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Upper Extremity Access Has Worse Outcomes in F/BEVAR using the VQI Dataset
Physician modified endografts (PMEG) and custom manufactured devices (CMD) use branched and fenestrated techniques (F/BEVAR) to repair complex aneurysms. Traditionally many of these are deployed through a combination of upper and lower extremity access. However, with newer steerable sheaths, you can now simulate upper extremity access from a transfemoral approach. Single institution studies have demonstrated increased risks of access site complications and stroke when upper extremity access is used.
Source: Annals of Vascular Surgery - August 11, 2023 Category: Surgery Authors: Rohini J. Patel, Agustin Sibona, Mahmoud B. Malas, John S. Lane, Omar Al-Nouri, Andrew R. Barleben Tags: Clinical Research Source Type: research

Laser Fenestration in TEVAR: Perspectives and Future Directions
Endovascular aortic repair has been increasingly used to treat a multitude of thoracic aorticpathologies. When placement of a thoracic endograft necessitates coverage of one or more of the great vessels, in situ laser fenestration is a safe and effective option for supra-aortic trunk revascularization. Certain anatomic factors may render laser fenestration more technically challenging, particularly depending on aortic arch type and branch vessel characteristics. Short-term and mid-term outcomes have shown promising results for mortality, stroke, and complication rates.
Source: Annals of Vascular Surgery - June 14, 2023 Category: Surgery Authors: Hilary McKinley, Hosam El Sayed, Jean Panneton Source Type: research

Laser Fenestration in TEVAR – Perspectives and Future Directions
Endovascular aortic repair has been increasingly utilized to treat a multitude of thoracic aortic pathologies. When placement of a thoracic endograft necessitates coverage of one or more of the great vessels, in situ laser fenestration is a safe and effective option for supra-aortic trunk revascularization. Certain anatomic factors may render laser fenestration more technically challenging, particularly depending on aortic arch type and branch vessel characteristics. Short-term and mid-term outcomes have shown promising results for mortality, stroke, and complication rates.
Source: Annals of Vascular Surgery - June 14, 2023 Category: Surgery Authors: Hilary McKinley, Hosam El Sayed, Jean Panneton Source Type: research

Risk of Stroke with Thoracic Endovascular Aortic Repair of the Aortic Arch
This study evaluates the procedural risk factors for stroke and mortality with zone 0-2 TEVAR.
Source: Annals of Vascular Surgery - April 28, 2023 Category: Surgery Authors: Alexander D. DiBartolomeo, Li Ding, Fred A. Weaver, Sukgu M. Han, Gregory A. Magee Tags: Clinical Research Source Type: research

Risk Of Stroke With Thoracic Endovascular Aortic Repair In The Aortic Arch
This study evaluates the procedural risk factors for stroke and mortality with zone 0-2 TEVAR.
Source: Annals of Vascular Surgery - January 20, 2023 Category: Surgery Authors: Alexander D. DiBartolomeo, Li Ding, Fred A. Weaver, Sukgu M. Han, Gregory A. Magee Source Type: research

TEVAR with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study was to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research

Thoracic Endovascular Aortic Repair with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study is to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research

TEVAR With Supra-Aortic Trunk Revascularization Is Associated With Increased Risk Of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study was to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - February 1, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C Chia, Mark K Eskandari Source Type: research

One-year outcome of postoperative stroke and nerve injury after supraclavicular revascularization of the left subclavian artery for proximal landing zone extension in thoracic endovascular aortic repair
To assess the outcome of stroke and nerve injury after supraclavicular revascularization of the left subclavian artery for proximal landing zone extension in thoracic endovascular aortic repair (TEVAR).
Source: Annals of Vascular Surgery - December 22, 2021 Category: Surgery Authors: J. Brusa, E. Lutz, F. Sch önhoff, S. Weiss, J. Schmidli, V. Makaloski Tags: Clinical Research Source Type: research

Endovascular Repair Of Ascending Aortic Pseudoaneurysm Using Transfemoral Frame-Coiling Under Total Cerebral Protection.
We present a patient with a prior coronary artery bypass grafting who was referred for an incidental 3cm saccular ascending aortic pseudoaneurysm who was successfully treated with frame coiling under total cerebral embolic protection using the SENTINEL device.
Source: Annals of Vascular Surgery - May 27, 2020 Category: Surgery Authors: Jeanette H. Man, Mel J. Sharafuddin Tags: Case Report Source Type: research

Use of a Dual-Filter Cerebral Embolic Protection Device in Thoracic Endovascular Aortic Repair
We report our initial experience with the off-label use of a dual-filter CEPD in patients undergoing TEVAR.
Source: Annals of Vascular Surgery - January 21, 2020 Category: Surgery Authors: Aamir S. Shah, Akbarshakh Akhmerov, Navyash Gupta, Tarun Chakravarty, Raj R. Makkar, Ali Azizzadeh Tags: Case Report Source Type: research

Novel approach to prevention of perioperative stroke in patients undergoing debranching thoracic endovascular aortic repair with mini-cardiopulmonary bypass support
This study was performed to evaluate the efficacy of mini-cardiopulmonary bypass (mini-CPB) support in debranching TEVAR to prevent perioperative stroke.
Source: Annals of Vascular Surgery - April 4, 2019 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Masataka Mitsuno, Mitsuhiro Yamamura, Naosumi Sekiya, Hisashi Uemura, Ayaka Sato, Daisuke Ueda Source Type: research

A Novel Approach to Prevent Perioperative Stroke in Patients Undergoing Debranching Thoracic Endovascular Aortic Repair with a Mini-Cardiopulmonary Bypass Support
This study was performed to evaluate the efficacy of mini-cardiopulmonary bypass (mini-CPB) support in debranching TEVAR to prevent perioperative stroke.
Source: Annals of Vascular Surgery - April 4, 2019 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Masataka Mitsuno, Mitsuhiro Yamamura, Naosumi Sekiya, Hisashi Uemura, Ayaka Sato, Daisuke Ueda Tags: Clinical Research Source Type: research

Evidence for Cerebral Embolic Prevention in Transcatheter Aortic Valve Implantation and Thoracic Endovascular Aortic Repair
This study aims to assess the efficacy for EPD and CDF uses in TAVI and TEVAR.
Source: Annals of Vascular Surgery - September 12, 2018 Category: Surgery Authors: Hoi Tung Lam, Joy Melody Kwong, Pak Lun Lam, Wai Lok Yeung, Yiu Che Chan Tags: General Review Source Type: research

Evidence for Cerebral Embolic Prevention in Transcatheter Aortic Valve Implantation (TAVI) and Thoracic Endovascular Aortic Repair (TEVAR)
This study aims to assess the efficacy for EPD and CDF uses in TAVI and TEVAR.
Source: Annals of Vascular Surgery - September 12, 2018 Category: Surgery Authors: Hoi Tung Lam, Joy Melody Kwong, Pak Lun Lam, Wai Lok Yeung, Yiu Che Chan Source Type: research

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