Presentation is loading. Please wait.

Presentation is loading. Please wait.

Utility of Remote Wireless Pressure Sensing for Endovascular Leak Detection After Endovascular Thoracic Aneurysm Repair  Cyrus J. Parsa, MD, Mani A. Daneshmand,

Published byJeffry Harrington Modified over 5 years ago

Similar presentations

Presentation on theme: "Utility of Remote Wireless Pressure Sensing for Endovascular Leak Detection After Endovascular Thoracic Aneurysm Repair  Cyrus J. Parsa, MD, Mani A. Daneshmand,"— Presentation transcript:

1 Utility of Remote Wireless Pressure Sensing for Endovascular Leak Detection After Endovascular Thoracic Aneurysm Repair  Cyrus J. Parsa, MD, Mani A. Daneshmand, MD, Brian Lima, MD, Keki Balsara, MD, Richard L. McCann, MD, G. Chad Hughes, MD  The Annals of Thoracic Surgery  Volume 89, Issue 2, Pages (February 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Axial computed tomography angiography images of (A) a “sandwiched” aneurysm sac pressure sensor between stent graft and aortic wall, and (B) a well-positioned sensor with adequate space between the endovascular graft and aortic wall. The sensor in (A) measured systemic transendovascular graft pressure despite successful aneurysm sac exclusion. Arrows depict sensor location. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Patient allocation: distribution of the 43 patients who received an aneurysm sac pressure sensor in the study interval. The principal indications included atherosclerotic descending thoracic aneurysm and chronic type B dissection with aneurysm (aneurysm sac pressure sensor placed in the aneurysmal false lumen adjacent to covered primary tear). (EL = endovascular leak; TEVAR = thoracic endovascular aortic repair.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Pre- and post-exclusion pressure tracings as measured using implanted aneurysm sac pressure (ASP) monitor and external antenna/interrogator. (A) Pre-exclusion ASP reading is taken in the operating room once the device has been placed in the desired intraluminal position within the aneurysm sac, but before stent graft deployment. The pressure tracing indicates an operational EndoSure device with systemic sac pressure readings, including systolic and diastolic pressure, mean arterial pressure, and pulse pressure. (B) Post-exclusion ASP reading indicates diminution in all pressures after stent graft deployment. The ratio of aneurysm sac pulse pressure to a concomitantly obtained systemic pulse pressure measured via arterial line will determine ASP ratio. Tracings provided courtesy of and with reproduction permission of CardioMEMS, Inc. (C) Depiction of a second-generation interrogator with antenna visible (arrow). The antenna is placed externally over the patient's chest to obtain ASP readings. Picture provided courtesy of and with reproduction permission of CardioMEMS, Inc. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 EndoSure devices. (A) First-generation device. (B) Second-generation EndoSure s2 with two end-loop and basket design abdominal aortic aneurysm pressure sensor. (C) Comparison of the first-generation EndoSure (closest to dime on left) and second-generation device. The difference in length and width is evident. The radiopacity of the second-generation device is also increased. (D) Fluoroscopic image of an in situ device (arrow). (A), (B), and (C) reproduced with the permission of CardioMEMS, Inc. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Relationship of aneurysm sac pressure and aortic aneurysm diameter. (A) Graphic representation of the ratio of aneurysm sac pressure to systemic pressure at the time of discharge as compared with last clinic follow-up. (B) Graphic representation of the preoperative maximum transverse aortic diameter as compared with last clinic follow-up. *Denotes p < 0.05 in both graphs. (F/U = follow-up.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Axial computed tomography angiography image of an aneurysm sac pressure sensor in a thrombosed false lumen after thoracic endovascular aortic repair of a complicated chronic type B dissection with aneurysm. Arrow depicts sensor location. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Utility of Remote Wireless Pressure Sensing for Endovascular Leak Detection After Endovascular Thoracic Aneurysm Repair  Cyrus J. Parsa, MD, Mani A. Daneshmand,"

Similar presentations

Jon S. Matsumura, MD, Wesley S. Moore, MD  Journal of Vascular Surgery 

Jon S. Matsumura, MD, Wesley S. Moore, MD  Journal of Vascular Surgery 
Bradley G. Leshnower, MD, Ravi K. Veeraswamy, MD, Yazan M

