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.
Article
Cardiac & Cardiovascular Systems
William C. Frankel, Susan Y. Green, Hiruni S. Amarasekara, Qianzi Zhang, Ourania Preventza, Scott A. LeMaire, Joseph S. Coselli
Summary: The present study investigated the incidence, predictors, and impact of early gastrointestinal complications after open thoracoabdominal aortic aneurysm repair. Gastrointestinal complications were found to be associated with higher rates of operative mortality, adverse events, and longer hospitalization, highlighting the need for perioperative strategies to mitigate these complications.
ANNALS OF THORACIC 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
Surgery
Mitri K. Khoury, Charles Acher, Martha M. Wynn, Charles W. Acher
Summary: This study retrospectively reviewed nearly 1000 patients with descending thoracic aortic aneurysms or thoracoabdominal aortic aneurysms, finding that factors associated with mortality over time included age, surgical era, acute pathology, dissection, preoperative creatinine, and TAAA type. Patients experiencing neurological, cardiac, and pulmonary complications postoperatively had higher mortality rates, while newer surgical eras were associated with improved survival.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Lydia Hanna, Ammar Abdullah, Elika Kashef, Celia Riga, Michael Jenkins, Colin Bicknell, Richard Gibbs, Mohammad Hamady
Summary: Scallop-TEVAR is a useful treatment strategy to extend the proximal landing zone and maintain perfusion to the supra-aortic trunks, providing a durable repair with low reintervention rate, although periprocedural stroke remains a principal concern.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Jahan Mohebali, Christopher A. Latz, Richard P. Cambria, Virendra Patel, Emel A. Ergul, R. Todd Lancaster, Mark F. Conrad, W. Darrin Clouse
Summary: The study found excellent long-term patency of visceral and renal reconstructions after open TAAA repair, regardless of the reconstructive technique used. There were no significant differences in patency even when target vessel disease was addressed during reconstruction. These findings further support the effective long-term durability of open TAAA repair and are relevant to the ongoing evolution of endovascular strategies.
JOURNAL OF VASCULAR SURGERY
(2021)
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
Antonio R. Polanco, Alex M. D'Angelo, Nicholas J. Shea, Philip Allen, Hiroo Takayama, Virendra I. Patel
Summary: The study found that patients with TAAA in the United States have significantly lower mortality and morbidity when operated on at high-volume centers compared to low-volume centers, with the difference being consistent across elective and urgent/emergent surgeries. Increasing TAAA volume was associated with increased use of distal aortic perfusion.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Subhasis Chatterjee, Ann Shi, Luke Yoon, Susan Y. Green, Qianzi Zhang, Hiruni S. Amarasekara, Vicente Orozco-Sevilla, Ourania Preventza, Scott A. LeMaire, Joseph S. Coselli
Summary: This study investigated whether muscle loss would affect survival after thoracoabdominal aortic aneurysm repair. Data from patients aged 60 years or older who underwent the surgery from 2006 to 2016 were retrospectively analyzed. The results showed that sarcopenia did not influence early mortality or midterm survival, but was associated with an increased risk for delayed and persistent paraplegia.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Surgery
Christopher A. Latz, Srihari Lella, Laura T. Boitano, Charles DeCarlo, Zach Feldman, C. Y. Maximilian Png, Jahan Mohebali, Anahita Dua, Mark Conrad
Summary: The study found that performing splenectomy during open TAAA repair did not result in increased perioperative mortality, but did lead to significantly higher perioperative morbidity and longer hospital stays. Results showed that splenectomy did not have an impact on long-term survival outcomes for patients undergoing TAAA repair.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Luis Cajas-Monson, Mario D'Oria, Emanuel Tenorio, Bernardo C. Mendes, Gustavo S. Oderich, Randall R. DeMartino
Summary: This study reviewed the association of renal function on patient survival after fenestrated and branched endovascular aneurysm repair (FB-EVAR), with findings suggesting that selected patients with CKD 4-5 may have similar short- and long-term mortality compared to those with normal to moderate renal dysfunction. Renal dysfunction, although a major contraindication for open repair, might not be as prohibitive for endovascular repair in well-selected patients.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Kazufumi Yoshida, Ken Nakamura, Masanosuke Ishigami, Makoto Kinoshita, Tadaaki Koyama
Summary: This study suggests that staged hybrid repair is an effective treatment for thoracoabdominal aortic aneurysm, with low morbidity and mortality. Secondary thoracic endovascular aneurysm repair should be performed promptly to reduce the risk of residual aneurysm rupture.
JOURNAL OF CARDIOTHORACIC SURGERY
(2022)
Article
Surgery
Christopher A. Latz, Laura Boitano, Linda J. Wang, Charles DeCarlo, Zach M. Feldman, Anna A. Pendleton, Samuel Schwartz, Jahan Mohebali, Mark Conrad
Summary: Chronic dissection (CD) leads to increased perioperative mortality and morbidity after open repair of thoracoabdominal aortic aneurysms (TAAAs), but age-adjusted long-term survival is no different compared with degenerative aneurysms (DAs).
