Article
Medicine, General & Internal
Denis Skrypnik, Marius Ante, Katrin Meisenbacher, Dorothea Kronsteiner, Matthias Hagedorn, Fabian Rengier, Florian Andre, Norbert Frey, Dittmar Boeckler, Moritz S. Bischoff
Summary: This study assessed the dynamic segmental anatomy of the entire ascending aorta to determine a suitable landing zone and aortic sizing for thoracic endovascular aortic repair. Using electrocardiogram-gated computed tomography angiography, the dimensions of the aorta in systolic and diastolic phases were measured. The results showed that the ascending aorta had larger dimensions during systole, and the mid-ascending and distal-ascending segments had favorable forms for TEVAR.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Mario Lescan, Migdat Mustafi, Viktoria Wilhelm, Marius Keller, Christian Schlensak, Peter Rosenberger, Harry Magunia
Summary: This study found a correlation between preoperative dissection flap motility and aortic remodeling after TEVAR/FET, with acute and subacute dissection patients showing better aortic expansion and flap motility.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Surgery
Ga-Young K. Suh, Johan Bondesson, Yufei D. Zhu, Michael C. Nilson, Eric E. Roselli, Christopher P. Cheng
Summary: In this study, we aimed to quantify the deformation of the thoracic aorta after ascending TEVAR. The results showed that the pulsatile deformation of the ascending aorta was damped by the endograft, while the native thoracic aorta did not experience significant changes.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Review
Cardiac & Cardiovascular Systems
Yunus Ahmed, Ignas B. Houben, C. Alberto Figueroa, Nicholas S. Burris, David M. Williams, Frans L. Moll, Himanshu J. Patel, Joost A. van Herwaarden
Summary: This study provides a comprehensive overview of catheter-based interventions in patients with acute type A aortic dissection, showing that endovascular repair is feasible with high technical success and acceptable short-term outcomes, despite higher rates of reintervention and endoleak. Further studies with longer follow-up and careful patient selection are needed before endovascular interventions can be widely introduced.
JOURNAL OF CARDIAC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Leonard Pitts, Roland Heck, Matteo Montagner, Adam Penkalla, Markus Kofler, Volkmar Falk, Joerg Kempfert, Semih Buz
Summary: An individualized endovascular approach may be justified for acute type A aortic dissection in elderly patients with high surgical risk. The use of additional short-length stent graft devices and uncovered stent may enhance the outcomes in treating such cases.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Kyle W. Eudailey, Ali J. Ebrahimi, Sasha Still, Shane P. Prejean, Mustafa Ahmed, Adam W. Beck, Gregory Von Mering
Summary: This article presents a novel technique of endovascular ascending stent graft delivery from a transfemoral approach for treating acute type A dissection, utilizing a snare-guided deployment technique to facilitate favorable device deployment. It addresses the unique anatomical and technical challenges associated with endovascular treatment of ascending aortic pathology.
ANNALS OF THORACIC SURGERY
(2021)
Article
Mechanics
Marina G. Karachaliou, Gerasimos A. T. Messaris, Vassilios C. Loukopoulos, Constantinos M. Koutsojannis, Petros E. Zampakis, George T. Karahalios
Summary: This study explores the risk factors of ascending aortic dissection and finds that the Laplace law is insufficient to accurately predict the disease. Novel expressions are proposed to explain the dissection size paradox, indicating the importance of ascending aortic length in surgical intervention decision-making.
