Article
Surgery
Ga-Young K. Suh, Johan Bondesson, Yufei D. Zhu, Michael C. Nilson, Eric E. Roselli, Christopher P. Cheng
Summary: In this study, we aimed to quantify the deformation of the thoracic aorta after ascending TEVAR. The results showed that the pulsatile deformation of the ascending aorta was damped by the endograft, while the native thoracic aorta did not experience significant changes.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Review
Cardiac & Cardiovascular Systems
Yunus Ahmed, Ignas B. Houben, C. Alberto Figueroa, Nicholas S. Burris, David M. Williams, Frans L. Moll, Himanshu J. Patel, Joost A. van Herwaarden
Summary: This study provides a comprehensive overview of catheter-based interventions in patients with acute type A aortic dissection, showing that endovascular repair is feasible with high technical success and acceptable short-term outcomes, despite higher rates of reintervention and endoleak. Further studies with longer follow-up and careful patient selection are needed before endovascular interventions can be widely introduced.
JOURNAL OF CARDIAC SURGERY
(2021)
Article
Medicine, General & Internal
Denis Skrypnik, Marius Ante, Katrin Meisenbacher, Dorothea Kronsteiner, Matthias Hagedorn, Fabian Rengier, Florian Andre, Norbert Frey, Dittmar Boeckler, Moritz S. Bischoff
Summary: This study assessed the dynamic segmental anatomy of the entire ascending aorta to determine a suitable landing zone and aortic sizing for thoracic endovascular aortic repair. Using electrocardiogram-gated computed tomography angiography, the dimensions of the aorta in systolic and diastolic phases were measured. The results showed that the ascending aorta had larger dimensions during systole, and the mid-ascending and distal-ascending segments had favorable forms for TEVAR.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Mechanics
Marina G. Karachaliou, Gerasimos A. T. Messaris, Vassilios C. Loukopoulos, Constantinos M. Koutsojannis, Petros E. Zampakis, George T. Karahalios
Summary: This study explores the risk factors of ascending aortic dissection and finds that the Laplace law is insufficient to accurately predict the disease. Novel expressions are proposed to explain the dissection size paradox, indicating the importance of ascending aortic length in surgical intervention decision-making.
Article
Surgery
Diletta Loschi, Annarita Santoro, Enrico Rinaldi, Claudia Anselmi, Camilla Grignani, Roberto Chiesa, Germano Melissano
Summary: This study investigates the types and outcomes of thoracic endovascular aneurysm repair and Candy Plug (CP) implantation for type B aortic dissection. The CP technique is found to be safe and effective, but there is a significant rate of aortic-related reintervention and high rate of major complications in open repair.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Jose M. Garrido, Andrea Ferreiro-Marzal, Maria Esteban-Molina, Alejandro Rodriguez-Morata, Fernando Rodriguez-Serrano
Summary: The study aims to detail an optimized technique for the endovascular treatment of ascending aorta diseases based on TEVAR and TAVI procedures. The technique provides a standardized and reproducible method for endovascular repair, but new devices specifically designed for the ascending aorta may further facilitate the transcatheter approach.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Nikhil K. Prasad, Gregory Boyajian, Anuj Gupta, Michael Hall, Shahab Toursavadkouhi, Mehrdad Ghoreishi, Bradley S. Taylor
Summary: This report presents a case of penetrating aortic ulcer in zone 0 of the ascending aorta treated with transcarotid endovascular stent graft, with the patient having a successful postoperative course without evidence of stroke. The transcarotid approach is highlighted as an optimal alternative access for endovascular ascending aortic repair in certain patients.
ANNALS OF THORACIC SURGERY
(2021)
Review
Anesthesiology
Ashanpreet Grewal, Patrick Odonkor, Mehrdad Ghoreishi, Seema P. Deshpande
Summary: Endovascular repair has become the first-line treatment for descending aortic disease, but for patients with ascending aortic disease, open surgical repair was the only option until recently. Endovascular repair of the ascending aorta offers a life-saving procedure for high-risk patients who cannot undergo open repair.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2021)
Article
Cardiac & Cardiovascular Systems
Mario Lescan, Migdat Mustafi, Viktoria Wilhelm, Marius Keller, Christian Schlensak, Peter Rosenberger, Harry Magunia
Summary: This study found a correlation between preoperative dissection flap motility and aortic remodeling after TEVAR/FET, with acute and subacute dissection patients showing better aortic expansion and flap motility.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Changtian Wang, Ludwig Karl von Segesser, Francesco Maisano, Enrico Ferrari
Summary: This study investigated the current status of catheter-based treatment for type A aortic dissection with the entry tear located in the ascending aorta. The results suggest that catheter-based ascending aorta repair can be considered in carefully selected high-risk patients, but further analysis and specifically designed devices are needed.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Ourania Preventza, Alice Le Huu, Jackie Olive, Davut Cekmecelioglu, Joseph S. Coselli
Summary: The treatment of ascending aortic pathologies has traditionally been performed with open surgery, but there are patients for whom this poses a high risk. Less invasive approaches using catheters, wires, percutaneous techniques, and stent grafts can be beneficial for these patients. However, the current technology is not specifically approved for use in the ascending aorta, and custom-made endografts are sometimes necessary due to size and design limitations of existing devices.
