journal
https://read.qxmd.com/read/36534125/is-silver-still-the-holy-grail-for-vascular-grafts
#21
REVIEW
Hozan Mufty, Inge Fourneau
Vascular graft infection (VGI) remains one of the most difficult topics within the field of vascular surgery. Despite many preventive measures, infection risk remains present. Mortality and morbidity rates are high, both for peripheral and aortic VGI. Articles reporting on the treatment of VGI are often small, heterogenous or even under reported, which is especially the case for the outcome of different bypass materials that can be used for peripheral VGI. This is one of the reasons why the evidence of which type of vascular graft that should be used in the current guidelines of the European Society of Vascular surgery on the treatment of aortic graft infection is limited to Level C,Class IIa...
June 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37255497/unfractionated-heparin-and-the-activated-clotting-time-in-non-cardiac-arterial-procedures
#22
JOURNAL ARTICLE
Liliane C Roosendaal, Willemijn van den Ancker, Arno M Wiersema, Jan D Blankensteijn, Vincent Jongkind
INTRODUCTION: Unfractionated heparin is administered during non-cardiac arterial procedures (NCAP) to prevent thromboembolic complications. In order to achieve a safe level of anticoagulation, the effect of heparin can be measured. The aim of this review was to provide an overview on what is known about heparin, suggested tests to monitor the effect of heparin, including the activated clotting time (ACT), and the factors that could influence that ACT. EVIDENCE ACQUISITION: A literature search in PubMed was performed...
May 31, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37255496/gore-thoracoabdominal-branched-endoprosthesis-early-result-and-impressions
#23
JOURNAL ARTICLE
Vivian C Gomes, Mark A Farber, Federico E Parodi
The remarkable advances in technology and devices in the last two decades have made possible the endovascular repair of complex abdominal (cAAA) and thoracoabdominal (TAAA) aortic aneurysms with challenging anatomy. To date, despite the creation of multiple fenestrated/branched endografts intended to treat these difficult cases, in the USA, many of them remain available only under physician sponsored investigational device exemption (PSIDE) protocols in few institutions. The Gore Thoracoabdominal Branched Endoprosthesis (TAMBE; W...
May 31, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37255495/lysis-and-covered-endovascular-reconstruction-of-the-aortic-bifurcation-la-cerab-technique-for-chronic-juxtarenal-aortic-occlusions
#24
JOURNAL ARTICLE
David J Minion
BACKGROUND: The purpose of this study was to review early experience with catheter directed thrombolysis in the setting of chronic juxtarenal aortic occlusion as an initial therapy to allow safe definitive management with placement of aorto-iliac endografts. METHODS: A retrospective review was performed of all patients with a diagnosis of chronic juxtarenal aortic occlusion treated by the author with initial catheter directed thrombolysis. In all, six patients (five males and one female, average age of 57 years) treated between 2019 and 2022 met criteria...
May 31, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37255494/current-perspectives-in-acute-type-b-aortic-dissections-a-literature-review
#25
JOURNAL ARTICLE
Alice Lopes, Ryan Gouveia E Melo, Pedro Amorim, Ruy Fernandes E Fernandes, Luís Mendes Pedro
In this new millennial, endovascular strategies have revolutionized the treatment of acute type B aortic dissection (aTBAD). With reduced in-hospital mortality and good long-term outcomes TEVAR has become the gold standard for the treatment of complicated dissection and is gaining increasing support for its preventive applicability in some uncomplicated dissections. With this new paradigm came a shift of the treatment goal where just covering the entry tear is not enough and instead achieving long-term positive thoracoabdominal remodeling is needed...
May 31, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37255493/minimally-invasive-strategies-of-surgical-coronary-artery-revascularization-for-the-aging-population
#26
JOURNAL ARTICLE
Magdalena I Rufa, Adrian Ursulescu, Dincer Aktuerk, Ragi Nagib, Marc Albert, Nora Göbel, Tunjay Shavahatli, Ulrich F Franke
BACKGROUND: The increasing prevalence of elderly or frail patients with severe coronary disease, who are not suitable for interventional coronary revascularization, necessitates the exploration of alternative treatment options. A less invasive approach, such as minimally-invasive off-pump coronary-artery-bypass (MICS-CABG) grafting through mini-thoracotomy, which avoids both extracorporeal circulation and sternotomy, may be more appropriate for this patient population. This study, a retrospective, monocentric analysis, aimed to evaluate the long-term outcomes of these patients...
May 31, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37255492/association-between-preoperative-blood-pressure-and-outcomes-in-cardiac-surgery-results-of-a-prospectively-planned-cohort-study
#27
JOURNAL ARTICLE
Lucas Molinari Veloso da Silveira, Sandra Costa Fuchs, Gabriela Brendel Blum, Leonardo Grabinski Bottino, Flávio Danni Fuchs
BACKGROUND: It is unknown whether unwitnessed BP (UBP) measurement or ambulatory BP (ABP) monitoring improves the prediction of adverse events estimated by risk scores. We intended to study associations between preoperative BP measured through these two methods and the incidence of adverse outcomes in patients undergoing cardiac surgery. METHODS: We included a cohort of 167 patients undergoing elective or urgent cardiac surgeries. Preoperative BP was measured by UBP and 24-hour ABP...
