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Quantification of aortic shagginess as a predictive factor of perioperative stroke and long-term prognosis after endovascular treatment of aortic arch disease
Thoracic endovascular aortic repair (TEVAR) with supra-aortic debranching has recently been introduced as a treatment option for aortic arch disease. Although less invasive than open repair, TEVAR is associated with a risk of perioperative embolic stroke due to dislodgment of atherosclerotic plaque debris, especially in individuals with atheromatous degeneration of the aortic lumen. It is difficult to determine atheroma vulnerability, and there is no current method for predicting the risk of atheroembolism.
Source: Journal of Vascular Surgery - June 15, 2018 Category: Surgery Authors: Akihiro Hosaka, Manabu Motoki, Masaaki Kato, Hiroko Sugai, Nobukazu Okubo Source Type: research

Mid-term Outcomes of Stent Assisted Balloon Induced Intimal Disruption and Relamination in Aortic Dissection Repair (STABILISE) in Acute Type B Aortic Dissection.
CONCLUSION: To obtain immediate and durable thoraco-abdominal aortic remodelling in acute type B dissections, the STABILISE technique is safe and reproducible while not compromising the patency of collateral branches. PMID: 29891434 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - June 8, 2018 Category: Surgery Authors: Faure EM, El Batti S, Abou Rjeili M, Julia P, Alsac JM Tags: Eur J Vasc Endovasc Surg Source Type: research

Cerebral embolic protection in thoracic endovascular aortic repair
Stroke occurs in 3% to 8% and silent cerebral infarction in>60% of patients undergoing thoracic endovascular aortic repair (TEVAR). We investigated the utility of a filter cerebral embolic protection device (CEPD) to reduce diffusion-weighted magnetic resonance imaging (DW-MRI) detected cerebral injury and gaseous and solid embolization during TEVAR.
Source: Journal of Vascular Surgery - May 24, 2018 Category: Surgery Authors: Gagandeep Grover, Anisha H. Perera, Mohamad Hamady, Nung Rudarakanchana, Christen D. Barras, Abhinav Singh, Alun H. Davies, Richard Gibbs Source Type: research

Management of the left subclavian artery during TEVAR - complications and mid-term follow-up.
CONCLUSIONS: The study shows that performing TEVAR without primary revascularization of the LSA was justifiable in our cohort. An important risk factor of developing cerebral ischemia seems to be insufficient collateralization through the circle of Willis. PMID: 29788799 [PubMed - as supplied by publisher]
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 23, 2018 Category: Surgery Authors: Youssef A, Ghazy T, Kersting S, Leip JL, Hoffmann RT, Kappert U, Matschke K, Weiss N, Mahlmann A Tags: Vasa Source Type: research

PC008. Concomitant Carotid-subclavian Bypass Is Associated With an Increased 30-day Stroke Risk in Patients Who Undergo Thoracic Endovascular Aortic Repair With Coverage of the Left Subclavian Artery
This study aims to analyze the outcomes of TEVAR with concomitant carotid-subclavian bypass versus TEVAR alone among patients whose left subclavian artery is covered.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: Sara L. Zettervall, Jinny Lu, Kendal M. Endicott, Andrew D. Sparks, John J. Ricotta, Anton N. Sidawy, Robyn Macsata, Bao-Ngoc Nguyen Source Type: research

Extra-Thoracic Supra-aortic Bypass Surgery Is Safe in Thoracic Endovascular Aortic Repair and Arterial Occlusive Disease Treatment.
CONCLUSIONS: Extra-thoracic supra-aortic bypass surgery involves low complication rates and high mid-term bypass patency rates. It is a safe and feasible treatment option in the form of debranching in combination with endovascular aortic aneurysm repair and in AOD. PMID: 29685679 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - April 20, 2018 Category: Surgery Authors: Gombert A, van Issum L, Barbati ME, Grommes J, Keszei A, Kotelis D, Jalaie H, Greiner A, Jacobs MJ, Kalder J Tags: Eur J Vasc Endovasc Surg Source Type: research

Safety and Efficacy of Femoral Artery Closure with the FemoSeal Device After Cerebral Thrombectomy Using an 8 French Sheath.
CONCLUSION: The use of the FemoSeal device to close an 8F access sheath puncture site is feasible and safe, with a low complication rate. PMID: 29550254 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 14, 2018 Category: Surgery Authors: Chivot C, Deramond H, Bouzerar R, Yzet T Tags: Eur J Vasc Endovasc Surg Source Type: research

Endovascular Repair of Blunt Thoracic Aortic Trauma: Is Postimplant Hypertension an Incidental Finding?
Blunt thoracic aortic injury (BTAI) is the second most common cause of death in trauma patients. Nowadays, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice because of lower rates of mortality, paraplegia, and stroke. However, concerns have been raised whether graft implantation is related to the development of hypertension in the postoperative period. The aim of this study was to report short- and long-term outcomes of patients undergoing TEVAR for BTAIs at a tertiary hospital and to investigate postimplant hypertension.
Source: Annals of Vascular Surgery - March 7, 2018 Category: Surgery Authors: Konstantinos Tigkiropoulos, Fragiska Sigala, Diamantis I. Tsilimigras, Demetrios Moris, Konstantinos Filis, Nikolaos Melas, Dimitrios Karamanos, Christos Kontogiannis, Ioannis Lazaridis, Nikolaos Saratzis Tags: Clinical Research Source Type: research

