• Endovascular Salvage of Dysfunctional Autogenous Vascular Access
    Ahmed M. Almahrouky , Mohamed Rafik
  • Radiofrequency vs Laser Ablation for Great Saphenous Reflux Under Regional Femoral Nerve Block
    Ahmed Faraghaly¹, Ahmed Elmarakby¹, Ahmed Gamal Eldin Fouad¹, Fatma Zeinhom² & Wesam El-Din Sultan³
  • Duplex Guided Angioplasty for Femoro-popliteal Arterial Occlusive Diseases; Feasibility and Short-term Outcomes
    Ahmad Gamal1, Haitham A. Eldmarany1, Ahmed Farghaly1, Ahmed Elmarakby1, Ayman Refaat2.
  • Mammographic Assessment of Fat Graft Retention Volume in Aesthetic Breast Cases: A Quantitative and Qualitative Tool
    Ahmed Nawar1, Waleed Reda1, Ahmed Safwat1, Sahar Mansour2
  • The Normal Variations of the Caliber of Oesophageal Hiatus in Adults
    Mohamed Saber MSc, Tarek Hegazy MD,MRCS
  • Endovenous Laser Versus Radiofrequency Ablation of Great Saphenous Vein: Early Postoperative Results
    Hossam Elmahdy; Waleed Eldaly; Hussein Elwan; Baker Ghoneim
  • Gastric Volvulus Complicating Hiatal Hernia
    Ahmed H. Ali FRCS and Hany Rafik MD
  • Abdominal Component Separation in Cases of Wound Dehiscence with Evisceration (Burst Abdomen)
    Hany M S Mikhail MD, FRCS, Hany A. Balamoun MD, FRCS
  • Study of reoperation after Pancreatico-duodenectomy
    Abd Elrahman Elmaraghy, Mahmoud Saad Farahat and Mohammed abdo MD
  • Effect of Preoperative Dexamethasone before Total Thyroidectomy on Postoperative Nausea, Vomiting, Pain and Voice Dysfunction
    Mahmoud Saad1, Haitham Mostafa Elmaleh1and Safaa Refaat El-Sady2
  • Harmonic Scalpel versus Conventional Hemostatic Technique in Patients with Thyrotoxicosis undergoing Total Thyroidectomy
    Ahmed H. Ali,FRCS
  • The Genetic Association of VKORC1 (-1639G<A) Polymorphism with Warfarin Dose Requirements among Egyptian Patients with Venous Thromboembolism
    1Amr Mohamed Salem, 2Mohamed Mohamed Mokhtar, 2Sahar Ahmed El Shafei, 3Omaima Gaber Yassine, 2Eman Farouk Safwat
  • Endoscopic Transaxillary Silicone Gel Filled Breast Augmentation: Early Experience in Egyptian Females
    Shehab Soliman , Ahmed F. Aborady
  • Therapeutic Laparoscopy from the Start Vs Diagnostic Laparoscopy First for Acute Abdomen: Would Outcomes Differ?
    Mr. Ayman M. A. Osman1 MD, MRCS (Eng); Mr. Sameh A. Mikhail1 MD, FRCS (Eng), MRCS (Eng); Mr. Mohamed E. Alkashty1 M.Sc.; Prof. Mohamed H.A. Fahmy1 MD.
  • Hybrid Repair Combining Common Femoral Endarterectomy and Iliac Stenting for Iliofemoral Arterial Occlusive Disease
    Sherif Essam Eldin Tawfik; Ahmed Farouk Abdelmohsen; Mohamed Abd El-Monem Abd El-salam Rizk
  • Short Term Results of Retrograde Transpopliteal Access in Management Flush Superficial Femoral Artery Chronic Total Occlusions.
    Marwan Yousry, Hossam El Mahdy, Walied Eldaly, Hussein Elwan
  • Comparative Study Between Modified Koyanagi and Duckett Tube Techniques in Management of Proximal Types of Hypospadias
    Wael Ghanem MD*, and Mohamed Eldebeiky MD, FRCS*, Ayman Albaghdady MD*
  • Transanal Swenson Pullthrough in Hirschsprung Disease: Ain Shams University Experience
    Wael Ghanem MD
  • Biliary Gastritis Following Laparoscopic Mini Gastric Bypass: Is there a Role for H. Pylori?
    Sameh Mikhail1, Shady Elghazaly Harb 1, Sherif M. Mokhtar 1, Mohamed ElNady 2
  • Endovascular Treatment of Blunt Traumatic Aortic Injury of the Descending Thoracic Aorta; Experience with 14 Cases Over 3 Years
    Amr Saleh El Bahaey and Haitham A.Eldmarany
  • Feasibility, Short and Mid-term Outcomes of Endovascular Management of Subclavian Artery Aneurysms
    Haitham A. Eldmarany1, Amr Saleh El Bahaey2
  • Feasibility, Short and Mid-term Outcomes of Endovascular Management of Subclavian Artery Aneurysms

    Haitham A. Eldmarany1, Amr Saleh El Bahaey2
    Department of Vascular Surgery, Kasr Alaini Hospital, Cairo University

    Introduction: Recently, with the paradigm shift in vascular aneurysm repair, stent graft treatment has emerged as a less invasive option for management of subclavian artery aneurysms with lower rate of morbidity and mortality whenever acceptable proximal and distal landing zones available to help graft fixation. Method: Endovascular exclusion by covered stent was offered to all allegeable patients with Subclavian artery aneurysm presented to the vascular surgery department, Kasr Al-Aini hospital, Cairo University between March 2012 and April 2015. Our exclusion criteria included: active uncontrollable hemorrhage, critical upper limb ischemia and infected trauma wounds as well as excessive luminal discrepancy between the proximal and the distal arterial segments. Unilateral or bilateral femoral access was utilized and additional brachial access to aid stent graft crossability through supporting the wire was employed occasionally. Planned post-operative evaluation included clinical and duplex arterial evaluation after 1, 3 and 6 months respectively. Results: 15 patients with subclavian artery aneurysm were enrolled. Their age range was 14 - 47 years (mean, 32.1). All 15 patients (12 male; 3 female) had undergone stent graft exclusion. False aneurysms were encountered in 11 patients while true aneurysms were found in 4 patients. All stent grafts were placed via femoral approach except for one patient for whom the graft was placed through a trans brachial approach. A variety of stent graft diameters (7-9 mm) and lengths (60 - 100 mm) were used. The stent grafts used included 11 Wallgraft (Boston Scientific), 4 Fluency (Bard), and one Advanta V12 (Atrium medical). One patient required second stent grafts to repair type I endoleak caused by incorrect positioning and slipping of the first stent grafts. No conversion to open repair was necessary and no periprocedural blood transfusions were required. All stent graft devices were successfully deployed with total exclusion of the aneurysms. There was one procedure-related complication (6.6%), consisting of groin pseudoaneurysms requiring surgical repair 7 days after the procedure. Conclusion: Endovascular stent-graft placement is a promising and less invasive alternative to surgery and potentially carries a lower morbidity and mortality rate and result in shorter operative time and less blood loss. Key words: Aneurysms, Subclavian, Endovascular.