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
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)
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
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
Cardiac & Cardiovascular Systems
Irsa S. Hasan, James A. Brown, Derek Serna-Gallegos, Edgar Aranda-Michel, Sarah Yousef, Yisi Wang, Ibrahim Sultan
Summary: This observational study compared outcomes of patients undergoing thoracic endovascular aortic repair (TEVAR) for complicated type B aortic dissection (TBAD) or descending thoracic aortic (DTA) aneurysm using a nationwide readmissions database from 2010 to 2018. The results showed that patients with TBAD had higher rates of in-hospital mortality, postoperative complications, and readmissions compared to patients with DTA. TBAD was independently associated with mortality after adjusting for other variables.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Medicine, General & Internal
Tomoaki Kudo, Toru Kuratani, Yoshiki Sawa, Shigeru Miyagawa
Summary: This study compared the outcomes of bTEVAR and hTEVAR in landing zone 0 for the treatment of aortic arch diseases. The study found no significant differences in in-hospital mortality, aorta-related deaths, and aortic reintervention rates between the bTEVAR and hTEVAR groups. However, the bTEVAR group had significantly shorter operative time and length of hospital stay compared to the hTEVAR group.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Zhou Fang, Haiyang Li, Thomas M. Warburton, Junming Zhu, Yongmin Liu, Lizhong Sun, Wenjian Jiang, Hongjia Zhang
Summary: This study describes two different situations of type A aortic dissection (TAAD) following thoracic endovascular aortic repair (TEVAR). The surgical methods used to repair TAAD after TEVAR are introduced, and the long-term prognosis is evaluated. The TAR and FET technique is found to be feasible and effective for treating complicated TAAD after TEVAR, with satisfactory surgical success rate and long-term prognosis.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Marco Franchin, Francesca Mauri, Federico Fontana, Filippo Piacentino, Luca Guzzetti, Matti Jubouri, Mohamad Bashir, Gabriele Piffaretti
Summary: The aim of this study was to evaluate the incidence and outcomes of ischaemic organ complications after thoracic endovascular aortic repair (TEVAR). The study found that aortic arch atherosclerotic overload and the presence of shaggy aorta are predictors of organ ischaemic complications following TEVAR, which are associated with perioperative mortality, prolonged hospitalization, and a negative impact on long-term survival.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Surgery
Wael Ahmad, Paula Weidler, Oroa Salem, Ursula Werra, Payman Majd, Bernhard Dorweiler
Summary: This study evaluates the incidence, etiology, and clinical implications of aortic neck dilation following thoracic endovascular aortic repair (TEVAR) for aneurysms with landing zones II and III. The results show that proximal aortic dilation after TEVAR is a common and progressive phenomenon, and the management strategies for aortic neck dilation should be carefully considered to optimize patient outcomes and improve the long-term success of the procedure.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Adam Tanious, Laura Boitano, Lauren Canha, Elizabeth L. Chou, Linda J. Wang, Christopher Latz, Matthew J. Eagleton, Mark F. Conrad
Summary: After TEVAR treatment for descending thoracic aortic aneurysms, 80% of patients experience sac stability or regression, providing a clear survival advantage. Endoleaks are predictive of sac growth and are associated with increased mortality. Vigilant surveillance is crucial in preventing the need for reintervention.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Gen Li, Xia Xu, Jun Li, Sizheng Xiong
Summary: This study evaluated the effects of TEVAR in patients with retrograde TAIMH and found that TEVAR led to significant improvements in aortic remolding and overall survival rates. However, post-intervention complications should not be overlooked.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Surgery
Vinamr Rastogi, Anne-Sophie C. Romijn, Sai Divya Yadavalli, Christina L. Marcaccio, Vincent Jongkind, Sara L. Zettervall, Elina Quiroga, Noelle N. Saillant, Hence J. M. Verhagen, Marc L. Schermerhorn
Summary: This study evaluated the outcomes of female patients after repair of blunt thoracic aortic injuries. The results showed that compared to males, females had longer procedure duration and higher risk of reintervention, but no significant differences in postoperative complications and 5-year mortality.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Multidisciplinary Sciences
Qian-hui Tang, Jing Chen, Zhen Long, Xuan-an Su, Yu-Lin Wang, Jian-ye Qiu, Zhong Qin, Han Yang, Que Li, Ming Hu, Xiao Qin
Summary: This study retrospectively evaluated the safety and efficacy of thoracic endovascular aortic repair (TEVAR) in patients with type B aortic dissection and identified risk factors for long-term mortality. The findings showed that TEVAR was associated with lower in-hospital mortality, death within 30 days, and aortic-related mortality compared to optimal medical treatment. Cox analysis also revealed that a vertical length of the dissection exceeding 150 mm increased the risk of mortality.
Article
Surgery
Hanaa Dakour-Aridi, Kanhua Yin, Farhan Hussain, Satinderjit Locham, Ali Azizzadeh, Mahmoud B. Malas
Summary: The outcomes of thoracic endovascular aortic repair (TEVAR) in octogenarians for thoracic aortic aneurysms and dissection differ from those of nonoctogenarians. While there was no significant difference in in-hospital mortality in octogenarians undergoing TEVAR for thoracic aortic dissection, they may face a higher risk of in-hospital complications in thoracic aortic aneurysm repair.
JOURNAL OF VASCULAR SURGERY
(2021)