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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

Discussion
Dr Farber (Chapel Hill, NC). Dr Arbabi and colleagues have presented the outcomes from the Aortic Trauma Foundation (ATF) for patients with concomitant blunt aortic injury and traumatic brain injury. Among the 100 patients they reviewed, they found no differences in delayed stroke or in-hospital aortic-related mortality when thoracic endovascular aortic repair (TEVAR) was used in either an emergent or urgent fashion. Although these data are consistent with medical common sense, it distinctly contradicts earlier reports suggesting worse outcomes with early TEVAR intervention.
Source: Journal of Vascular Surgery - November 1, 2021 Category: Surgery Source Type: research

Cerebral microbleeds following thoracic endovascular aortic repair
CONCLUSION: CMBs on postoperative MRI are common after endovascular repair in the aortic arch. Their occurrence appears to be associated with key aspects of the procedure and pre-existing vascular leucoencephalopathy.PMID:34694374 | DOI:10.1093/bjs/znab341
Source: The British Journal of Surgery - October 25, 2021 Category: Surgery Authors: Wolf Eilenberg Matthias Bechstein Philippe Charbonneau Fiona Rohlffs Ahmed Eleshra Giuseppe Panuccio Jagdeep Singh Bhangu Jens Fiehler Rodger M Greenhalgh Stephan Haulon Tilo K ölbel Source Type: research

Open thoracic and thoracoabdominal aortic repair vs. f/bTEVAR - complementary or competitive?
In conclusion, in our opinion OR is a service that is still necessary for dedicated aortic centres, but will most likely become more frequent again in the years to come.PMID:34666359 | DOI:10.1055/a-1562-2770
Source: Zentralblatt fur Chirurgie - October 19, 2021 Category: Surgery Authors: Albert Busch Steffen Wolk Brigitta Lutz Carolin Zimmermann Miroslav Ankudinov David Klenk Florian Ehehalt Thomas R össel Stefan Ludwig Christian Reeps Source Type: research

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