Publications by authors named "B Sonesson"
Article Synopsis
- Direct percutaneous access to the carotid artery (diPerCa) during endovascular aortic arch repair (EVAAR) shows promise as a minimally invasive method, potentially reducing local complications compared to traditional surgical approaches.* -
- A review of 13 patients using diPerCa reported a 92.3% technical success rate, with few complications such as one case of carotid pseudoaneurysm and minor issues like nerve palsy and dizziness.* -
- The study concluded that diPerCa is a feasible option with low neurological and local complication rates, but highlights the need for further research to validate long-term outcomes.*
Article Synopsis
- * Among 418 patients treated, the 30-day mortality rate was found to be low at 2.2%, with fenestrated endovascular repairs having a slightly better rate than open repairs (1.7% vs. 2.6%), though not statistically significant.
- * Perioperative complications were more common in open surgical repairs (19.3% vs. 7.4%), and overall results indicate that while both procedures are viable, their complications and patient profiles differ significantly.
Objective: The objective of this study was to investigate whether the use of carbon dioxide (CO) angiography decreases the intraoperative use of iodine contrast medium (ICM), thereby decreasing the risk of developing postoperative renal damage in patients undergoing iliac branch device (IBD) implantation.
Methods: Patients undergoing IBD implantation at a single tertiary center between May 2013 and August 2019 were screened for inclusion in the study. A cohort of patients in whom an intraoperative imaging protocol using predominantly CO was compared with a control group in whom ICM was used (CO and ICM groups).
Objective: To analyze the incidence of spinal cord ischemia (SCI) after complex endovascular aortic repair (EVAR) after the introduction of a dedicated SCI preventive protocol.
Methods: Retrospective review of all consecutive patients undergoing complex EVAR with branched (BEVAR) and/or fenestrated grafts (FEVAR) during a 6-year period starting January 1st, 2015. The preventive protocol consisted of staging extensive aortic repairs, maintaining a mean arterial pressure (MAP) >80 mm Hg, Hb level >110 g/L, early lower limb reperfusion and neurological control per hour during the post-operative stay in the intensive care unit (36-72 h).
Purpose: To describe a novel technique for optimal orientation and accurate deployment of aortic endografts during complex endovascular aortic repair (cEVAR).
Technique: After establishing the femoral access in the standard fashion, a long large-bore dilator is inserted before the cEVAR delivery system. The dilator is advanced beyond the renovisceral segment noticing the degree of axial rotation.