Article
Cardiac & Cardiovascular Systems
Yosuke Inoue, Hitoshi Matsuda, Jiro Matsuo, Takayuki Shijo, Atsushi Omura, Yoshimasa Seike, Kyokun Uehara, Hiroaki Sasaki, Junjiro Kobayashi
Summary: Resection of a primary entry tear is essential for treating Stanford type A acute aortic dissection. The study found that entry exclusion through the use of new technologies like the frozen elephant trunk technique and TEVAR can help reduce dissection-related reoperations in patients with DeBakey type III retrograde-AAAD.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Yuhao Dong, Lifeng Que, Qianjun Jia, Yue Xi, Jian Zhuang, Jinglei Li, Hui Liu, Weiqi Chen, Meiping Huang
Summary: This study aimed to construct models for predicting reintervention after TEVAR in TBAD patients. Seven predictors of reintervention were identified using LASSO regression, with logistic regression yielding the highest performance. A nomogram for clinical use showed good calibration, and identified a cutoff value for dividing patients into low- and high-risk subgroups.
EUROPEAN RADIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Shigeki Koizumi, Yosuke Inoue, Kento Shinzato, Koki Yokawa, Mio Kasai, Kenta Masada, Yoshimasa Seike, Hiroaki Sasaki, Hitoshi Matsuda
Summary: By reviewing the medical records of 359 patients with R-AAAD, 83 patients were selected for thoracic endovascular aortic repair. The results showed that the surgical mortality and the rate of neurologic complications were low, and most of the dissection-related complications were resolved. Therefore, the indications for thoracic endovascular aortic repair can be expanded to low-risk and emergency cases.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Eduard Charchyan, Denis Breshenkov, Yuriy Belov
Summary: This study presented the initial experience of using a new dissection-specific hybrid stent graft with a soft distal end in the frozen elephant trunk technique for patients with non-acute DeBakey type I aortic dissection. The results indicated that this approach can effectively reduce the incidence of distal complications compared to non-soft distal stent grafts, with no significant differences among the groups and similar follow-up outcomes. Long-term observations are needed to fully understand the potential benefits and drawbacks of the new prosthesis.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Chikara Ueki, Hiroshi Tsuneyoshi
Summary: This study investigated the incidence of and risk factors for late aortic expansion after TEVAR for chronic DeBakey IIIb aortic dissection. The results showed that late aortic expansion remains an important issue in both the thoracic and abdominal aorta, with significant risk factors including aortic dilation at the celiac level, saccular aneurysm formation of the false lumen, and a high number of residual large reentries.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Simon De Freitas, Matthew J. Rossi, Steven D. Abramowitz, Javairiah Fatima, Misaki M. Kiguchi, Raghuveer Vallabhaneni, Stewart R. Walsh, Edward Y. Woo
Summary: The endovascular repair of Stanford type A aortic dissection is feasible and reproducible, providing an acceptable safety profile for inoperable patients with poor prognosis. However, data from clinical trials are still needed to confirm its feasibility in routine clinical practice.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Zhengbiao Zha, Youmin Pan, Zhi Zheng, Xiang Wei
Summary: This study analyzed the predictors of stroke after TEVAR in patients with TBAD. The study found that LSCA coverage, diabetes mellitus, and general anesthesia were independent risk factors for stroke after TEVAR in TBAD patients.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Enzehua Xie, Jinlin Wu, Juntao Qiu, Lu Dai, Jiawei Qiu, Qipeng Luo, Wenxiang Jiang, Fangfang Cao, Rui Zhao, Shuya Fan, Wei Gao, Hongwei Guo, Xiaogang Sun, Cuntao Yu
Summary: This study compared the early outcomes of three surgical techniques for type I aortic dissection and found no significant differences among them. Therefore, the choice of surgical procedure can be relatively flexible based on patient status and surgeon expertise. Long-term investigations are needed to further assess the equivalence in efficacy and safety of these approaches.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Surgery
Masahiko Narita, Masahiro Tsutsui, Ryouhei Ushioda, Yuta Kikuchi, Tomonori Shirasaka, Natsuya Ishikawa, Hiroyuki Kamiya
Summary: This study compared the short- and long-term outcomes of proximal repair and extensive arch surgery for acute DeBakey type I aortic dissection. The results showed no significant differences in long-term cumulative survival and freedom from aortic reintervention between the two surgical strategies. Limited aortic resection appears to achieve acceptable patient outcomes.
