Article
Anesthesiology
Lydia K. Miller, Virendra Patel, Gebhard Wagener
Summary: Open and endovascular repairs of the descending thoracic and thoracoabdominal aorta carry the risk of spinal cord injury, particularly paraplegia. Endovascular repairs may have a lower incidence of spinal cord injury, but there is a lack of randomized trials comparing outcomes between open and endovascular repairs. Perioperative protocols, including cerebrospinal fluid drainage, can help mitigate the risk of spinal cord injury.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2022)
Article
Surgery
Ottavia Borghese, Laurent Brisard, Tom Le Corvec, Alexandra Hauguel, Guillaume Guimbretiere, Blandine Maurel
Summary: This article reports the results of using prophylactic cerebrospinal fluid drainage (CSFD) as part of a prevention protocol in patients undergoing endovascular repair for thoracoabdominal aortic (TAA) disease. The study found that the use of prophylactic CSFD was associated with a risk of spinal cord injury, and better understanding of contraindications is needed.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Ivancarmine Gambardella, Christopher Lau, Mario F. L. Gaudino, Berhane Worku, Mohamad Rahouma, Robert F. Tranbaugh, Leonard N. Girardi
Summary: This study aimed to investigate the effects of splanchnic occlusive disease (SOD) on spinal cord injury (SCI) and major adverse events (MAE) after open repair of descending thoracic aneurysm (DTA) and thoracoabdominal aortic aneurysm (TAAA). The results showed that SOD is a significant predictor of SCI in patients undergoing open DTA/TAAA repair.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Peyton Tharp, Ryan W. King, Bruce M. Frankel, Mathew D. Wooster
Summary: This study reported a successful combination surgery of TEVAR and spinal screw removal in a 36-year-old female patient with iatrogenic aortic injury due to pedicle screws. The patient recovered well postoperatively with no complications.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Surgery
Krystal Dinh, Alexandra Limmer, Carlin Ngai, Tae Cho, Noel Young, Jeremy Hsu
Summary: This study evaluated the management trends of blunt thoracic aortic injuries (BTAI) over the last decade at a level one trauma center. The results show that BTAI is rare, and most patients undergo surgical management with endovascular stent-graft placement. All patients were diagnosed and graded using computed tomography angiography.
ANZ JOURNAL OF SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Mario Gaudino, Faiza M. Khan, Mohamed Rahouma, Ajita Naik, Irbaz Hameed, Cristiano Spadaccio, N. Bryce Robinson, Yongle Ruan, Michelle Demetres, Christian T. Oakley, Ivancarmine Gambardella, Erin M. Iannacone, Christopher Lau, Leonard N. Girardi
Summary: This study provides a comprehensive analysis of spinal cord injury rates in patients undergoing aneurysm repair. It reveals that both open and endovascular repair procedures are associated with a substantial risk of permanent SCI. The risk is higher for thoracoabdominal aortic aneurysm (TAAA) repair, especially for repair extents II, III, and V.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Marco Franchin, Viviana Grassi, Gabriele Piffaretti, Ruth L. Bush, Matteo Tozzi, Chiara Lomazzi
Summary: This study reported the outcomes of thoracic endovascular aortic repair (TEVAR) for shaggy thoracic aortic aneurysms (STA) in a high-risk cohort. Only 2.3% of the patients met the inclusion criteria, with low rates of operative-related embolization and no major complications during follow-up period observed in all patients.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2021)
Article
Surgery
Ivancarmine Gambardella, Berhane Worku, Christopher Lau, Robert F. F. Tranbaugh, Sheida Tabaie, Natalia Ivascu, Leonard N. N. Girardi
Summary: The objective of this study was to investigate the impact of diabetes mellitus (DM) on spinal cord injury (SCI) after open descending thoracic and thoracoabdominal aneurysm repair (DTAAAR). The results showed that DM was associated with increased operative mortality and decreased survival, and it was an independent predictor of SCI after DTAAAR.
Review
Cardiac & Cardiovascular Systems
Cheng-Hao Jacky Chen, Henry Jiang, Vinh Dat David Nguyen
Summary: A systematic review and meta-analysis of 40 studies found no significant difference in SCI rates between TEVAR patients with prophylactic CSFD and those without. However, CSFD is associated with a small risk of serious complications.
