The Online Journal of Clinical Audits, Aug 2, 2015
MicrosoftInternetExplorer4 0 2 DocumentNotSpecified 7.8 Normal 0 Aims – The aim of this study w... more MicrosoftInternetExplorer4 0 2 DocumentNotSpecified 7.8 Normal 0 Aims – The aim of this study was to assess the feasibility of day-case discharge in peripheral angioplasty patients following successful closure with a femoral arterial closure device. Met hods – A fourteen month prospective audit was carried out with strict inclusion criteria. Patients were identified at the multidisciplinary meetings and pre-assessment clinics. Post operative care was led by the interventional nurses. Any complications post-procedure were recorded immediately following the procedure and 24 hr later when the patients were called. Results – Twenty three patients were identified during a fourteen months prospective audit. The most common procedure carried out was angioplasty of the superficial femoral artery. All (23/23) patients were successfully discharged post-procedure, after a short period of observation (3.5-6.5hr). Two thirds (66%) of patients achieved vascular hemostasis involving femoral arterial closure devices. There were no immediate or delayed complications. Conclusions – Discharge of carefully selected patients following peripheral angioplasty is feasible after a short period of observation on the same day with no adverse outcomes. MicrosoftInternetExplorer4 0 2 DocumentNotSpecified 7.8 Normal 0
To investigate the risk of endoleak during endovascular aneurysm repair (EVAR) involving the dist... more To investigate the risk of endoleak during endovascular aneurysm repair (EVAR) involving the distal common iliac artery (CIA) when the internal iliac artery (IIA) is covered without prior coil embolization. Retrospective analysis of 145 (125 men, 20 women) consecutive EVAR cases. Clinical notes and radiological images were reviewed, and data collected on patient demographics, aneurysm morphology, covering of the IIA with or without embolization, presence of endoleaks, and patient symptoms relating to IIA ischaemia. A total of 29 IIAs (10%) were covered in a total of 25 patients. Seven IIAs (24%) were embolized before stent covering (Embolization group), and 22 IIAs (76%) were covered only without embolization (Cover group). There was no statistically significant difference in the mean size of the abdominal aortic aneurysm diameter or CIA diameter between each group. No endoleaks from IIA retrograde filling were found in either group. The results of the present study do not support the traditional view that coverage of the IIA without prior embolization carries a high risk of endoleak, with no endoleaks seen in all 22 cases. Large-scale trials are required. However, the advent of branched-stenting techniques and the emergence of their success in long-term follow-up may preclude the former.
We report our experience and the midterm results of a modern technique for endovascular managemen... more We report our experience and the midterm results of a modern technique for endovascular management of isolated iliac artery aneurysms (IAAs) with unfavorable neck anatomy, which involves the inversion of an iliac leg of a Zenith stent graft. Patients who underwent endovascular IAA repair from 2002 to 2010 were reviewed. A total of 12 patients, with a mean age of 77.6 years, underwent endovascular repair of 13 IAAs. Mean size of the aneurysms was 54.6 mm (range 34-133 mm). Mean proximal neck diameter was 18 mm (range 15-22 mm). In 7 patients, the length of the proximal neck was <15 mm (10-14 mm). Only 1 patient developed thrombosis of the stent graft immediately after the operation. Patients were followed up for a mean of 31.5 months (range 18-72 months). Our midterm results demonstrate the durability of this technique in the management of iliac aneurysms with unfavorable anatomy.
The Online Journal of Clinical Audits, Aug 2, 2015
MicrosoftInternetExplorer4 0 2 DocumentNotSpecified 7.8 Normal 0 Aims – The aim of this study w... more MicrosoftInternetExplorer4 0 2 DocumentNotSpecified 7.8 Normal 0 Aims – The aim of this study was to assess the feasibility of day-case discharge in peripheral angioplasty patients following successful closure with a femoral arterial closure device. Met hods – A fourteen month prospective audit was carried out with strict inclusion criteria. Patients were identified at the multidisciplinary meetings and pre-assessment clinics. Post operative care was led by the interventional nurses. Any complications post-procedure were recorded immediately following the procedure and 24 hr later when the patients were called. Results – Twenty three patients were identified during a fourteen months prospective audit. The most common procedure carried out was angioplasty of the superficial femoral artery. All (23/23) patients were successfully discharged post-procedure, after a short period of observation (3.5-6.5hr). Two thirds (66%) of patients achieved vascular hemostasis involving femoral arterial closure devices. There were no immediate or delayed complications. Conclusions – Discharge of carefully selected patients following peripheral angioplasty is feasible after a short period of observation on the same day with no adverse outcomes. MicrosoftInternetExplorer4 0 2 DocumentNotSpecified 7.8 Normal 0
To investigate the risk of endoleak during endovascular aneurysm repair (EVAR) involving the dist... more To investigate the risk of endoleak during endovascular aneurysm repair (EVAR) involving the distal common iliac artery (CIA) when the internal iliac artery (IIA) is covered without prior coil embolization. Retrospective analysis of 145 (125 men, 20 women) consecutive EVAR cases. Clinical notes and radiological images were reviewed, and data collected on patient demographics, aneurysm morphology, covering of the IIA with or without embolization, presence of endoleaks, and patient symptoms relating to IIA ischaemia. A total of 29 IIAs (10%) were covered in a total of 25 patients. Seven IIAs (24%) were embolized before stent covering (Embolization group), and 22 IIAs (76%) were covered only without embolization (Cover group). There was no statistically significant difference in the mean size of the abdominal aortic aneurysm diameter or CIA diameter between each group. No endoleaks from IIA retrograde filling were found in either group. The results of the present study do not support the traditional view that coverage of the IIA without prior embolization carries a high risk of endoleak, with no endoleaks seen in all 22 cases. Large-scale trials are required. However, the advent of branched-stenting techniques and the emergence of their success in long-term follow-up may preclude the former.
We report our experience and the midterm results of a modern technique for endovascular managemen... more We report our experience and the midterm results of a modern technique for endovascular management of isolated iliac artery aneurysms (IAAs) with unfavorable neck anatomy, which involves the inversion of an iliac leg of a Zenith stent graft. Patients who underwent endovascular IAA repair from 2002 to 2010 were reviewed. A total of 12 patients, with a mean age of 77.6 years, underwent endovascular repair of 13 IAAs. Mean size of the aneurysms was 54.6 mm (range 34-133 mm). Mean proximal neck diameter was 18 mm (range 15-22 mm). In 7 patients, the length of the proximal neck was <15 mm (10-14 mm). Only 1 patient developed thrombosis of the stent graft immediately after the operation. Patients were followed up for a mean of 31.5 months (range 18-72 months). Our midterm results demonstrate the durability of this technique in the management of iliac aneurysms with unfavorable anatomy.
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Papers by Zaid A H Aldin