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.
Review
Cardiac & Cardiovascular Systems
Samuel Debono, Jennifer Nash, Andrew L. Tambyraja, David E. Newby, Rachael O. Forsythe
Summary: The management of abdominal aortic aneurysms has been rigorously examined, with traditional open surgical repair improving long-term outcomes but associated with significant morbidity and mortality. Endovascular aneurysm repair has reduced early complications but introduced unique issues like endoleaks. A need for postoperative imaging surveillance and re-intervention arises due to the risks associated with endoleak development, influencing the selection of repair mode for individual patients.
Review
Medicine, General & Internal
Andres Schanzer, Gustavo S. Oderich
Summary: Repair of abdominal aortic aneurysm is recommended in men with an aneurysm of 5.5 cm or more and in women with an aneurysm of 5.0 cm or more. Endovascular aortic aneurysm repair has lower risk of perioperative complications and death compared to open surgical repair, but there is no long-term survival advantage. Long-term imaging surveillance is recommended after endovascular repair.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
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
Surgery
Giovanni Torsello, Luca Bertoglio, Richard Kellersmann, Jan J. Wever, Hans van Overhagen, Konstantinos Stavroulakis
Summary: This study demonstrates the safety and effectiveness of endovascular repair of abdominal aortic aneurysms using the INCRAFT AAA Stent Graft System in routine clinical practice.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Shirli Tay, Mohamed S. Zaghloul, Mehreen Shafqat, Chao Yang, Kshitij A. Desai, Gayan De Silva, Luis A. Sanchez, Mohamed A. Zayed
Summary: This study compared the outcomes of emergency PEVAR (rPEVAR) and open femoral exposure (rEVAR) in patients with ruptured AAA, and found no difference in perioperative outcomes and 30-day major adverse events rate between the two groups.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Matthew J. Eagleton, Michael Stoner, John Henretta, Maciej Dryjski, Jean Panneton, Apostolos Tassiopoulos, Manish Mehta, Benjamin Pearce, Mel J. Sharafuddin
Summary: The study evaluated the safety and effectiveness of the latest generation TREO stent graft for endovascular repair of abdominal aortic aneurysms, with 93.1% successful aneurysm treatment at 1 year and 54.3% of patients experiencing aneurysm sac shrinkage >5 mm at 3 years. Long-term follow-up is ongoing to determine the sustainability of these favorable outcomes.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Sai Divya Yadavalli, Winona W. Wu, Vinamr Rastogi, Jorge L. Gomez-Mayorga, Yoel Solomon, Douglas W. Jones, Salvatore T. Scali, Hence J. M. Verhagen, Marc L. Schermerhorn
Summary: TEVAR for M-TAA after previous EVAR, especially in octogenarians, is associated with higher perioperative and 5-year mortality. TEVAR after previous OAR showed no notable differences compared to primary TEVAR.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Livia E. V. M. de Guerre, Kirsten Dansey, Chun Li, Jinny Lu, Priya B. Patel, Joost A. van Herwaarden, Douglas W. Jones, Philip P. Goodney, Marc L. Schermerhorn
Summary: The diameter of aortic abdominal aneurysm (AAA) is associated with late outcomes following repair, with patients with large AAA having higher rates of reintervention, rupture, mortality, and loss to follow-up after EVAR compared to those with smaller AAA or after open repair. Patients with large AAAs who are medically fit should consider undergoing open repair for better long-term outcomes and rigorous follow-up after EVAR is essential.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Lois G. Kim, Michael J. Sweeting, David Epstein, Maarit Venermo, Fiona E. Rohlffs, Roger M. Greenhalgh
Summary: Compared with the outcomes of the EVAR-1 trial, adherence to the EVAR-1 scan protocol in simulation models reduced AAA deaths and increased elective re-interventions. The European Society re-intervention guidelines provided the most clinically effective strategy, but with an increase in re-intervention rates. Annual ultrasound in primary care was the cheapest and most cost-effective strategy that reduced AAA-related deaths.
Review
Cardiac & Cardiovascular Systems
John Anagnostakos, Brajesh K. Lal
Summary: Abdominal aortic aneurysms (AAA) are common in older adults and can lead to serious morbidity and mortality if not treated promptly. The causes include trauma, infection, and inflammatory disorders, with risk factors such as smoking, advanced age, dyslipidemia, hypertension, and coronary artery disease. The pathophysiology involves arterial insult leading to inflammation and weakening of the arterial wall, requiring monitoring of size and growth rate to prevent rupture. Management options include controlling risk factors, surgical intervention based on risk assessment, and post-operative monitoring for complications. Advancements in technology have improved the diagnosis and treatment of AAA in recent years.
