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Comparison of Total Arch and Partial Arch Transposition During Hybrid Endovascular Repair for Aortic Arch Disease.
CONCLUSION: Morbidity and mortality were high within the first year of hybrid endovascular therapy for aortic arch disease, implying that candidates for hybrid procedures need to be selected carefully. Hybrid endovascular repair with TAT was found to have peri-operative mortality, stroke, and long-term survival rates comparable with PAT, so hybrid endovascular repair may be considered, irrespective of type of arch reconstruction, when clinically indicated. PMID: 27346445 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - June 22, 2016 Category: Surgery Authors: Kang WC, Ko YG, Oh PC, Shin EK, Park CH, Choi D, Youn YN, Lee DY Tags: Eur J Vasc Endovasc Surg Source Type: research

Long-Term Experience of Endovascular Repair for Thoracic Aortic Aneurysms and Dissections
Conclusion: Thoracic endovascular aortic repair is a relatively safe and effective therapy for different aortic pathologies with good long-term success. The risk of stroke and paraparesis is notable whether the LSA is covered, and strokes clearly accumulate in the emergency setting. A type I endoleak is the most common complication, but there are no predictive factors for its development.
Source: Vascular and Endovascular Surgery - June 9, 2016 Category: Surgery Authors: Väärämäki, S., Suominen, V., Pimenoff, G., Saarinen, J., Uurto, I., Salenius, J. Tags: Original Manuscripts Source Type: research

Branched Endovascular Therapy of the Distal Aortic Arch: Preliminary Results of the Feasibility Multicenter Trial of the Gore Thoracic Branch Endoprosthesis
Conclusions Total endovascular repair of distal zone 2 arch aortic aneurysms can be achieved with a novel branched arch endograft. Future studies will evaluate the feasibility of this approach for aneurysms encompassing the brachiocephalic trunk and left carotid artery.
Source: The Annals of Thoracic Surgery - June 2, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Branched Endovascular Therapy of the Distal Aortic Arch: Preliminary Results of the Feasibility Multicenter Trial of the Gore Thoracic Branch Endoprosthesis.
CONCLUSIONS: Total endovascular repair of distal zone 2 arch aortic aneurysms can be achieved with a novel branched arch endograft. Future studies will evaluate the feasibility of this approach for aneurysms encompassing the brachiocephalic trunk and left carotid artery. PMID: 27262912 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 31, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Patel HJ, Dake MD, Bavaria JE, Singh MJ, Filinger M, Fischbein MP, Williams DM, Matsumura JS, Oderich G Tags: Ann Thorac Surg Source Type: research

Early Experiences with the Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm.
CONCLUSION: TEVAR for rDTAA was associated with favorable early mortality and morbidity outcomes. However, early reintervention should be considered if persistent endoleak occurs. PMID: 27064672 [PubMed - as supplied by publisher]
Source: Korean Journal of Thoracic and Cardiovascular Surgery - April 12, 2016 Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research

Subarachnoid Hemorrhage with and without Concomitant Sickle Cell Disease, a Comparison Using the Nationwide Inpatient Sample (S4.004)
Conclusions: Based on these data, 2 out of every 1000 cases of SAH in the United States, will be related to SCD. SAH occurs at a much younger age in patients with SCD. Prognosis in patients with SAH related to SCD may be better than in non-SCD patients.Disclosure: Dr. Al Zahmi has nothing to disclose. Dr. Conners has nothing to disclose. Dr. Cutting has nothing to disclose. Dr. Cherian has nothing to disclose. Dr. Song has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Garg has received research support from AHA and RTSC. Dr. Ouyang has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Al Zahmi, F., Conners, J., Cutting, S., Cherian, L., Song, S., Lee, V., Garg, R., Ouyang, B. Tags: Health Disparities and Sex Differences in Stroke Source Type: research

Endovascular repair or open repair for ruptured abdominal aortic aneurysm: a Cochrane systematic review
Conclusions Outcomes between eEVAR and open repair, specifically 30-day mortality, are similar. However, further high-quality trials are required, as the paucity of data currently limits the conclusions.
Source: BMJ Open - February 12, 2016 Category: Journals (General) Authors: Badger, S. A., Harkin, D. W., Blair, P. H., Ellis, P. K., Kee, F., Forster, R. Tags: Open access, Cardiovascular medicine, Evidence based practice, Surgery Research Source Type: research

