Matteo Stefanini, Laura M Cacioppa, Luigi Bellini, Luca Ginanni Corradini, Adolfo D'Onofrio, Giovanni Simonetti
BACKGROUND: Carotid artery stenting (CAS) has become a cornerstone of carotid revascularization for stroke prevention. Despite the advantages of CAS, large-scale randomized trials involving prior (single-layer) generation of carotid stents demonstrated its higher risk of periprocedural cerebrovascular events compared to carotid endarterectomy (CEA). Dual-layer mesh-covered stents (DLSs) showed promising results in terms of 30-day embolic events. This study aims to evaluate 30-day clinical efficacy of DLS against a closed-cell single-layer stent, based on large-volume data...
May 10, 2024: Journal of Cardiovascular Surgery
Konstantinos P Donas
No abstract text is available yet for this article.
April 18, 2024: Journal of Cardiovascular Surgery
Marco V Usai, Efthymios Beropoulis, Stefano Fazzini, Konstantinos Avranas, Yousef Khatatba, Apostolos Pitoulias, Gergana T Taneva, Martin J Austermann, Konstantinos P Donas
BACKGROUND: The aim of this study was to evaluate the early results of the CE-marked standardized device combination consisting of Endurant and the Radiant chimney graft (En-ChEVAR) for the treatment of juxtarenal aortic aneurysms. METHODS: We analyzed multicentric non-industry sponsored case series evaluating the EnChEVAR technique for patients treated between December 2022 and February 2024. Clinical, perioperative procedure-related and radiological data were collected...
April 18, 2024: Journal of Cardiovascular Surgery
Stefano Fazzini, Valerio Turriziani, Luca Tonidandel, Simona Vona, Andrea Ascoli Marchetti, Arnaldo Ippoliti, Martin Austermann, Giovanni Torsello
BACKGROUND: The aim of this study was to evaluate the anatomical feasibility of current available fenestrated endografts (FEVAR) and on-label chimney technique (EnChEVAR) in patients with complex abdominal aortic aneurysms (C-AAA). METHODS: Feasibility of EnChEVAR (Endurant II/IIS CE-marked [Medtronic]) and 4 types of FEVAR (Zenith Fenestrated CE-marked, Zenith Fenestrated Low-Profile [LP] custom-made device [CMD] [Cook Medical], Fenestrated Anaconda LoPro90 CMD, Fenestrated Treo CMD [Terumo Aortic]) was assessed according to the manufacturer's instructions for use...
April 18, 2024: Journal of Cardiovascular Surgery
Georgios I Karaolanis, Dimitrios D Papazoglou, Konstantinos P Donas, Fabrice Helfenstein, Drosos Kotelis, Vladimir Makaloski
INTRODUCTION: We performed a systematic review and meta-analysis to assess the existing published evidence regarding the safety and efficacy of the endovascular aortic repair with chimney technique (ch-EVAR) and physician-modified stent-grafts (PMSGs) for the treatment of pararenal aortic aneurysm repair. EVIDENCE ACQUISITION: A systematic search of all relevant studies reported until October 2023 according to the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines was performed...
April 18, 2024: Journal of Cardiovascular Surgery
Paolo Spath, Federica Campana, Enrico Gallitto, Rodolfo Pini, Chiara Mascoli, Gemmi Sufali, Stefania Caputo, Alessia Sonetto, Gianluca Faggioli, Mauro Gargiulo
Endovascular aortic repair (EVAR) is nowadays the establishment treatment for patients with abdominal aortic aneurysm (AAA) both in elective and urgent setting. Despite the large applicability and satisfactory results, the presence of hostile iliac anatomy affects both technical and clinical success. This narrative review aimed to report the impact of iliac access and related adjunctive procedures in patients undergoing EVAR in elective and non-elective setting. Hostile iliac access can be defined in presence of narrowed, tortuous, calcified, or occluded iliac arteries...
April 18, 2024: Journal of Cardiovascular Surgery
Dariusz Zieliński, Szymon Darocha, Arkadiusz Pietrasik, Michał Machowski, Krzysztof Wróbel, Marcin Kurzyna, Piotr Pruszczyk, Adam Torbicki, Andrzej Biederman
BACKGROUND: This study aimed to assess the prevalence of chronic thromboembolic lesions in the pulmonary arteries among patients undergoing pulmonary embolectomy for acute pulmonary embolism and their impact on treatment outcomes. METHODS: We conducted a retrospective, single-center analysis of consecutive patients undergoing emergency pulmonary embolectomy for acute pulmonary embolism between 2013 and August 2021. According to European Society of Cardiology guidelines, the diagnosis was based on clinical presentation, imaging studies and laboratory tests...