PROGRESS IN CARDIOVASCULAR DISEASES
(2021)
Article
Engineering, Biomedical
Daniela Mazzaccaro, Paolo Righini, Matteo Giannetta, Marina Galligani, Valentina Milani, Alfredo Modafferi, Giovanni Malacrida, Giovanni Nano
Summary: This study systematically reviewed the literature on complications and reintervention rates of patients treated with EVAR using different low-profile endografts (LPE). The results showed comparable long-term survival and freedom from reintervention rates among the three LPEs, but the Zenith device had the highest rates of limb stenosis/kinking, while the Incraft device had the lowest occurrence of type III endoleak.
EXPERT REVIEW OF MEDICAL DEVICES
(2023)
Article
Surgery
Vinamr Rastogi, Jorg L. de Bruin, Rens R. B. Varkevisser, Nelson F. G. Oliveira, Elke Bouwens, Sanne E. Hoeks, Sander ten Raa, Marie Josee van Rijn, Frederico Bastos Goncalves, Marc L. Schermerhorn, Bram Fioole, Hence J. M. Verhagen
Summary: This study investigated the dynamics of proximal seal dilatation (PSD) following FEVAR, finding faster expansion in the first year and decelerating thereafter. While the clinical implication of PSD seems limited in the initial years post-implantation, further research is needed to assess its impact on long-term FEVAR outcomes.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Eric Galloway Jernigan, Nhan Nguyen Tran, Khalil Qato, Gary Giangola, Alfio Carroccio, Allan Marc Conway
Summary: This retrospective study analyzed the outcomes of symptomatic and ruptured abdominal aortic aneurysms treated with chimney or snorkel technique, demonstrating acceptable rates of morbidity and mortality with ChEVAR, but long-term data are needed to determine durability.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Thomas F. X. O'Donnell, Kirsten D. Dansey, Christina L. Marcaccio, Priya B. Patel, Kakra Hughes, Peter Soden, Sara L. Zettervall, Marc L. Schermerhorn
Summary: A study found that Black patients with ruptured abdominal aortic aneurysms (rAAAs) are less likely to be transferred to regional centers and more likely to be turned down for repair in the current systems of interhospital transfer in the United States. Although the postoperative outcomes appeared similar, this finding could be falsely optimistic as Black patients, especially the underinsured, were turned down for repair more often even after adjustment. Significant work is needed to better understand the reasons underlying these disparities and identify the targets to improve the care of Black patients with rAAAs.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Byron G. DuBois, Ignas B. Houben, Minhaj S. Khaja, Bo Yang, Karen M. Kim, Joost A. van Herwaarden, David M. Williams, Himanshu J. Patel
Summary: This study reports the short-term and intermediate-term outcomes of two distinct approaches to thoracic endovascular aortic repair (TEVAR) for descending aortic aneurysms in patients with compromised distal landing zones. The perioperative complication rate was 20%, with a 5% 30-day mortality rate. Intermediate-term outcomes showed that the distal landing zone diameter decreased annually in the adjunct cohort, which may be beneficial for patients.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Eleonora G. Karthaus, Niki Lijftogt, Anco Vahl, Esmee M. van der Willik, Sonia Amodio, Erik W. van Zwet, Jaap F. Hamming
ANNALS OF VASCULAR SURGERY
(2020)
Article
Emergency Medicine
Dennis Hundersmarck, Quirine M. J. van der Vliet, Lotte M. Winterink, Luke P. H. Leenen, Joost A. van Herwaarden, Constantijn E. V. B. Hazenberg, Falco Hietbrink
Summary: This study demonstrates good long-term radiographic outcomes of TEVAR for the treatment of BTAIs. Coverage of the left subclavian artery did not lead to complications. However, patients experienced impairment in health-related quality of life and were unable to return to an age-adjusted level of daily functioning, possibly due to concomitant orthopedic and neurological injuries.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Review
Surgery
Constance J. H. C. M. van Laarhoven, Nikita K. N. Jorritsma, Jessica Balderston, Waleed Brinjikji, Martin Bjorck, Joost A. van Herwaarden, Gert J. de Borst
Summary: Aneurysms are focal manifestations of systemic vascular conditions, and studies have shown co-prevalence of aneurysms in different vascular beds. The presence of multiple aneurysms in patients with a primary aneurysm is relatively common, especially in those with higher age, hypertension, stenotic disease, and larger primary aneurysms. Clinical predictors such as age, hypertension, and number of aneurysms may help determine the need for screening for additional aneurysms in patients with a primary aneurysm.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2021)
Article
Surgery
Joost A. van Herwaarden, Marloes M. Jansen, Evert-jan P. A. Vonken, Trijntje Bloemert-Tuin, Roland W. M. Bullens, Gert J. de Borst, Constantijn E. V. B. Hazenberg
Summary: The FORS technology, as a new visualization tool, showed high feasibility and safety in clinical practice. Most navigational tasks using FORS enabled devices achieved technical success, with good user experience and reduced fluoroscopy time.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2021)
Article
Surgery
Quirina M. B. de Ruiter, Frans L. Moll, Constantijn E. V. B. Hazenberg, Joost A. van Herwaarden
Summary: A study developed an operator radiation dose prediction model and translated it into an instant operator risk chart. Results showed that the operator's radiation risk may disproportionately increase compared to the patient's when there are changes in C-arm angulation and vascular access site. An instant risk chart could improve operator radiation dose awareness during EVAR procedures.
