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Procedure: Endovascular Repair (EVAR)

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Total 259 results found since Jan 2013.

Risk factors for distal stent graft-induced new entry following endovascular repair of type B aortic dissection.
CONCLUSIONS: Our results show that TEVAR performed during the acute phase and using stent grafts longer than 145 mm could decrease the incidence of DSINE in patients with TBAD. Tapered stent grafts with a proximal end 4-8 mm larger than the distal end may be helpful in preventing DSINE after TEVAR performed in the acute phase than TEVAR performed in the chronic phase, due to the difference in mobility of the dissected flap. Expedite repeat TEVAR is recommended to improve the clinical prognosis for patients with DSINE. PMID: 26716029 [PubMed]
Source: Journal of Thoracic Disease - January 16, 2016 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

Open aortic arch replacement in high-risk patients: the gold standard AORTIC SURGERY
CONCLUSIONS Open TAR can be performed with low mortality and morbidity and excellent long-term results even in high-risk patients. Total endovascular repair may represent an option for patients not suitable for open surgery.
Source: European Journal of Cardio-Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Iafrancesco, M., Ranasinghe, A. M., Dronavalli, V., Adam, D. J., Claridge, M. W., Riley, P., McCafferty, I., Mascaro, J. G. Tags: Pericardium AORTIC SURGERY Source Type: research

Endovascular repair of pseudoaneurysms after open surgery for aortic coarctation
CONCLUSIONS Endovascular treatment of post-coarctation pseudoaneurysms is feasible in elective and emergency cases, yielding durable results in the long term. Due to anatomical specifics, implantation may be challenging and requires careful procedural planning. On-site cardiothoracic surgery backup is essential in case open conversion is required.
Source: Interactive CardioVascular and Thoracic Surgery - December 26, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Kotelis, D., Bischoff, M. S., Rengier, F., Ruhparwar, A., Gorenflo, M., Böckler, D. Tags: Pericardium Adult Cardiac Source Type: research

Cardiac risk stratification in patients undergoing endovascular aortic repair.
Authors: Biagi P, de Donato G, Setacci C Abstract Endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAA) is the preferred first treatment option in case of patients with advanced age and/or fit anatomy owing to shorter length of in hospital staying, less complications or laparotomy-related re- interventions, and lower initial costs. Although it is a less-invasive intervention, EVAR entails a risk similar to that of open aortic procedures for medical comorbidities, and a perioperative clinical evaluation is mandatory to minimize the early and late cardiovascular risk. In this brief review the determi...
Source: Minerva Cardioangiologica - November 18, 2015 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research

Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients with Connective Tissue Disorders
Conclusions Most patients with CTDs who require operations beyond the aortic root have aortic dissection and require multiple reinterventions. Staged repair strategies, including open repair in combination with TEVAR, are feasible, and benefits outweigh risks. These patients require lifelong imaging surveillance.
Source: The Annals of Thoracic Surgery - November 4, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients with Connective Tissue Disorders.
CONCLUSIONS: Most patients with CTDs who require operations beyond the aortic root have aortic dissection and require multiple reinterventions. Staged repair strategies, including open repair in combination with TEVAR, are feasible, and benefits outweigh risks. These patients require lifelong imaging surveillance. PMID: 26545624 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 3, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Roselli EE, Idrees JJ, Lowry AM, Masabni K, Soltesz EG, Johnston DR, Kalahasti V, Blackstone EH, Sabik JF, Lytle BW, Svensson LG Tags: Ann Thorac Surg Source Type: research

Intervention Associated Acute Kidney Injury and Long-Term Cardiovascular Outcomes
Background: Acute kidney injury (AKI) has been associated with all-cause short- and long-term mortality. However, its association with cardiovascular (CV) events remains unclear. We sought to investigate this in patients undergoing open (OAR) or endovascular (EVAR) abdominal aortic aneurysm repair, as they are likely to develop both AKI and CV morbidity. A meta-analysis was subsequently performed to confirm this in other CV-interventions. Methods: AKI-incidence was assessed in a multicentre-cohort of 1,068 patients undergoing EVAR (947 individuals) or OAR electively using the ‘Acute Kidney Injury Network' criteria. A com...
Source: American Journal of Nephrology - October 24, 2015 Category: Neurology Source Type: research

Intervention Associated Acute Kidney Injury and Long-Term Cardiovascular Outcomes.
CONCLUSION: AKI is associated with long-term CV events after surgery or endovascular intervention. PMID: 26495853 [PubMed - as supplied by publisher]
Source: American Journal of Nephrology - October 24, 2015 Category: Urology & Nephrology Authors: Saratzis A, Harrison S, Barratt J, Sayers RD, Sarafidis PA, Bown MJ Tags: Am J Nephrol Source Type: research

Open Repair of Aneurysms of the Thoracoabdominal Aorta
Conclusion In an era of evolving endovascular alternatives to open surgery for TAAA, this contemporary series from an aortic center show excellent results that are comparable to most series of treated TAAA, both open and endovascular. It is highly probable that the case selection for the two treatment options should be made in centralized dedicated aortic centers with skills to handle all strategies of care.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - September 24, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Kazen, Ulrika PalmerBlohmé, LinusOlsson, ChristianHultgren, Rebecka Tags: Original Cardiovascular Source Type: research

Open Repair of Aneurysms of the Thoracoabdominal Aorta.
Conclusion In an era of evolving endovascular alternatives to open surgery for TAAA, this contemporary series from an aortic center show excellent results that are comparable to most series of treated TAAA, both open and endovascular. It is highly probable that the case selection for the two treatment options should be made in centralized dedicated aortic centers with skills to handle all strategies of care. PMID: 26402738 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - September 24, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Kazen UP, Blohmé L, Olsson C, Hultgren R Tags: Thorac Cardiovasc Surg Source Type: research

Distal aortic reintervention after surgery for acute DeBakey type I or II aortic dissection: open versus endovascular repair AORTIC SURGERY
CONCLUSIONS Endovascular intervention for descending aortic pathologies after DeBakey type I or II dissection surgical repair is associated with lower in-hospital mortality and better survival, and does not raise the likelihood of later reinterventions at the mid-term follow-up.
Source: European Journal of Cardio-Thoracic Surgery - July 13, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Rylski, B., Beyersdorf, F., Desai, N. D., Euringer, W., Siepe, M., Kari, F. A., Vallabhajosyula, P., Szeto, W. Y., Milewski, R. K., Bavaria, J. E. Tags: Pericardium AORTIC SURGERY Source Type: research

Groups Issue Guidance on Endovascular Repair of Ischemic Stroke (FREE)
By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH Early endovascular therapy with a stent retriever — a self-expanding stent that can retrieve blood clots and restore circulation — is now recommended for certain patients with acute ischemic stroke, according to …
Source: Physician's First Watch current issue - June 30, 2015 Category: Primary Care Source Type: news

Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm.
CONCLUSION: TEVAR is safe and effective for treating DTAAs with improved perioperative and long-term outcomes compared with open repair. PMID: 26069110 [PubMed - as supplied by publisher]
Source: Yonsei Medical Journal - June 13, 2015 Category: Universities & Medical Training Authors: Lee HC, Joo HC, Lee SH, Lee S, Chang BC, Yoo KJ, Youn YN Tags: Yonsei Med J 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

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. PMID: 25912743 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: van Bogerijen GH, Patel HJ, Eliason JL, Criado E, Williams DM, Knepper J, Yang B, Deeb GM Tags: Ann Thorac Surg Source Type: research