April 18, 2024: Journal of Cardiovascular Surgery
Akito Imai, Kisato Mitomi, Masataka Sato, Kanji Matsuzaki, Taisuke Konishi, Yasunori Watanabe
Although thoracic endovascular repair (TEVAR)-specific complications often develop, stent-graft collapse is a rare, but fatal complication that requires attention. A 62-year-old male underwent TEVAR for a saccular distal arch aortic aneurysm. After the placement of the Gore TAG (W. L. Gore & Associates, Inc., Newark, DE, USA) from zones 2 to 4, a Najuta endograft (Kawasumi Laboratories, Inc., Tokyo, Japan) was deployed from zone 0. Neither intraoperative angiography nor postoperative contrast-enhanced computed tomography (CT) showed endoleaks or migration...
April 15, 2024: Journal of Cardiovascular Surgery
Luca Mezzetto, Mario D'Oria, Enrico Gallitto, Nicola Troisi, Ciro Ferrer, Elisa Zanetti, Beatrice Grando, Davide Mastrorilli, Rocco Giudice, Raffaella Berchiolli, Mauro Gargiulo, Sandro Lepidi, Gian F Veraldi
BACKGROUND: Endovascular treatment is nowadays accepted as first-line treatment for most patients with aorto-iliac obstructive disease (AIOD), including those with Trans-Atlantic Inter-Society Consensus II (TASC-II) lesion types C and D. Aim of the study was to evaluate the role of Viabahn VBX (W. L. Gore and Associates, Flagstaff, AZ, USA), in patients with chronic occlusive aorto-iliac disease (ChO). METHODS: A retrospective review of patients undergone elective endovascular repair with VBX (W...
April 15, 2024: Journal of Cardiovascular Surgery
Gergana T Taneva, Apostolos G Pitoulias, Konstantinos Avranas, Konstantinos P Donas
This article summarizes the key findings in literature up to date on the endovascular treatment of complex abdominal aortic aneurysms (AAAs) employing the chimney technique. Additionally, an unexplored pitfall is described regarding the target vessel angulation. Although balloon-expandable covered stents present more favorable configuration in downward-oriented target vessels, transverse and upward-oriented target vessels may benefit from other endovascular techniques imploring careful case planning and further investigation on the topic...
April 15, 2024: Journal of Cardiovascular Surgery
Cornelis G Vos, Fatima Fouad, Isabel M Dieleman, Richte Cl Schuurmann, Jean-Paul Pm de Vries
The initial success and widespread adoption of endovascular aneurysm repair (EVAR) for the treatment of abdominal aortic aneurysms have been tempered by numerous reports of secondary interventions and increased long-term mortality compared with open repair. Over the past decade, several studies on postoperative sac dynamics after EVAR have suggested that the presence of sac regression is a benign feature with a favorable prognosis. Conversely, increasing sacs and even stable sacs can be indicators of more unstable sac behavior with worse outcomes in the long-term...
March 29, 2024: Journal of Cardiovascular Surgery
Isabella S Florissi, Matthew Acton, Irina Kolesnik, Chetan Pasrija, Ishani Patel, Eric Etchill, Sari D Holmes, Rachael Quinn, James S Gammie
BACKGROUND: The redundant leaflet tissue and annular pathology of Barlow disease can make surgical repair challenging. We examined perioperative and late outcomes of a large cohort of patients with Barlow disease undergoing surgical repair. METHODS: Patients included in this analysis underwent mitral valve repair from 01/2004-11/2021 by a single surgeon. RESULTS: Of 2798 patients undergoing mitral valve operations, 46% (N.=1292) had degenerative pathology and 7% (N...
March 20, 2024: Journal of Cardiovascular Surgery
Mario D'Oria, Sandro Lepidi, Rocco Giudice, Jacob Budtz-Lilly, Ciro Ferrer
BACKGROUND: By this survey, we aim to gain national-based information regarding trends in endovascular repair (ER) for the treatment of aortic disease in patients with genetically-triggered aortic disease (GTAD) and connective tissue disorder (CTD) over the last two decades. METHODS: All Italian vascular surgery centers (N.=80) were invited to participate in an anonymous electronic cross-sectional survey on ER for GTAD/CTD. RESULTS: Overall, 29 institutions completed the survey, thereby yielding a 36% response rate...