ANNALS OF CARDIOTHORACIC SURGERY
(2022)
Article
Medicine, General & Internal
Nerea Lopez Perez, Philippe Reymond, Mustafa Cikirikcioglu, Mathieu van Steenberghe, Tornike Sologashvili, Nicolas Murith, Thomas Perneger, Christoph Huber
Summary: This study examines the ratio between ascending and descending aorta diameters as a potential surrogate marker for decision making in cases of ascending aortic dilatation. A retrospective observational cohort study was conducted on 50 patients who underwent surgery for acute type A aorta dissection. The results suggest that the ratio between descending and ascending aorta diameters may be a useful tool for stratifying the risk of dissection.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Amit S. Kainth, Tej A. Sura, Michael S. Williams, Catherine Wittgen, Emad Zakhary, Matthew R. Smeds
Summary: This study compared the outcomes of reinterventions after previous endovascular or open abdominal aortic procedures with primary endovascular repairs. The results showed that reinterventions after previous endovascular repairs were associated with a higher rate of endoleak, while reinterventions after open abdominal aortic procedures had a higher all-cause mortality rate.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Juan Shi, Ligang Liu, Xiang Wei, Mingjia Ma
Summary: The study investigated the effectiveness of modified stent-grafts for managing ascending aortic pathologies, showing that it is a feasible alternative with acceptable outcomes in high-risk patients.
JOURNAL OF ENDOVASCULAR THERAPY
(2021)
Article
Surgery
Sven R. Hauck, Maximilian Kern, Theresa-Marie Dachs, Lukas Haider, Marie-Elisabeth Stelzmueller, Marek Ehrlich, Christian Loewe, Martin A. Funovics
Summary: This study assessed the anatomical and clinical applicability of six commercially available branched/fenestrated stent grafts for endovascular repair of post-type A aortic dissection (PTAD). The results showed high anatomical and clinical applicability for these devices, especially for the combination of fenestrated and branched devices.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Domenico Spinelli, Fred A. Weaver, Ali Azizzadeh, Gregory A. Magee, Gabriele Piffaretti, Filippo Benedetto, Charles C. Miller, Harleen K. Sandhu, Dennis R. Gable, Santi Trimarchi
Summary: The study aimed to analyze the outcomes of thoracic endovascular aortic repair for complicated and uncomplicated acute type B aortic dissections. The data from WL Gore's Global Registry for Endovascular Aortic Treatment showed that the 30-day mortality and perioperative complications were equally low for both complicated and uncomplicated type B aortic dissections, and the midterm outcome was positive.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Peripheral Vascular Disease
Daniele Bissacco, Chiara Malloggi, Maurizio Domanin, Chiara Lomazzi, Valerio Tolva, Andrea Odero, Santi Trimarchi, Renato Casana
Summary: The study found that the recanalization rates of GSV at 1 week, 1, 3, and 5 years were 2.4%, 4.3%, 9.3%, and 17.5% respectively. Factors such as CEAP classification C4 and 5, preoperative GSV diameter >6 mm, and smoking history were independent predictors of recanalization. Age >61 years and postoperative complications like pigmentation, edema, and paresthesia were dependent risk factors.