May 31, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37199677/suitability-of-current-off-the-shelf-devices-for-endovascular-taaa-repair-a-systematic-review
#28
JOURNAL ARTICLE
Victor Bilman, Enrico Rinaldi, Diletta Loschi, Basheer Sheick-Yousif, Germano Melissano
INTRODUCTION: The aim of the present study is to perform a systematic review of published papers regarding the suitability of the current off-the-shelf (OTS) devices for endovascular thoracoabdominal aortic aneurysm (TAAA) repair. EVIDENCE ACQUISITION: A systematic review of the MEDLINE database via PubMed was performed in March 2023. All studies reporting the outcomes of the three currently available OTS stent-grafts: the Zenith t-Branch (Cook Medical, Bloomington, IN, USA), the Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE; W...
May 18, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37162242/the-possible-extinction-of-cardiothoracic-surgeons-in-puerto-rico-a-thorough-reflection-to-face-a-cutting-edge-challenge
#29
JOURNAL ARTICLE
José L Álvarez Gómez
No abstract text is available yet for this article.
May 10, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37162241/open-management-of-complex-infrarenal-aortic-occlusive-disease
#30
JOURNAL ARTICLE
Ysabel C Ilagan-Ying, Britt H Tonnessen
Open aortic reconstruction for complex aortoiliac occlusive disease is a time-honored and durable solution. Symptoms manifest as disabling claudication or chronic limb threatening ischemia in patients with multilevel disease. Advanced endovascular techniques have supplanted a large volume of aortic surgery. Nonetheless, it is essential for surgeons-in-training to learn and hone their skills in open aortic surgery. Comprehensive literature review over the past 50 years was conducted on the topics of "aortic occlusive disease," "aortic bypass," and "iliofemoral bypass...
May 10, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37162240/contemporary-approaches-for-the-management-of-aorto-iliac-occlusive-disease
#31
JOURNAL ARTICLE
Arsalan Wafi, Mohamed S Hosny, Sanjay Patel, Lukla Biasi, Athanasios Saratzis, Hany Zayed
Aortoiliac occlusive disease (AIOD) secondary to peripheral arterial disease remains a challenging condition to manage due to anatomical complexities and comorbidities. Operative morbidity and mortality rates are high, and best-practice guidelines have traditionally been limited by a paucity of good quality evidence to aid decision-making. The advent of endovascular technology has enabled the clinician in providing a less invasive option in patients unsuitable for open surgery, but durability of endovascular approaches has remained questionable...
May 10, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37162239/thirty-day-mortality-in-females-after-elective-and-urgent-abdominal-aortic-aneurysm-repair
#32
JOURNAL ARTICLE
Petroula Nana, Konstantinos Spanos, Christian-Alexander Behrendt, Konstantinos Dakis, Alexandros Brotis, George Kouvelos, Athanasios Giannoukas, Tilo Kolbel
INTRODUCTION: Female sex is a risk factor of post-operative mortality and morbidity after abdominal aortic aneurysm (AAA) repair. The aim of this systematic review is to assess the sex-specific early mortality following both elective and urgent AAA repair. EVIDENCE ACQUISITION: The Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were followed. Observational studies (2000-2022), of the English medical literature, focusing on early mortality after AAA repair in females under elective or urgent setting were eligible...
May 10, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37162238/zilverpass-study-zilver-ptx-stent-vs-bypass-surgery-in-femoropopliteal-lesions-3-year-results-and-economic-analysis
#33
JOURNAL ARTICLE
Marc Bosiers, Gianmarco DE Donato, Giovanni Torsello, Pierre Galvagni Silveira, Koen Deloose, Dierk Scheinert, Pierfrancesco Veroux, Jeroen Hendriks, Lieven Maene, Koen Keirse, Tulio Navarro, Joren Callaert, Hans-Henning Eckstein, Jörg Teβarek, Alessia Giaquinta, Wouter van den Eynde, Jürgen Verbist, Jasmin Ahl-Gravsen
BACKGROUND: To report the 3-year safety and effectiveness results of a multicenter, prospective, randomized controlled trial comparing the ZILVER PTX paclitaxel-eluting stent to surgical bypass and to conduct a health economic analysis up to 3-year follow-up of the two treatment modalities. METHODS: This is a study in symptomatic TransAtlantic Inter-Society Consensus (TASC) C and D femoropopliteal lesions comparing endovascular ZILVER PTX stenting vs. surgical bypass surgery using a prosthetic graft (ClinicalTrials...