Article
Biotechnology & Applied Microbiology
Arian Aghilinejad, Heng Wei, Gregory A. Magee, Niema M. Pahlevan
Summary: Thoracic endovascular aortic repair (TEVAR) is a commonly performed operation for patients with type B aortic dissection (TBAD) to reduce the risk of aortic aneurysm and rupture. However, it can lead to complications and has controversial treatment methods. This study used computational fluid dynamics (CFD) to investigate the relationship between the length of the endograft used in TEVAR and hemodynamic variables, and found that a medium-length endograft may be optimal for achieving FL flow reversal and minimizing the extra load on the left ventricle.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(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
Jose M. Garrido, Andrea Ferreiro-Marzal, Maria Esteban-Molina, Alejandro Rodriguez-Morata, Fernando Rodriguez-Serrano
Summary: The study aims to detail an optimized technique for the endovascular treatment of ascending aorta diseases based on TEVAR and TAVI procedures. The technique provides a standardized and reproducible method for endovascular repair, but new devices specifically designed for the ascending aorta may further facilitate the transcatheter approach.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Nikhil K. Prasad, Gregory Boyajian, Anuj Gupta, Michael Hall, Shahab Toursavadkouhi, Mehrdad Ghoreishi, Bradley S. Taylor
Summary: This report presents a case of penetrating aortic ulcer in zone 0 of the ascending aorta treated with transcarotid endovascular stent graft, with the patient having a successful postoperative course without evidence of stroke. The transcarotid approach is highlighted as an optimal alternative access for endovascular ascending aortic repair in certain patients.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Alice Le Huu, Ourania Preventza
Summary: Approximately one-third of patients with acute Stanford type B or DeBakey type III aortic dissection will develop complications necessitating endovascular intervention to stabilize the condition. The immediate goal of endovascular therapy is to restore flow to the true lumen and stabilize the aneurysm, while the long-term goal is to remodel the descending thoracic aorta and prevent further surgeries.
ANNALS OF CARDIOTHORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Enrico Gallitto, Gianluca Faggioli, Paolo Spath, Rodolfo Pini, Chiara Mascoli, Antonino Logiacco, Mauro Gargiulo
Summary: The endovascular repair of urgent thoracoabdominal aortic aneurysms using the Cook Zenith t-Branch off-the-shelf multibranched endograft is safe and effective, but the midterm survival rate is low.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Xiaoye Li, Longtu Zhu, Lei Zhang, Chao Song, Hao Zhang, Shibo Xia, Wenying Guo, Zaiping Jing, Qingsheng Lu
Summary: Objective In this study, the eligibility of a novel ascending aortic endograft technique for Asian patients with type A aortic dissection (TAAD) was investigated. The results demonstrated that 56.3% of the TAAD cases would be suitable for endovascular repair using the novel technique.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Review
Anesthesiology
Ashanpreet Grewal, Patrick Odonkor, Mehrdad Ghoreishi, Seema P. Deshpande
Summary: Endovascular repair has become the first-line treatment for descending aortic disease, but for patients with ascending aortic disease, open surgical repair was the only option until recently. Endovascular repair of the ascending aorta offers a life-saving procedure for high-risk patients who cannot undergo open repair.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2021)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
R. Morgan, T. Cleveland, M. Hamady, R. Oberoi, P. Haslam, R. Kasthuri, M. Johnston, I. McCafferty
CLINICAL RADIOLOGY
(2021)
Editorial Material
Cardiac & Cardiovascular Systems
Raman Uberoi, Robert Morgan
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Marjan Jahangiri, Krishna Mani, Metesh Acharya, Rajdeep Bilkhu, Paul Quinton, Frank Schroeder, Robert Morgan, Mark Edsell
Summary: This study aims to evaluate the early and long-term outcomes of conventional aortic root replacement and valve-sparing root replacement surgery. The results showed that both surgeries had low mortality and morbidity rates, as well as a low rate of reintervention during long-term follow-up, when performed by an experienced team using a consistent perioperative approach.
Editorial Material
Cardiac & Cardiovascular Systems
Raman Uberoi, Colin Nice, Robert Morgan
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
Jinoo Kim, Joo-Young Chun, Seyed Ameli-Renani, Lakshmi Ratnam, Leto Mailli, Vyzantios Pavlidis, Raj Das, Robert Morgan
Summary: This study evaluated the feasibility and outcomes of endovascular treatment for internal iliac artery aneurysms. The results showed that the treatment effectively prevented sac expansion, but had a higher rate of endoleak and enlargement. Endoleak was associated with technical failure and embolization of distal IIA branches.
