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Effectiveness of endovascular repair versus open surgery for the treatment of thoracoabdominal aneurysm: A systematic review and meta analysis
CONCLUSION: Current evidence supports the use of endovascular repair over open surgery. However, there is a need to conduct dedicated randomized controlled trials to effectively compare and determine the benefits and risk of both strategies.PMID:36147154 | PMC:PMC9486727 | DOI:10.1016/j.amsu.2022.104477
Source: Annals of Medicine - September 23, 2022 Category: Internal Medicine Authors: Aayat Ellahi Fahd Niaz Shaikh Haider Kashif Hamna Khan Eman Ali Bushra Nasim Mariam Adil Zunera Huda Ayesha Liaquat Muhammad Sameer Arshad Source Type: research

Systematic Review and Meta-analysis of Physician Modified Endografts for Treatment of Thoraco-Abdominal and Complex Abdominal Aortic Aneurysms
CONCLUSION: Physician modified fenestrated or branched grafts for endovascular aortic repair seems feasible and safe in the short-term follow-up. However, the quality of the available data is low which highlights the need for better and more accurate data regarding this technique.PMID:35483575 | DOI:10.1016/j.ejvs.2022.04.015
Source: PubMed: Eur J Vasc Endovasc ... - April 28, 2022 Category: Surgery Authors: Ryan Gouveia E Melo Carlota Fern ández Prendes Daniel Caldeira Jan Stana Barbara Rantner Anders Wanhainen Gustavo S Oderich Nikolaos Tsilimparis Source Type: research

Endovascular versus open surgical repair for complicated chronic Type B aortic dissection
CONCLUSIONS: Due to lack of RCTs or CCTs investigating the effectiveness and safety of TEVAR compared to OSR for patients with complicated CBAD, we are unable to provide any evidence to inform decision-making on the optimal intervention for these patients. High-quality RCTs or CCTs addressing this objective are necessary. However, conducting such studies will be challenging for this life-threatening disease.PMID:34905228 | DOI:10.1002/14651858.CD012992.pub2
Source: Cochrane Database of Systematic Reviews - December 14, 2021 Category: General Medicine Authors: Fionnuala Jordan Brian FitzGibbon Edel P Kavanagh Peter McHugh Dave Veerasingam Sherif Sultan Niamh Hynes 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

Outcomes of Open v. Endovascular Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms
CONCLUSIONS: Open repair of descending thoracic and thoracoabdominal aneurysms can achieve acceptable short-term outcomes with better intermediate-term outcomes than endovascular repair.PMID:34048754 | DOI:10.1016/j.athoracsur.2021.04.100
Source: The Annals of Thoracic Surgery - May 28, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michael Z Tong Matthew J Eagleton Eric E Roselli Eugene H Blackstone Fei Xiang Mudathir Ibrahim Douglas R Johnston Edward G Soltesz Faisal G Bakaeen Sean P Lyden Andrew J Toth Huan Liu Lars G Svensson Source Type: research

Total Arch Replacement with Concomitant Retrograde Stent Graft Deployment via Ministernotomy in Acute Aortic Dissection.
CONCLUSIONS: Retrograde TEVAR in combination with total arch replacement via an upper ministernotomy might be safe and effective in treating acute type A aortic dissection, with fairly low mortality and perioperative complications, and a very good rate of total false lumen thrombosis in midterm follow up. PMID: 32364906 [PubMed - as supplied by publisher]
Source: The Heart Surgery Forum - March 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tran TQ, Nguyen AT Tags: Heart Surg Forum Source Type: research

Outcome After Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm: A National Multicentre Study.
CONCLUSIONS: This nationwide multicentre study of patients with rDTAA undergoing TEVAR showed acceptable short- but poor long-term survival. Adequate proximal and distal aortic sealing zones are important for technical success. High risk patients and post-operative complications need to be further addressed in an effort to improve outcome. PMID: 30910493 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 21, 2019 Category: Surgery Authors: Sari H, Thomas L, Rebecka H, Anders W, Kevin M, Timothy R, Mårten F, Claes F, Björn S, Artai P, Håkan R, Tina H, Shazhad K, Jonas H, Carl-Magnus W Tags: Eur J Vasc Endovasc Surg Source Type: research

The Impact of Thoracic Endovascular Aortic Repair on Long-Term Survival in Type B Aortic  Dissection
Conclusions The treatment of uncomplicated aTBAD with optimal medical therapy results in a high incidence of surgical intervention and poor long-term survival. At the index hospitalization, TEVAR may confer a survival advantage and serve as optimal therapy for complicated and uncomplicated aTBAD patients.
Source: The Annals of Thoracic Surgery - August 16, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Impact of Thoracic Endovascular Aortic Repair on Long-Term Survival in Type B Aortic  Dissection.
CONCLUSIONS: The treatment of uncomplicated aTBAD with optimal medical therapy results in a high incidence of surgical intervention and poor long-term survival. At the index hospitalization, TEVAR may confer a survival advantage and serve as optimal therapy for complicated and uncomplicated aTBAD patients. PMID: 28811003 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Lou X, Chen EP, Duwayri YM, Veeraswamy RK, Jordan WD, Zehner CA, Leshnower BG Tags: Ann Thorac Surg Source Type: research

Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum
Conclusions Aberrant subclavian arteries and associated Kommerell diverticulum can be treated with acceptable rates of mortality and morbidity. The evolution toward an endovascular approach did not appear to affect late outcomes, suggesting that the choice of treatment should be based on patient-specific anatomy and associated comorbidities.
Source: The Annals of Thoracic Surgery - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

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