Pararenal Aortic Ulcer Repair.
CONCLUSION: Encouraging results of endovascular treatment of pararenal PAUs were observed. One major and fatal complication was encountered, which underlines the complexity and risks of the techniques. Another patient required re-intervention owing to an endoleak following off label use of covered stents for Ch-EVAR. FEVAR, which generally requires a custom made graft, was increasingly applied over the study period, potentially because of an increased awareness of this distinct pathology allowing for elective procedure planning. Ch-EVAR and hybrid procedures were predominantly used in symptomatic patients, whereas FEVAR wa...
Source: PubMed: Eur J Vasc Endovasc ... - February 10, 2016 Category: Surgery Authors: Taher F, Assadian A, Strassegger J, Duschek N, Koulas S, Senekowitsch C, Falkensammer J Tags: Eur J Vasc Endovasc Surg Source Type: research

Subsequent Results for Arch Aneurysm Repair with Inner Branched Endografts.
CONCLUSIONS: The early outcomes associated with this technology are favorable. Branched endografting of aortic arch aneurysms should be considered in patients unfit for open surgery. PMID: 26818022 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 23, 2016 Category: Surgery Authors: Spear R, Haulon S, Ohki T, Tsilimparis N, Kanaoka Y, Milne CP, Debus S, Takizawa R, Kölbel T Tags: Eur J Vasc Endovasc Surg Source Type: research

Open aortic arch replacement in high-risk patients: the gold standard AORTIC SURGERY
CONCLUSIONS Open TAR can be performed with low mortality and morbidity and excellent long-term results even in high-risk patients. Total endovascular repair may represent an option for patients not suitable for open surgery.
Source: European Journal of Cardio-Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Iafrancesco, M., Ranasinghe, A. M., Dronavalli, V., Adam, D. J., Claridge, M. W., Riley, P., McCafferty, I., Mascaro, J. G. Tags: Pericardium AORTIC SURGERY Source Type: research

Intervention Associated Acute Kidney Injury and Long-Term Cardiovascular Outcomes
Background: Acute kidney injury (AKI) has been associated with all-cause short- and long-term mortality. However, its association with cardiovascular (CV) events remains unclear. We sought to investigate this in patients undergoing open (OAR) or endovascular (EVAR) abdominal aortic aneurysm repair, as they are likely to develop both AKI and CV morbidity. A meta-analysis was subsequently performed to confirm this in other CV-interventions. Methods: AKI-incidence was assessed in a multicentre-cohort of 1,068 patients undergoing EVAR (947 individuals) or OAR electively using the ‘Acute Kidney Injury Network' criteria. A com...
Source: American Journal of Nephrology - October 24, 2015 Category: Neurology Source Type: research

Intervention Associated Acute Kidney Injury and Long-Term Cardiovascular Outcomes.
CONCLUSION: AKI is associated with long-term CV events after surgery or endovascular intervention. PMID: 26495853 [PubMed - as supplied by publisher]
Source: American Journal of Nephrology - October 24, 2015 Category: Urology & Nephrology Authors: Saratzis A, Harrison S, Barratt J, Sayers RD, Sarafidis PA, Bown MJ Tags: Am J Nephrol Source Type: research

Endovascular Repair with Chimney Technique for Juxtarenal Aortic Aneurysm: A Single Center Experience.
CONCLUSION: Ch-EVAR can be used to treat JRAAs with suitable anatomical conditions. However, complications of type I endoleak were not uncommon, and, therefore, further studies are required to prove its efficiency for JRAAs. PMID: 25631457 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 24, 2015 Category: Surgery Authors: XiaoHui M, Wei G, ZhongZhou H, XiaoPing L, Jiang X, Xin J Tags: Eur J Vasc Endovasc Surg Source Type: research

Outcomes of Open Repair for Chronic Descending Thoracic Aortic Dissection
Conclusions Open repairs of chronic descending thoracic aortic aneurysm dissections can be performed with respectable morbidity and mortality. Neurologic deficit remains low with the use of adjuncts, and early deaths are directly related to preoperative renal status. Reintervention on the involved aortic segment is low. These results allow comparisons with endovascular repair for chronic aortic dissection.
Source: The Annals of Thoracic Surgery - January 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Open Repair for Chronic Descending Thoracic Aortic Dissection.
CONCLUSIONS: Open repairs of chronic descending thoracic aortic aneurysm dissections can be performed with respectable morbidity and mortality. Neurologic deficit remains low with the use of adjuncts, and early deaths are directly related to preoperative renal status. Reintervention on the involved aortic segment is low. These results allow comparisons with endovascular repair for chronic aortic dissection. PMID: 25617229 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 21, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Estrera AL, Jan A, Sandhu H, Shalhub S, Medina-Castro M, Nguyen TC, Azizzadeh A, Charlton-Ouw K, Miller CC, Safi HJ Tags: Ann Thorac Surg Source Type: research

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