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Specialty: Surgery
Procedure: Endovascular Repair (EVAR)

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Total 111 results found since Jan 2013.

Stroke rate after endovascular aortic interventions in the Society for Vascular Surgery Vascular Quality Initiative
The stroke rate after endovascular aneurysm repair (EVAR), particularly complex EVAR such as fenestrated EVAR (FEVAR) and chimney EVAR (chEVAR), is not well defined. Whereas stroke is a well-established risk of thoracic endovascular aortic repair (TEVAR), the impact of procedural characteristics on stroke remains unclear. Therefore, we characterized the risk of stroke after endovascular aortic interventions in the Vascular Quality Initiative database and identified procedural characteristics associated with stroke.
Source: Journal of Vascular Surgery - April 1, 2020 Category: Surgery Authors: Nicholas J. Swerdlow, Patric Liang, Chun Li, Kirsten Dansey, Thomas F.X. O'Donnell, Livia E.V.M. de Guerre, Rens R.B. Varkevisser, Virendra I. Patel, Grace J. Wang, Marc L. Schermerhorn, the Society for Vascular Surgery Vascular Quality Initiative Source Type: research

The Effect of Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair
Stroke limits the widespread adoption of thoracic endovascular repair (TEVAR) in the aortic arch. More proximal stent deployment can increase the opportunity for stroke due to disruption of cerebral circulation and embolization. We performed a systematic meta-analysis on the impact of proximal landing zone (PLZ) location on stroke and 30-day mortality following TEVAR.
Source: Journal of Vascular Surgery - August 20, 2022 Category: Surgery Authors: Yuchi Ma, Mishal Siddiqui, Syed Farhan, Francisco Albuquerque, Robert Larson, Mark Levy, Josue Chery, Daniel Newton Tags: Open and Endovascular Aortic Repair Source Type: research

Risk Score Calculator for Stroke after Endovascular Repair of Thoracic Aortic Aneurysm in the Vascular Quality Initiative Database
This study aims to develop a score to predict the risk of in-hospital stroke after TEVAR.
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Hanaa Dakour-Aridi, Aubrey Mwinyogle, Rebecca Ann Marmor, Jeffrey Joseph Siracuse, Ali Azizzadeh, Mahmoud Malas Tags: Vascular surgery 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

The Effect of More Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair: A Meta-Analysis
Stroke remains a significant limitation to the widespread adoption of thoracic endovascular repair (TEVAR) in current practice. The risk is believed to increase further with more proximal stent deployment owing to disruption of cerebral circulation. The aim of this study was to systematically analyze the literature on the impact of proximal landing zone (PLZ) placement on stroke and 30-day mortality after TEVAR.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Yuchi Ma, Mishal S. Siddiqui, Syed A. Farhan, Francisco C. Albuquerque, Robert Larson, Mark M. Levy, Katherine M. Klein, Daniel H. Newton Tags: IP: Interactive Poster Session Source Type: research

A Meta-Analysis on the Effect of Proximal Landing Zone Location on Stroke and Mortality in Thoracic Endovascular Aortic Repair
In this study, a systematic meta-analysis was performed to examine the impact of proximal landing zone location on stroke and 30-day mortality following TEVAR.
Source: Journal of Vascular Surgery - May 16, 2023 Category: Surgery Authors: Yuchi Ma, Mishal S. Siddiqui, Syed A. Farhan, Francisco C. Albuquerque, Robert A. Larson, Mark M. Levy, Josue Chery, Daniel H. Newton Source Type: research

Subclavian Stump Syndrome Causing a Posterior Circulation Stroke after Thoracic Endovascular Aneurysm Repair (TEVAR) with Adjunctive Carotid to Subclavian Bypass and Endovascular Embolization of the Left Subclavian Artery
Conclusions: Consideration should be given to ligating the subclavian artery immediately proximal to the vertebral artery origin when performing adjunctive carotid subclavian bypass during TEVAR. If this is not done, surveillance computed tomography scans should monitor for the development of propagating thrombus in the subclavian stump.
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Ritesh Patel, Carl Muthu, Kwat Huat Goh Tags: Case Report Abstracts Source Type: research

TAA2. Different Zones (0-2) of Hybrid Debranching Endovascular Aortic Repair: Outcome and Stroke Analysis
The aim of this study was to summarize our single-center experience of hybrid debranching endovascular repair of arch and proximal descending thoracic aorta (DTA) as regards the midterm outcome with highlight of the rate and risk factors of stroke associated with these procedures.
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ahmed Sameh Eleshra, Woon Heo, Kwang-Hun Lee, Suk-Won Song Source Type: research

Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection
Conclusions: CCAD, due to extension from aortic arch dissection, has a low risk of subsequent stroke after the initial event. Based on current data, there is little evidence to suggest that aortic origin CCAD requires repair in the absence of recurrent symptoms, regardless of the degree of stenosis or false-lumen patency. Recommended optimal medical therapy includes either aspirin or anticoagulation for 6 months after initial presentation. Additional longitudinal studies are needed.
Source: Journal of Vascular Surgery - May 13, 2013 Category: Surgery Authors: Kristofer M. Charlton-Ouw, Ali Azizzadeh, Harleen K. Sandhu, Ali Sawal, Samuel S. Leake, Charles C. Miller, Anthony L. Estrera, Hazim J. Safi Tags: Clinical research studies Source Type: research

Multicentre International Registry of Open Surgical Versus Percutaneous Upper Extremity Access During Endovascular Aortic Procedures
CONCLUSIONS: AF and stroke rates during complex aortic procedures employing UEA are non-negligible. Therefore, selective use of UEA is warranted. Percutaneous access with vessel closure devices is associated with similar complication rates, but more adjunctive endovascular procedures are required to avoid surgical exposure.PMID:36740094 | DOI:10.1016/j.ejvs.2023.01.046
Source: PubMed: Eur J Vasc Endovasc ... - February 5, 2023 Category: Surgery Authors: Luca Bertoglio Gustavo Oderich Andrea Melloni Mauro Gargiulo Tilo K ölbel Donald J Adam Luca Di Marzo Gabriele Piffaretti Christopher J Agrusa Wouter Van den Eynde SUPER-AXA Registry Collaborators Source Type: research

Open versus endovascular repair of abdominal aortic aneurysm: Incidence of cardiovascular events in 632 patients in a department of defense cohort over 6-year follow-up.
CONCLUSION: EVAR was associated with lower 30-day mortality rates; however, this benefit was not sustained in longer-term follow-up. There is no difference in the rates of stroke, myocardial infarction, or cardiac arrhythmia at 30 days or in long-term follow-up. PMID: 25134851 [PubMed - as supplied by publisher]
Source: Vascular - August 18, 2014 Category: Surgery Authors: Thomas D, Anderson D, Hulten E, McRae F, Ellis S, Malik JA, Villines TC, Slim AM Tags: Vascular 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

Outcome After Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm: A National Multicentre Study.
CONCLUSIONS: This nationwide multicentre study of patients with rDTAA undergoing TEVAR showed acceptable short- but poor long-term survival. Adequate proximal and distal aortic sealing zones are important for technical success. High risk patients and post-operative complications need to be further addressed in an effort to improve outcome. PMID: 30910493 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 21, 2019 Category: Surgery Authors: Sari H, Thomas L, Rebecka H, Anders W, Kevin M, Timothy R, Mårten F, Claes F, Björn S, Artai P, Håkan R, Tina H, Shazhad K, Jonas H, Carl-Magnus W Tags: Eur J Vasc Endovasc Surg Source Type: research

A 14-year experience with blunt thoracic aortic injury
Conclusions: The incidence of BTAT is low but the mortality associated with it is significant. During the 14-year period studied, there was a clear change in management preference from open repair to endovascular repair at our level 1 trauma center. Outcomes, including stroke, MI, renal failure, paralysis, length of stay, and death, appear to be reduced in the endovascular group.
Source: Journal of Vascular Surgery - June 10, 2013 Category: Surgery Authors: Jennifer Watson, Jeffrey Slaiby, Manuel Garcia Toca, Edward J. Marcaccio, Tze Tec Chong Tags: Clinical research studies Source Type: research

Aortic arch debranching and thoracic endovascular repair
Conclusions: Despite the perioperative mortality risk, the late outcome of endovascular arch repair presents a low rate of aorta-related deaths and reinterventions and acceptable midterm survival. Furthermore, more than one-third of the aneurysms' diameters decrease over 5 years as a measure of the long-term efficacy of treatment. Retrograde type A dissection remains a major concern in the perioperative period and careful arch approach is required.
Source: Journal of Vascular Surgery - September 3, 2013 Category: Surgery Authors: Paola De Rango, Piergiorgio Cao, Ciro Ferrer, Gioele Simonte, Carlo Coscarella, Enrico Cieri, Gabriele Pogany, Fabio Verzini Tags: Clinical research studies Source Type: research