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Thoracoabdominal aortic aneurysm life-altering events following endovascular aortic repair in the Vascular Quality Initiative
This study examined the rates of postoperative mortality and morbidity stratified by type of endovascular aortic aneurysm repair.
Source: Journal of Vascular Surgery - April 10, 2023 Category: Surgery Authors: Priya B. Patel, Christina L. Marcaccio, Nicholas J. Swerdlow, Thomas F.X. O ’Donnell, Vinamr Rastogi, Rachel Marino, Virendra I. Patel, Sara L. Zettervall, Thomas Lindsay, Marc L. Schermerhorn Source Type: research

The Contemporary Impact of Body Mass Index on Open Aortic Aneurysm Repair
The Centers for Disease Control and Prevention (CDC) has deemed obesity a national epidemic and contributor to other leading causes of death including heart disease, stroke, and diabetes. Accordingly, the role of body mass index (BMI) and its impact on surgical outcomes has been a focus of persistent investigation. The purpose of this study was to quantify the effect of BMI on open abdominal aortic aneurysm repair (oAAA) outcomes in contemporary practice.
Source: Journal of Vascular Surgery - January 19, 2023 Category: Surgery Authors: Kirthi S. Bellamkonda, Salvatore T. Scali, Mario D ’Oria, Jesse A. Columbo, Jennifer Stableford, Philip P. Goodney, Richard J. Powell, Bjoern D. Suckow, Benjamin N. Jacobs, Michol Cooper, Gilbert Upchurch, David H. Stone Source Type: research

A systematic review and meta-analysis of stroke rates in patients undergoing Thoracic Endovascular Aortic Repair for descending thoracic aortic aneurysm and type B dissection.
We performed a systematic review and meta-analysis aiming to assess the stroke rates following thoracic endovascular aortic repair (TEVAR) for descending thoracic aortic aneurysms and/or dissections.
Source: Journal of Vascular Surgery - March 3, 2022 Category: Surgery Authors: Georgios I. Karaolanis, Constantine N. Antonopoulos, Philippe Charbonneau, Efstratios Georgakarakos, Demetrios Moris, Salvatore Scali, Drosos Kotelis, Konstantinos Donas Source Type: research

Commentary
I have often said to interested trainees and students that vascular surgery is about women's health. Evidence suggests that cardiovascular disease affects women differently —the symptoms of myocardial infarction are often “atypical” in women. The number of hospital discharges for heart failure and stroke are higher in women than in men.1 When detected in women, abdominal aortic aneurysms are often anatomically unsuitable for commercially available endovascular de vices, and mortality is higher from either open or endovascular surgery.
Source: Journal of Vascular Surgery - December 20, 2021 Category: Surgery Authors: Ulka Sachdev-Ost Tags: Invited commentary Source Type: research

Risk factors Associated with Long Term Mortality and Complications Following Thoracoabdominal Aortic Aneurysm Repair
To determine the risk factors associated with late mortality or complications (Thoracoabdominal aortic Aneurysm Life-altering Events (TALE): composite of mortality, permanent paraplegia, permanent dialysis, and stroke) in patients undergoing endovascular or open thoracoabdominal aortic aneurysm (TAAA) repair.
Source: Journal of Vascular Surgery - October 1, 2021 Category: Surgery Authors: Rodolfo V. Rocha, Thomas F. Lindsay, Daniyal Nasir, Douglas S. Lee, Peter C. Austin, Justin Chan, Jennifer Chung, Thomas L. Forbes, Maral Ouzounian 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

Long-term Use of Preoperative Beta-Blockers Is Associated With Reduced Postoperative Stroke After Thoracic Endovascular Aneurysm Repair
Thoracic endovascular aortic repair (TEVAR) has been established as the treatment of choice for a range of thoracic aortic pathologies. Beta-blockers represent a possible perioperative treatment option to improve TEVAR outcomes due to their role in management of aortic aneurysm, dissection, and Marfan syndrome. We investigated the effect of preoperative beta-blocker usage on outcomes of TEVAR using the Vascular Quality Initiative database.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Kevin S. Yei, Niloofar Radgoudarzi, Rami Alhakim, Jonathan Unkart, Mahmoud B. Malas Tags: IP: Interactive Poster Session Source Type: research

Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: Journal of Vascular Surgery - February 22, 2017 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Selected Abstract from the February Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Upper extremity access for fenestrated endovascular aortic aneurysm repair is not associated with increased morbidity
Fenestrated endovascular aortic aneurysm repair (FEVAR) is an alternative to open repair in patients with complex abdominal aortic aneurysms who are neither fit nor suitable for standard open or endovascular repair. Chimney and snorkel grafts are other endovascular alternatives but frequently require bilateral upper extremity access that has been associated with a 3% to 10% risk of stroke. However, upper extremity access is also frequently required for FEVAR because of the caudal orientation of the visceral vessels.
Source: Journal of Vascular Surgery - August 2, 2014 Category: Surgery Authors: Martyn Knowles, David A. Nation, David E. Timaran, Luis F. Gomez, M. Shadman Baig, R. James Valentine, Carlos H. Timaran Tags: Clinical Paper Source Type: research

Giant aneurysm of the abdominal aorta
A 79-year-old man with a history of smoking, hypertension, chronic pulmonary disease, and nondisabling stroke was admitted to the emergency department due to loss of consciousness and diffuse abdominal pain. At admission, the patient was vigil but hypotensive (90/60 mm Hg) and tachycardic (107 bpm). Physical examination revealed a tender, pulsatile mass occupying the entire abdomen (A). His hemoglobin level was 6.5 g/dL. Computed tomographic angiography revealed a giant infrarenal aortic aneurysm with a maximum transverse diameter of 256 mm (B and C). A small layer of blood was visible in the left retroperitoneal space. Co...
Source: Journal of Vascular Surgery - February 25, 2014 Category: Surgery Authors: Hugo Rodrigues, Frederico Bastos Gonçalves, Maria Emília Ferreira Tags: Vascular images Source Type: research

Outcomes of open surgical repair for chronic type B aortic dissections
Objective: Open surgical repair (OSR) for chronic type B aortic dissection (CTBAD) has an associated morbidity and mortality. The role of thoracic endovascular aortic repair (TEVAR) in CTBAD has not been determined. We analyzed our contemporary experience of CTBAD undergoing OSR to identify high-risk patients who may be considered for TEVAR.Methods: From 1999 to 2010, 221 patients had repair of descending thoracic and thoracoabdominal aortic aneurysms, including 86 patients with CTBADs. We analyzed this cohort for mortality, complications, length of stay, and reinterventions.Results: OSR was performed in 25 (29%) and 61 (7...
Source: Journal of Vascular Surgery - January 13, 2014 Category: Surgery Authors: Allan M. Conway, Mostafa Sadek, Joanelle Lugo, Jain B. Pillai, Yonni Pellet, Georgia Panagopoulos, Alfio Carroccio, Konstadinos Plestis Tags: Clinical research studies Source Type: research