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Epidemiology, repair technique, and predictors of stroke and mortality in penetrating carotid artery injuries
This retrospective review of the NTDB found that carotid repair was associated with improved mortality outcomes compared to ligation; however, there was no difference in stroke outcome. The factors predictive of stroke were low GCS, high ISS, and a history of neurological deficit prior to injury and those predictive of in-hospital mortality were carotid ligation, low GCS, high ISS, and cardiac arrest.
Source: Journal of Vascular Surgery - June 26, 2023 Category: Surgery Authors: Anastasia Plotkin, Fred A. Weaver, Natthida Owattanapanich, Saskya Byerly, Morgan Schellenberg, Kenji Inaba, Gregory A. Magee Source Type: research

Open Versus Endovascular Left Subclavian Artery Revascularization Outcomes in Thoracic Endovascular Aortic Repair: A National Study
Left subclavian artery (LSA) revascularization is recommended in patients undergoing elective thoracic endovascular aortic repair (TEVAR) with LSA coverage. However, the outcomes of open vs endovascular techniques for LSA revascularization remain poorly studied due to lack of high-quality evidence. The aim of this study is to use a large national database to compare the effects of open vs endovascular LSA revascularization for LSA coverage during TEVAR on the perioperative outcomes of stroke, arm ischemia (AI), spinal cord ischemia (SCI), 30-day mortality, and reintervention.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Munir Paul Moacdieh, Sina Zarrintan, Daniel Willie-Permor, Shima Rahgozar, Mahmoud Malas Tags: Interactive Poster Session Source Type: research

Delayed Repair is Associated With Lower Stroke Following Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury
Current societal recommendations regarding the timing of thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI) vary. Prior studies have shown that delayed repair was associated with lower mortality following TEVAR for BTAI. However, these studies lacked accurate data on aortic injury grade and TEVAR-related postoperative outcomes. Therefore, we used the Vascular Quality Initiative (VQI) registry, which includes more granular anatomic and outcome data, to examine the impact of early ( ≤24 hours) vs delayed (>24  hours) TEVAR for BTAI.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Sai Divya Yadavalli, Vinamr Rastogi, Anne-Sophie Romijn, Christina L. Marcaccio, Emanuele Lagazzi, Steven P. Summers, Sara L. Zettervall, Ben Starnes, Hence J.M. Verhagen, Marc L. Schermerhorn Tags: Interactive Poster Session Source Type: research

A Meta-Analysis on the Effect of Proximal Landing Zone Location on Stroke and Mortality in Thoracic Endovascular Aortic Repair
In this study, a systematic meta-analysis was performed to examine the impact of proximal landing zone location on stroke and 30-day mortality following TEVAR.
Source: Journal of Vascular Surgery - May 16, 2023 Category: Surgery Authors: Yuchi Ma, Mishal S. Siddiqui, Syed A. Farhan, Francisco C. Albuquerque, Robert A. Larson, Mark M. Levy, Josue Chery, Daniel H. Newton Source Type: research

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

Three-Year Outcomes of a Single Branch, Off-the-shelf Endovascular Solution for Treating Aortic Arch Pathologies
This study evaluated this single branch, two-stent graft system specifically designed to treat aortic arch pathologies without the need for sternotomy.
Source: Journal of Vascular Surgery - March 17, 2023 Category: Surgery Authors: Andrew Holden 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

Comprehensive Network Meta-analysis of Outcomes for the Treatment of Extracranial Carotid Artery Aneurysms
Untreated extracranial carotid artery aneurysms (ECCAs) increase stroke and mortality risk. Current studies have only evaluated surgical management. We compared the outcomes between (1) conservative treatment, (2) open repair, and (3) endovascular repair of ECCAs through a network meta-analysis.
Source: Journal of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Tiam Feridooni, Cesar Cuen-Ojeda, Michael Ho-Yan Lee, Abdelrahman Zamzam, Mohammed Al-Omran Source Type: research

