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
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)
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)
Article
Surgery
Theodorus G. van Schaik, Jorn P. Meekel, Jorg L. de Bruin, Kak K. Yeung, Jan D. Blankensteijn
Summary: In this study, the ASG neck score was able to predict proximal endograft failure throughout the entire follow-up. This highlights the persistent risk for proximal endograft failure after EVAR and emphasizes the need for ongoing surveillance, especially in patients with unfavorable aneurysm necks.
JOURNAL OF VASCULAR SURGERY
(2022)
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
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)
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
Yu-Tong Yen, Yen-Yang Chen, Patrick Hung-Ju Kao, Chia-Hsun Lin
Summary: This study reports the experience of applying endovascular stent graft repair to treat ascending aortic diseases in high-risk patients and evaluates the safety and feasibility of this approach. The results suggest that ascending endovascular aortic repair is a safe and feasible procedure for emergent aortic repair in carefully selected patients with prohibitive surgical risk who are not candidates for open procedures.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(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)
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
Cardiac & Cardiovascular Systems
Philipp Szalkiewicz, Johannes Goekler, Wolfgang Dietl, Marek Ehrlich, Christoph Holzinger, Guenther Laufer, Dominik Wiedemann
Summary: This study analyzed the long-term outcomes of non-reinforced RAA in two Austrian centers and found that it is a safe and feasible procedure with low rates of complications. The study also showed that aortic valve morphology has no impact on mortality after RAA.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Biochemistry & Molecular Biology
Antonio Tejera-Munoz, Isabel Rodriguez, Alvaro Del Rio-Garcia, Yamina Mohamedi, Maria Martin, Valentina Chiminazzo, Beatriz Suarez-Alvarez, Carlos Lopez-Larrea, Marta Ruiz-Ortega, Raul R. Rodrigues-Diez
Summary: The study found an association between the C allele of rs12526196 in the CCN2 gene and the presence of thoracic aortic aneurysm (TAA), suggesting a potential protective role of CCN2 in TAA development.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Article
Medicine, General & Internal
Xun Yuan, Xiaoxin Kan, Zhihui Dong, Xiao Yun Xu, Christoph A. Nienaber
Summary: In this study, six cases were analyzed, and it was found that stent grafts placed in the ascending aorta had problems such as migration and erosion, while the use of occluding devices showed better outcomes.
JOURNAL OF CLINICAL MEDICINE
(2023)