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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

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

Mortality and reintervention following elective abdominal aortic aneurysm repair
Conclusions: Results of this meta-analysis demonstrate that the 30-day all-cause mortality rate is higher with open than with EVAR repair; however, there is no statistical difference in the long-term all-cause and cause-specific mortality between both groups. The reintervention rate attributable to procedural complication was higher in the EVAR group. Because of the equivalency of long-term outcomes and the short-term benefits of EVAR, an endovascular-first approach to AAAs can be supported by the meta-analysis.
Source: Journal of Vascular Surgery - May 29, 2013 Category: Surgery Authors: Mohammad Qadura, Farhan Pervaiz, John A. Harlock, Ashraf Al-Azzoni, Forough Farrokhyar, Kamyar Kahnamoui, David A. Szalay, Theodore Rapanos Tags: Review articles Source Type: research

Treatment of acute visceral aortic pathology with fenestrated/branched endovascular repair in high-surgical-risk patients
Conclusions: Urgent or emergent treatment of acute pathology involving the visceral aortic segment with fenestrated/branched endograft repair is feasible and safe in selected high-risk patients; however, the durability of these repairs is yet to be determined.
Source: Journal of Vascular Surgery - May 23, 2013 Category: Surgery Authors: Salvatore T. Scali, Alyson Waterman, Robert J. Feezor, Tomas D. Martin, Philip J. Hess, Thomas S. Huber, Adam W. Beck Tags: Clinical research studies 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

Single-stage thoracic and abdominal endovascular aneurysm repair for multilevel aortic disease.
In conclusion, single-stage TEVAR and EVAR procedures for multilevel aortic disease were found to be safe and feasible modalities for high-risk patients. PMID: 23508387 [PubMed - as supplied by publisher]
Source: Vascular - March 18, 2013 Category: Surgery Authors: Samura M, Zempo N, Ikeda Y, Hidaka M, Kaneda Y, Suzuki K, Tsuboi H, Hamano K Tags: Vascular Source Type: research

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