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Effectiveness of Proximal Landing Zones 0, 1, and 2 Hybrid Thoracic Endovascular Aortic Repair: A Single Centre 12 Year Experience
CONCLUSION: Satisfactory early and long term results of hybrid arch repair at zones 0, 1, and 2 were achieved. To avoid complications and aortic events, the treatment strategy of hybrid arch repair for aortic arch pathologies should be tailored using accurate pre-operative assessment of the ascending aorta and the aortic arch.PMID:34916108 | DOI:10.1016/j.ejvs.2021.10.043
Source: PubMed: Eur J Vasc Endovasc ... - December 17, 2021 Category: Surgery Authors: Tomoaki Kudo Toru Kuratani Yukitoshi Shirakawa Kazuo Shimamura Keiwa Kin Tomohiko Sakamoto Takayuki Shijo Yoshiki Watanabe Kenta Masada Ryoto Sakaniwa Yoshiki Sawa Source Type: research

Midterm Outcomes of an Adjustable Puncture Device for In Situ Fenestration During Thoracic Endovascular Aortic Repair
CONCLUSION: In this largest mechanical based ISF study to date, an adjustable puncture device was shown to facilitate the procedure of ISF during endovascular repair of aortic diseases involving the aortic arch, with high success. The midterm outcome demonstrates the efficacy and safety of the device in assisting with preservation of aortic arch branches.PMID:34750032 | DOI:10.1016/j.ejvs.2021.09.028
Source: PubMed: Eur J Vasc Endovasc ... - November 9, 2021 Category: Surgery Authors: Xiaolong Shu Houpu Xu Enci Wang Lixin Wang Daqiao Guo Bin Chen Weiguo Fu Source Type: research

Association Between Hospital Volume and Failure to Rescue After Open or Endovascular Repair of Intact Abdominal Aortic Aneurysms in the VASCUNET and International Consortium of Vascular Registries
Objective: To investigate the association between hospital volume and failure to rescue (FtR), after open repair (OAR), and endovascular repair (EVAR) of intact abdominal aortic aneurysms (AAA) among centers participating in the VASCUNET and International Consortium of Vascular Registries. Summary of Background Data: FtR (ie, in-hospital death following major complications) is a composite end-point representing the inability to treat complications effectively and prevent death. Methods: Using data from 8 vascular registries, complication and mortality rates after intact AAA repair were examined (n = 60,27...
Source: Annals of Surgery - October 12, 2021 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Risk factors Associated with Long Term Mortality and Complications Following Thoracoabdominal Aortic Aneurysm Repair
To determine the risk factors associated with late mortality or complications (Thoracoabdominal aortic Aneurysm Life-altering Events (TALE): composite of mortality, permanent paraplegia, permanent dialysis, and stroke) in patients undergoing endovascular or open thoracoabdominal aortic aneurysm (TAAA) repair.
Source: Journal of Vascular Surgery - October 1, 2021 Category: Surgery Authors: Rodolfo V. Rocha, Thomas F. Lindsay, Daniyal Nasir, Douglas S. Lee, Peter C. Austin, Justin Chan, Jennifer Chung, Thomas L. Forbes, Maral Ouzounian Source Type: research

The Potential Benefits and Costs of an Intensified Approach to Low Density Lipoprotein Cholesterol Lowering in People with Abdominal Aortic Aneurysm
CONCLUSION: People with a small asymptomatic AAA are at high risk of MVE and PVE. This study provides evidence of the possible benefits and allowable expense for a cost effective intensive LDL-C lowering programme in this population.PMID:34507892 | DOI:10.1016/j.ejvs.2021.06.031
Source: PubMed: Eur J Vasc Endovasc ... - September 11, 2021 Category: Surgery Authors: Domenico R Nastasi Richard Norman Joseph V Moxon Frank Quigley Ramesh Velu Jason Jenkins Jonathan Golledge Source Type: research

