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
Cardiac & Cardiovascular Systems
Lei Zhang, Qingsheng Lu, Hongqiao Zhu, Zaiping Jing
Summary: The study presented the long-term outcomes and durability of a novel branch stent-grafting for endovascular repair of chronic aortic arch dissection, with low incidence of complications and mortality postoperatively, promoting positive aortic remodeling.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
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
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
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
Cardiac & Cardiovascular Systems
Jinbao Qin, Xiaoyu Wu, Weimin Li, Kaichuang Ye, Minyi Yin, Guang Liu, Chaoyi Cui, Zhen Zhao, Xiaobing Liu, Xinwu Lu
Summary: This study retrospectively reviewed the clinical data of 15 patients with RTAD who received in situ laser fenestration of aortic arch stent grafts during TEVAR. The results showed high intraoperative success rates and low postoperative complications, indicating a potential total endovascular therapy method for RTAD patients.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2021)
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
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
Cardiac & Cardiovascular Systems
Martin Czerny, Tim Berger, Stoyan Kondov, Matthias Siepe, Bertrand Saint Lebes, Fatima Mokrane, Herve Rousseau, Mario Lescan, Christian Schlensak, Mateja Andic, Constatijn Hazenberg, Trijntje Bloemert-Tuin, Sue Braithwaite, Joost van Herwaarden, Alexander Hyhlik-Duerr, Yvonne Gosslau, Luis Mendes Pedro, Pedro Amorim, Toru Kuratani, Stephen Cheng, Robin Heijmen, Emma van der Weijde, Eliza Pleban, Piotr Szopinski, Bartosz Rylski
Summary: The study aimed to evaluate the results of endovascular aortic arch repair using the Relay Branch system, showing a high technical success rate, acceptable in-hospital mortality, but non-disabling stroke remains a major concern. Patients with residual aortic dissection have the best prognosis, and more data are needed to support these findings.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Materials Science, Multidisciplinary
Zongchao Liu, Gongfa Chen, Chiwei Ong, Zhiyong Yao, Xiaoda Li, Jun Deng, Fangsen Cui
Summary: This study designed and verified an aortic stent-graft by optimizing a specially constructed commercial descending stent-graft. The optimization process, using surrogate modeling and multi-objective genetic algorithms, resulted in improved flexibility and radial support force of the stent-graft. The results provide guidelines and a feasible method for designing aortic arch stent-grafts.
MATERIALS & DESIGN
(2023)
Article
Cardiac & Cardiovascular Systems
Marvin D. Atkins, Alan B. Lumsden
Summary: Aortic arch aneurysms pose a challenging clinical problem for high-risk patients, with traditional surgical options carrying significant risks. While new endovascular treatment options are being tested in clinical trials, they are not yet widely available for these patients. Therefore, alternative treatment strategies for high-risk patients are crucial in addressing aortic arch pathologies.
ANNALS OF CARDIOTHORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Augusto D'Onofrio, Mario Lachat, Nicola Mangialardi, Michele Antonello, Hubert Schelzig, Lyubov Chaykovska, Andrew Hill, Andrew Holden, Thomas Lindsay, Kong Ten Tan, Matteo Orrico, Sonia Ronchey, Gabby Elbaz Greener, Paul Hayes, Giulia Lorenzoni, Gino Gerosa, David Planer
Summary: This study evaluated the 3-year outcomes of aortic arch stent grafting with the Nexus Aortic Arch Stent Graft System in high-risk patients. The results showed promising clinical and radiologic results, with high overall survival rate and a low incidence of unplanned reinterventions.
EUROPEAN JOURNAL OF CARDIO-THORACIC 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
Xiaoye Li, Lei Zhang, Chao Song, Hao Zhang, Shibo Xia, Haiyan Li, Zaiping Jing, Qingsheng Lu
Summary: The study demonstrated that total endovascular aortic arch repair with surgeon-modified fenestrated stent-grafts on zone 0 landing is a successful treatment option, ensuring patient safety.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)