Article
Medicine, General & Internal
Li Cheng, Dongqiao Xiang, Shan Zhang, Chuansheng Zheng, Xiaoyan Wu
Summary: In this retrospective study, reintervention after TEVAR was observed in 11.3% of patients with uncomplicated TBAD, and the main reasons included endoleak, aneurysmal dilation, and dissection progression. Larger initial aortic diameter and excessive proximal landing zone oversizing were identified as significant risk factors for reintervention. Reintervention did not significantly affect long-term survival rates.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Matthias Siepe, Tim Berger, Friedhelm Beyersdorf, Martin Soschynski, Christopher L. Schlett, Martin Czerny, Bartosz Rylski
Summary: This study aimed to evaluate the long-term incidence and outcome of aortic interventions for medically managed uncomplicated thoracic aortic dissections. Among the patients discharged home with uncomplicated aortic dissections, 33% of them required aortic interventions. A descending thoracic aortic diameter exceeding 45 mm was a predictive factor for aortic intervention. The risk for aortic intervention after 1 and 3 years was 27% and 36%, respectively.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Ryaan EL-Andari, Sabin J. Bozso, Devin O'Brien, Jennifer Chung, Maral Ouzounian, Michael C. Moon
Summary: Degeneration of the distal aorta following repair of ATAAD is common, caused by various factors such as DANE, head vessel false lumen communications, or unresected distal entry tears. The AMDS Hybrid Prosthesis is designed to address complications in the descending thoracic aorta, but cases of DTA degeneration have been reported after its placement. Landing TEVAR inside the AMDS may be effective in obliterating distal collateral FL communications.
CANADIAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
E. Hope Weissler, Oyomoare L. Osazuwa-Peters, Melissa A. Greiner, N. Chantelle Hardy, Panagiotis Kougias, Sean M. O'Brien, Daniel B. Mark, W. Schuyler Jones, Eric A. Secemsky, Andrew M. Vekstein, Sherene Shalhub, Firas F. Mussa, Manesh R. Patel, Sreekanth Vemulapalli
Summary: This study aimed to assess whether initial TEVAR following uTBAD is associated with reduced mortality or morbidity compared with medical therapy alone. The results showed that initial TEVAR was not associated with improved mortality or reduced hospitalizations or aortic interventions over a period of 5 years, but in a sensitivity analysis that included deaths within the first 30 days, initial TEVAR was associated with lower mortality.
Article
Multidisciplinary Sciences
Caiyun Liu, Xuening Dai, Guangqi Zhou, Yi Zhang, Xinmei Liu
Summary: Covered stent graft implantation is commonly used for adult aortic coarctation, but there is a risk of descending thoracic aortic dissection afterwards. We present a case of early postoperative descending thoracic aortic dissection after covered stent graft implantation in an adult aortic coarctation patient. The patient underwent a second operation and was discharged 6 days later. This case serves as a reference for clinicians dealing with similar situations.
Editorial Material
Medicine, General & Internal
Irbaz Hameed, Adam S. Cifu, Prashanth Vallabhajosyula
Summary: This JAMA Clinical Guidelines Synopsis provides a summary of the 2021 guidelines from the American Association for Thoracic Surgery and the Society of Thoracic Surgeons on the management of type A and type B thoracic aortic dissection.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
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)
Review
Surgery
Erin C. Saricilar, Kiraati Patel, Raleene Gatmaitan, Vikram Puttaswamy
Summary: This systematic review found that early intervention in Type B aortic dissections can improve aorta related events in the one year follow up period without changing the mortality rate compared to late intervention. Therefore, performing TEVAR surgery within 3 to 14 days after symptom onset is both safe and beneficial.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Review
Surgery
Georgios I. Karaolanis, Constantine N. Antonopoulos, Philippe Charbonneau, Efstratios Georgakarakos, Demetrios Moris, Salvatore Scali, Drosos Kotelis, Konstantinos Donas
Summary: This study systematically reviewed and meta-analyzed the stroke rates after TEVAR for descending thoracic aortic aneurysms and/or dissections. The results showed that stroke is a common complication, especially in cases without revascularization of the left subclavian artery (LSA) coverage. Therefore, current clinical practice guidelines recommend routine revascularization when feasible.
