Comprehensive Aortic Training Course Using Cadaveric Pulsatile Flow Models to Improve Open and Endovascular Skills Throughout the Entire Spectrum of RAAA Management
The nationwide decline in the incidence of ruptured abdominal aortic aneurysm (RAAA) and open aortic aneurysm repair threatens with decreasing trainee experience across the US, which needs to be addressed. Due to the emergency nature of RAAAs, teaching is less emphasized during these cases. Consequently, it is imperative to provide a dedicated environment to educate trainees in a safe and stress-free manner. To improve the skillset and experience of vascular trainees in the management of RAAA we created a comprehensive RAAA training course which provides an opportunity to practice the entire spectrum of RAAA management in ...
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Peter Osztrogonacz, Paul Haddad, Shashank Sharma, Ross G. McFall, Kaled Diab, Tarundeep Singh, Jose S. Montelongo, Yusuf Chauhan, Rebecca Barnes Source Type: research
A Novel Combined Microsurgical and Endovascular Approach for Type II Endoleak Embolization via Direct Puncture of a Lumbar Segmental Artery
We describe a combined open microsurgical and endovascular approach for treatment of an enlarging abdominal aortic aneurysm. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Vincent Nguyen, Sukgu Han, Jonathan Russin Source Type: research
Access-Related Outcomes for EVAR
Endovascular aortic repair (EVAR) is the first-line treatment for abdominal aortic aneurysms (AAA) in fit patients. Percutaneous vascular access (pEVAR) allows to decrease the invasiveness of EVAR in comparison to surgical femoral cutdown (sEVAR). The aim of this study was to compare the two access techniques and their impact on operative time, hospitalization, short- and long-term complications, and mortality. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Caterina Melani, Martina Bastianon, Gaddiel Mozzetta, Sara Di Gregorio, Carlo Pratesi, Raffaele Pulli, Gabriele Pifaretti, Domenico Angiletta, Giovanni Pratesi Source Type: research
Correlation Between Calcium Scoring and Abdominal Aortic Aneurysm Endovascular Repair Outcomes
Endovascular aneurysm repair (EVAR), though minimally invasive, is associated with many reinterventions and complications. Several variables have been studied to predict the outcomes of EVAR, one of which is the calcium burden of the vasculature. This prompted us to explore the correlation between the calcium burden of different aortic segments measured by the standardized Agatston scoring system, and the outcomes of EVAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Santh Prakash Lanka, Sam Nussbaum, Lauren Alexander, David Sella, Houssam Farres Source Type: research
Parallel Grafts to Treat Aorto-iliac Aneurysms: How to Size the Common Iliac Stent Graft
Aortoiliac aneurysms (AIA) occur unilaterally or bilaterally. Up to 40% of abdominal aortic aneurysms (AAAs) are associated with iliac artery aneurysms.[1] One technique to preserve internal iliac artery (IIA) blood flow is the sandwich technique (ST),[2] using two covered stents – one to the IIA, and the second to the external iliac artery (EIA) – which are placed inside the common iliac stent graft (the main limb of endovascular aneurysm repair; Fig 1.) It is very important to choose the correct sizing of common iliac stent grafts to decrease risk of type 3 endoleak.[3 ] (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Samer Koussayer, Bilal Koussayer Source Type: research
3D-Printed Abdominal Aortic Aneurysm (AAA) Model for Hemodynamic Evaluation: A Pilot Study
Treatment of abdominal aortic aneurysms (AAAs) depends on the maximum diameter of the aneurysm. However, the pathophysiology and hemodynamics of AAA development and growth are still poorly understood. We aimed to develop a prototype of a patient-specific, AAA hemodynamic simulation model to find out patient-specific hemodynamic characteristics. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Jang Yong Kim, Eunju Jang, Anna Marie Froude, Mahmoud Elsayed, Yo Sep Lee, Jung Seong Lee Source Type: research
Biodesign: Creating and Validating an EVAR Explantation Device
Endovascular abdominal aortic aneurysm repair (EVAR) and its recent advances have improved the outcomes of abdominal aortic aneurysm (AAA) repair with lower morbidity and mortality in the short term. However, endovascular stent grafts are associated with two major complications, including graft infection (10%) and endoleaks (68%) with sac expansion, both of which require multiple interventions. Graft explantation is necessary because of infection or failed endosalvage of endoleak, which are both associated with high morbidity and mortality. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Solyman Hatami, Brandon Look Fong, Rishik Ruppala, Paul Haddad, Maham Rahimi Source Type: research
