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Is the retrograde in situ branched stentgraft (RIBS) technique for aortic arch repair as tasty as it sounds?
Total endovascular repair of aortic arch aneurysms is a challenging frontier, particularly due to the risk of stroke. Ohki et  al1 propose the retrograde in situ branched stent graft (“RIBS”) technique, touting an off-the-shelf, relatively low-risk, cost-effective repair, with 100% technical success and no 30-day mortalities.
Source: Journal of Vascular Surgery - February 18, 2022 Category: Surgery Authors: Juliet Blakeslee-Carter, Adam W. Beck Tags: Invited Commentary Source Type: research

Mid-term outcomes of hybrid debranching endovascular aortic arch repair in landing zones 0-2
CONCLUSION: Hybrid debranching endovascular aortic arch repair is feasible and relatively safe with acceptable mid-term outcomes. Zone 0 patients has worse early and late outcomes in comparison to other zones. Careful patient selection and improved endovascular technology may be the key to improve the outcomes.PMID:35100906 | DOI:10.1177/17085381211068230
Source: Vascular - February 1, 2022 Category: Surgery Authors: Ahmed Eleshra Woon Heo Kwang-Hun Lee Tae-Hoon Kim Hong S Sim Hesham Sharafeldin Suk-Won Song Source Type: research

Endovascular Repair of Complicated Type B Aortic Intramural Haematoma: A Single Centre Long Term Experience
CONCLUSION: Complicated type B IMH can be treated effectively by TEVAR, thus preventing death from aortic rupture. However, severe early post-operative complications, most importantly stroke, are of concern. Long term outcomes are excellent, although re-interventions are not uncommon, either for progression of proximal or distal aortic disease or due to stent graft related complications.PMID:34924300 | DOI:10.1016/j.ejvs.2021.09.045
Source: PubMed: Eur J Vasc Endovasc ... - December 20, 2021 Category: Surgery Authors: Herman Tolboom Hector W L de Beaufort Tim Smith Jan Albert Vos Hans G Smeenk Robin H Heijmen 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

Does Endovascular Repair for Blunt Traumatic Aortic Injuries Provide Better Outcomes Compared to Its Open Technique? A Systematic Review and Meta-analysis
CONCLUSION: This meta-analysis found that ER was associated with a reduced paraplegia rate compared to OR for the management of traumatic aortic injury.PMID:34736285 | DOI:10.52198/21.STI.39.CV1489
Source: Surgical Technology International - November 4, 2021 Category: Surgery Authors: Shekhar Gogna Mahir Gachabayov Priya Goyal Rifat Latifi Source Type: research

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