JOURNAL OF VASCULAR SURGERY
(2022)
Review
Genetics & Heredity
Zhen Zhou, Alana C. Cecchi, Siddharth K. Prakash, Dianna M. Milewicz
Summary: This article discusses the main risk factors associated with thoracic aortic aneurysms and dissections (TAD), including genetic variants and environmental conditions, and explores the underlying mechanisms leading to TAD.
Article
Cardiac & Cardiovascular Systems
Mohammad A. Zafar, Julia Fayanne Chen, Jinlin Wu, Yupeng Li, Dimitra Papanikolaou, Mohamed Abdelbaky, Thais Faggion Vinholo, John A. Rizzo, Bulat A. Ziganshin, Sandip K. Mukherjee, John A. Elefteriades
Summary: The study revealed that the mean growth rate of descending thoracic and thoracoabdominal aortic aneurysms was 0.19 cm/year, increasing with aortic size. Acute type B dissections frequently occurred at small aortic sizes, while fatal complications increased dramatically at 6.0 cm, suggesting the importance of preemptive intervention before this criterion to save lives.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Alina Ismaguilova, Giampaolo Martufi, Alexander J. Gregory, Jehangir J. Appoo, Eric J. Herget, Vamshi Kotha, Elena S. Di Martino
Summary: The study utilized a semi-automated, 3D, nonlinear growth model to monitor the descending aorta after repair of type A aortic dissection, identifying areas of rapid aortic growth that may be missed by conventional surveillance techniques. The technique provided enhanced precision, resolution, and reproducibility, potentially improving upon the limitations of current surveillance methods.
ANNALS OF THORACIC SURGERY
(2021)
Article
Medicine, General & Internal
Anas Abu Bokha, Chen-He Li, Ming-Yang Song, Xiang Wei, Rui Li
Summary: The study aimed to investigate the predictive value of preoperative neutrophils in aortic dissection patients undergoing TEVAR. The results showed that increased CD10- immature neutrophils may act as a potential biomarker for adverse outcomes in TBAD patients.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Irsa S. Hasan, James A. Brown, Derek Serna-Gallegos, Edgar Aranda-Michel, Sarah Yousef, Yisi Wang, Ibrahim Sultan
Summary: This observational study compared outcomes of patients undergoing thoracic endovascular aortic repair (TEVAR) for complicated type B aortic dissection (TBAD) or descending thoracic aortic (DTA) aneurysm using a nationwide readmissions database from 2010 to 2018. The results showed that patients with TBAD had higher rates of in-hospital mortality, postoperative complications, and readmissions compared to patients with DTA. TBAD was independently associated with mortality after adjusting for other variables.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Surgery
Christopher P. Cheng, Ga-Young Suh, Sina L. Moainie, Jordan R. Stern, Wilson Y. Szeto
Summary: This study presents analytic techniques to quantify pulsatility-induced deformations of thoracic aortic endografts in patients with thoracic aortic aneurysm (TAA), dissection (TAD), and blunt thoracic aortic injury (BTAI) after thoracic endovascular aortic repair (TEVAR). Analyzing image data sets from 14 patients, geometric models were constructed and diametric, axial, and bending deformations were quantified. The techniques provide better understanding of device durability and impact on the native anatomy.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cardiac & Cardiovascular Systems
Xiaoxi Yao, Zachi I. Attia, Emma M. Behnken, Melissa S. Hart, Shealeigh A. Inselman, Kayla C. Weber, Fan Li, Nikki H. Stricker, John L. Stricker, Paul A. Friedman, Peter A. Noseworthy
Summary: This study aims to explore whether Apple Watch, used as a long-term monitoring device, is effective in the early diagnosis of atrial fibrillation (AF) and the prevention of cognitive function decline in older adults. By using AI-ECG to screen high-risk patients and record electrocardiograms, the effectiveness of Apple Watch will be evaluated. If successful, this approach could have significant implications on how future clinical practice leverages consumer devices for early diagnosis and disease prevention.
AMERICAN HEART JOURNAL
(2024)