Applicability of the Anatomic Severity Grading Score in Endovascular Abdominal Aortic Aneurysm Repair
Endovascular aneurysm repair (EVAR) has revolutionized the treatment of abdominal aortic aneurysms (AAAs), but concerns about its long-term effectiveness due to complications and reinterventions persist. The Society for Vascular Surgery (SVS) introduced the Anatomic Severity Grading (ASG) score to standardize patients' anatomical presentations, and analyze surgical outcomes. This retrospective study aimed to validate the ASG score as a predictor of EVAR complications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Beatriz Franco Fidalgo, Nat ália Galvão, Giovani José Dal Poggetto Molinari Source Type: research
Aortic Disease Activity in Patients With Endoleak After Endovascular Aneurysm Repair
Aortic aneurysm disease activity can be assessed using sodium [18F] fluoride positron emission tomography and increased aortic sodium [18F] fluoride uptake is associated with a higher rate of abdominal aortic aneurysm expansion and adverse clinical events. We aimed to establish whether increased aortic disease activity is associated with patients who developed an endoleak after endovascular aneurysm repair (EVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Samuel Debono, Jennifer Nash, Alexander J. Fletcher, Maaz B.J. Syed, Edwin J.R. van Beek, Michelle C. Williams, Andrew L. Tambyraja, Marc R. Dweck, Rachael O. Forsythe, David E. Newby Source Type: research
Endovascular Repair of Aortocaval Fistula From Ruptured AAAs: 7-Year Follow-up Case Report
We present a case report of a ruptured abdominal aortic aneurysm (AAA) with aortocaval fistula. Initial treatment was endovascular, and follow-up open surgery was performed. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Alejandro Cortina, Sergio Benites, Venancio Perez, Jose Luis Paz Janeiro Source Type: research
Sex Differences in Aortic Tortuosity in Patients With Abdominal Aortic Aneurysms
Our objective was to determine if there is a difference in aortic tortuosity between men and women undergoing elective surgery for abdominal aortic aneurysms (AAA) using 2D computed tomography (CT) imaging. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Sally H.J. Choi, Ishmam Bhuiyan, Masoud Hejazi, Srikantha A. Phani, York Hsiang Source Type: research
Comparing Treatment Outcomes of Infected Abdominal Aortic Aneurysm: Open Repair vs. Endovascular Aneurysm Repair
To compare the early and late treatment outcomes of infected abdominal aortic aneurysms (AAAs) after open aneurysm repair (OAR) vs. endovascular aneurysm repair (EVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Khamin Chinsakchai, Premakorn Khunprasert, Kiattisak Hongkhu, Sasima Thongsai, Chumpol Wongwanit, Suteekhanit Hahtapornsawan, Nattawut Puangpunngam, Tossapol Prapassaro, Nuttawut Sermsathanasawadi Source Type: research
Short and Mid-Term Evaluation of Acute Kidney Injury and Mortality Amongst Patients After Endovascular Aneurysm Repair
The purpose of this study was to evaluate the incidence of acute kidney injury (AKI) and mortality among patients undergoing endovascular surgery for an abdominal aortic aneurysm. Evaluation was performed postoperatively, and at two years after the procedure. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Bart łomiej Antoń, Jolanta Małyszko, Piotr Kaszczewski, Sławomir Nazarewski, Piotr Stabiszewski, Piotr Antoń, Zbigniew Gałązka Source Type: research
A Real-World Single-Center Experience of 700 Patients Treated With Endurant Endoprostheses Between 2009 and 2022
To evaluate the clinical, anatomical, peri- and post-procedural characteristics of patients with abdominal aortic aneurysms treated with Endurant (Medtronic) endoprostheses. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Giulio Accarino, Giovanni Fornino, Antonio D'Angelo, Carmela De Rosa Source Type: research
Incorporation of Artificial Intelligence Into Abdominal Aortic Aneurysm Care in a Tertiary Care Center
Early detection of asymptomatic abdominal aortic aneurysms (AAA) is advocated to prevent aneurysm rupture. Standard screening using ultrasound can detect patients at risk. The ubiquitous utilization of cross-sectional imaging for various disease processes has resulted in increased detection of AAA as incidental findings. Artificial intelligence (AI)-based algorithms can objectively detect a specific pathology and alert physicians. The aim of this study is to evaluate the utility of an AI-based algorithm in the management of patients with AAA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2024 Category: Surgery Authors: Edouard Aboian, Valentyna Kostiuk, Cassius Iyad Ochoa Chaar, Uwe Fischer Source Type: research