Article
Cardiac & Cardiovascular Systems
Arnoud V. Kamman, Pieter A. J. van Bakel, Bo Yang, David M. Williams, Karen M. Kim, Minhaj S. Khaja, Frans L. Moll, Joost A. van Herwaarden, Santi Trimarchi, Kim A. Eagle, Jonathan L. Eliason, Himanshu J. Patel
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Review
Surgery
Tim J. Mandigers, Daniele Bissacco, Maurizio Domanin, Ilenia D'Alessio, Valerio S. Tolva, Gabriele Piffaretti, Joost A. van Herwaarden, Santi Trimarchi
Summary: This systematic review investigates the cardiovascular modifications after thoracic endovascular aortic repair (TEVAR) in patients with blunt thoracic aortic injury (BTAI). The results highlight adverse cardiac and aortic modifications after TEVAR, emphasizing the need for lifelong surveillance and the development of more compliant endografts to prevent long-term cardiovascular complications.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Surgery
George A. Antoniou, Frederico Bastos Goncalves, Martin Bjorck, Nabil Chakfe, Raphael Coscas, Nuno Dias, Florian Dick, Stavros K. Kakkos, Barend M. E. Mees, Timothy Resch, Santi Trimarchi, Riikka Tulamo, Chris P. Twine, Frank Vermassen, Anders Wanhainen, Philippe Kolh
Summary: The development of health guidelines is becoming increasingly sophisticated and systematic, with critical steps including the assessment of evidence certainty, the use of evidence to decision frameworks, and the employment of health guideline reporting tools to ensure methodological rigor and transparency.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Engineering, Biomedical
Daniele Bianchi, Michele Conti, Daniele Bissacco, Maurizio Domanin, Santi Trimarchi, Ferdinando Auricchio
Summary: This study aims to elucidate the biomechanical mechanisms of TEVAR by combining ex vivo and in silico analysis. The results show an increase in pulse wave velocity after TEVAR, and the numerical analysis demonstrates that oversized stent-grafts lead to an increase in local stress.
INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING
(2023)
Article
Biophysics
Anna Ramella, Francesco Migliavacca, Tim J. Mandigers, Daniele Bissacco, Maurizio Domanin, Santi Trimarchi, Giulia Luraghi
Summary: Thoracic Endovascular Aortic Repair (TEVAR) is a minimally invasive technique for treating thoracic aorta pathologies. Computational models, such as finite element analysis, can be used to predict clinical procedure outcomes or conduct in-silico clinical trials. This study applies a validated TEVAR methodology to a patient-specific case and assesses the overall applicability of the TEVAR modeling using the ASME V&V40 protocol. Validation evidence sources are identified and adopted to demonstrate the reliability and applicability of the numerical procedure.
JOURNAL OF BIOMECHANICS
(2023)
Article
Surgery
Mario D'Oria, Santi Trimarchi, Chiara Lomazzi, Gilbert R. Upchurch Jr, Velipekka Suominen, Daniele Bissacco, Jacopo Taglialavoro, Sandro Lepidi
Summary: This study aimed to identify the factors associated with in-hospital serious adverse events in older patients undergoing elective endovascular aortic repair. The analysis of data from older patients aged 75 and above who underwent the procedure revealed that the occurrence of in-hospital complications was related to age, history of chronic obstructive pulmonary disease, and prior requirement for dialysis.
Article
Medicine, General & Internal
Francesco Secchi, Davide Capra, Caterina Beatrice Monti, Nazanin Mobini, Maria Del Mar Galimberti Ortiz, Santi Trimarchi, Daniela Mazzaccaro, Paolo Righini, Giovanni Nano, Francesco Sardanelli
Summary: This study aimed to investigate the use of unenhanced magnetic resonance imaging (MRI) as a safe and highly sensitive tool for endoleak screening in patients treated with endovascular aneurysm repair (EVAR). The study found that unenhanced MRI has perfect sensitivity for endoleak detection, but subpar specificity.
Review
Surgery
Gianmarco Zuccon, Mario D'Oria, Frederico Bastos Goncalves, Carlota Fernandez-Prendes, Kevin Mani, Daniel Caldeira, Mark Koelemay, Daniele Bissacco, Santi Trimarchi, Isabelle Van Herzeele, Anders Wanhainen
Summary: This scoping review assessed the rate and risk factors of type Ib endoleak in patients undergoing endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA), and evaluated the evidence linking type Ib endoleak to short and long term outcomes. The study found that the frequency of type Ib endoleak ranged from 0% to 8%, and it was associated with certain anatomical features. In some cases, type Ib endoleak can be corrected by endovascular means.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Maurizio Domanin, Lorenzo Bennati, Christian Vergara, Daniele Bissacco, Chiara Malloggi, Vincenzo Silani, Gianfranco Parati, Santi Trimarchi, Renato Casana
Summary: In asymptomatic carotid stenosis (ACS), different plaque types, i.e. lipidic (LP), fibrous (FP), and calcific (CP), could have different hemodynamic and structural behaviors.
