Article
Cardiac & Cardiovascular Systems
Anfeng Yu, Min Zhang, Zhiwei Wang, Zhipeng Hu, Rui Hu, Qiubei Xiao
Summary: This study investigated the clinical outcomes of elephant trunk stent fenestration in ATAAD patients, showing that this technique can reduce surgical difficulty and lead to a high postoperative survival rate.
ANNALS OF THORACIC SURGERY
(2021)
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
Surgery
Dongqiao Xiang, Bin Chai, Yuxi Gui, Jia Huang, Huimin Liang, Bin Liang, Huangxuan Zhao, Fan Yang, Chuansheng Zheng
Summary: This study investigated the risk factors for distal stent graft-induced new entry (dSINE) in patients with uncomplicated type B aortic dissection (TBAD) who underwent thoracic endovascular aortic repair. It was found that a type III aortic arch, decreased angle, increased distal oversizing, and increased distal mismatch ratio were significant risk factors for dSINE. The use of a tapered stent graft with a >4-mm taper could prevent dSINE, and aggressive reintervention for dSINE led to favorable long-term outcomes.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Le Mao, Jingyang Luan, Yimin Yang, Yi Si, Yuanqing Kan, Tianyue Pan, Ting Zhu, Weiguo Fu
Summary: This study evaluated the safety and efficacy of CTAG and Valiant Captivia for acute TBAD. The results showed no significant differences in operative mortality, mortality, re-intervention rate and dSINE incidence between the two groups. CTAG had a lower dSINE incidence with larger oversizing and was potentially suitable for patients with type III arch.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
WenXin Zhao, Yang Yang, ZhiYuan Wu, ZuoGuan Chen, YongPeng Diao, Yong Lan, YongJun Li
Summary: This study conducted a meta-analysis to evaluate the optimal timing for endovascular repair of acute versus subacute uncomplicated Type B Aortic Dissection. The results showed that the acute group had higher rates of 30-day complications, mortality, and 1-year mortality compared to the subacute group. Therefore, endovascular repair at the subacute phase appears to be more favorable than the acute phase.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Surgery
Antony Aziz, Hannah O'Donnell, Donald G. Harris, Hee Soo Jung, Paul DiMusto
Summary: This study aimed to develop a standardized medical management protocol for uncomplicated acute type B aortic dissection (TBAD) and found that implementing the protocol reduced resource utilization and costs without compromising patient outcomes. The protocol focused on early initiation of oral medications, weaning of anti-hypertensive infusions, and frequent assessment for de-escalation of care. Post-protocol patients had shorter hospital stays, decreased costs, and required less antihypertensive medication at discharge. There was no significant difference in 30-day mortality.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Daniel J. Torrent, Graeme E. McFarland, Grace Wang, Mahmoud Malas, Benjamin J. Pearce, Victoria Aucoin, Dan Neal, Emily L. Spangler, Zdenek Novak, Salvatore T. Scali, Adam W. Beck
Summary: This analysis examined the correlation between the timing of TEVAR for UATBAD patients and postoperative complications. While timing did not predict mortality or long-term complications, there was a higher risk of reintervention within 1-14 days post-operation. This suggests the importance of further study on optimal timing for intervention in TEVAR trials.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Peripheral Vascular Disease
E. Mazumdar, R. D. White, I. M. Williams
Summary: The use of TEVAR for acute type B aortic dissection in patients with Takayasu's arteritis may lead to complications, requiring vigilance for iatrogenic issues. Long-term surveillance is crucial post-operation to prevent further arterial complications.
Review
Cardiac & Cardiovascular Systems
Jinlin Wu, Jian Song, Xin Li, Jue Yang, Changjiang Yu, Chenyu Zhou, Tucheng Sun, Ruixin Fan
Summary: This study investigated whether partial thrombosed false lumen is a predictor for adverse events in uncomplicated Type B aortic dissection (TBAD) through meta-analysis and systematic review. The results showed that the current research on partial thrombosis of TBAD is inconsistent, and partial thrombosis is not associated with a faster aortic growth rate.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Matteo Montagner, Markus Kofler, Fabian Seeber, Leonard Pitts, Christoph Starck, Simon H. Suendermann, Stephan Kurz, Herko Grubitzsch, Volkmar Falk, Joerg Kempfert
Summary: A novel hybrid non-covered stent was found to be effective in treating malperfusion and preventing aneurysm formation in patients with DeBakey I acute aortic dissection. The device can safely complement aortic repair and induce positive vascular remodeling with thrombosis of the false lumen.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Takuya Wada, Shingo Ohuchi, Shogo Oyama
Summary: This article reports a special case of a 73-year-old woman with patent ductus arteriosus and ruptured type A acute aortic dissection. The authors highlight that transpulmonary direct ductus arteriosus closure and subsequent frozen elephant deployment with total arch replacement are reasonable and reliable treatments for this condition.
