Article
Cardiac & Cardiovascular Systems
Sven R. Hauck, Alexander Kupferthaler, Maximilian Kern, Herve Rousseau, Ciro Ferrer, Shinichi Iwakoshi, Shoji Sakaguchi, Marie-Elisabeth Stelzmuller, Marek Ehrlich, Christian Loewe, Martin A. Funovics
Summary: This study compared the results of two commercially available devices for branched thoracic endovascular aortic repair and fenestrated thoracic endovascular aortic repair. The results showed that both methods had excellent technical success and acceptable complication rates, but branched repair tended to have higher stroke rates. Meanwhile, fenestrated repair had a wider range of applicability.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Medicine, General & Internal
Li Cheng, Dongqiao Xiang, Shan Zhang, Chuansheng Zheng, Xiaoyan Wu
Summary: In this retrospective study, reintervention after TEVAR was observed in 11.3% of patients with uncomplicated TBAD, and the main reasons included endoleak, aneurysmal dilation, and dissection progression. Larger initial aortic diameter and excessive proximal landing zone oversizing were identified as significant risk factors for reintervention. Reintervention did not significantly affect long-term survival rates.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Xiaoye Li, Wei Li, Xiangchen Dai, Wei Li, Jinlong Zhang, Zanxin Wang, Yuanhao Tong, Yonghui Chen, Lei Zhang, Chao Song, Qingyou Meng, Minxin Wei, Zhao Liu, Qingsheng Lu
Summary: The study evaluated the outcomes of TEVAR for aortic arch pathologies using surgeon modified fenestrated stent grafts, showing high technical success rate, low mortality, and low reintervention rate within 30 days post-operation. Follow-up data demonstrated good clinical outcomes at 24 months.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Xiaoye Li, Lei Zhang, Chao Song, Hao Zhang, Shibo Xia, Yang Yang, Longtu Zhu, Wenying Guo, Qingsheng Lu
Summary: This retrospective analysis evaluated the outcomes of TEVAR with f-SMSG for TBAD involving the aortic arch. 47 patients were treated and the technical success rate was 97.88%. The 30-day survival rate was 93.6% and the 4-year survival rate was 88.7%.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Xiang Kong, Peng Ruan, Jiquan Yu, Tianshu Chu, Lei Gao, Hui Jiang, Jianjun Ge
Summary: This study evaluated the efficacy of a novel unibody single-branched stent graft for zone 2 TEVAR. The results showed that the stent was safe and effective in the short and medium term, providing an adequate proximal landing zone.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
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
Cardiac & Cardiovascular Systems
Yaojun Dun, Yi Shi, Hongwei Guo, Yanxiang Liu, Xiangyang Qian, Xiaogang Sun, Cuntao Yu
Summary: This study investigated the outcomes of secondary open arch operation in 57 patients who underwent prior TEVAR, revealing a 7.0% in-hospital mortality rate and a 32.2 ± 19.7 months mean follow-up time. Aortic events occurred in 7 patients during follow-up, with overall survival rates at 1 year, 3 years, and 6 years being 89.5%, 84.6%, and 79.9%, respectively, and no significant differences between elective and emergent groups in terms of survival and freedom from aortic events. Cox analysis identified additional coronary artery bypass grafting and hypothermic circulatory arrest as independent predictors of survival.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Xiaoye Li, Lei Zhang, Chao Song, Hao Zhang, Shibo Xia, Longtu Zhu, Wenying Guo, Haiyan Li, Zaiping Jing, Qingsheng Lu
Summary: Zone 1 TEVAR with fenestrated SMSG is a feasible and safe alternative for treating aortic arch pathologies in experienced centers, with high technical success rates and low perioperative and follow-up morbidity and mortality.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Surgery
Sven R. Hauck, Maximilian Kern, Theresa-Marie Dachs, Lukas Haider, Marie-Elisabeth Stelzmueller, Marek Ehrlich, Christian Loewe, Martin A. Funovics
Summary: This study assessed the anatomical and clinical applicability of six commercially available branched/fenestrated stent grafts for endovascular repair of post-type A aortic dissection (PTAD). The results showed high anatomical and clinical applicability for these devices, especially for the combination of fenestrated and branched devices.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Anna Sotir, Johannes Klopf, Florian Wolf, Martin A. Funovics, Christian Loewe, Tilo Koelbel, Christoph Neumayer, Wolf Eilenberg
Summary: This study assesses the early experience with a modified version of the simplified bare-wire target vessel (SMART) technique and compares its outcomes to standard endovascular aortic repair procedures. The results demonstrate that the modified SMART technique is an effective and safe alternative, with lower radiation exposure and operation time compared to traditional vascular repair techniques.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Marek K. Kuzniar, Anders Wanhainen, Gustaf Tegler, Kevin Mani
Summary: The study reported short- and midterm outcomes of chronic aortic dissection patients treated with F/B-EVAR at a vascular center. The procedures had high success rates but some complications and reinterventions occurred.
