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            "title": "Intra-aneurysmal thrombus modification after flow-diversion",
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                    "firstName": "Mario",
                    "lastName": "Zanaty"
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                    "firstName": "Pascal M.",
                    "lastName": "Jabbour"
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                    "firstName": "Robert H.",
                    "lastName": "Rosenwasser"
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                    "firstName": "L.",
                    "lastName": "Fernando Gonzalez"
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            "abstractNote": "Flow diversion has been successfully used to treat large and giant intracranial aneurysms that present with mass effect. We conducted a retrospective review, evaluating the modification of thrombi in this aneurysm type after treatment with the Pipeline Embolization Device (ev3 Endovascular, Plymouth, MN, USA) and the effects of these modifications on symptoms. Eight patients, seven of whom were female, harbored eight partially thrombosed large or giant aneurysms. Five of the eight aneurysms presented with symptomatic mass effect. At 1year follow-up, complete occlusion occurred in 75% (6/8) of patients. On average, the longest thrombus diameter measured 22.31mm before treatment and 14.05mm 1year afterwards. Seven of the eight thrombi regressed, as did their aneurysms. All six patients with shrunken thrombi had tremendous symptom improvement and became asymptomatic in the following year. The current findings seem to reflect the size variation of the intra-aneurysmal thrombus rather than the size of the aneurysm itself.",
            "publicationTitle": "Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia",
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            "language": "ENG",
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            "title": "Cheese wire Fenestration of a Chronic Juxtarenal Dissection Flap to Facilitate Proximal Neck Fixation During EVAR",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Brant W.",
                    "lastName": "Ullery"
                },
                {
                    "creatorType": "author",
                    "firstName": "Venita",
                    "lastName": "Chandra"
                },
                {
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                    "firstName": "Michael",
                    "lastName": "Dake"
                },
                {
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                    "firstName": "Jason T.",
                    "lastName": "Lee"
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            "abstractNote": "OBJECTIVE: To describe successful endovascular repair of a complex chronic aorto-iliac dissection facilitated by a unique endovascular fenestration technique at the proximal neck.\nMETHODS: A 57-year-old male presented with disabling lower extremity claudication and a remote history of medically-treated type B aortic dissection. Computed tomographic angiography demonstrated a complex dissection with 7.1-cm false lumen aneurysmal dilatation and significant true lumen compression within bilateral iliac aneurysms and no suitable proximal infrarenal neck free of dissection.\nRESULTS: Using IVUS, guidewires were introduced into true and false lumens. A 9-F sheath was placed on the right side and a 20-G Chiba needle was positioned at the level of the celiac artery and oriented toward the dissection flap. The needle was advanced to puncture the flap and an 0.014-inch wire was then snared from the true to the false lumen. Shearing of the dissection flap in the juxtarenal segment was performed using a \"cheese-wire\" technique, whereby both ends of the glidewire were pulled caudally in a sawing motion down through the infrarenal neck and into the aneurysm sac. Angiography confirmed absence of residual dissection and perfusion of the visceral vessels via the true lumen. Given the newly created infrarenal neck, standard EVAR was performed and antegrade and retrograde false lumen flow was obliterated from the visceral vessels. Post-operative imaging confirmed aneurysm exclusion, no endoleak, and patent bilateral common iliac arteries with resolution of claudication symptoms and normal ABIs.\nCONCLUSIONS: Endovascular management of false lumen aneurysms in the setting of chronic dissection is limited by the ability of stent-grafts to obtain adequate proximal or distal fixation. Endovascular fenestration of these chronic flaps facilitates generation of suitable landing zones, thereby serving as a useful adjunct to standard EVAR.",
            "publicationTitle": "Annals of Vascular Surgery",
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            "creatorSummary": "Szpakowski et al.",
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            "title": "Postoperative coronary aneurysm treated with endovascular coiling",
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                    "firstName": "Eugeniusz",
                    "lastName": "Szpakowski"
                },
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                    "firstName": "Kazimierz",
                    "lastName": "Kordecki"
                },
                {
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                    "firstName": "Marcin",
                    "lastName": "Demkow"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ilona",
                    "lastName": "Michalowska"
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                {
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                    "firstName": "Michael",
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                    "firstName": "Pawel",
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            "abstractNote": "We present a rare case of aneurysm formation of the circumflex coronary artery after a Bentall procedure. Implantation of a stent graft in the circumflex artery and closure of the aneurysm neck failed. An endovascular procedure was used to coil the aneurysm and prevent rupture. Further recovery was uneventful. Angiography did not reveal flow in the aneurysmal sack 22 months after the procedure. To our knowledge, this is the first described case of coiling a postoperative coronary artery aneurysm with an almost 2-year follow-up.",
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