Editorial Material
Cardiac & Cardiovascular Systems
Robert A. Morgan
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Stefan Muller-Hulsbeck, Fabrizio Fanelli, Patrick Haage, Mohamad Hamady, Romaric Loffroy, Gerard O'Sullivan, Florian Wolf, Robert A. Morgan
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Robert A. Morgan, Stefan Mueller-Huelsbeck, Fabrizio Fanelli, Patrick Haage, Mohamad Hamady, Romaric Loffroy, Gerard O'Sullivan, Florian Wolf, Birgit Slijepcevic
Summary: This study investigated the current use of drug-eluting devices for PAD among interventional radiologists. The majority of respondents still believe in the safety of these devices for use in femoropopliteal disease, despite the controversy caused by the 2018 meta-analysis.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
B. Hawthorn, B. Kawa, T. Cavenagh, S. Katsari, R. Lohan, M. Gonsalves, U. Patel, R. Morgan
Summary: This study describes the clinical presentation, imaging evaluation, endovascular management, and outcomes of multifocal renal capsular haemorrhage, weeping sponge kidney. It also identifies the associated risk factors and the pathophysiological mechanism behind this condition. The study concludes that chronic renal failure and renal atrophy are associated with multifocal renal capsular haemorrhage, and preservation of renal function plays a crucial role in the endovascular treatment.
CLINICAL RADIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Robert A. Morgan, Ian Loftus, Lakshmi Ratnam, Raj Das, Leto Mailli, Mohamad S. Hamady, Kyriakos Lobotesis
Summary: This case series describes the use of a novel sponge-based embolic device for embolisation of small and medium sized arteries in eight cases. The procedures were technically successful with sustained vessel occlusion observed in follow-up imaging. The series highlights the safety and efficacy of using shape memory polymer devices for peripheral vasculature embolisation.
Article
Cardiac & Cardiovascular Systems
Mohammad Koriem Mahmoud Omar, Moustafa H. M. Othman, Robert Morgan, Abdelkarem Hasan Abdallah, Hany Seif, Mohamed Zidan, Mahmoud Khairallah, Reham Abd El-Aleem
Summary: This study retrospectively analyzed endovascular embolisation of 46 VAPAs, showing high overall clinical and technical success rates, low periprocedural complication rates, and maintained high procedure effectiveness during follow-up.
Article
Medicine, General & Internal
Metesh Acharya, Oswaldo Valencia, Mark Edsell, Maite Tome, Robert Morgan, Justin Nowell, Marjan Jahangiri
Summary: The study assessed the utility of indexed aortic area (IAA) in identifying high-risk BAV-associated thoracic aortic aneurysms (TAAs), finding that aneurysms with abnormal IAA, despite not meeting the surgical criteria for aortic diameter, are at significantly increased risk of aortic dissection.
ANNALS OF MEDICINE AND SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Tom Cavenagh, Sofia Katsari, Bhavin Kawa, Raham Karimaghaei, Vyzantios Pavlidis, Vasileios Patsiogiannis, Nikolaos Ntagiantas, Joo-Young Chun, Seyed Renani, Leto Mailli, Michael Gonsalves, Lakshmi Ratnam, Raj Das, Robert Morgan
Article
Radiology, Nuclear Medicine & Medical Imaging
Ahmed M. Elsharkawy, Haytham H. Elsaeed, Ahmed H. Kamel, Robert Morgan, Mohamed H. Elshafey
EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE
(2020)
Meeting Abstract
Rheumatology
Katherine Townsend, Geoff Cattini, Katie Moss, Kate Stenson, Peter Holt, Robert Morgan, Nidhi Sofat
