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Kacem I, Laurent T, Blanchemain N, Neut C, Chai F, Haulon S, Hildebrand HF, Martel B. Dyeing and antibacterial activation with methylene blue of a cyclodextrin modified polyester vascular graft. J Biomed Mater Res A 2013; 102:2942-51. [DOI: 10.1002/jbm.a.34965] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Accepted: 09/05/2013] [Indexed: 12/28/2022]
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Sobocinski J, Chenorhokian H, Maurel B, Midulla M, Hertault A, Le Roux M, Azzaoui R, Haulon S. The Benefits of EVAR Planning Using a 3D Workstation. J Vasc Surg 2013. [DOI: 10.1016/j.jvs.2013.08.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kaladji A, Spear R, Hertault A, Sobocinski J, Maurel B, Haulon S. Centerline is Not as Accurate as Outer Curvature Length to Estimate Thoracic Endograft Length. J Vasc Surg 2013. [DOI: 10.1016/j.jvs.2013.05.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Couchet G, Maurel B, Sobocinski J, Hertault A, Le Roux M, Azzaoui R, Haulon S. An Optimal Combination for EVAR: Low Profile Endograft Body and Continuous Spiral Stent Limbs. J Vasc Surg 2013. [DOI: 10.1016/j.jvs.2013.05.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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55
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Sobocinski J, Dias N, Berger L, Midulla M, Hertault A, Sonesson B, Resch T, Haulon S. Endograft Repair of Complicated Acute Type B Aortic Dissections. J Vasc Surg 2013. [DOI: 10.1016/j.jvs.2013.03.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Sobocinski J, Dias N, Berger L, Midulla M, Hertault A, Sonesson B, Resch T, Haulon S. Endograft Repair of Complicated Acute Type B Aortic Dissections. Eur J Vasc Endovasc Surg 2013; 45:468-74. [DOI: 10.1016/j.ejvs.2013.01.031] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2012] [Accepted: 01/22/2013] [Indexed: 10/27/2022]
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Couchet G, Maurel B, Sobocinski J, Hertault A, Le Roux M, Azzaoui R, Haulon S. An optimal combination for EVAR: low profile endograft body and continuous spiral stent limbs. Eur J Vasc Endovasc Surg 2013; 46:29-33. [PMID: 23582343 DOI: 10.1016/j.ejvs.2013.03.022] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2013] [Accepted: 03/21/2013] [Indexed: 12/12/2022]
Abstract
AIM to evaluate the outcomes of EVAR performed with a new generation of bifurcated endografts and limbs. METHODS prospectively collected data from fifty consecutive patients with abdominal aortic aneurysms (AAA) treated at our institution with a Low Profile Zenith(®) bifurcated body/Zenith(®) Spiral-Z legs combo were analysed. AngioCT scans and Ultrasound exams were performed prior to discharge. Ultrasound examination was repeated 6 months after the procedure to assess endograft patency and to depict endoleaks RESULTS Median age was 70.6 years [50-88] and median ASA score was 3 [2-4]. Median aortic diameter was 56 mm [49-81]. Of the 100 external iliac access vessels, 14 had a diameter of 6 mm or lower. All endografts were successfully implanted. Post-operative Ultrasound examination and angioCT scan depicted both 1 type Ia, and 10 and 19 type 2 endoleaks respectively. An asymptomatic thrombosis of the left external iliac artery distal to the endograft limb was also depicted. 30-day mortality rate was 0%. Two patients died respectively three and four months after EVAR. Both deaths were not aneurysm related. All patients underwent an ultrasound exam 6-12 months after EVAR. All endografts main bodies and limbs were patent. Five endoleaks were depicted, all were type II endoleaks (the early type Ia endoleak had sealed spontaneously; it was confirmed by an angioCT scan). One patient presented a significant stenosis of the left iliac limb at the level of a narrow and calcified aortic bifurcation. It was successfully treated by bilateral iliac angioplasty and kissing balloon stenting. CONCLUSIONS EVAR performed with the Zenith LP main body in combination with Spiral-Z Iliac Legs is safe and effective. No limb occlusions were diagnosed at the 6 month follow up even in challenging iliac anatomies usually considered as contra indications for EVAR. Our first results are most satisfying and calling to be completed by a longer follow up.
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Sobocinski J, Hertault A, Tyrrell M, Maurel B, Azzaoui R, Haulon S. Chronic type B dissections: are fenestrated and branched endografts an option? THE JOURNAL OF CARDIOVASCULAR SURGERY 2013; 54:97-107. [PMID: 23443594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
While there are centers reporting encouraging outcomes after endovascular repair of thoracoabdominal aortic aneurysms, chronic dissections (a specific etiological subgroup of thoracoabdominal aneurysms) present an even greater technical and clinical challenge. There are particular technical issues associated with the management of the proximal sealing zone, the need to work in a narrow aortic lumen and also to maintain perfusion of all target (visceral and supra-aortic) vessels including those perfused by the false lumen. We present here the various endovascular options available for the treatment of these complex aortic lesions.