Bradley G. Leshnower, MD, Ravi K. Veeraswamy, MD, Yazan M
Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 

Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 
Ruoyu Zhang, MD, Theo Kofidis, MD, Stefan Baus, MD, Uwe Klima, MD, PhD 

Ruoyu Zhang, MD, Theo Kofidis, MD, Stefan Baus, MD, Uwe Klima, MD, PhD 
Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,

Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,
Utility of Remote Wireless Pressure Sensing for Endovascular Leak Detection After Endovascular Thoracic Aneurysm Repair  Cyrus J. Parsa, MD, Mani A. Daneshmand,

Utility of Remote Wireless Pressure Sensing for Endovascular Leak Detection After Endovascular Thoracic Aneurysm Repair  Cyrus J. Parsa, MD, Mani A. Daneshmand,
“Real World” Thoracic Endografting: Results With the Gore TAG Device 2 Years After U.S. FDA Approval  G. Chad Hughes, MD, Mani A. Daneshmand, MD, Madhav.

“Real World” Thoracic Endografting: Results With the Gore TAG Device 2 Years After U.S. FDA Approval  G. Chad Hughes, MD, Mani A. Daneshmand, MD, Madhav.
Acute blunt traumatic injury to the descending thoracic aorta

Acute blunt traumatic injury to the descending thoracic aorta
Homograft Aortic Replacement for Infected Mediastinal False Aneurysm

Homograft Aortic Replacement for Infected Mediastinal False Aneurysm
Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft  Naoki Toya, MD, PhD, Takao Ohki, MD,

Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft  Naoki Toya, MD, PhD, Takao Ohki, MD,
Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD 

Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD 
Serkan Burç Deşer, MD, Mustafa Kemal Demirağ, MD 

Serkan Burç Deşer, MD, Mustafa Kemal Demirağ, MD 
Randall R. De Martino, MD, MS, Jill Johnstone, MD, Elizabeth A

Randall R. De Martino, MD, MS, Jill Johnstone, MD, Elizabeth A
Leon M. Ptaszek, MD, PhD, Kibeom Kim, BA, Amy E. Spooner, MD, Thomas E

Leon M. Ptaszek, MD, PhD, Kibeom Kim, BA, Amy E. Spooner, MD, Thomas E
Retrograde ascending aortic dissection as an early complication of thoracic endovascular aortic repair  Judson B. Williams, MD, MHS, Nicholas D. Andersen,

Retrograde ascending aortic dissection as an early complication of thoracic endovascular aortic repair  Judson B. Williams, MD, MHS, Nicholas D. Andersen,
Eden C. Payabyab, MD, Andrew H. Maloney, MD, Derek R. Brinster, MD 

Eden C. Payabyab, MD, Andrew H. Maloney, MD, Derek R. Brinster, MD 
The “Lantern” Procedure to Simplify Treatment of Retrograde Type A Dissection After Thoracic Endograft Stenting  Chung-Lin Tsai, MD  The Annals of Thoracic.

The “Lantern” Procedure to Simplify Treatment of Retrograde Type A Dissection After Thoracic Endograft Stenting  Chung-Lin Tsai, MD  The Annals of Thoracic.
Stented Elephant Trunk Technique for Retrograde Type A Aortic Dissection After Endovascular Stent Graft Repair  Bin Li, MD, Xu-Dong Pan, MD, Wei-Guo Ma,

Stented Elephant Trunk Technique for Retrograde Type A Aortic Dissection After Endovascular Stent Graft Repair  Bin Li, MD, Xu-Dong Pan, MD, Wei-Guo Ma,
Initial results of wireless pressure sensing for endovascular aneurysm repair: The APEX Trial—Acute Pressure Measurement to Confirm Aneurysm Sac EXclusion 

Initial results of wireless pressure sensing for endovascular aneurysm repair: The APEX Trial—Acute Pressure Measurement to Confirm Aneurysm Sac EXclusion 
Thoracic Endovascular Aortic Repair Including Total Debranching on Femoral Artery for Arch Rupture  Yu Inaba, MD, Tsutomu Ito, MD, PhD, Sachiko Hayashi,

Thoracic Endovascular Aortic Repair Including Total Debranching on Femoral Artery for Arch Rupture  Yu Inaba, MD, Tsutomu Ito, MD, PhD, Sachiko Hayashi,

Similar presentations

Ads by Google