Review
Medicine, General & Internal
Luca Mezzetto, Mario D'Oria, Sandro Lepidi, Davide Mastrorilli, Cristiano Calvagna, Silvia Bassini, Jacopo Taglialavoro, Salvatore Bruno, Gian Franco Veraldi
Summary: This scoping review summarized the incidence, risk factors, and prognosis of proximal neck dilation (PND) after endovascular aneurysm repair (EVAR) and fenestrated EVAR (FEVAR). It found that PND is common after these procedures, with large proximal neck size and excessive graft sizing being predictors of PND. New endografts with low outward radial forces and FEVAR may reduce complications. Lifelong radiological follow-up is recommended for patients.
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
Eisaku Ito, Takao Ohki, Naoki Toya, Soichiro Fukushima, Yuri Murakami, Hikaru Nakagawa, Ryosuke Nishie, Takeyuki Misawa
Summary: The objective of this study was to develop a prediction model using the psoas muscle index (PMI) to predict mortality after EVAR. The SAS scoring system, which incorporates age, aneurysm diameter, estimated glomerular filtration rate (eGFR), and PMI, showed excellent predictive performance for all-cause mortality after elective EVAR.
Article
Surgery
Boonying Siribumrungwong, Jiro Kurita, Tatsuo Ueda, Daisuke Yasui, Ken-ichiro Takahashi, Takashi Sasaki, Yasuo Miyagi, Shun-ichiro Sakamoto, Yosuke Ishii, Tetsuro Morota, Takashi Nitta
Summary: Operative mortality rates did not significantly differ between EVAR and OSR, with EVAR showing less blood loss, shorter operative times, and shorter length of hospital stay but with higher re-intervention rates.
ASIAN JOURNAL OF SURGERY
(2022)
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
Surgery
Antoine J. Ribieras, Naixin Kang, Tony Shao, Stefan Kenel-Pierre, Jorge Rey, Omaida C. Velazquez, Arash Bornak
Summary: In this study, racial differences in presentation and outcomes for patients undergoing endovascular abdominal aortic aneurysm repair were identified. Black patients were more often women, younger, and treated in emergency situations. They had longer hospital stays and a higher risk of readmission.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Marina Dias-Neto, Andrea Vacirca, Ying Huang, Aidin Baghbani-Oskouei, Tomasz Jakimowicz, Bernardo C. Mendes, Tilo Kolbel, Jonathan Sobocinski, Luca Bertoglio, Barend Mees, Mauro Gargiulo, Nuno Dias, Andres Schanzer, Warren Gasper, Adam W. Beck, Mark A. Farber, Kevin Mani, Carlos Timaran, Darren B. Schneider, Luis Mendes Pedro, Nikolaos Tsilimparis, Stephan Haulon, Matthew P. Sweet, Emilia Ferreira, Matthew Eagleton, Kak Khee Yeung, Manar Khashram, Katarzyna Jama, Giuseppe Panuccio, Fiona Rohlffs, Thomas Mesnard, Roberto Chiesa, Andrea Kahlberg, Geert Willem Schurink, Charlotte Lemmens, Enrico Gallitto, Gianluca Faggioli, Angelos Karelis, Ezequiel Parodi, Vivian Gomes, Anders Wanhainen, Mohammed Habib, Jesus Porras Colon, Felipe Pavarino, Mirza S. Baig, Ryan Eduardo Costeloe De Melo, Sean Crawford, Sara L. Zettervall, Rita Garcia, Tiago Ribeiro, Goncalo Alves, Frederico Bastos Goncalves, Kaj Olav Kappe, Samira Elize Mariko van Knippenberg, Bich Lan Tran, Sinead Gormley, Gustavo S. Oderich, Int Multictr Aort Res Grp
Summary: Non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs) is associated with higher early mortality and major adverse events (MAEs), increased all-cause mortality, and aortic-related mortality (ARM) compared to elective repair. Long-term follow-up is necessary to justify the treatment.
Article
Cardiac & Cardiovascular Systems
Sven R. Hauck, Alexander Kupferthaler, Maximilian Kern, Herve Rousseau, Ciro Ferrer, Shinichi Iwakoshi, Shoji Sakaguchi, Marie-Elisabeth Stelzmuller, Marek Ehrlich, Christian Loewe, Martin A. Funovics
Summary: This study compared the results of two commercially available devices for branched thoracic endovascular aortic repair and fenestrated thoracic endovascular aortic repair. The results showed that both methods had excellent technical success and acceptable complication rates, but branched repair tended to have higher stroke rates. Meanwhile, fenestrated repair had a wider range of applicability.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Surgery
Francesco Squizzato, Gustavo S. Oderich, Parvathi Balachandran, Emanuel R. Tenorio, Bernardo C. Mendes, Randall R. De Martino
Summary: Fenestrated-branched endovascular aneurysm repair can achieve excellent early and midterm results among patients with an aortic angulation of >45 degrees, with no increase in rates of graft-related complications. However, increased aortic angulation was associated with longer operative and fluoroscopy times. The suprarenal aortic angle was the most important determinant of more target vessel events, independent of stent design or which bridging stent was selected.