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Legout L, Sarraz-Bournet B, D'Elia P, Devos P, Pasquet A, Caillaux M, Wallet F, Yazdanpanah Y, Senneville E, Haulon S, Leroy O. Characteristics and prognosis in patients with prosthetic vascular graft infection: a prospective observational cohort study. Clin Microbiol Infect 2012; 18:352-8. [DOI: 10.1111/j.1469-0691.2011.03618.x] [Citation(s) in RCA: 81] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Haulon S, Perini P. Response to Letter to the Editor “Re: Single Centre Prospective Comparison between Contrast Enhanced UltraSound and Computed Tomography Angiography after EVAR”. Eur J Vasc Endovasc Surg 2012. [DOI: 10.1016/j.ejvs.2011.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Sobocinski J, Resch T, Midulla M, Maurel B, Guillou M, Azzaoui R, Haulon S. Fenestrated and branched technology: what's new? THE JOURNAL OF CARDIOVASCULAR SURGERY 2012; 53:73-81. [PMID: 22433726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This review article presents the latest published clinical series evaluating fenestrated and branched endografts for the treatment of complex aortic aneurysms incorporating the visceral branches, iliac arteries and supra-aortic trunks. In addition, an overview of the recent developments in devices and imaging modalities is also proposed.
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Delsart P, Broucqsault D, Midulla M, Sediri I, Haulon S, Mounier-Vehier C. [Contribution of angioplasty of a fibromuscular angiodysplasic renal artery during early-onset gestational hypertension]. JOURNAL DES MALADIES VASCULAIRES 2012; 37:26-29. [PMID: 22285840 DOI: 10.1016/j.jmv.2011.12.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2011] [Accepted: 12/14/2011] [Indexed: 05/31/2023]
Abstract
This clinical case illustrates the management difficulties encountered during gestational hypertension and its impact on maternal and foetal outcome. Typically, preeclampsia occurs at the end of the second trimester. If blood pressure remains high early during pregnancy, a secondary cause of hypertension such as renal artery fibromuscular dysplasia should be explored. A renal vascular etiology can be safely ruled out with a duplex ultrasound. In this particular case of renal vascular hypertension in a patient with a single kidney, angioplasty appeared to be the sole solution and was efficient.
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Perini P, Sediri I, Midulla M, Delsart P, Mouton S, Gautier C, Pruvo JP, Haulon S. Single-centre Prospective Comparison Between Contrast-Enhanced Ultrasound and Computed Tomography Angiography after EVAR. J Vasc Surg 2011. [DOI: 10.1016/j.jvs.2011.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Perini P, Sediri I, Midulla M, Delsart P, Mouton S, Gautier C, Pruvo JP, Haulon S. Single-centre prospective comparison between contrast-enhanced ultrasound and computed tomography angiography after EVAR. Eur J Vasc Endovasc Surg 2011; 42:797-802. [PMID: 21962588 DOI: 10.1016/j.ejvs.2011.09.003] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Accepted: 09/06/2011] [Indexed: 12/14/2022]
Abstract
AIM To evaluate contrast-enhanced ultrasound (CEUS) as an effective alternative to CT-angiography (CTA) for endoleak detection and aneurismal sac diameter measurement in the follow-up after endovascular abdominal aortic aneurysm repair (EVAR). METHODS From January 2006 to December 2010, 395 patients underwent EVAR follow-up with both CTA and CEUS. The diameter of the aneurismal sac and the presence of endoleaks were evaluated in all the 395 paired examinations. RESULTS Bland-Altman plots showed a good agreement in aneurismal sac diameter evaluation between the two imaging modalities. The mean diameter was 54.93 mm (standard deviation (SD) ±12.57) with CEUS and 56.01 mm (SD ± 13.23) with CTA. The mean difference in aneurismal sac diameter was -1.08 mm ± 3.3543 (95% confidence interval (CI), -0.75 to -1.41), in favour of CTA. The number of observed agreement in endoleak detection was 359/395 (90.89%). The two modalities detected the same type I and type III endoleaks. McNemar's χ(2) test confirmed that CTA and CEUS are equivalent in endoleak detection. CONCLUSIONS CEUS demonstrated to be as accurate as CTA in endoleak detection and abdominal aortic aneurysm diameter measurements during EVAR follow-up, without carrying the risks of radiation exposure or nephrotoxicity. Even if it cannot be proposed as the sole imaging modality during follow-up, our analysis suggests that it should have a major role.