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Surgery
Rodolfo Pini, Gianluca Faggioli, Kosmas Paraskevas, Moad Alaidroos, Sergio Palermo, Enrico Gallitto, Mauro Gargiulo
Summary: This systematic review and meta-analysis examined the rate of spinal cord ischemia (SCI) after endovascular repair of thoracoabdominal aortic aneurysms (TAAA-ER). The study found that the rate of SCI after TAAA-ER was 11%, with approximately half of the cases being permanent. A staged approach was shown to reduce the incidence of SCI, regardless of timing or method. The overall mortality rate at 30 days was 7%, with 1.6% of deaths occurring between stages.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Enrico Rinaldi, Andrea Melloni, Enrico Gallitto, Aaron Fargion, Giacomo Isernia, Andrea Kahlberg, Luca Bertoglio, Gianluca Faggioli, Massimo Lenti, Carlo Pratesi, Mauro Gargiulo, Germano Melissano, Roberto Chiesa, Baccani Luigi, Bertoglio Luca, Chiesa Roberto, Faggioli Gianluca, Fargion Aaron, Fenelli Cecilia, Gallitto Enrico, Gargiulo Mauro, Isernia Giacomo, Lenti Massimo, Logiacco Antonino, Kahlberg Andrea, Mascoli Chiara, Melissano Germano, Melloni Andrea, Pini Rodolfo, Pratesi Carlo, Rinaldi Enrico, Simonte Gioele, Speziali Sara
Summary: This study reports an Italian multicenter experience on the incidence and risk factors associated with spinal cord ischemia (SCI) in patients with thoracoabdominal aortic aneurysms (TAAAs) treated by fenestrated-branched endovascular aneurysm repair (F-/B-EVAR). The results show that SCI is still a significant issue after certain types of TAAA repair, and identified factors such as TAAA extension, urgent repair for rupture, severe bleeding, and renal insufficiency as significant risk factors. Strategies to reduce SCI rates for high-risk patients should be considered.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cell & Tissue Engineering
Gabriella Spaltro, Stefania Straino, Elisa Gambini, Beatrice Bassetti, Luca Persico, Stefano Zoli, Marco Zanobini, Maurizio C. Capogrossi, Rita Spirito, Cinzia Quarti, Giulio Pompilio
Article
Cardiac & Cardiovascular Systems
Christian D. Etz, Stefano Zoli, Robert Brenner, Fabian Roder, Moritz Bischoff, Carol A. Bodian, Gabriele DiLuozzo, Randall B. Griepp
ANNALS OF THORACIC SURGERY
(2010)
Article
Cardiac & Cardiovascular Systems
Stefano Zoli, Christian D. Etz, Fabian Roder, Robert M. Brenner, Carol A. Bodian, George Kleinman, Gabriele Di Luozzo, Randall B. Griepp
ANNALS OF THORACIC SURGERY
(2010)
Article
Cardiac & Cardiovascular Systems
Stefano Zoli, Christian D. Etz, Fabian Roder, Christoph S. Mueller, Robert M. Brenner, Carol A. Bodian, Gabriele Di Luozzo, Randall B. Griepp
ANNALS OF THORACIC SURGERY
(2010)
Article
Surgery
Marco Agrifoglio, Stefano Zoli, Antioco Cappai, Piero Trabattoni, Rita Spirito, Paolo Biglioli
ANNALS OF VASCULAR SURGERY
(2011)
Article
Cardiac & Cardiovascular Systems
Stefano Zoli, Piero Trabattoni, Luca Dainese, Andrea Annoni, Claudio Saccu, Miriam Fumagalli, Rita Spirito, Paolo Biglioli
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2012)
Article
Engineering, Biomedical
Luca Dainese, Claudio Saccu, Stefano Zoli, Piero Trabattoni, Anna Guarino, Annalisa Cavallero, Rita Spirito
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS
(2012)
Editorial Material
Cardiac & Cardiovascular Systems
Stefano Zoli, Samer Kassem, Giulio Tessitore, Andrea Annoni, Francesco Alamanni, Marco Agrifoglio
JOURNAL OF CARDIAC SURGERY
(2011)
Article
Cardiac & Cardiovascular Systems
Christian D. Etz, Stefano Zoli, Moritz S. Bischoff, Carol Bodian, Gabriele Di Luozzo, Randall B. Griepp
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2010)
Article
Cardiac & Cardiovascular Systems
Sara Oberto, Francesco Cetta, Piero Trabattoni, Stefano Zoli, Davide Tavano, Filippo Rossi, Giacomo Clerici, Flavio Airoldi, Rita Spirito, Sergio Losa
JOURNAL OF CARDIOVASCULAR SURGERY
(2017)
Meeting Abstract
Cardiac & Cardiovascular Systems
Matthijs S. Ruiter, Marco Piola, Gloria Garoffolo, Erica Gianazza, Marco Agrifoglio, Claudio Saccu, Stefano Zoli, Marco Zanobini, Cristina Banfi, Monica Soncini, Gianfranco B. Fiore, Maurizio Pesce
CIRCULATION RESEARCH
(2017)
Meeting Abstract
Cardiac & Cardiovascular Systems
Gloria Garoffolo, Rosa Vono, Matteo Carrara, Rosaria Santoro, Stefano Zoli, Claudio Saccu, Fabio Martelli, Gaia Spinetti, Paolo Madeddu, Maurizio Pesce
CIRCULATION RESEARCH
(2017)
Article
Cardiac & Cardiovascular Systems
Moritz S. Bischoff, Robert M. Brenner, Johannes Scheumann, Stefano Zoli, Gabriele Di Luozzo, Christian D. Etz, Randall B. Griepp
ANNALS OF CARDIOTHORACIC SURGERY
(2012)
Meeting Abstract
Cardiac & Cardiovascular Systems
C. D. Etz, S. Zoli, R. Brenner, F. Roder, C. A. Bodian, G. DiLuozzo, R. B. Griepp
Article
Cardiac & Cardiovascular Systems
Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita
Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.
ANNALS OF THORACIC SURGERY
(2024)