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
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
Nikolaos Konstantinou, Tilo Koelbel, Eike S. Debus, Fiona Rohlffs, Nikolaos Tsilimparis
Summary: This study compared the efficacy of fenestrated TEVAR with debranching TEVAR for treating thoracic aortic lesions, finding both techniques to have excellent midterm patency rates for the target vessel and high technical success rate.
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Cardiac & Cardiovascular Systems
Chenyang Qiu, Zhenjiang Li, Xiangchen Dai, Xinwu Lu, Qingsheng Lu, Xiaoqiang Li, Weimin Zhou, Pingfan Guo, Jun Pan, Donglin Li, Ziheng Wu, Hongkun Zhang
Summary: Thoracic aortic pathologies involving the aortic arch pose a great challenge for vascular surgeons, but TEVAR with fenestrations offers a feasible and effective approach. This article summarizes the discussions by Chinese experts on the technical aspects of fenestration techniques in TEVAR, providing technical reference and recommendations for improving surgical outcomes.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Heng Lu, Ling-chen Huang, Liang-wan Chen
Summary: The study evaluated the feasibility, efficacy, and safety of endovascular treatment of thoracic aortic pathologies involving the aortic arch. The results showed that endovascular surgery for lesions involving the arch was successful in reconstructing supra-aortic branches with low mortality and no neurological complications. This technique provides an effective and safe method for aortic arch reconstruction.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Surgery
Anne-Sophie C. Romijn, Vinamr Rastogi, Jefferson A. Proano-Zamudio, Dias Argandykov, Christina L. Marcaccio, Georgios F. Giannakopoulos, Haytham M. A. Kaafarani, Vincent Jongkind, Frank W. Bloemers, Hence J. M. Verhagen, Marc L. Schermerhorn, Noelle N. Saillant
Summary: This study aims to compare the efficacy of early and delayed TEVAR for BTAI, and the results suggest that delayed TEVAR is associated with lower mortality risk.
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
Nathan L. Liang, Michael D. Dake, Michael P. Fischbein, Joseph E. Bavaria, Nimesh D. Desai, Gustavo S. Oderich, Michael J. Singh, Mark Fillinger, Bjoern D. Suckow, Jon S. Matsumura, Himanshu J. Patel, Michel S. Makaroun
Summary: This study reported the three-year outcomes of using the TBE device for endovascular repair of aortic arch aneurysms. The results showed favorable patency and durability with low rates of graft-related complications in both study arms.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR 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
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)
Review
Medicine, General & Internal
Ala Elhelali, Niamh Hynes, Declan Devane, Sherif Sultan, Edel P. Kavanagh, Liam Morris, Dave Veerasingam, Fionnuala Jordan
Summary: The lack of randomized controlled trials or controlled clinical trials makes it impossible to determine the safety and effectiveness of hybrid repair compared to traditional open surgical repair for patients with TAAs. High-quality RCTs or CCTs are needed to address this gap in research.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Surgery
Hector W. L. de Beaufort, Luigi Lovato, Andres Reyes Valdivia, Theodoros Kratimenos, Giovanni Rossi, Herve Rousseau, Vicente Riambau, Robin H. Heijmen
Summary: Utilizing experience from TAVI, preoperative planning for thoracic stent-graft repair can help determine the required C-arm orientations for successful EndoAnchor deployment.
JOURNAL OF ENDOVASCULAR THERAPY
(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
Biotechnology & Applied Microbiology
Rosamaria Tricarico, Scott A. A. Berceli, Roger Tran-Son-Tay, Yong He
Summary: This study proposes a pipeline for estimating the parameters of three-element Windkessel (WK3) models for the aortic arch arteries. By optimizing flow rate and pressure waveforms, patient-specific WK3 model parameters can be estimated, which can then be used to estimate parameters for other patients using non-invasive methods. The estimated WK3 parameters showed high tolerance to patient-specific flow rate waveforms.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Article
Surgery
Anne-Sophie C. Romijn, Vinamr Rastogi, Christina L. Marcaccio, Ander Dorken-Gallastegi, Georgios F. Giannakopoulos, Vincent Jongkind, Frank W. Bloemers, Hence J. M. Verhagen, Marc L. Schermerhorn, Noelle N. Saillant
Summary: This study examined the association between sex and outcomes after thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI) in younger patients. The results showed that female sex was not associated with higher in hospital mortality, but it was associated with a lower risk of acute kidney injury (AKI) and ventilator associated pneumonia (VAP).