JOURNAL OF VASCULAR SURGERY
(2021)
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
Cardiac & Cardiovascular Systems
Takafumi Ouchi, Noriyuki Kato, Hiroaki Kato, Takatoshi Higashigawa, Hisato Ito, Ken Nakajima, Shuji Chino, Toshiya Tokui, Kensuke Oue, Toru Mizumoto, Hajime Sakuma
Summary: The psoas muscle area may have a significant impact on overall survival for older patients undergoing elective thoracic endovascular aortic repair.
ANNALS OF THORACIC SURGERY
(2022)
Review
Surgery
Rianne E. van Rijswijk, Erik Groot Jebbink, Clark J. Zeebregts, Michel M. P. J. Reijnen
Summary: This review provides an overview of the evidence for anatomic predictors of positive and negative abdominal aortic aneurysm (AAA) sac remodeling after endovascular repair. The presence of neck thrombus, AAA thrombus, number of hostile neck parameters, total AAA volume, AAA flow-lumen volume, and aortic calcification were identified as important anatomic features that may play a role in AAA remodeling. However, strong and consistent evidence regarding the anatomic predictors of AAA sac remodeling after endovascular repair is still lacking.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Hanaa Dakour-Aridi, Kanhua Yin, Farhan Hussain, Satinderjit Locham, Ali Azizzadeh, Mahmoud B. Malas
Summary: The outcomes of thoracic endovascular aortic repair (TEVAR) in octogenarians for thoracic aortic aneurysms and dissection differ from those of nonoctogenarians. While there was no significant difference in in-hospital mortality in octogenarians undergoing TEVAR for thoracic aortic dissection, they may face a higher risk of in-hospital complications in thoracic aortic aneurysm repair.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Nadin Elsayed, Rami Alhakim, Omar Al Nouri, Donald Baril, Fred Weaver, Mahmoud B. Malas
Summary: The results of this study have shown that C-OAR is associated with a significantly higher risk of perioperative morbidity and mortality compared with P-OAR. Follow-up at 5 and 10 years revealed a significant increase in mortality, aneurysmal rupture, and reintervention rates.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Surgery
Bjoern D. Suckow, Salvatore T. Scali, Philip P. Goodney, Art Sedrakyan, Jialin Mao, Xinyan Zheng, Andrew Hoel, Kristina Giles-Magnifico, Michol A. Cooper, Nicholas H. Osborne, Peter Henke, Andres Schanzer, Danica Marinac-Dabic, David H. Stone
Summary: This large registry-based study is the first to document the incidence and outcomes of open conversion after EVAR in a national cohort. Women, patients with large aneurysms and complex anatomy, as well as those who undergo urgent procedures are at a higher risk of open conversion. Conversion is associated with significant morbidity and mortality, highlighting the importance of appropriate patient selection during EVAR.
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)
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)
Review
Surgery
Luca Mezzetto, Davide Mastrorilli, Giulia Bravo, Lorenzo Scorsone, Stefano Gennai, Nicola Leone, Mario D'Oria, Edoardo Veraldi, Gian Franco Veraldi
Summary: This study summarizes the impact of celiac artery (CA) coverage during thoracic endovascular aneurysm repair (TEVAR) in patients with inadequate distal sealing zone. The results suggest that although CA coverage may result in transient visceral ischemia, life-threatening complications are rare, and early and late mortality rates are similar to standard TEVAR.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Surgery
Jacob Budtz-Lilly, Mario D'Oria, Enrico Gallitto, Luca Bertoglio, Tilo Koelbel, David Lindstrom, Nuno Dias, Goran Lundberg, Dittmar Boeckler, Gianbattista Parlani, Michele Antonello, Gian F. Veraldi, Nikolaos Tsilimparis, Drosos Kotelis, Philip Dueppers, Giovanni Tinelli, Arnaldo Ippoliti, Paolo Spath, Antonino Logiacco, Geert Willem H. Schurink, Roberto Chiesa, Alessandro Grandi, Giuseppe Panuccio, Fiona Rohlffs, Anders Wanhainen, Kevin Mani, Angelos Karelis, Bjorn Sonesson, Magnus Jonsson, Alina-Marilena Bresler, Gioele Simonte, Giacomo Isernia, Andrea Xodo, Luca Mezzetto, Davide Mastrorilli, Carlota F. Prendes, Basel Chaikhouni, Alexander Zimmermann, Sandro Lepidi, Mauro Gargiulo, Barend Mees, Jon Unosson
Summary: This study analyzed the data from consecutive patients who underwent F-BEVAR for pEVAR or pOAR and reported the mid-term outcomes. The results showed that F-BEVAR had comparable technical success and survival rates, with a controllable rate of major adverse events. However, a high rate of reintervention should be anticipated.
