Article
Surgery
Bjoern D. Suckow, Salvatore T. Scali, Philip P. Goodney, Art Sedrakyan, Jialin Mao, Xinyan Zheng, Andrew Hoel, Kristina Giles-Magnifico, Michol A. Cooper, Nicholas H. Osborne, Peter Henke, Andres Schanzer, Danica Marinac-Dabic, David H. Stone
Summary: This large registry-based study is the first to document the incidence and outcomes of open conversion after EVAR in a national cohort. Women, patients with large aneurysms and complex anatomy, as well as those who undergo urgent procedures are at a higher risk of open conversion. Conversion is associated with significant morbidity and mortality, highlighting the importance of appropriate patient selection during EVAR.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Eric A. A. Secemsky, Yang Song, Tianyu Sun, Carmen Gacchina Johnson, Megan Gatski, Li Wang, Andrew Farb, Robert E. E. Lee, Aurko Shaw, Jiaman Xu, Robert W. W. Yeh
Summary: The SAFE-AAA Study showed that unibody aortic stent grafts are inferior to non-unibody stent grafts in terms of aortic reintervention, rupture, and mortality. This highlights the need for a prospective longitudinal surveillance program for monitoring the safety of aortic stent grafts.
Article
Medicine, General & Internal
Merel Verhagen, Daniel Eefting, Carla van Rijswijk, Rutger van der Meer, Jaap Hamming, Joost van der Vorst, Jan van Schaik
Summary: This study aimed to assess the differences in aortic exclusion between endovascular repair (ER) and open repair (OR) of complex aortic aneurysms. The results showed that ER resulted in longer aortic exclusion and a lower number of patent segmental arteries compared to OR. Therefore, ER and OR should be considered as distinct modalities and require different risk assessments.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Chao Song, Shibo Xia, Lei Zhang, Kundong Wang, Haiyan Li, Wenying Guo, Longtu Zhu, Qingsheng Lu
Summary: This study aimed to assess the practicability and safety of a novel endovascular robotic system for endovascular aortic repair in humans. A prospective observational study was conducted in 2021 with 6 months of follow-up. The results showed that the robotic system achieved technical success in all patients without any device- or procedure-related complications or major adverse events. The operation time, blood loss, and radiation exposure of the operator were comparable to manual procedures.
EUROPEAN RADIOLOGY
(2023)
Article
Surgery
Melissa Jones, Hannah Koury, Peter Faris, Randy Moore
Summary: This study characterizes the impact of an emergency endovascular aneurysm repair (EVAR) protocol on the mortality rate of patients with ruptured abdominal aortic aneurysm (rAAA). The findings suggest that the protocol has led to improved 30-day mortality for unstable patients with rAAA and has demonstrated stable surgical performance over a 17-year period.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Medicine, General & Internal
Pablo Marques de Marino, Melad Abu Jiries, Pavel Tesinsky, Anas Ibraheem, Athanasios Katsargyris, Eric L. Verhoeven
Summary: This study aims to evaluate the mid-term outcomes of fenestrated endovascular aneurysm repair (FEVAR) for proximal aortic pathology after previous open surgical repair (OSR). The study found that FEVAR is a safe and effective alternative for the endovascular treatment of para-anastomotic aneurysms/pseudoaneurysms after OSR, with high technical success, low mortality and morbidity, and good mid-term outcomes.
JOURNAL OF CLINICAL MEDICINE
(2022)
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
Surgery
Ayumi Tachida, Nicolas Stafforini, Niten Singh, Benjamin Starnes, Sara L. Zettervall
Summary: This study aims to describe reinterventions after physician-modified endografts (PMEGs) for the treatment of juxtarenal aneurysms and their effect on survival. A total of 170 patients underwent PMEG, with 50 of them undergoing a total of 91 reinterventions. Reinterventions were most commonly percutaneous, minor, and low magnitude procedures, and early reinterventions were associated with increased mortality risk.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Boonying Siribumrungwong, Jiro Kurita, Tatsuo Ueda, Daisuke Yasui, Ken-ichiro Takahashi, Takashi Sasaki, Yasuo Miyagi, Shun-ichiro Sakamoto, Yosuke Ishii, Tetsuro Morota, Takashi Nitta
Summary: Operative mortality rates did not significantly differ between EVAR and OSR, with EVAR showing less blood loss, shorter operative times, and shorter length of hospital stay but with higher re-intervention rates.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Diletta Loschi, Annarita Santoro, Enrico Rinaldi, Claudia Anselmi, Camilla Grignani, Roberto Chiesa, Germano Melissano
Summary: This study investigates the types and outcomes of thoracic endovascular aneurysm repair and Candy Plug (CP) implantation for type B aortic dissection. The CP technique is found to be safe and effective, but there is a significant rate of aortic-related reintervention and high rate of major complications in open repair.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Fadi Taher, Markus Plimon, Corinna Walter, Gabriel Weiss, Miriam Kliewer, Afshin Assadian, Juergen Falkensammer
Summary: This study evaluates the technical outcome of fenestrated endovascular aortic repair (FEVAR) after prior EVAR and identifies factors that may influence complication rates. The results show that the technical failure rate significantly decreases in FEVAR after EVAR patients, and the occurrence of primary unconnected fenestrations is similar to primary FEVAR. However, the operating time is longer. FEVAR can be a feasible and safe treatment option for patients with progression of aortic disease or type Ia endoleak after EVAR.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Mitri K. Khoury, Micah A. Thornton, Christopher A. Heid, Jacqueline Babb, Bala Ramanan, Shirling Tsai, Melissa L. Kirkwood, Carlos H. Timaran, J. Gregory Modrall
Summary: The study aimed to quantify the impact of endovascular aneurysm repair (EVAR) on 1-year mortality in elderly patients with abdominal aortic aneurysms (AAAs). The results showed that EVAR significantly decreased 1-year mortality rates compared to non-operative management in elderly patients, but the survival benefit was mainly seen in patients with specific conditions such as large AAA diameters and Gagne Indices. Patient selection is crucial for realizing the benefits of EVAR in elderly individuals.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Geriatrics & Gerontology
Melissa Y. Wei
Summary: This study examined the association between multimorbidity measured by a physical functioning weighted International Classification of Diseases (ICD)-coded multimorbidity-weighted index (MWI-ICD) and readmissions and mortality. The results showed that multimorbidity using MWI-ICD was significantly associated with an increased risk of readmissions, mortality, and longer length of stay.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2023)
Letter
Surgery
Siting Li, Haoxuan Kan, Yuehong Zheng
Summary: Brucellosis is a common zoonotic disease that can affect any organ or tissue in the body. Cardiovascular complications are rare but are increasingly recognized in European Mediterranean countries. For Brucella endocarditis, a triple medical treatment is recommended, but there is no specific guideline for aortic brucellosis.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Review
Polymer Science
Gianmarco de Donato, Edoardo Pasqui, Claudia Panzano, Brenda Brancaccio, Gaia Grottola, Giuseppe Galzerano, Domenico Benevento, Giancarlo Palasciano
Summary: Abdominal aortic aneurysm (AAA) is a condition where the abdominal aorta dilates and grows until it ruptures. EVAR is a minimally invasive procedure using stent grafts to treat this condition. Recent advancements have introduced polymer-based technology as a safe and effective alternative to seal AAA.