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Matthias Siepe, Tim Berger, Friedhelm Beyersdorf, Martin Soschynski, Christopher L. Schlett, Martin Czerny, Bartosz Rylski
Summary: This study aimed to evaluate the long-term incidence and outcome of aortic interventions for medically managed uncomplicated thoracic aortic dissections. Among the patients discharged home with uncomplicated aortic dissections, 33% of them required aortic interventions. A descending thoracic aortic diameter exceeding 45 mm was a predictive factor for aortic intervention. The risk for aortic intervention after 1 and 3 years was 27% and 36%, respectively.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Clarence Pingpoh, Maximillian Kreibich, Tim Berger, Martin Thoma, Friedhelm Beyersdorf, Thomas Comberg, Albi Fagu, Matthias Siepe, Martin Czerny
Summary: This study retrospectively evaluated the in-hospital and overall outcome of patients who underwent mitral valve replacement (MVR) after a failed MitraClip procedure. The study found that the need for MVR after failed MitraClip repair is low and the results are acceptable. However, the options for reconstruction are often limited and MVR is frequently required.
THORACIC AND CARDIOVASCULAR SURGEON
(2023)
Article
Cardiac & Cardiovascular Systems
Sami Kueri, Tim Berger, Paul-Catalin Puiu, Yasir Alhamami, Nawras Diab, Martin Czerny, Willibald Hochholzer, Matthias Siepe
Summary: This study compared the early results of the Perceval valve with well-established valves in terms of clinical and hemodynamic performances. The Perceval valve exhibited lower postoperative gradients and a higher rate of pacemaker implantation, which can be reduced by avoiding oversizing.
THORACIC AND CARDIOVASCULAR SURGEON
(2023)
Review
Cardiac & Cardiovascular Systems
Bartosz Rylski, Oliver Schilling, Martin Czerny
Summary: Remarkable progress has been made in aortic medicine in recent decades, leading to significant changes in the understanding and treatment of thoracic aortic dissection. This state-of-the-art review article explores the mechanisms of acute aortic dissection, the impact of its entry location and dissection extension on clinical presentation and treatment decisions, and presents the latest evidence on novel treatment methods and discussions on dissection classification. Future aspects of treating acute aortic dissection are also discussed.
EUROPEAN HEART JOURNAL
(2023)
Article
Cardiac & Cardiovascular Systems
Murat Yildiz, Maria Nucera, Silvan Jungi, Paul Philipp Heinisch, Selim Mosbahi, Daniel Becker, Matthias Siepe, Florian Schoenhoff
Summary: This study aimed to determine the outcome of Stanford type B aortic dissection in patients with Marfan syndrome (MFS) and to evaluate aortic diameters at the time of dissection as well as the impact of previous aortic root replacement. The study found that Stanford type B dissection occurs below accepted thresholds for intervention in patients with MFS. Two-thirds of patients require intervention after dissection, and there is no difference in freedom from type B dissection between different surgical procedures.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Surgery
Bartosz Rylski, Zeynep Berkarda, Friedhelm Beyersdorf, Stoyan Kondov, Martin Czerny, Jaroslaw Majcherek, Marcin Protasiewicz, Artur Milnerowicz
Summary: The success rate of closure with the suture-mediated vascular closure device Perclose ProGlide was evaluated in patients undergoing aortic or iliac artery endovascular repair using large delivery systems (>21F). The closure success rate exceeded 90% in patients using large bore sheaths. Severe femoral artery calcification is the only risk factor for conversion to open surgery.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Alice Lopes, Ryan Gouveia e Melo, Joao Leitao, Carlos Mendonca, Mariana Moutinho, Luis Mendes Pedro
Summary: This study evaluated the patency of spinal arteries (intercostal, lumbar) after the STABILISE technique. The results showed that the STABILISE technique decreased intercostal artery patency in the thoracic stent graft area, but spinal artery patency was not significantly affected.
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES
(2023)
Article
Surgery
Marina Dias-Neto, Andrea Vacirca, Ying Huang, Aidin Baghbani-Oskouei, Tomasz Jakimowicz, Bernardo C. Mendes, Tilo Kolbel, Jonathan Sobocinski, Luca Bertoglio, Barend Mees, Mauro Gargiulo, Nuno Dias, Andres Schanzer, Warren Gasper, Adam W. Beck, Mark A. Farber, Kevin Mani, Carlos Timaran, Darren B. Schneider, Luis Mendes Pedro, Nikolaos Tsilimparis, Stephan Haulon, Matthew P. Sweet, Emilia Ferreira, Matthew Eagleton, Kak Khee Yeung, Manar Khashram, Katarzyna Jama, Giuseppe Panuccio, Fiona Rohlffs, Thomas Mesnard, Roberto Chiesa, Andrea Kahlberg, Geert Willem Schurink, Charlotte Lemmens, Enrico Gallitto, Gianluca Faggioli, Angelos Karelis, Ezequiel Parodi, Vivian Gomes, Anders Wanhainen, Mohammed Habib, Jesus Porras Colon, Felipe Pavarino, Mirza S. Baig, Ryan Eduardo Costeloe De Melo, Sean Crawford, Sara L. Zettervall, Rita Garcia, Tiago Ribeiro, Goncalo Alves, Frederico Bastos Goncalves, Kaj Olav Kappe, Samira Elize Mariko van Knippenberg, Bich Lan Tran, Sinead Gormley, Gustavo S. Oderich, Int Multictr Aort Res Grp
Summary: Non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs) is associated with higher early mortality and major adverse events (MAEs), increased all-cause mortality, and aortic-related mortality (ARM) compared to elective repair. Long-term follow-up is necessary to justify the treatment.