ANNALS OF THORACIC SURGERY
(2022)
Article
Physiology
Xiaoxin Kan, Tao Ma, Zhihui Dong, Xiao Yun Xu
Summary: Thoracic endovascular aortic repair (TEVAR) is a standard treatment for complicated type B aortic dissection. Short stent-graft (SG) length may increase the risk of distal stent-graft-induced new entry (SINE) post-TEVAR. Virtual SG deployment simulations can help predict and reduce stress in the treated aorta, potentially aiding in selecting the most appropriate SG length for individual patients.
FRONTIERS IN PHYSIOLOGY
(2021)
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)
Review
Cardiac & Cardiovascular Systems
Shihua Yao, Xu Chen, Yalin Liao, Gangbing Ding, Dagang Li, Gengliang Qin, Ruiguo Qiao, Xin Sun, Qijun Zheng
Summary: The use of the Castor stent-graft for visceral vessel repair in type B aortic dissection may be feasible and effective, but caution is needed when interpreting the results due to the low quality of evidence.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Biophysics
Xiaoxin Kan, Tao Ma, Jing Lin, Lu Wang, Zhihui Dong, Xiao Yun Xu
Summary: Thoracic endovascular aortic repair (TEVAR) is the mainstream treatment for type B aortic dissection, but post-TEVAR biomechanical complications remain a major concern. A virtual stent-graft deployment simulation framework was developed to predict biomechanical interactions post-TEVAR. Comparison with follow-up CT scans showed good agreement, indicating the importance of preoperative simulation in predicting post-TEVAR outcomes.
BIOMECHANICS AND MODELING IN MECHANOBIOLOGY
(2021)
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
Robert Shahverdyan, Klaus Konner, Vladimir Matoussevitch
Summary: This article reports a case in which a Gracz-AVF was successfully created after primary failed pAVFs using both pAVF systems in the same arm. Based on this case, it is recommended to prioritize the creation of pAVF before Gracz-AVF as part of the Vascular Access creation algorithm, considering each patient's life plan.
JOURNAL OF VASCULAR ACCESS
(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)
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)
Letter
Surgery
Tim Resch
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(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
Surgery
Nikolaos Tsilimparis, Ryan Gouveia e Melo, Andres Schanzer, Jonathan Sobocinski, Martin Austermann, Roberto Chiesa, Timothy Resch, Mauro Gargiulo, Carlos Timaran, Blandine Maurel, Donald Adam, Nuno Dias, Gustavo S. Oderich, Tilo Koelbel, Francisco Gomez Palones, Gioele Simonte, Rocco Giudice, Thomas Mesnard, Diletta Loschi, Nicola Leone, Enrico Gallito, Paolo Spath, Jesus Porras Colon, Amro Elboushi, Melker Wachtmeister, Bjorn Sonesson, Emanuel Tenorio, Giuseppe Panuccio, Giacomo Isernia, Luca Bertoglio
Summary: This study analyzed the outcomes of endovascular repair of complex abdominal and thoracoabdominal aortic aneurysms using the Cook fenestrated device with the modified preloaded delivery system (MPDS). The results showed that the MPDS is safe and effective, with favorable outcomes in the treatment of complex anatomies and a decrease in contralateral sheath size.
JOURNAL OF VASCULAR SURGERY
(2023)
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)
Review
Medicine, General & Internal
Nicola Leone, Magdalena Anna Broda, Jonas Peter Eiberg, Timothy Andrew Resch
Summary: The conservative management strategy is supported for small AAAs due to their low risk of rupture and aortic-related mortality. Large AAAs have a higher risk of rupture and aortic-related mortality, especially in patients unfit for surgery.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Mustafa Al-Gburi, Jonas P. Eiberg, Timothy A. Resch
Summary: The case study reports a successful treatment of a symptomatic penetrating aortic ulcer in a 75-year-old male patient using a single branch thoracic endovascular aortic repair combined with in situ laser fenestration. The postoperative follow-up confirmed the effective exclusion of the ulcer.
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES
(2023)
