Article
Surgery
Alexander Kupferthaler, Sven R. Hauck, Michael Schwarz, Maximilian Kern, Julia Deinsberger, Theresa-Marie Dachs, Christoph Neumayer, Maria-Elisabeth Stelzmueller, Marek Ehrlich, Christian Loewe, Martin A. Funovics
Summary: This study reports the long-term outcomes of tubular and scalloped TEVAR in treating PAUs and compares the safety profile in both cohorts. The results show that TEVAR and scTEVAR provide excellent and similar clinical success and aortic survival with acceptable complication and reintervention rates. The clinical impact is that more patients can be treated with endovascular repair by including scTEVAR.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cardiac & Cardiovascular Systems
Ben Huang, Hao Jia, Hao Lai, Zhenhang Chen, Yongxin Sun, Chunsheng Wang
Summary: This study evaluated the effectiveness and safety of using the Castor single-branched stent graft to treat penetrating aortic ulcers (PAUs) involving the left subclavian artery.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Surgery
Mario Lescan, Mateja Andic, Denisa Serban, Christoph Artzner, Gerd Grozinger, Christian Schlensak, Arne Estler, Migdat Mustafi
Summary: This study compared the outcomes of patients treated with bifurcated AFX and tube stent-grafts in the narrow infrarenal aortic anatomy. The results showed that AFX stent-graft had a lower rate of type I endoleaks and reinterventions in sacciform infrarenal aortic pathologies during the early and midterm follow-up.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Rae S. Rokosh, Caron B. Rockman, Virendra Patel, Ross Milner, Nicholas H. Osborne, Neal S. Cayne, Glenn R. Jacobowitz, Karan Garg
Summary: This study retrospectively analyzed patients who underwent TEVAR for PAUs and/or IMHs, finding significantly higher morbidity and mortality in symptomatic patients compared to asymptomatic patients, despite similar baseline characteristics.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Gen Li, Xia Xu, Jun Li, Sizheng Xiong
Summary: This study evaluated the effects of TEVAR in patients with retrograde TAIMH and found that TEVAR led to significant improvements in aortic remolding and overall survival rates. However, post-intervention complications should not be overlooked.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Medicine, General & Internal
Xiuchun Xu, Feng Lu, Li Li
Summary: This study compared the safety and efficacy of thoracic endovascular aortic repair (TEVAR) and optimal medical treatment (OMT) for type B penetrating aortic ulcer (PAU) associated with intramural hematoma (IMH). The results showed that TEVAR significantly promoted favorable aortic remodeling and resulted in lower aortic-related mortality compared to OMT during mid-term follow-up.
Review
Surgery
Johannes Hatzl, Dittmar Boeckler, Jonathan Fiering, Samuel Zimmermann, Moritz Sebastian Bischoff, Eva Kalkum, Rosa Klotz, Christian Uhl
Summary: This study systematically reviewed the outcomes of endovascular repair of abdominal atherosclerotic penetrating aortic ulcers (PAUs) and found limited evidence in this area. In the short-term, endovascular repair of abdominal PAUs appears to be safe and effective, but mid-term and long-term data are lacking. Recommendations for the treatment of asymptomatic PAUs should be made cautiously due to the benign prognosis of this condition and the lack of standardization in current reporting.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cardiac & Cardiovascular Systems
Nicola Leone, Francesco Andreoli, Luigi A. M. Bartolotti, Mattia Migliari, Giovanni F. Baresi, Giuseppe Saitta, Roberto Silingardi, Stefano Gennai
Summary: This study evaluated the suitability of a subclavian unibody single-branch endograft for patients undergoing TEVAR in LZ2. The results showed that the Castor endograft was anatomically feasible in most patients, and a reasonable number of configurations could be used to treat them with less strict criteria.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Surgery
Amit S. Kainth, Tej A. Sura, Michael S. Williams, Catherine Wittgen, Emad Zakhary, Matthew R. Smeds
Summary: This study compared the outcomes of reinterventions after previous endovascular or open abdominal aortic procedures with primary endovascular repairs. The results showed that reinterventions after previous endovascular repairs were associated with a higher rate of endoleak, while reinterventions after open abdominal aortic procedures had a higher all-cause mortality rate.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Charles DeCarlo, Christopher A. Latz, Laura T. Boitano, Young Kim, Adam Tanious, Samuel Schwartz, Rushad Patell, Jahan Mohebali, Anahita Dua
Summary: The study found that asymptomatic penetrating aortic ulcers (PAUs) exhibit slow growth and rare complications, including rupture. Asymptomatic PAUs can be conservatively managed with serial imaging and modification of risk factors.
Article
Surgery
Lucien Chassin-Trubert, Thomas Gandet, Youcef Lounes, Baris Ata Ozdemir, Pierre Alric, Ludovic Canaud
Summary: This study evaluated the early and medium-term outcomes of using double fenestrated physician-modified endovascular grafts (PMEGs) for total endovascular aortic arch repair. The technical success rate was high, with low 30-day mortality and no conversions to open surgical repair required. These results suggest that double fenestrated PMEGs are feasible and effective for total endovascular aortic arch repair, with a lower stroke risk compared to alternative strategies.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Xia Xu, Daoquan Wang, Ningxin Hou, Hongmin Zhou, Jun Li, Liang Tian
Summary: Thoracic endovascular aortic repair (TEVAR) is a promising treatment option for patients with combined aberrant subclavian artery (aSCA) and type B intramural hematoma (TBIMH). Regular follow-up is recommended to exclude Kommerell's diverticulum (KD) or preserve the blood flow of aSCA according to the size of the diverticulum.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Germano Melissano, Ludovic Canaud, Davide Pacini, Victor Bilman, Young Erben, Aung Ye Oo, Vicente Riambau, Luis Mendes Pedro, Gustavo S. Oderich, Anthony L. Estrera, Bashi Velayudhan, Nikolaos Tsilimparis, James H. Black, Fabio Verzini, Ali Azizzadeh, Martin Czerny
Summary: This study reports the early and midterm results of open surgical and endovascular repair of postaortic coarctation aneurysms (pCoAA). The results demonstrate that patients with pCoAA can be safely treated with either open surgical or endovascular interventions. Lifelong surveillance of these patients is warranted due to the long time between coarctation repair and aneurysm formation.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Peripheral Vascular Disease
Stefano Gennai, Nicola Leone, Luigi A. Maria Bartolotti, Tea Covic, Antonio Lauricella, Francesco Andreoli, Giuseppe Saitta, Roberto Silingardi
Summary: This study compared endoleak outcomes after thoracic endovascular aneurysm repair with different stent-graft generations over long-term follow-up. Endoleak incidence significantly decreased over evolving stent-grafts generations, with newer generations showing better long-term outcomes. Ongoing updates are necessary to confirm the reliability and durability of these newer stent-graft generations.
Article
Peripheral Vascular Disease
Liang Wang, Lei Bai, Yujing Zhang, Jianglong Liu, Xiaodong Li
Summary: This study investigated the effectiveness of thoracic endovascular repair of aortic dissection involving the ascending aorta and aortic arch using an external prefenestrated stent. The results showed that this treatment option was feasible and had positive outcomes in most cases.