREST trial, these
injuries were motor and remained unresolved at six months in 2% of patients. There
is clear room for improvement for both carotid artery stenting and endarterectomy,”
Sumaira Macdonald, Newcastle, UK, told Interventional News.
"The number of lower leg amputations is still too high" is a rarely disputed statement
among medical professionals who treat leg/foot tissue loss. The debate over how many
legs are lost in each country is a difficult one, as different countries rely on different
approaches to record the number of lower limb amputations.
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