March 14, 2024: Journal of Cardiovascular Surgery
Sabet W Hashim, Susan Collazo, Amanda Greco, Jeff F Mather, Raymond G McKay
BACKGROUND: Optimal anticoagulation strategies have not been defined for patients with atrial fibrillation following cardiac surgery. METHODS: From a total cohort of 228 patients with pre-existing or new onset atrial fibrillation following coronary artery bypass grafting and/or valve surgery, we compared in-hospital and 30-day outcomes in 119 patients treated with low-dose aspirin and a half-dose direct oral anticoagulant (DOAC) versus 109 treated with low-dose aspirin and warfarin...
March 12, 2024: Journal of Cardiovascular Surgery
Razan A Alsuayri, Abdullah K Alassiri, Ahmed K Awad, Mohammed N Faleh, Rasha T Baqays, Massimo Porqueddu
INTRODUCTION: Deciding whether to perform coronary artery bypass grafting (CABG) alone or in combination with mitral valve repair is a common dilemma encountered by surgeons when treating patients with ischemic mitral regurgitation, a common condition related to coronary artery disease. Although ischemic mitral regurgitation after CABG has been linked to unfavorable results, the benefits of including mitral valve repair are still unknown. This discrepancy led us to undertake a systematic review and meta-analysis to determine whether combining CABG with mitral valve surgery leads to better clinical results than CABG alone...
March 6, 2024: Journal of Cardiovascular Surgery
Lin-Lin Chen, Yun-Tai Yao
INTRODUCTION: The current study was designed to systemically investigate the impact of RIC on intra- and postoperative bleeding and transfusion in patients undergoing cardiac surgery. EVIDENCE ACQUISITION: We included all randomized controlled trials (RCTs) comparing RIC with control on intra- and postoperative blood loss and blood transfusion. The inclusion criteria were as follows: 1) adult patients undergoing cardiac surgery; 2) RCT; 3) perioperative administration of RIC compared to control; 4) outcomes of interest reported...
February 27, 2024: Journal of Cardiovascular Surgery
Peter Gloviczki
The goal of vascular surgery education is to provide the best possible training to vascular residents and fellows and to assure the highest standards of care for patients with vascular disease. In the USA, the currently used Vascular Surgery Milestones Program includes milestones as set targets at five levels, from novice to expertise, to assess the trainees' performance in knowledge, skills, attitudes, and other attributes of competencies. Competencies are broad and foundational domains of ability, the most important being the care of the patient...
February 23, 2024: Journal of Cardiovascular Surgery
Muhammad O Larik, Abdul R Shahid, Moeez I Shiraz, Maryam Urooj
INTRODUCTION: Coronary artery bypass grafting (CABG) is a surgical procedure that restores blood flow to heart muscle by bypassing the blocked or narrowed coronary arteries. On the other hand, subclinical hypothyroidism (SCH) is characterized by an elevated serum concentration of thyroid stimulating hormone with normal levels of serum free thyroxine. With limited research into the impact of SCH on postoperative CABG outcomes, this systematic review and meta-analysis was performed. EVIDENCE ACQUISITION: An electronic search of PubMed, Cochrane Library, and Scopus was performed from inception to April 2023...
April 2024: Journal of Cardiovascular Surgery
Marie-Catherine Morgant, Chloé Bernard, Luc Lorgis, Olivier Bouchot
Pulmonary homograft dysfunction is challenging to treat in patients with a previous Ross procedure, and results in significant morbidity and mortality in case of reoperation. We report the case of a patient with early severe pulmonary homograft stenosis 18 months after a Ross procedure and successful management using transcatheter pulmonary valve replacement.
February 12, 2024: Journal of Cardiovascular Surgery
Gabby Elbaz-Greener, Eldad Rahamim, Zahi Abu Ghosh, Naseem Shadafny, Ronny Alcalai, Amit Korach, Shemy Carasso, Harindra C Wijeysundera, Tomas Igor, Offer Amir, Guy Rozen, David Planer
BACKGROUND: Based on worldwide registries, approximately 50% of patients who underwent aortic valve replacement (AVR) via surgical aortic valve replacement are females. Although AVR procedures have improved greatly in recent years, differences in outcome including mortality between sexes remain. We aimed to investigate the trends in SAVR outcomes in females versus males. METHODS: Using the 2011-2017 National Inpatient Sample (NIS) database, we identified hospitalizations for patients with diagnosis of aortic stenosis during which SAVR was performed...
February 9, 2024: Journal of Cardiovascular Surgery
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