ANNALS OF CARDIOTHORACIC SURGERY
(2023)
Article
Surgery
Abdul Q. Alarhayem, Todd E. Rasmussen, Behzad Farivar, Sungho Lim, Max Braverman, David Hardy, Donald J. Jenkins, Brian J. Eastridge, Ramon F. Cestero
Summary: The majority of BTAI patients undergo TEVAR repair within 24 hours of injury, with delayed repair patients showing improved survival compared to those repaired within the first 24 hours. Delaying endovascular repair beyond 24 hours after injury should be considered for BTAI patients without signs of imminent rupture for better outcomes.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Mohammad A. Zafar, Julia Fayanne Chen, Jinlin Wu, Yupeng Li, Dimitra Papanikolaou, Mohamed Abdelbaky, Thais Faggion Vinholo, John A. Rizzo, Bulat A. Ziganshin, Sandip K. Mukherjee, John A. Elefteriades
Summary: The study revealed that the mean growth rate of descending thoracic and thoracoabdominal aortic aneurysms was 0.19 cm/year, increasing with aortic size. Acute type B dissections frequently occurred at small aortic sizes, while fatal complications increased dramatically at 6.0 cm, suggesting the importance of preemptive intervention before this criterion to save lives.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Surgery
Quentin Pellenc, Arnaud Roussel, Jean Senemaud, Pierre Cerceau, Jules Iquille, Aureline Boitet, Jean-Baptiste Leclere, Olivier Milleron, Guillaume Jondeau, Yves Castier
Summary: Staged hybrid repair of type II thoracoabdominal aortic aneurysms using thoracic endovascular aortic repair (TEVAR) for proximal repair followed by distal open repair appears to be effective in reducing postoperative complications and severity. No spinal cord ischemic events were observed during surgery, and the treatment strategy showed positive outcomes during postoperative follow-up.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Denis Skrypnik, Moritz S. Bischoff, Katrin Meisenbacher, Dorothea B. Kronsteiner, Dittmar Boeckler
Summary: This study reports a 10-year real-world experience with the GORE TAG conformable thoracic aortic graft, showing favorable long-term outcomes in terms of rupture-free survival, aortic-related reintervention, and device-related complications. The device demonstrates persistent safety, efficacy, and clinical durability in the treatment of various thoracic aortic pathologies.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Cardiac & Cardiovascular Systems
Michael Z. Tong, Matthew J. Eagleton, Eric E. Roselli, Eugene H. Blackstone, Fei Xiang, Mudathir Ibrahim, Douglas R. Johnston, Edward G. Soltesz, Faisal G. Bakaeen, Sean P. Lyden, Andrew J. Toth, Huan Liu, Lars G. Svensson
Summary: This study compares the short and intermediate-term outcomes of open repair and endovascular repair for descending thoracic and thoracoabdominal aortic aneurysms. The results show that open repair achieves similar in-hospital mortality and occurrence of paralysis and stroke compared to endovascular repair, but has better 10-year survival and lower aortic reintervention rate.
ANNALS OF THORACIC SURGERY
(2022)
Review
Surgery
Denis Skrypnik, Egan Kalmykov, Moritz S. Bischoff, Katrin Meisenbacher, Rosa Klotz, Matthias Hagedorn, Eva Kalkum, Pascal Probst, Rolf Dammrau, Dittmar Boeckler
Summary: This systematic review provides pooled reference estimates of endograft migration (EM) after thoracic endovascular aortic repair (TEVAR) and demonstrates its clinical relevance due to its association with high rates of endoleak-related morbidity, reintervention, and mortality. Early detection and prophylaxis of EM and its sequelae after TEVAR are essential.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Tim Berger, Bartosz Rylski, Zehang Chen, Friedhelm Beyersdorf, Matthias Siepe, Martin Czerny
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2020)
Article
Cardiac & Cardiovascular Systems
Sven Maier, Julia Morlock, Christoph Benk, Fabian Alexander Kari, Matthias Siepe, Friedhelm Beyersdorf, Martin Czerny, Bartosz Rylski
THORACIC AND CARDIOVASCULAR SURGEON
(2020)
Article
Cardiac & Cardiovascular Systems
Hans-Hinrich Sievers, Bartosz Rylski, Martin Czerny, Anna L. M. Baier, Maximilian Kreibich, Matthias Siepe, Friedhelm Beyersdorf
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2020)
Article
Surgery
Zeynep Berkarda, Stoyan Kondov, Maximilian Kreibich, Martin Czerny, Friedhelm Beyersdorf, Bartosz Rylski
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2020)
Article
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Nimesh D. Desai, Joseph E. Bavaria, Wilson Y. Szeto, Prashanth Vallabhajosyula, Ryo Itagaki, Homare Okamura, Naoyuki Kimura, Atsushi Yamaguchi, Friedhelm Beyersdorf, Martin Czerny, Bartosz Rylski
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2020)
Article
Surgery