JOURNAL OF ENDOVASCULAR THERAPY
(2021)
Article
Cardiac & Cardiovascular Systems
Pieter A. J. van Bakel, Matthew Henry, Karen M. Kim, Bo Yang, Joost A. van Herwaarden, C. Alberto Figueroa, Himanshu J. Patel, David M. Williams, Nicholas S. Burris
Summary: This study investigated the association between renal enhancement and renal malperfusion in patients with aortic dissection. The findings suggest that differential enhancement of the kidney on computed tomography angiography can predict the presence of renal malperfusion. However, the diagnosis of renal malperfusion requires close monitoring and often invasive assessment.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Tim J. Mandigers, Joost A. Van Herwaarden, Gabriele Piffaretti, Santi Trimarchi
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Review
Surgery
Tim J. Mandigers, Daniele Bissacco, Maurizio Domanin, Ilenia D'Alessio, Valerio S. Tolva, Gabriele Piffaretti, Joost A. van Herwaarden, Santi Trimarchi
Summary: This systematic review investigates the cardiovascular modifications after thoracic endovascular aortic repair (TEVAR) in patients with blunt thoracic aortic injury (BTAI). The results highlight adverse cardiac and aortic modifications after TEVAR, emphasizing the need for lifelong surveillance and the development of more compliant endografts to prevent long-term cardiovascular complications.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Surgery
Anna J. Alberga, Jorg L. de Bruin, Frederico Bastos Goncalves, Eleonora G. Karthaus, Janneke A. Wilschut, Joost A. van Herwaarden, Jan J. Wever, Hence J. M. Verhagen
Summary: The purpose of this study was to evaluate the perioperative outcomes of octogenarians undergoing repair for ruptured abdominal aortic aneurysm (rAAA) and identify factors associated with mortality and major complications. The results showed that octogenarians had higher perioperative mortality and major complication rates following rAAA repair, but a proportion of patients had an uneventful recovery. Cardiac or pulmonary comorbidity and loss of consciousness were associated with worse outcomes in octogenarians.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Review
Surgery
Daniele Bissacco, Tim J. Mandigers, Laura Savare, Maurizio Domanin, Mario D'Oria, Francesca Ieva, Joost A. Van Herwaarden, Kevin Mani, Anders Wanhainen, Santi Trimarchi
Summary: The objective of this study was to assess the reproducibility of different ultrasound methods for measuring the maximum anteroposterior abdominal aortic diameter. The results showed that the interobserver reproducibility of outer to outer (OTO) and inner to inner (ITI) methods was 2.5 times smaller, indicating better reproducibility, compared to the leading edge to leading edge (LELE) method. However, there were no statistically significant differences between the methods.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Tim J. Mandigers, Anna Ramella, Daniele Bissacco, Maurizio Domanin, Joost A. van Herwaarden, Giulia Luraghi, Francesco Migliavacca, Santi Trimarchi
Summary: This study presents a numerical simulation methodology for thoracic endovascular aortic repair (TEVAR) and demonstrates its application in a case of an 82-year-old female patient. The simulation successfully predicted perioperative adverse events and postoperative technical results, highlighting the potential and reliability of this simulation method.
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES
(2023)
Article
Surgery
Maria Katsarou, Tim J. Mandigers, Marton Berczeli, M. Mujeeb Zubair, Viony M. Belvroy, Daniele Bissacco, Joost A. van Herwaarden, Santi Trimarchi, Jean Bismuth
Summary: This study aims to evaluate sex-specific morphometric differences in aortic disease and find insights into endovascular treatment of the ascending aorta and arch. The findings show that in women, increased body surface area is associated with larger aortic arch diameters, while diabetes is associated with smaller ascending aorta and arch diameters. In men, increased body surface area and age are linked to larger ascending aorta and arch diameters, while smoking and diabetes are associated with smaller diameters. Men have 7.4% larger aortic arch and ascending aorta diameters than women.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Medicine, General & Internal
Jurre Klaassen, Joost A. van Herwaarden, Martin Teraa, Constantijn E. V. B. Hazenberg
Summary: This article reports a successful case of endovascular recanalization of an occluded superficial femoral artery using Fiber Optic RealShape (FORS) technology, which shows good prospects for application without the use of fluoroscopy. The corkscrew shape formed during recanalization may improve hemodynamics and reduce the risk of in-stent restenosis.
MEDICINA-LITHUANIA
(2022)
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)