Article
Surgery
Konstantinos Stavroulakis, Emmanuel Katsogridakis, Giovanni Torsello, Hany Zayed, Isabelle van Herzeele, Raphael Coscas, Bahaa Nasr, Teresa Martin Gonzalez, Nicola Troisi, A. Saratzis
Summary: This study aimed to assess the proportion of patients undergoing endovascular therapy for femoropopliteal arterial disease who would be eligible for participation in randomized controlled trials investigating the efficacy of paclitaxel-based devices. The results showed that the patient population in these trials may not be representative of those receiving endovascular therapy in routine clinical practice.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Emmanuel Zimmer, Maria Nucera, Clarence Pingpoh, Murat Yildiz, Paul Puiu, Florian Schoenhoff, Martin Czerny, Matthias Siepe
Summary: Implantation of radiopaque markers during aortic root surgery does not increase operative risk and facilitates secondary diagnostic and therapeutic interventions.
JOURNAL OF CARDIOTHORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Tim Berger, Salome Chikvatia, Matthias Siepe, Stoyan Kondov, Dominic Meissl, Roman Gottardi, Bartosz Rylski, Martin Czerny, Maximilian Kreibich
Summary: The aim of this study was to evaluate the risk of concomitant aortic root replacement during frozen elephant trunk (FET) total arch replacement. The results showed that concomitant FET implantation and aortic root replacement prolongs operative times but does not influence postoperative outcomes or increase operative risk in an experienced high-volume centre. Therefore, the FET procedure does not appear to be a contraindication for concomitant aortic root replacement.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Surgery
Albi Fagu, Clarence Pingpoh, Tim Berger, Matthias Siepe
Summary: This case report describes a successful repair of mitral valve regurgitation and revascularization of left anterior descending artery in a patient with concomitant coronary artery disease (CAD) using a bilateral minithoracotomy approach.
THORACIC AND CARDIOVASCULAR SURGEON REPORTS
(2023)
Article
Cardiac & Cardiovascular Systems
Stoyan Kondov, Dominique Bothe, Friedhelm Beyersdorf, Martin Czerny, Andreas Harloff, Jan-Steffen Pooth, Klaus Kaier, Joachim Schoellhorn, Maximilian Kreibich, Matthias Siepe, Bartosz Rylski
Summary: The aim of this study was to compare outcomes of routine shunting to near-infrared spectroscopy (NIRS)-guided shunting in patients undergoing eversion endarterectomy (EEA) under general anesthesia. The study found that, in patients undergoing EEA under general anesthesia, NIRS-guided selective shunting was associated with a lower incidence of perioperative stroke compared to routine shunting.
INTERDISCIPLINARY CARDIOVASCULAR AND THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Andrzej Juraszek, Tim Berger, Maximilian Kreibich, Konstantinos Tsagakis, Thanos Sioris, Zeynep Berkarda, Bartosz Rylski, Matthias Siepe, Martin Czerny
Summary: The frozen elephant trunk technique is a good treatment option for patients with aneurysms of an aberrant left subclavian artery with Kommerell's diverticulum arising from right aortic arches. Secondary stent graft extension is a frequently needed component of the treatment concept. The most common variant of the aortic arch branching represents 'the bovine aortic arch' with the prevalence of 11-27% in the adult population.
INTERDISCIPLINARY CARDIOVASCULAR AND THORACIC SURGERY
(2023)
Article
Medicine, General & Internal
Albi Fagu, Tim Berger, Clarence Pingpoh, Stoyan Kondov, Maximilian Kreibich, Jan Minners, Martin Czerny, Matthias Siepe
Summary: Coronary artery bypass grafting surgery achieves a high revascularization rate and favorable in-hospital outcomes in patients with multi-vessel diseases and coronary total occlusions. Older age and the presence of peripheral artery disease are independent predictors of in-hospital mortality.
MEDICINA-LITHUANIA
(2023)