Composite Dialysis, Paralysis, Stroke, or Mortality After Endovascular Aortic Interventions in the Society for Vascular Surgery Vascular Quality Initiative
Thoracoabdominal aortic aneurysm life-altering events, which include a combination of permanent dialysis, permanent spinal cord ischemia, stroke, and/or death, have devastating effects after complex endovascular repair. However, the occurrence of these life-altering events after endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular aortic repair (TEVAR) has not been studied. Therefore, we examined the effects of procedural and anatomic characteristics on a composite outcome of postoperative dialysis, stroke, paralysis, and/or mortality after any endovascular aortic repair.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Priya Patel, Christina Marcaccio, Livia de Guerre, Nicholas J. Swerdlow, Thomas F. O'Donnell, Sara L. Zettervall, Virendra I. Patel, Marc L. Schermerhorn Tags: IP: Interactive Poster Session Source Type: research

Long-term Use of Preoperative Beta-Blockers Is Associated With Reduced Postoperative Stroke After Thoracic Endovascular Aneurysm Repair
Thoracic endovascular aortic repair (TEVAR) has been established as the treatment of choice for a range of thoracic aortic pathologies. Beta-blockers represent a possible perioperative treatment option to improve TEVAR outcomes due to their role in management of aortic aneurysm, dissection, and Marfan syndrome. We investigated the effect of preoperative beta-blocker usage on outcomes of TEVAR using the Vascular Quality Initiative database.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Kevin S. Yei, Niloofar Radgoudarzi, Rami Alhakim, Jonathan Unkart, Mahmoud B. Malas Tags: IP: Interactive Poster Session Source Type: research

Midterm Outcomes of a Prospective, Nonrandomized Study to Evaluate Endovascular Repair of Complex Aortic Aneurysms Using Fenestrated-Branched Endografts
Conclusion: FB-EVAR is safe and effective for treatment of PRA and TAAAs with low rate of aortic-related mortality and aneurysm rupture on midterm follow-up.
Source: Annals of Surgery - August 20, 2021 Category: Surgery Tags: PAPERS OF THE 141ST ASA ANNUAL MEETING Source Type: research

Pre-sewn Multi-branched Aortic Graft and 3D-Printing Guidance for Crawford Extent II or III Thoracoabdominal Aortic Aneurysm Repair
Semin Thorac Cardiovasc Surg. 2021 May 7:S1043-0679(21)00194-5. doi: 10.1053/j.semtcvs.2021.03.046. Online ahead of print.ABSTRACTReconstruction of the visceral and segmental arteries is a challenging part of open surgical repair of extensive thoracoabdominal aortic aneurysm (TAAA). For more efficient reconstruction of these branching vessels, a technique of using pre-hand-sewn multi-branched aortic graft (octopod technique) has been adopted with the aid of 3D-printing-guidance in latest cases. The octopod graft has been employed for the extent II or III TAAA repair, in which the commercially available two 4-branched aorti...
Source: Hand Surgery - May 10, 2021 Category: Surgery Authors: Younju Rhee Sung Jun Park Taehun Kim Namkug Kim Dong Hyun Yang Joon Bum Kim Source Type: research

Clinical Benefit, Harm, and Cost Effectiveness of Screening Men for Peripheral Artery Disease: A Markov Model Based on the VIVA Trial
CONCLUSION: Screening of men for PAD is likely to be both clinically effective and cost effective in a lifetime perspective.PMID:33846075 | DOI:10.1016/j.ejvs.2021.02.039
Source: PubMed: Eur J Vasc Endovasc ... - April 13, 2021 Category: Surgery Authors: Jes S Lindholt Rikke S øgaard Source Type: research

Expanded Use of Preloaded Branched and Fenestrated Endografts for Endovascular Repair of Complex Aortic Aneurysms.
CONCLUSION: Endovascular repair of complex aortic aneurysms is safe and effective. The expanded use of preloaded catheters and wires of fenestrations and directional branches for target artery incorporation is associated with a high technical success and low early mortality. PMID: 33262091 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - November 28, 2020 Category: Surgery Authors: Timaran CH, Oderich GS, Tenorio ER, Farber MA, Schneider DB, Schanzer A, Beck AW, Sweet MP, Aortic Research Consortium Tags: Eur J Vasc Endovasc Surg Source Type: research

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