Review
Surgery
Jasamine Coles-Black, Tracie Barber, Damien Bolton, Jason Chuen
Summary: 3D-printed templates offer a promising new avenue for assisting with fenestrations in PMSGs, particularly in urgent situations, with larger scale studies needed for validation.
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Medicine, General & Internal
Petar Zlatanovic, Aleksa Jovanovic, Paolo Tripodi, Lazar Davidovic
Summary: This study aimed to compare the medium-term results of open surgery, fenestrated endovascular repair, and chimney endovascular repair in patients with juxta/pararenal abdominal aortic aneurysms. The results showed that open surgery had advantages over endovascular repair in terms of aortic-related intervention and vessel branch/bypass stenosis/occlusion during mid-term follow-up.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Eric Galloway Jernigan, Nhan Nguyen Tran, Khalil Qato, Gary Giangola, Alfio Carroccio, Allan Marc Conway
Summary: This retrospective study analyzed the outcomes of symptomatic and ruptured abdominal aortic aneurysms treated with chimney or snorkel technique, demonstrating acceptable rates of morbidity and mortality with ChEVAR, but long-term data are needed to determine durability.
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Surgery
Rianne E. van Rijswijk, Erik Groot Jebbink, Clark J. Zeebregts, Michel M. P. J. Reijnen
Summary: This review provides an overview of the evidence for anatomic predictors of positive and negative abdominal aortic aneurysm (AAA) sac remodeling after endovascular repair. The presence of neck thrombus, AAA thrombus, number of hostile neck parameters, total AAA volume, AAA flow-lumen volume, and aortic calcification were identified as important anatomic features that may play a role in AAA remodeling. However, strong and consistent evidence regarding the anatomic predictors of AAA sac remodeling after endovascular repair is still lacking.
JOURNAL OF VASCULAR SURGERY
(2022)
Review
Surgery
Nikolaos Kontopodis, Nikolaos Galanakis, Stavros Charalambous, Miltiadis Matsagkas, Athanasios D. Giannoukas, Dimitrios Tsetis, Christos Ioannou, George A. Antoniou
Summary: The peri-operative mortality of EVAR in high risk patients has decreased over time. Although the aneurysm related mortality is lower with EVAR compared to no intervention, it may not provide an overall survival benefit.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Review
Surgery
Marethania M. Akmal, Dara R. Pabittei, Tossapol Prapassaro, Raden Suhartono, Frans L. Moll, Joost A. van Herwaarden
Summary: The study systematically reviewed different techniques for excluding persistent type II endoleaks after EVAR, showing a wide variety of techniques and embolic agents used. Despite varying technical success rates, the overall technical success rate was 62%. Further studies with longer follow-up are urgently needed to determine the most effective treatment for a durable exclusion of persistent type II endoleaks.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Surgery
Mario Lescan, Mateja Andic, Denisa Serban, Christoph Artzner, Gerd Grozinger, Christian Schlensak, Arne Estler, Migdat Mustafi
Summary: This study compared the outcomes of patients treated with bifurcated AFX and tube stent-grafts in the narrow infrarenal aortic anatomy. The results showed that AFX stent-graft had a lower rate of type I endoleaks and reinterventions in sacciform infrarenal aortic pathologies during the early and midterm follow-up.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Multidisciplinary Sciences
Artur Igor Milnerowicz, Aleksandra Milnerowicz, Tomasz Bankowski, Marcin Protasiewicz
Summary: The study used pressure gradient measurements to evaluate renal artery flow hemodynamics after chimney endovascular aortic repair (chEVAR). The results showed that the technique is safe and allows direct measurement of renal artery flow dynamics, with no significant changes in pressure values post-procedure. Additionally, the use of covered balloon expandable stents ensured proper blood flow in the renal arteries during the chEVAR technique.
Review
Surgery
Nikolaos Kontopodis, Nikolaos Galanakis, Christos V. Ioannou, George A. Antoniou
Summary: The purpose of this study was to investigate the differences in outcomes between patients receiving anticoagulation therapy and those who do not after endovascular aneurysm repair (EVAR). The results showed that anticoagulated patients had a significantly higher risk of death, endoleak, reintervention, and aneurysm sac expansion compared to patients not receiving anticoagulation therapy. Therefore, the negative impact of anticoagulation should be considered in decision-making, consent processes, and surveillance strategies for EVAR.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Review
Cardiac & Cardiovascular Systems
Longtu Zhu, Xiaoye Li, Qingsheng Lu
Summary: This study evaluated the safety and surgical outcomes of zone 0 thoracic endovascular aortic repair (TEVAR) by conducting a systematic review and meta-analysis. The study found that the 30-day/in-hospital mortality rate of zone 0 TEVAR was 7.49%, while the rate of post-operative stroke was relatively high. The rates of other complications and perioperative death were comparable to TEVAR for other aortic zones.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Chao Song, Shibo Xia, Lei Zhang, Kundong Wang, Haiyan Li, Wenying Guo, Longtu Zhu, Qingsheng Lu
Summary: This study aimed to assess the practicability and safety of a novel endovascular robotic system for endovascular aortic repair in humans. A prospective observational study was conducted in 2021 with 6 months of follow-up. The results showed that the robotic system achieved technical success in all patients without any device- or procedure-related complications or major adverse events. The operation time, blood loss, and radiation exposure of the operator were comparable to manual procedures.
EUROPEAN RADIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
Zhongzhou Hu, Zheng Zhang, Hui Liu, Zhong Chen
Summary: Endovascular repair using fenestrated and branched stent-grafts for thoracoabdominal aortic aneurysms is a safe and effective treatment option with acceptable early results. Lifelong regular follow-up and additional prospective studies are needed to further validate the efficacy of this technique.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
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)
Review
Surgery
Anna L. Pouncey, Michael David, Rachael Morris, Pinar Ulug, Guy Martin, Colin Bicknell, Janet T. Powell
Summary: Recent practice has not improved the higher mortality rate for women following AAA repair. Women tend to have higher incidences of transfusion, pulmonary, and bowel complications post-operatively. The increased mortality risk for EVAR may be attributed to factors such as cardiac complications.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2021)
Review
Surgery
Nektarios Charisis, Vasileios Bouris, Alexander Rakic, David Landau, Nicos Labropoulos
Summary: The study showed that endovascular repair for isolated common iliac artery aneurysms is feasible and safe, with low mortality and excellent technical success rates. Further studies with longer follow-up and reliable long-term results are needed.
JOURNAL OF VASCULAR SURGERY
(2021)