FRONTIERS IN SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Xiaolang Jiang, Bin Chen, Junhao Jiang, Yun Shi, Tao Ma, Weiguo Fu, Zhihui Dong
Summary: This study aimed to evaluate the mid-term outcomes of thoracic endovascular aorta repair (TEVAR) in patients with Marfan syndrome (MFS) and type B aortic dissection (TBAD). A total of 26 MFS patients underwent TEVAR and had a perioperative mortality rate of 0%. The cumulative survival rate at 5 and 10 years was 88.1% and 82.9% respectively. Patients with thrombosed false lumen (FL) had significantly higher survival and freedom from reintervention rates compared to those with patent FL. However, patients with patent FL were at high risk of late death.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Surgery
Jayna J. Patel, Piotr Kasprzak, Karin Pfister, Nikolaos Tsilimparis, Tilo Koelbel, Carl Wahlgren, Sari Hammo, Kevin Mani, Anders Wanhainen, Giovanni Rossi, Enrico Leo, Ingeborg Boing, Hubert Schelzig, Alexander Oberhuber, Frode Aasgaard, Enrico Vecchiati, Antonio Fontana, Bijan Modarai
Summary: The study evaluated the short term outcomes of using ZDEG and ZDES in treating Stanford type B aortic dissections, showing low mortality rates within 30 and 90 days. Complication rates were relatively low, with some patients experiencing minor complications.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Junwei Wang, Ming Li, Jiehua Li, Hao He, Yang Zhou, Xin Li, Quanming Li, Feng Gu, Zijian Ye, Alan Dardik, Chang Shu
Summary: This study evaluated the safety and efficacy of thoracic endovascular aortic repair (TEVAR) for acute Stanford type B aortic dissection (TBAD) with retrograde type A intramural hematoma (TAIMH). The results showed that for selected cases, TEVAR may be a safe, effective, and durable alternative treatment, if the maximum diameter of the ascending aorta (AA) is <50 mm and the hematoma thickness in the AA is <= 10 mm.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Leonard Pitts, Roland Heck, Matteo Montagner, Adam Penkalla, Markus Kofler, Volkmar Falk, Joerg Kempfert, Semih Buz
Summary: An individualized endovascular approach may be justified for acute type A aortic dissection in elderly patients with high surgical risk. The use of additional short-length stent graft devices and uncovered stent may enhance the outcomes in treating such cases.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Respiratory System
Mona Salehi Ravesh, Mohamed Salem, Georg Lutter, Christine Friedrich, Veronika Walter, Thomas Puehler, Jochen Cremer, Assad Haneya
Summary: This study retrospectively evaluated the impact of surgical techniques, circulatory management, and postoperative care on the surgical outcomes of patients with DeBakey type I and II aortic dissections. It found that patients with DeBakey type I had higher rates of surgical duration, circulatory arrest time, re-thoracotomy, postoperative delirium, and tracheotomy. However, there were no significant differences in 30-day mortality or long-term survival rates between the two groups.
JOURNAL OF THORACIC DISEASE
(2021)
Article
Multidisciplinary Sciences
Satoshi Kimura, Hiroaki Sato, Shohei Shimajiri, Takahiro Umehara, Hirotsugu Noguchi, Daisuke Niino, Toshiyuki Nakayama
Summary: In patients with ATAAD and cardiac tamponade, elevated hs-cTnI and CCL2 expression were observed, potentially leading to the expression of M2-like macrophages through an increased MNR.
