[Intraoperative Subsegmental Pulmonary Artery Embolization for Catheter Induced Pulmonary Pseudoaneurysm].

An 82-year-old female patient with severe aortic stenosis underwent aortic valve replacement. After weaning from cardiopulmonary bypass, it was noticed that Swan-Ganz( SG) catheter tip was located 50 cm distally to the right neck. After the catheter was pulled back, massive hemoptysis occurred.

Upside down use of Gore Excluder or Cook Zenith legs.

Purpose: Endovascular aneurysm repair is becoming increasingly popular. This technical note describes the usefulness of the upside-down technique of Gore Excluder or Cook Zenith legs.

Methods: Four patients with iliac or abdominal aortic aneurysms were treated.

[Endovascular therapy of abdominal aortic aneurysms: present and future status in Japan].

Since the Ministry of Health, Labor, and Welfare approved Cook's Zenith AAA in 2006, endovascular repair of abdominal aortic aneurysms (AAAs) has become a widespread, acceptable alternative to traditional surgical intervention in Japan, although it lagged far behind Western countries in adopting this technique. The number of patients who undergo endovascular aortic aneurysm repair (EVAR) is now 3,000 annually and it is expected to exceed 4,000 in the near future, which means that more than half of patients with abdominal aortic or iliac arterial aneurysms will undergo EVAR. A paradigm shift has thus emerged in the field of AAA repair, in which surgical graft replacement was the gold standard for more than 50 years.