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Outcomes of Open Distal Aortic Aneurysm Repair in Patients With Chronic DeBakey Type I Dissection
We analyzed data regarding 198 open descending thoracic or thoracoabdominal aortic repairs in patients with chronic DeBakey type I aortic dissection. There were 14 early deaths (7%). Two patients (1%) developed permanent paraplegia, 5 (3%) had stroke, and 9 (5%) had renal failure. Actuarial 8-year survival was 65.6±5.9%.
Source: The Journal of Thoracic and Cardiovascular Surgery - July 31, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Joseph S. Coselli, Susan Y. Green, Samantha Zarda, Courtney Nalty, Matt D. Price, Michael S. Hughes, Ourania Preventza, Kim I. de la Cruz, Scott A. LeMaire Source Type: research

Endovascular treatment for ruptured abdominal aortic aneurysm.
CONCLUSIONS: The conclusions of this review are currently limited by the paucity of data. From the data available there is no difference in the outcomes evaluated in this review between eEVAR and open repair, specifically 30-day mortality. Not enough information was provided for complications in order to make a well informed conclusion at this time. Long-term data are lacking for both survival and late complications. More high quality, randomised controlled trials comparing eEVAR and open repair for the treatment of RAAA are needed in order to better understand if one method is superior to the other, or if there is no diff...
Source: Cochrane Database of Systematic Reviews - July 21, 2014 Category: Journals (General) Authors: Badger S, Bedenis R, Blair PH, Ellis P, Kee F, Harkin DW Tags: Cochrane Database Syst Rev Source Type: research

Thoracic aortic aneurysms in octogenarians: the results of open surgical repair using hypothermic circulatory arrest with antegrade selective cerebral perfusion.
Conclusion: The early and late outcomes after thoracic aortic surgery at our hospital using HCA with ASCP in octogenarians are acceptable. The operations are performed with an acceptable operative risk, even under emergency situations, including acute aortic dissection. PMID: 24614390 [PubMed - in process]
Source: Journal of Nippon Medical School - March 15, 2014 Category: Universities & Medical Training Authors: Bessho R, Ishii Y, Nishina D, Kawase Y Tags: J Nippon Med Sch Source Type: research

Operative Outcomes After Open Repair of Descending Thoracic Aortic Aneurysms in the Era of Endovascular Surgery.
CONCLUSIONS: In the era of endovascular repair of DTAAs, operative death and morbidity outcomes for open repairs are observed to be low. In addition to good long-term survival rates, open repairs are durable, as evidenced by low reintervention rates. PMID: 24636705 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sadek M, Abjigitova D, Pellet Y, Rachakonda A, Panagopoulos G, Plestis K Tags: Ann Thorac Surg Source Type: research

Clinical outcomes in hybrid repair procedures for pathologies involving the aortic arch.
ConclusionsIn severely ill patients with complex aortic diseases, hybrid therapy may offer a promising alternative to conventional open repair. PMID: 24621559 [PubMed - as supplied by publisher]
Source: Vascular - March 12, 2014 Category: Surgery Authors: Zerwes S, Leissner G, Gosslau Y, Jakob R, Bruijnen HK, Oertl F, Woelfle K Tags: Vascular Source Type: research

One-stage repair of extensive aortic aneurysms: mid-term results with total or subtotal aortic replacement
CONCLUSIONS One-stage repair of extensive aortic aneurysms with total or subtotal aortic replacement is safe and effective. It is feasible with acceptable surgical risks and satisfactory results. It can eliminate the risk of remnant aortic aneurysm rupture in staged total aortic replacement and has satisfactory mid-term results.
Source: Interactive CardioVascular and Thoracic Surgery - February 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sun, X.-g., Zhang, L., Yu, C.-t., Qian, X.-y., Chang, Q. Tags: Adult Cardiac Source Type: research

Endovascular repair of abdominal aortic aneurysm.
CONCLUSIONS: In individuals considered fit for conventional surgery, EVAR was associated with lower short-term mortality than OSR. However, this benefit from EVAR did not persist at the intermediate- and long-term follow ups. Individuals undergoing EVAR had a higher reintervention rate than those undergoing OSR. Most of the reinterventions undertaken following EVAR, however, were catheter-based interventions associated with low mortality. Operative complications, health-related quality of life and sexual dysfunction were generally comparable between EVAR and OSR. However, there was a slightly higher incidence of pulmonary ...
Source: Cochrane Database of Systematic Reviews - January 23, 2014 Category: Journals (General) Authors: Paravastu SC, Jayarajasingam R, Cottam R, Palfreyman SJ, Michaels JA, Thomas SM Tags: Cochrane Database Syst Rev Source Type: research

Outcomes of open surgical repair for chronic type B aortic dissections
Objective: Open surgical repair (OSR) for chronic type B aortic dissection (CTBAD) has an associated morbidity and mortality. The role of thoracic endovascular aortic repair (TEVAR) in CTBAD has not been determined. We analyzed our contemporary experience of CTBAD undergoing OSR to identify high-risk patients who may be considered for TEVAR.Methods: From 1999 to 2010, 221 patients had repair of descending thoracic and thoracoabdominal aortic aneurysms, including 86 patients with CTBADs. We analyzed this cohort for mortality, complications, length of stay, and reinterventions.Results: OSR was performed in 25 (29%) and 61 (7...
Source: Journal of Vascular Surgery - January 13, 2014 Category: Surgery Authors: Allan M. Conway, Mostafa Sadek, Joanelle Lugo, Jain B. Pillai, Yonni Pellet, Georgia Panagopoulos, Alfio Carroccio, Konstadinos Plestis Tags: Clinical research studies Source Type: research

The “Open” Chimney Graft Technique for Juxtarenal Aortic Aneurysms with Discrepant Renal Arteries
Conclusions: OCh-EVAR is a straightforward technique that can be employed in selected cases of JRAA, avoiding the more complex and expensive fenestrated EVAR.
Source: European Journal of Vascular and Endovascular Surgery - December 4, 2013 Category: Surgery Authors: E. Ducasse, S. Lepidi, C. Brochier, S. Deglise, X. Berard, D. Alberti, D. Midy Tags: Aortic Disease Source Type: research

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