JOURNAL OF CARDIOVASCULAR SURGERY
(2023)
Article
Medicine, General & Internal
Stefano Fazzini, Federico Francisco Pennetta, Valerio Turriziani, Simona Vona, Andrea Ascoli Marchetti, Arnaldo Ippoliti
Summary: Contrast arteriography (CA) is the gold standard for evaluating peripheral arterial disease (PAD) interventions, but duplex ultrasonography (DUS) has the potential to be an intraoperative tool for assessing the effects of endovascular revascularization in patients with certain lesions. The intraoperative DUS, also known as extravascular ultrasound (EVUS), can be used to evaluate the effects of endovascular treatment, especially in difficult cases. The EVUS protocol is a safe and feasible option to improve the assessment of endovascular PAD treatment.
Article
Health Care Sciences & Services
Eugenio Martelli, Matilde Zamboni, Giovanni Sotgiu, Laura Saderi, Massimo Federici, Giuseppe M. Sangiorgi, Mariangela V. Puci, Allegra R. Martelli, Teresa Messina, Paolo Frigatti, Maria Pia Borrelli, Carlo Ruotolo, Ilaria Ficarelli, Paolo Rubino, Francesco Pezzo, Luciano Carbonari, Andrea Angelini, Edoardo Galeazzi, Luca Calia Di Pinto, Franco M. Fiore, Armando Palmieri, Giorgio Ventoruzzo, Giulia Mazzitelli, Franco Ragni, Antonio Bozzani, Enzo Forliti, Claudio Castagno, Pietro Volpe, Mafalda Massara, Diego Moniaci, Elisa Pagliasso, Tania Peretti, Mauro Ferrari, Nicola Troisi, Piero Modugno, Maurizio Maiorano, Umberto M. Bracale, Marco Panagrosso, Mario Monaco, Giovanni Giordano, Giuseppe Natalicchio, Antonella Biello, Giovanni M. Celoria, Alessio Amico, Mauro Di Bartolo, Massimiliano Martelli, Roberta Munao, Davide Razzano, Giovanni Colacchio, Francesco Bussetti, Gaetano Lanza, Antonio Cardini, Bartolomeo Di Benedetto, Mario De Laurentis, Maurizio Taurino, Pasqualino Sirignano, Pierluigi Cappiello, Andrea Esposito, Santi Trimarchi, Silvia Romagnoli, Andrea Padricelli, Giorgio Giudice, Adolfo Crinisio, Giovanni Di Nardo, Giuseppe Battaglia, Rosario Tringale, Salvatore De Vivo, Rita Compagna, Valerio S. Tolva, Ilenia D'Alessio, Ruggiero Curci, Simona Giovannetti, Giuseppe D'Arrigo, Giusi Basile, Dalmazio Frigerio, Gian Franco Veraldi, Luca Mezzetto, Arnaldo Ippoliti, Fabio M. Oddi, Alberto M. Settembrini
Summary: This is a study on the sex-related differences in 30-day/1-year mortality in patients with chronic limb-threatening ischemia (CLTI). The results showed that women had a higher proportion of CLTI cases above the age of 75, while men had a higher proportion of smokers, dialysis patients, and comorbidities such as diabetes. There was no difference in mortality statistics between the sexes.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Letter
Surgery
Gianluca Buongiovanni, Alberto Settembrini, Daniele Bissacco, Silvia Romagnoli, Santi Trimarchi
EJVES VASCULAR FORUM
(2022)
Article
Surgery
Marianne G. De Maeseneer, Stavros K. Kakkos, Thomas Aherne, Niels Baekgaard, Stephen Black, Lena Blomgren, Athanasios Giannoukas, Manjit Gohel, Rick de Graaf, Claudine Hamel-Desnos, Arkadiusz Jawien, Aleksandra Jaworucka-Kaczorowska, Christopher R. Lattimer, Giovanni Mosti, Thomas Noppeney, Marie Josee van Rijn, Gerry Stansby, Philippe Kolh, Frederico Bastos Goncalves, Nabil Chakfe, Raphael Coscas, Gert J. de Borst, Nuno Dias, Robert J. Hinchliffe, Igor B. Koncar, Jes S. Lindholt, Santi Trimarchi, Riikka Tulamo, Christopher P. Twine, Frank Vermassen, Anders Wanhainen, Martin Bjorck, Nicos Labropoulos, Fedor Lurie, Armando Mansilha, Isaac K. Nyamekye, Marta Ramirez Ortega, Jorge H. Ulloa, Tomasz Urbanek, Andre M. van Rij, Marc E. Vuylsteke
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