Matthew R. Janko, Karen Woo, Robert I. Hacker, Donald Baril, Jonathan Bath, Matthew R. Smeds, Vikram S. Kashyap, Zoltan Szeberin, Gregory A. Magee, Ramsey Elsayed, Andrew Wishy, Rebecca St John, Adam Beck, Mark Farber, Fernando Motta, Wei Zhou, Gary Lemmon, Dawn Coleman, Christian-Alexander Behrendt, Faisal Aziz, James Black, William Shutze, H. Edward Garrett, Giovanni De Caridi, Christos D. Liapis, George Geroulakos, John Kakisis, Konstantinos Moulakakis, Stavros K. Kakkos, Hideaki Obara, Grace Wang, Pascal Rheaume, Victor Davila, Reid Ravin, Randall DeMartino, Ross Milner, Sherene Shalhub, Jeffrey Jim, Jason Lee, Celine Dubuis, Jean-Baptiste Ricco, Joseph Coselli, Scott Lemaire, Javairiah Fatima, Jennifer Sanford, Winston Yoshida, Marc L. Schermerhorn, Matthew Menard, Michael Belkin, Stuart Blackwood, Mark Conrad, Linda Wang, Sara Crofts, Thomas Nixon, Timothy Wu, Roberto Chiesa, Saideep Bose, Jason Turner, Ryan Moore, Justin Smith, Rocco Ciocca, Jeffrey Hsu, Martin Czerny, Jonathan Cullen, Andrea Kahlberg, Carlo Setacci, Jin Hyun Joh, Eric Senneville, Pedro Garrido, Timur P. Sarac, Anthony Rizzo, Michael R. Go, Martin Bjorck, Hamid Gavali, Anders Wanhainen, Peter F. Lawrence
Summary: This study aimed to determine the optimal revascularization approach with the lowest morbidity and mortality in patients with secondary aortoenteric fistula (SAEF). The results showed that there was no significant difference in survival between extra-anatomic bypass (EAB) and in situ bypass (ISB), but EAB patients were more likely to require dialysis postoperatively and less likely to experience aorta-related hemorrhage.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Ulrike M. Heber, Marcel Mayrhofer, Roman Gottardi, Fabian A. Kari, Stefan Heber, Alfred Windisch, Wolfgang J. Weninger, Lena Hirtler, Johannes Scheumann, Bartosz Rylski, Friedhelm Beyersdorf, Martin Czerny
Summary: The study investigated the anatomical distribution pattern of epidural intraspinal arteries, revealing a craniocaudal continuity, a high number of transverse anastomoses, and a low number of thoracic and lumbar anterior radiculomedullary arteries with significant variation in distribution. These findings are likely to have an impact on perfusion during treatment of thoraco-abdominal aortic diseases.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Letter
Cardiac & Cardiovascular Systems
Martin Czerny, Manuel Feisst
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Review
Cardiac & Cardiovascular Systems
Roman Gottardi, Tim Berger, Andreas Voetsch, Andreas Winkler, Philipp Krombholz-Reindl, Andre Farkouh, Stoyan Kondov, Bartosz Rylski, Ralf Sodian, Martin Czerny
Summary: TEVAR surgery requires a sufficient landing zone for safe anchoring of the stent-graft and prevention of endoleaks, while certain areas may be limited by major aortic side-branches. Accurate deployment of the stent-graft and measures to prevent side-branch occlusion are crucial for successful outcomes.
THORACIC AND CARDIOVASCULAR SURGEON
(2021)
Article
Cardiac & Cardiovascular Systems
Tim Berger, Andreas Voetsch, Diaa Alaloh, Maximilian Kreibich, Philipp Krombholz-Reindl, Andreas Winkler, Bartosz Rylski, Thomas Wolfgruber, Friedhelm Beyersdorf, Matthias Siepe, Rainald Seitelberger, Martin Czerny, Roman Gottardi
Summary: In patients with traumatic aortic injury (TAI), the diameter of the aorta is significantly reduced at discharge compared to admission. The reduction in aortic diameter may be attributed to substantial blood loss.
THORACIC AND CARDIOVASCULAR SURGEON
(2022)
Review
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Bartosz Rylski, Friedhelm Beyersdorf, Matthias Siepe, Martin Czerny
Summary: The endovascular treatment of ascending aorta pathologies, particularly type A aortic dissection, has shown promise in potentially improving survival rates by addressing complex underlying issues that conventional treatments alone cannot fully resolve.
ASIAN CARDIOVASCULAR & THORACIC ANNALS
(2021)
Letter
Surgery
Morten Engberg, Mikkel Taudorf, Lene Russell, Lars Konge, Lars Lonn
ANNALS OF SURGICAL TREATMENT AND RESEARCH
(2021)
Article
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Julia Morlock, Friedhelm Beyersdorf, Tim Berger, Stephan Allweier, Stoyan Kondov, Clarence Pingpoh, Martin Czerny, Matthias Siepe, Bartosz Rylski
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2020)
Article
Medicine, General & Internal
Thomas Schachner, Julia Oji-Zurmeyer, Bartosz Rylski, Stephan Kapral, Olaf Stanger, Gerlig Widmann, Florian Schoenhoff, Martin Czerny, Stefan Jochberger
WIENER MEDIZINISCHE WOCHENSCHRIFT
(2020)
Article
Cardiac & Cardiovascular Systems
Bartosz Rylski, Florian Mayer, Friedhelm Beyersdorf, Stoyan Kondov, Maciej Kolowca, Maximilian Kreibich, Martin Czerny
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2020)