Article
Surgery
Mario D'Oria, Gian Franco Veraldi, Davide Mastrorilli, Luca Mezzetto, Cristiano Calvagna, Jacopo Taglialavoro, Silvia Bassini, Filippo Griselli, Lorenzo Grosso, Andrea Carere, Alessia D'Andrea, Sandro Lepidi
Summary: This study aimed to evaluate the impact of strict hygiene measures and contact restrictions during the COVID-19 lockdown on surgical site infections (SSIs) after vascular exposure in the groin. The results showed that patients operated during the COVID-19 era were less likely to develop SSIs. Therefore, simple and easily implementable precautions could be effective tools for reducing SSI risk.
ANNALS OF VASCULAR SURGERY
(2023)
Review
Cardiac & Cardiovascular Systems
Lau Roge Jepsen, Mario D'Oria, Steen Fjord Pedersen, Jacob Budtz-Lilly
Summary: This scoping review examines the benefits and safety of cardiovascular testing and rehabilitation for aortic dissection (AD) patients. The study found that rehabilitation programs can improve physical status and quality of life, and the occurrence of serious adverse events is relatively low.
JOURNAL OF CARDIOPULMONARY REHABILITATION AND PREVENTION
(2023)
Article
Medicine, Research & Experimental
Claudina Rudolph, Beate Rikken Lindberg, Timothy Resch, Kevin Mani, Patrick Bjorkman, Elin Hanna Laxdal, Henrik Stovring, Henriette Margrethe Beck, Gunnar Eriksson, Jacob Budtz-Lilly
Summary: This clinical trial aims to evaluate the impact of early TEVAR on the 5-year survival rate of uTBAD patients, as well as collect data on its impact on quality of life and healthcare costs.
Article
Surgery
Karl Wilhelm Olsson, Kevin Mani, Anne Burdess, Suzannah Patterson, Salvatore T. Scali, Tilo Koelbel, Giuseppe Panuccio, Ahmed Eleshra, Luca Bertoglio, Vincenzo Ardita, Germano Melissano, Amish Acharya, Colin Bicknell, Celia Riga, Richard Gibbs, Michael Jenkins, Arvind Bakthavatsalam, Matthew P. Sweet, Piotr M. Kasprzak, Karin Pfister, Kyriakos Oikonomou, Tessely Heloise, Jonathan Sobocinski, Talha Butt, Nuno Dias, Ching Tang, Stephen W. K. Cheng, Sarah Vandenhaute, Isabelle Van Herzeele, Rebecca A. Sorber, I. I. I. James H. Black, Emanuel R. Tenorio, Gustavo S. Oderich, Zoe Vincent, Manar Khashram, Matthew J. Eagleton, Steen Fjord Pedersen, Jacob Budtz-Lilly, Chiara Lomazzi, Daniele Bissacco, Santi Trimarchi, Abigail Huerta, Vincent Riambau, Anders Wanhainen
Summary: This study found that endovascular aortic interventions, including redo procedures and complex repairs of the aortic arch and visceral aorta, in patients with CTD had a high rate of early technical success, low perioperative mortality, and a midterm survival rate comparable with reports of open aortic surgery in patients with CTD. The rate of secondary procedures was high, but few patients required conversion to open repair. Improvements in devices and techniques, as well as ongoing follow-up, may result in endovascular treatment for patients with CTD being included in guideline recommendations.
Review
Medicine, General & Internal
Luca Mezzetto, Mario D'Oria, Sandro Lepidi, Davide Mastrorilli, Cristiano Calvagna, Silvia Bassini, Jacopo Taglialavoro, Salvatore Bruno, Gian Franco Veraldi
Summary: This scoping review summarized the incidence, risk factors, and prognosis of proximal neck dilation (PND) after endovascular aneurysm repair (EVAR) and fenestrated EVAR (FEVAR). It found that PND is common after these procedures, with large proximal neck size and excessive graft sizing being predictors of PND. New endografts with low outward radial forces and FEVAR may reduce complications. Lifelong radiological follow-up is recommended for patients.
JOURNAL OF CLINICAL MEDICINE
(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
Alessandro Grandi, Luca Bertoglio, Sandro Lepidi, Tilo Koelbel, Kevin Mani, Jacob Budtz-Lilly, Randall DeMartino, Salvatore Scali, Lydia Hanna, Nicola Troisi, Cristiano Calvagna, Mario D'Oria
Summary: This scoping review analyzed clinical data on risk prediction indices in vascular surgery, with a focus on ruptured abdominal aortic aneurysm (rAAA). A total of nine risk scores for major vascular surgery or elective AAA, and 10 scores for rAAA were identified, but none of them have been endorsed by vascular surgery societies. Future developments in artificial intelligence may improve the prediction of post-operative adverse events.
JOURNAL OF CLINICAL MEDICINE
(2023)