Treatment Of An Extracranial Carotid Artery Aneurysm With Flow Diverter Stents And Coil Embolization
Extracranial carotid artery aneurysms (ECAAs) are uncommon. Although the true incidence and natural history of ECAAs are largely unknown, case series report a high risk of transient ischemic attack, stroke, or rupture if left untreated. Open surgical repair and endovascular therapy are both reasonable options depending on the size and location of the aneurysm.
Source: Journal of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Brian Wheatley Source Type: research

The Contemporary Impact of Body Mass Index on Open Aortic Aneurysm Repair
The Centers for Disease Control and Prevention has deemed obesity a national epidemic and contributor to other leading causes of death including heart disease, stroke, and diabetes. Accordingly, the impact of body mass index (BMI) has been a focus of investigation. The BMI surgical literature remains conflicted pertaining to open abdominal aortic aneurysm repair (oAAA). The purpose of this study was to quantify the effect of BMI on oAAA outcomes in contemporary practice.
Source: Journal of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Kirthi S. Bellamkonda, Salvatore T. Scali, Jennifer A. Stableford, Philip P. Goodney, Richard J. Powell, Benjamin N. Jacobs, Michol A. Cooper, Gilbert R. Upchurch, David H. Stone Source Type: research

The Effect of Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair
Stroke limits the widespread adoption of thoracic endovascular repair (TEVAR) in the aortic arch. More proximal stent deployment can increase the opportunity for stroke due to disruption of cerebral circulation and embolization. We performed a systematic meta-analysis on the impact of proximal landing zone (PLZ) location on stroke and 30-day mortality following TEVAR.
Source: Journal of Vascular Surgery - August 20, 2022 Category: Surgery Authors: Yuchi Ma, Mishal Siddiqui, Syed Farhan, Francisco Albuquerque, Robert Larson, Mark Levy, Josue Chery, Daniel Newton Tags: Open and Endovascular Aortic Repair Source Type: research

Outcomes of Thoracic Endovascular Aortic Repair for Uncomplicated Type B Dissections Based Upon Chronicity
For uTBAD the timing of TEVAR does note appear to be independently predictive of 30-day or 1-year mortality. However, interventions for hyperacute dissections there is an increased risk of stroke, SCI, and reintervention as shown by this multicenter retrospective study of 1,476 TEVAR for uTBAD.
Source: Journal of Vascular Surgery - August 6, 2022 Category: Surgery Authors: Jaideep Das Gupta, Isaac N. Naazie, Sina Zarrintan, Adam W. Beck, Gregory A. Magee, Mahmoud B. Malas Source Type: research

The Effect of More Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair: A Meta-Analysis
Stroke remains a significant limitation to the widespread adoption of thoracic endovascular repair (TEVAR) in current practice. The risk is believed to increase further with more proximal stent deployment owing to disruption of cerebral circulation. The aim of this study was to systematically analyze the literature on the impact of proximal landing zone (PLZ) placement on stroke and 30-day mortality after TEVAR.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Yuchi Ma, Mishal S. Siddiqui, Syed A. Farhan, Francisco C. Albuquerque, Robert Larson, Mark M. Levy, Katherine M. Klein, Daniel H. Newton Tags: IP: Interactive Poster Session Source Type: research

Comprehensive Network Meta-Analysis of Outcomes for the Treatment of Extracranial Carotid Artery Aneurysms
Extracranial carotid artery aneurysms (ECCAs) are rare and associated with increased stroke and mortality if left untreated. Current studies have only evaluated surgical management; thus, our comprehensive review compared the outcomes between (1) conservative treatment, (2) open repair, and (3) endovascular repair.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Tiam Feridooni, Cesar Cuen-Ojeda, Michael Lee, Abdelrahman Zamzam, Mohammed Al-Omran Tags: IPC: International Poster Competition Source Type: research

Patients Undergoing Complex Endovascular Aortic Repair Performed by Higher Volume Surgeons Are Less Likely to Experience Postoperative Stroke and Spinal Cord Ischemia
The impact of a surgeon ’s complex endovascular aortic repair (cEVAR) volume on surgical outcomes is unknown. We compared patient outcomes based on the annual cEVAR repair volume of the vascular surgeon.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Peter V. Cooke, C.Y. Maximilian Png, Justin M. George, Matthew J. Eagleton, Rami O. Tadros Tags: PC: Poster Competition Source Type: research

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