Endovascular Aneurysm Repair: From Bench to Bed by Bettina Marty

By Bettina Marty

Endovascular systems have an important influence upon smooth sufferer care. This ebook summarizes coated stent-graft functions within the experimental and scientific settings. first-class illustrations rfile the intense and persistent habit of stent-grafts in the vascular approach together with diagnostic imaging, histologic work-up and schematic drawings. a large number of adventure on intravascular ultrasound-based fix of aortic pathologies is gifted. Physicians drawn to the endovascular box will locate this e-book a truly stimulating source.

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Ru The healing response towards polyurethane covered Wallstents ] that polyurethane is subjected to hydrolytic degradation [10], and replacement by a more stable polycarbonate polyurethane has been proposed [11]. Progressive compression of the tunica media without signs of laceration was noted in this study. It is a common, yet insignificant finding in arterial stenting [18, 19]. However, there was an increasing amount of collagen, representing scar tissue probably owing to the wall pressure of the devices.

Integration of the spongy, red-stained polyurethane into a chronically inflamed tissue (original magnification ´ 50). b Infiltrates around stent wires (removed) and within pores (original magnification ´ 125) and elastin-poor layer [8, 10, 11, 13±17]. The average neointimal thickness was 390 lm in endoprostheses with a polyester [15] and 460±490 lm in those with a thin-walled PTFE covering [10, 18]. These findings are consistent with our data. The covering used was predominantly thin woven polyester [8, 13±15] and PTFE [10, 17, 18], but polyurethane was evaluated as well [11, 16].

Procedure. 5% halothane and nitrous oxide. Monitoring consisted of continuous electrocardiography, invasive blood pressure measurements and percutaneous record of oxygen saturation. The dimensions of the aorta and the device were measured after placement and at follow-up. For this purpose a calibrated angiographic catheter with 1 cm marker spacing (Sizing catheter, COOK, Queensland, Australia) was used. After heparinization an infrarenal aortogram in an anteroposterior view (cut film) through a carotid arteriotomy was obtained before graft placement.

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