JOURNAL OF VASCULAR SURGERY
(2021)
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
Jiehua Li, Yunfei Xue, Shangqian Li, Likun Sun, Lunchang Wang, Tun Wang, Kun Fang, Mingyao Luo, Xin Li, Hao He, Ming Li, Quanming Li, Alan Dardik, Chang Shu
Summary: TEVAR with chimney technique is a minimally invasive alternative for the treatment of aortic arch diseases, providing good chimney graft patency and low postoperative mortality during follow-up. However, caution should be exercised when using double and triple chimney techniques, as they seem to be associated with a higher risk of type IA endoleak and adverse events after the operation.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Surgery
Marissa C. Kuo, R. Anthony Meena, Christopher R. Ramos, Jaime Benarroch-Gampel, Bradley G. Leshnower, Yazan Duwayri, William D. Jordan, Ravi R. Rajani
Summary: This analysis demonstrates that female gender is a significant nonmodifiable risk factor for intragraft luminal narrowing after TEVAR. The increased occurrence of this phenomenon was associated with a higher need for reintervention, potentially due to differences in aortic compliance or gender-associated differences in coagulation pathways. Further investigation is warranted to better understand these findings.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Dan Rong, Hongpeng Zhang, Wei Guo, Feng Liu, Yangyang Ge, Yating Zhu, Minhong Zhang, Yongle Xu, Xin Jia, Ma Xiaohui, Jiang Xiong, Lijun Wang
Summary: This study evaluated the feasibility and safety of a non-customized modular inner branched stent graft for total endovascular aortic arch repair in a porcine model. The results showed that the stent graft had excellent durability and biocompatibility, making it suitable for aortic arch reconstruction.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Giuseppe Panuccio, Jose Torrealba, Fiona Rohlffs, Franziska Heidemann, Bart Wessels, Tilo Koelbel
Summary: The study describes the successful catheterization of target vessels with complex anatomy using a wire and catheters embedded with optical fiber (FORS), thus avoiding high radiation exposure.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Review
Surgery
Petroula Nana, Konstantinos Spanos, Alexandros Brodis, Giuseppe Panuccio, George Kouvelos, Christian-Alexander Behrendt, Athanasios Giannoukas, Tilo Koelbel
Summary: The study aimed to evaluate the impact of the type of bridging stent grafts on target vessel outcomes during the mid-term follow-up after branched endovascular aortic repair (BEVAR). The results showed that balloon-expandable and self-expanding stent grafts perform similarly in terms of primary patency and branch-related endoleak, but self-expanding stent grafts may have advantages in terms of target vessel instability and re-intervention.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Giulia Bernardini, Theodosios Bisdas, Angeliki Argyriou, Fadi Saab, Giovanni Torsello, Nikolaos Tsilimparis, Konstantinos Stavroulakis
Summary: This study identified that chronic total occlusion morphology, calcification burden, and lesion's location are independent risk factors for failed antegrade crossing. However, the use of alternative crossing strategies significantly increased the overall crossing success.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Ryan Melo, Benedict Ginthoer, Carlota Fernandez Prendes, Jan Stana, Konstantinos Stavroulakis, Barbara Rantner, Nikolaos Tsilimparis
Summary: This case report describes the successful treatment of a patient with a large thoracoabdominal aortic aneurysm using a custom-made fenestrated and branched endovascular repair technique. Re-intervention after failed endovascular attempts of TAAA repair is technically challenging but crucial for the successful repair and follow-up.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Jacob Budtz-Lilly, Mario D'Oria, Enrico Gallitto, Luca Bertoglio, Tilo Koelbel, David Lindstrom, Nuno Dias, Goran Lundberg, Dittmar Boeckler, Gianbattista Parlani, Michele Antonello, Gian F. Veraldi, Nikolaos Tsilimparis, Drosos Kotelis, Philip Dueppers, Giovanni Tinelli, Arnaldo Ippoliti, Paolo Spath, Antonino Logiacco, Geert Willem H. Schurink, Roberto Chiesa, Alessandro Grandi, Giuseppe Panuccio, Fiona Rohlffs, Anders Wanhainen, Kevin Mani, Angelos Karelis, Bjorn Sonesson, Magnus Jonsson, Alina-Marilena Bresler, Gioele Simonte, Giacomo Isernia, Andrea Xodo, Luca Mezzetto, Davide Mastrorilli, Carlota F. Prendes, Basel Chaikhouni, Alexander Zimmermann, Sandro Lepidi, Mauro Gargiulo, Barend Mees, Jon Unosson
Summary: This study analyzed the data from consecutive patients who underwent F-BEVAR for pEVAR or pOAR and reported the mid-term outcomes. The results showed that F-BEVAR had comparable technical success and survival rates, with a controllable rate of major adverse events. However, a high rate of reintervention should be anticipated.
Review
Surgery
Konstantinos Dakis, Petroula Nana, George Kouvelos, Christian-Alexander Behrendt, Tilo Koelbel, Athanasios Giannoukas, Konstantinos Spanos
Summary: This study analyzed the treatment and outcomes of Aortocaval fistula (ACF) and found that both open surgical and endovascular repair methods achieved high technical success rates and acceptable early and mid-term survival rates. However, there was a higher rate of re-intervention following endovascular repair.
