Induced @entity715 ("nonresective" therapy) of @entity449 by distal arterial ligation, coil/wire embolization, and extraanatomic bypass was devalued by anecdotal reports emerging during the mid-1980s. Nevertheless, we have recently found the technique to be life-saving in occasional cases and worth revisiting. Since 1990, standard @entity449 repair has been performed in 231 @entity1 (99.1% survival), @entity449 repair in 6 @entity1 (83.3% survival), and combined surgical/interventional "nonresective" repair of a variety of @entity439 in 10 @entity1 (100% survival). Mean age of the group was 67.9 years. Repair was performed for aortoiliac @entity439 (4), common @entity1029 (3), internal @entity1029 (2), and a large proximal subclavian @entity2849 (1). Four of the @entity1 had been explored and declared to be "inoperable" ( @entity3807 ) prior to transfer to the Columbia-Presbyterian Medical Center. All @entity1 survived. @entity1756 has not occurred in any @entity1 , but one @entity1 with a presumably thrombosed subclavian @entity2849 presented 26 months postcoil-induced @entity715 with progressive @entity439 due to incomplete @entity439 @entity715 and required repair using circulatory arrest. Eight of the @entity1 remain alive (80%) at a mean follow-up of 40.3 months (range 14-88 months). Two @entity1 died of @entity5 (30 months) and @entity299 (15 months). It is concluded that combined surgical/interventional techniques can be life-saving in the rare instances when conventional or @entity439 repair is not advisable but that complete @entity439 @entity715 is essential and occasionally difficult to achieve. Since small proximal portions of the @entity439 may remain patent and not be visualized on magnetic resonance imaging (MRI) or computed tomography (CT) scans, contrast angiographic documentation of complete @entity439 @entity715 is essential prior to hospital discharge and close follow-up is necessary to ascertain long-term adequacy of the repair. Incomplete @entity715 is suspected as a major factor in earlier reports of @entity1756 after seemingly successful nonresective therapy.

Complementary surgical/interventional techniques for nonresective management of "inoperable" XXXX : a second look.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity449 :: ('MESH:D001014', 'Disease') :: ['aortic aneurysm', 'endovascular aortic aneurysm', 'aortic aneurysms'] @entity3807 :: ('MESH:D012185', 'Disease') :: ['retroperitoneal fibrosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancy'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'endovascular aneurysm', 'aneurysm', 'aneurysm enlargement'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac disease'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity1029 :: ('MESH:D017543', 'Disease') :: ['iliac aneurysms'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['pseudoaneurysm', 'artery pseudoaneurysm'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['Aneurysm rupture', 'aneurysm rupture']
@entity439 :: (MESH:D000783,Disease) :: ['aneurysms']