May 10, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37162237/subclavian-artery-revascularization-with-subclavian-carotid-transposition-for-tevar-and-non-tevar-patients
#34
JOURNAL ARTICLE
Francesco Stilo, Vincenzo Catanese, Nunzio Montelione, Antonio Nenna, Fabio Pilato, Teresa Gabellini, Massimo Chello, Vincenzo DI Lazzaro, Francesco Spinelli
BACKGROUND: Subclavian artery revascularization (SAR) has become an increasingly performed technique in patients undergoing thoracic endovascular aortic aneurysm repair (TEVAR), in order to optimize the proximal landing zone, or in patients with significant atherosclerotic diseases. SAR was usually achieved through carotid-subclavian bypass (CSB) which is daunted by graft and patency-related issues, or through subclavian carotid transposition (SCT) which has recently been reconsidered as a potential solution...
May 10, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37078986/the-long-journey-of-acute-limb-ischemia-management-from-the-disappointing-observation-of-a-medical-student-to-precision-medicine-and-the-tailored-endovascular-treatment
#35
JOURNAL ARTICLE
Gianmarco de Donato, Edoardo Pasqui
No abstract text is available yet for this article.
April 20, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37078985/mechanical-thrombectomy-in-acute-limb-ischemia-ad-interim-results-of-the-indian-up-trial
#36
JOURNAL ARTICLE
Gianmarco de Donato, Edoardo Pasqui, Maria A Ruffino, Massimo Sponza, Angelo Spinazzola, Giuseppe Guzzardi, Francesco Intrieri, Daniele Savio, Giancarlo Palasciano
BACKGROUND: Penumbra/Indigo aspiration thrombectomy Systems (Penumbra Inc.) in patients with acute lower limb ischemia (ALLI) is becoming a fundamental alternative to surgical and intra-arterial thrombolysis. The INDIAN UP trial represents the second phase of the Italian national multicenter trial evaluating the safety and effectiveness of the device in the treatment of ALLI. METHODS: To assess vessel patency, the TIPI (Thrombo-aspiration In Peripheral Ischemia), is used...
April 20, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37078983/a-modified-aortic-arch-island-anastomosis-with-stent-graft-technique-for-acute-type-a-aortic-dissection-a-retrospective-analysis
#37
JOURNAL ARTICLE
Junbo Feng, Yuntao Hu, Ya-Peng Wang, Juntao Li, Peng Peng, Shenglin Ge
BACKGROUND: A modified aortic arch "island anastomosis" with a stent graft technique was used in 33 patients with acute type A aortic dissection. We retrospectively reviewed our experience of this procedure and the short-term follow-up results. METHODS: This retrospective analysis included 33 patients with acute type A aortic dissection undergoing the modified aortic arch island anastomosis with stent graft procedure. Postoperatively, computed tomography angiography images were obtained before discharge and at 12 months...
April 20, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/36987817/outcomes-of-aortic-arch-repair-using-the-frozen-elephant-trunk-technique-analysis-of-a-scandinavian-center-s-results-over-14-years
#38
JOURNAL ARTICLE
Tina Hellgren, Anders Wanhainen, Rafael Astudillo, Per Vikholm, Laila Hellgren, Kevin Mani
BACKGROUND: The frozen elephant trunk (FET) technique enables repair of aortic arch pathology, with possibility for endovascular treatment of distal thoracic aortic disease. We aimed to study outcomes of FET repair of complex aortic arch disease at a Scandinavian tertiary referral center. METHODS: All patients who underwent FET repair of the aortic arch 2006-2020 were included. Survival, complication and reintervention rate, and aortic remodeling were analyzed. RESULTS: Fifty patients were included: 23 complex thoracic aortic aneurysms involving the aortic arch (TAA), 19 with chronic aortic dissections (CAD) (16 Stanford type A, 3 type B) and 8 acute aortic dissections (AAD) (7 Stanford type A, 1 type B)...
April 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/36987816/determination-of-the-gained-proximal-sealing-zone-length-after-debranching-of-the-left-subclavian-artery-in-thoracic-endovascular-aortic-repair
#39
MULTICENTER STUDY
Isabel M Dieleman, Roy Zuidema, Hector W de Beaufort, Enrico Gallitto, Paolo Spath, Antonino Logiacco, Mauro Gargiulo, Robin H Heijmen, Jean-Paul Pm de Vries, Richte Cl Schuurmann
BACKGROUND: For descending thoracic aortic aneurysms (TAA) in proximity of the aortic arch, debranching of the left subclavian artery (LSA) may be necessary to extend proximal sealing in zone 2. The aim of this study was to determine the added proximal apposition length gained from LSA debranching during thoracic endovascular aortic repair (TEVAR). METHODS: This multicenter retrospective study (2010-2020) included patients who underwent elective TEVAR in zone 2 for a degenerative TAA where the LSA was surgically debranched...
April 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/36987815/sealing-zone-issues-in-different-parts-of-the-aorta-post-endovascular-repair
#40
JOURNAL ARTICLE
Richte Cl Schuurmann, Jean-Paul Pm de Vries
No abstract text is available yet for this article.
April 2023: Journal of Cardiovascular Surgery
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