Publications by authors named "N A Nelken"
Article Synopsis
- Extracranial carotid artery aneurysms (ECAAs) are uncommon when compared to other peripheral artery aneurysms, with no established treatment guidelines available.
- A case study details a 59-year-old woman who had a 2.6 cm right internal carotid artery aneurysm found incidentally through a CT scan.
- The aneurysm was surgically excised using a transcervical method, followed by end-to-end anastomosis with a graft from the great saphenous vein, showcasing a unique multidisciplinary approach involving multiple medical specialties.
Objective: To evaluate the risk for 90-day returns to care and long-term subsequent surgical interventions after primary endovascular aneurysm repair (EVAR) with an Endologix AFX Endovascular AAA System compared with three other high-volume endograft devices.
Methods: We conducted a matched cohort study using data from Kaiser Permanente's Endovascular Stent Graft Registry. Patients aged ≥18 years who underwent primary EVAR for AAA in the health care system from January 1, 2011, to December 31, 2017, comprised the eligible study sample.
Objective: As endovascular aortic aneurysm repair (EVAR) matures into its third decade, measures such as long-term reintervention and readmission have become a focus of quality improvement efforts. Within a large United States integrated health care system, we describe time trends in the rates of long-term reinterventions utilization measures.
Methods: Data from a United States multiregional EVAR registry was used to perform a descriptive study of 3891 adults who underwent conventional infrarenal EVAR for infrarenal abdominal aortic aneurysm between 2010 and 2019.
Background: Endologix issued important safety updates for the AFX Endovascular AAA System in 2016 and 2018 owing to the risk of type III endoleaks. Outcomes with these devices are limited to small case series with short-term follow-up. We describe the midterm outcomes for a large cohort of patients who received an Endologix AFX or AFX2 device.
View Article and Find Full Text PDFBackground: Endovascular aneurysm repair (EVAR) has become the standard of care for abdominal aortic aneurysm (AAA), but questions remain regarding the benefit in high-risk and elderly patients. The purpose of this study was to examine the effect of age, preoperative AAA diameter, and their interaction on survival and reintervention rates after EVAR.
Methods: Our integrated health system's AAA endograft registry was used to identify patients who underwent elective EVAR between 2010 and 2014.