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Sobocinski J, O’Brien N, Maurel B, Bartoli M, Goueffic Y, Sassard T, Midulla M, Koussa M, Vincentelli A, Haulon S. Endovascular Approaches to Acute Aortic Type A Dissection: A CT-Based Feasibility Study. Eur J Vasc Endovasc Surg 2011; 42:442-7. [DOI: 10.1016/j.ejvs.2011.04.037] [Citation(s) in RCA: 82] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2011] [Accepted: 04/07/2011] [Indexed: 11/15/2022]
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Sobocinski J, O’Brien N, Maurel B, Bartoli M, Goueffic Y, Sassard T, Midulla M, Koussa M, Vincentelli A, Haulon S. Endovascular Approaches to Acute Aortic Type A Dissection: A CT-Based Feasibility Study. J Vasc Surg 2011. [DOI: 10.1016/j.jvs.2011.08.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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O'Brien N, Sobocinski J, d'Elia P, Guillou M, Maioli F, Azzaoui R, Haulon S. Fenestrated Endovascular Repair of Type IV Thoracoabdominal Aneurysms: Device Design and Implantation Technique. ACTA ACUST UNITED AC 2011; 23:173-7. [DOI: 10.1177/1531003511408340] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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68
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Batt M, Jean-Baptiste E, O’Connor S, Saint-Lebes B, Feugier P, Patra P, Midy D, Haulon S. Early and Late Results of Contemporary Management of 37 Secondary Aortoenteric Fistulae. Eur J Vasc Endovasc Surg 2011; 41:748-57. [DOI: 10.1016/j.ejvs.2011.02.020] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2010] [Accepted: 02/16/2011] [Indexed: 11/29/2022]
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Haulon S, Hassen Khodja R, Proudfoot C, Samuels E. A Systematic Literature Review of the Efficacy and Safety of the Prostar XL Device for the Closure of Large Femoral Arterial Access Sites in Patients Undergoing Percutaneous Endovascular Aortic Procedures. J Vasc Surg 2011. [DOI: 10.1016/j.jvs.2010.12.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Haulon S, Hassen Khodja R, Proudfoot C, Samuels E. A Systematic Literature Review of the Efficacy and Safety of the Prostar XL Device for the Closure of Large Femoral Arterial Access Sites in Patients Undergoing Percutaneous Endovascular Aortic Procedures. Eur J Vasc Endovasc Surg 2011; 41:201-13. [DOI: 10.1016/j.ejvs.2010.10.015] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2010] [Accepted: 10/26/2010] [Indexed: 12/17/2022]
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Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M, van Herwaarden JA, Holt PJE, van Keulen JW, Rantner B, Schlösser FJV, Setacci F, Ricco JB. Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg 2011; 41 Suppl 1:S1-S58. [PMID: 21215940 DOI: 10.1016/j.ejvs.2010.09.011] [Citation(s) in RCA: 996] [Impact Index Per Article: 76.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2010] [Accepted: 09/12/2010] [Indexed: 12/11/2022]
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Haulon S, O'Brien N. Comments regarding 'sizing fenestrated aortic stent-grafts'. Eur J Vasc Endovasc Surg 2011; 41:317. [PMID: 21193336 DOI: 10.1016/j.ejvs.2010.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2010] [Accepted: 12/02/2010] [Indexed: 10/18/2022]
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Delsart P, Koussa M, Beregi JP, Haulon S, Deklunder G, Mounier-Vehier C. [Ankle brachial index measurement at the first visit for hypertension: a safe and very useful tool for aortic coarctation screening. A case report]. JOURNAL DES MALADIES VASCULAIRES 2010; 35:175-178. [PMID: 20079987 DOI: 10.1016/j.jmv.2009.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2009] [Accepted: 11/25/2009] [Indexed: 05/28/2023]
Abstract
A 24-year-old African who had been living in France for few years first consulted at our institution for severe systemic hypertension. He had no prior medical or surgical history. The patient was strictly asymptomatic. Except for systemic hypertension at both arms, the basic physical examination was normal with no cardiac murmur and no pulse deficit. A 24-hour ambulatory blood pressure monitoring performed before the consultation confirmed the presence of systemic hypertension with a mean blood pressure at 155/90mmHg during the day and also during the night under anti-hypertensive treatment. Ankle-brachial index measurement was low at 0.8 at both legs. Subsequently, a trans-thoracic echocardiography (TTE) and an aortic CT-scanner were performed. The TTE did not find any abnormalities including no aortic dilatation or no ventricular hypertrophy. The CT-scanner revealed a partial aortic coarctation. The patient underwent aortic surgery and recovered in few days with quite normal blood pressure under medical treatment. In conclusion, systematic ankle-brachial index is useful and recommended in every patient at first visit for systemic hypertension. Its safety and simplicity make it an essential tool in the management of systemic hypertension especially in populations with no systematic screening of aortic coarctation in childhood. It was in the present case very useful for the final diagnosis and treatment. In addition, it is an efficient tool to screen patients with asymptomatic peripheral artery disease and it can help for stratification of cardiovascular risk.
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Amiot S, Haulon S, Becquemin JP, Magnan PE, Lermusiaux P, Goueffic Y, Jean-Baptiste E, Cochennec F, Favre JP. Fenestrated Endovascular Grafting: The French Multicentre Experience. Eur J Vasc Endovasc Surg 2010; 39:537-44. [PMID: 20093051 DOI: 10.1016/j.ejvs.2009.12.008] [Citation(s) in RCA: 203] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2009] [Accepted: 12/09/2009] [Indexed: 11/27/2022]
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