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
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
Stacey Chen, Rae S. Rokosh, Deane E. Smith, Thomas S. Maldonado, Neal S. Cayne, Glenn R. Jacobowitz, Caron B. Rockman, Virendra Patel, Frank J. Veith, Aubrey C. Galloway, Karan Garg
Summary: The study aimed to evaluate the impact of prior infrarenal aortic surgery on spinal cord ischemia occurrence. It was found that patients with prior infrarenal repair were sicker, but the rate of SCI was comparable to those without prior repair.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Peng Li, Jiaxue Bi, Fang Niu, Junhang Chen, Xiangchen Dai, Jiechang Zhu, Fanguo Hu
Summary: This study compared the mid-term outcomes of endovascular and hybrid procedures in treating aortic arch pathologies, and analyzed the different indications of the two methods. The results showed that hybrid surgery costs less and is more suitable for treating variants of the aortic arch, while endovascular treatment still has limitations due to anatomical conditions.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
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)
Article
Cardiac & Cardiovascular Systems
Sang On Lee, Dong-Hee Kim, Eun Seok Choi, Bo Sang Kwon, Tae-Jin Yun, Mi Jin Kim, Seulgi Cha, Jae Suk Baek, Jeong Jin Yu, Chun Soo Park
Summary: This study investigated the outcomes and factors associated with reintervention or development of significant pulmonary stenosis (PS) after repair of transposition of the great arteries (TGA) or Taussig-Bing anomaly (TBA) with aortic arch obstruction. The results showed that the rates of overall mortality and reintervention after repair were not negligible, and the size discrepancy between the two great arteries was associated with reintervention, while a smaller aortic annulus z-score at the pulmonary position was associated with the development of significant PS.
ANNALS OF THORACIC SURGERY
(2023)
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
Cardiac & Cardiovascular Systems
Yifei Pei, Hongqiao Zhu, Yu Xiao, Jian Zhou, Zaiping Jing
Summary: This study examined the feasibility, integrity, efficacy, and safety of endovascular repair of aortic arch pathologies with the mini-cross prefenestration (MCPF) on stent grafts. Results showed successful implantation and integrity of the MCPF stent grafts. The clinical experiment demonstrated high success rates and significant reduction in aortic diameter after endovascular repair with MCPF.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
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
Lei Zhang, Qingsheng Lu, Hongqiao Zhu, Zaiping Jing
Summary: The study presented the long-term outcomes and durability of a novel branch stent-grafting for endovascular repair of chronic aortic arch dissection, with low incidence of complications and mortality postoperatively, promoting positive aortic remodeling.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Luigi Di Tommaso, Ettorino Di Tommaso, Raffaele Giordano, Emanuele Pilato, Gabriele Iannelli
Summary: This study presented experiences in treating isolated aortic arch dissection with bare stents in three patients, showing good postoperative results and smooth recovery. A purely endovascular approach with bare stents remains challenging but effective in selected cases.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Martin Czerny, Tim Berger, Stoyan Kondov, Matthias Siepe, Bertrand Saint Lebes, Fatima Mokrane, Herve Rousseau, Mario Lescan, Christian Schlensak, Mateja Andic, Constatijn Hazenberg, Trijntje Bloemert-Tuin, Sue Braithwaite, Joost van Herwaarden, Alexander Hyhlik-Duerr, Yvonne Gosslau, Luis Mendes Pedro, Pedro Amorim, Toru Kuratani, Stephen Cheng, Robin Heijmen, Emma van der Weijde, Eliza Pleban, Piotr Szopinski, Bartosz Rylski
Summary: The study aimed to evaluate the results of endovascular aortic arch repair using the Relay Branch system, showing a high technical success rate, acceptable in-hospital mortality, but non-disabling stroke remains a major concern. Patients with residual aortic dissection have the best prognosis, and more data are needed to support these findings.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Surgery
Ulugbek Negmadjanov, John C. Motta, W. Anthony Lee
Summary: The study evaluated the feasibility and outcomes of total endovascular repair of aortic arch aneurysms using a novel triple-branch arch endograft. While technically successful, there are significant anatomic and mechanical challenges that require further refinements in endograft design and optimal bridging stent technology.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Luo Ming-yao, Zhang Xiong, Fang Kun, Guo Yuan-yuan, Chen Dong, Jason T. Lee, Shu Chang
Summary: This study summarized the application of chimney thoracic endovascular aortic repair (TEVAR) for aortic arch pseudoaneurysms with inadequate landing zones. The results showed that chimney TEVAR is a feasible treatment option with acceptable mid-term outcomes, and it can serve as an alternative minimally invasive approach to extend the landing zone.
BMC CARDIOVASCULAR DISORDERS
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Pierre Olivier Dionne, Emanuel R. Tenorio, Luis C. Cajas Monson, Alberto Pochettino, Gustavo S. Oderich
Summary: Endovascular repair is introduced to reduce the morbidity and mortality associated with open surgical repair of aortic arch pathology. In this case, a 71-year-old male patient with an asymptomatic saccular aortic arch aneurysm underwent total endovascular aortic repair using a 3-vessel inner branch stent graft, resulting in an uneventful postoperative course and discharge on the third day. Total endovascular aortic arch repair is a suitable alternative for higher-risk patients with aortic arch aneurysms not well-suited for open surgical repair.
ANNALS OF THORACIC SURGERY
(2021)