ANNALS OF VASCULAR SURGERY
(2023)
Article
Surgery
Jonathan R. Boyle, Nikolaos Tsilimparis, Isabelle Van Herzeele, Anders Wanhainen, SVS AAA Guidelines Writing Committee, ESVS Guidelines Steering Committee
Summary: In response to concerns about the failure of EndoVascular Aneurysm Seal (EVAS), the European Society for Vascular Surgery (ESVS) Abdominal Aortic Aneurysm (AAA) Clinical Practice Guidelines Writing Committee (WC) established a task force to provide guidance on surveillance and management for patients with implanted EVAS devices.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Karl Soerelius, Thomas R. Wyss
Summary: This study used the Delphi methodology to establish a consensus document on infective native aortic aneurysm (INAA) regarding terminology, definition, classification, diagnostic criteria, algorithm, and reporting standards. The results of this study create essential conditions for scientific research on this disease.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Sven Peterss, Jan Stana, Barbara Rantner, Joscha Buech, Caroline Radner, Nikolaos Konstantinou, Christian Hagl, Maximilian Pichlmaier, Nikolaos Tsilimparis
Summary: Type Ia endoleaks are crucial for long-term therapeutic success following TEVAR due to failed sealing or loss of landing zone. This expert opinion summarizes our institutional experience with different techniques in the context of recent scientific publications. The rapid turnover of technical innovations and outcome data highlight the need for patient-tailored treatment strategies and specialized aortic centers.
ASIAN CARDIOVASCULAR & THORACIC ANNALS
(2023)
Article
Surgery
Aldin Mehmedovic, Nikolaos Tsilimparis, Konstantinos Stavroulakis, Barbara Rantner, Carlota Fernandez Prendes, Ryan Gouveia e Melo, Jan-Michael Abicht, Jan Stana
Summary: This study compared the effectiveness of regional anesthesia and general anesthesia in left subclavian artery revascularization surgery. The results showed that regional anesthesia had a high technical success rate and had similar rates of neurological complications and 30-day reintervention as general anesthesia.
ANNALS OF VASCULAR SURGERY
(2023)
Article
Surgery
Carlota F. Prendes, Paolo Spath, Jan Stana, Tarek Hamwi, Sven Peterss, Konstantinos Stavroulakis, Maximilian Pichlmaier, Nikolaos Tsilimparis
Summary: This study describes the transaxillary branch-to-branch-to-branch carotid catheterization technique, which enables cannulation of all supra-aortic vessels using only 1 femoral and 1 axillary access during triple-branch arch repair. This technique reduces the risk of complications associated with carotid surgical cutdown and manipulation.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Tilo Koelbel, Petroula Nana, Jose I. I. Torrealba, Giuseppe Panuccio, Christian-Alexander Behrendt, Konstantinos Spanos
Summary: The purpose of this study was to assess sarcopenia, combined with the American Society of Anesthesiologists (ASA) score, as predictors for spinal cord ischemia (SCI) in patients treated with the t-Branch off-the-shelf device. The results showed that the combination of ASA score and psoas muscle area and attenuation can identify a group at higher risk of SCI, while low-risk patients are less likely to develop SCI.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Review
Surgery
Petroula Nana, Konstantinos Spanos, Alexandros Brodis, George Kouvelos, Carsten Rickers, Rainer Kozlik-Feldmann, Athanasios Giannoukas, Tilo Koelbel
Summary: Stenting for aortic coarctation in adults achieves high technical success with low morbidity and mortality. Mid-term follow-up shows acceptable re-intervention and mortality rates.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ahmed Eleshra, Gustavo S. Oderich, Richard G. McWilliams, Giuseppe Panuccio, Athanasios Katsargyris, Nikolaos Tsilimparis, Emanuel R. Tenorio, Robert K. Fisher, Eric Verhoeven, Tilo Koelbel
Summary: The study evaluates the technical success, feasibility, and outcomes of endovascular preservation of segmental arteries (SAs) during fenestrated/branched endovascular aortic repair (F/B-EVAR). The results show that endovascular preservation of SAs with F/B-EVAR for thoracoabdominal aortic aneurysm is feasible, safe, and may contribute to preventive measures for spinal cord ischemia (SCI).
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Surgery
Carlota F. Prendes, Maximilian Grab, Jan Stana, Ryan Gouveia E. Melo, Aldin Mehmedovic, Linda Grefen, Nikolaos Tsilimparis
Summary: The study aimed to establish an in vitro model for testing optimal oversizing of thoracic endografts in prosthetic grafts. The results showed that less than 16.7% oversizing reduced resistance to displacement forces, while more than 50% oversizing resulted in major infolding in 20% of cases. The recommended oversizing range for proximal sealing in prosthetic grafts was 20% to 30%.
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES
(2023)