Endovascular Repair of Blunt Thoracic Aortic Trauma: Is Post-Implant Hypertension an Incidental Finding?
Blunt thoracic aortic injury (BTAI) is the second most common cause of death in trauma patients. Nowadays, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice due to lower rates of mortality, paraplegia and stroke. However, concerns have been raised whether graft implantation is related to the development of hypertension in the postoperative period.
Source: Annals of Vascular Surgery - March 7, 2018 Category: Surgery Authors: Konstantinos Tigkiropoulos, Fragiska Sigala, Diamantis I. Tsilimigras, Demetrios Moris, Konstantinos Filis, Nikolaos Melas, Dimitrios Karamanos, Christos Kontogiannis, Ioannis Lazaridis, Nikolaos Saratzis Source Type: research

Endovascular Repair of Blunt Thoracic Aortic Trauma: Is Postimplant Hypertension an Incidental Finding?
Blunt thoracic aortic injury (BTAI) is the second most common cause of death in trauma patients. Nowadays, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice because of lower rates of mortality, paraplegia, and stroke. However, concerns have been raised whether graft implantation is related to the development of hypertension in the postoperative period. The aim of this study was to report short- and long-term outcomes of patients undergoing TEVAR for BTAIs at a tertiary hospital and to investigate postimplant hypertension.
Source: Annals of Vascular Surgery - March 7, 2018 Category: Surgery Authors: Konstantinos Tigkiropoulos, Fragiska Sigala, Diamantis I. Tsilimigras, Demetrios Moris, Konstantinos Filis, Nikolaos Melas, Dimitrios Karamanos, Christos Kontogiannis, Ioannis Lazaridis, Nikolaos Saratzis Tags: Clinical Research Source Type: research

Hybrid and total endovascular repair of the aortic arch.
CONCLUSION: Repair of aortic arch pathology presents a formidable challenge for endovascular technology. Open aortic arch repair remains the standard in younger, fitter patients, but endovascular technology and experience continue to evolve with encouraging early outcomes and expanding indications. PMID: 29488648 [PubMed - in process]
Source: The British Journal of Surgery - March 1, 2018 Category: Surgery Authors: Rudarakanchana N, Jenkins MP Tags: Br J Surg Source Type: research

Hybrid and total endovascular repair of the aortic arch
ConclusionRepair of aortic arch pathology presents a formidable challenge for endovascular technology. Open aortic arch repair remains the standard in younger, fitter patients, but endovascular technology and experience continue to evolve with encouraging early outcomes and expanding indications.
Source: British Journal of Surgery - February 28, 2018 Category: Surgery Authors: N. Rudarakanchana, M. P.  Jenkins Tags: Review Source Type: research

Early outcomes of patients transferred with ruptured suprarenal aneurysm or dissection.
Conclusions Although the number of patients with rSRAD is low and those who are transferred alive are a self-selecting group, this study suggests that transfer of such patients to a specialist vascular centre is associated with acceptable mortality rates following emergency complex aortic repair. PMID: 29484940 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - February 27, 2018 Category: Surgery Authors: Rudarakanchana N, Hamady M, Harris S, Afify E, Gibbs R, Bicknell CD, Jenkins MP Tags: Ann R Coll Surg Engl Source Type: research

Intraoperative cone beam computed tomography-guided endovascular recanalization of an interrupted aorta
We report a case of real-time image-guided endovascular repair to highlight the value of preprocedural planning and intraprocedural cone beam computed tomography. Two-dimensional fluoroscopy enhanced with three-dimensional landmarks from cone beam computed tomography was used to direct a Nykanen radiofrequency wire (Baylis Medical, Montreal, Quebec, Canada) through the interruption, avoiding critical adjacent structures.
Source: Journal of Vascular Surgery - February 17, 2018 Category: Surgery Authors: Philip L. Auyang, Ponraj Chinnadurai, Thomas MacGillivray, Alan B. Lumsden, John P. Breinholt, C. Huie Lin Tags: Case report Source Type: research

Cerebral embolization, silent cerebral infarction and neurocognitive decline after thoracic endovascular aortic repair.
CONCLUSION: This study demonstrates a high rate of cerebral embolization and neurocognitive decline affecting patients following TEVAR. Brain injury after TEVAR is more common than previously recognized, with cerebral infarction in more than 80 per cent of patients. PMID: 29431856 [PubMed - as supplied by publisher]
Source: The British Journal of Surgery - February 12, 2018 Category: Surgery Authors: Perera AH, Rudarakanchana N, Monzon L, Bicknell CD, Modarai B, Kirmi O, Athanasiou T, Hamady M, Gibbs RG Tags: Br J Surg Source Type: research

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