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JOURNAL ARTICLE
Jiajun Li, Yucong Zhang, Haijun Huang, Yongzhi Zhou, Jing Wang, Min Hu
BACKGROUND: Obesity is a well-known predictor for poor postoperative outcomes of vascular surgery. However, the association between obesity and outcomes of thoracic endovascular aortic repair (TEVAR) is still unclear. This systematic review and meta-analysis was performed to assess the roles of obesity in the outcomes of TEVAR. METHODS: We systematically searched the Web of Science and PubMed databases to obtain articles regarding obesity and TEVAR that were published before July 2023...
2024: PeerJ
#2
JOURNAL ARTICLE
Takumi Osawa, Kazuko Tajiri, Tomoya Hoshi, Masaki Ieda, Tomoko Ishizu
BACKGROUND: Owing to the minimally invasive nature of transcatheter aortic valve replacement (TAVR), TAVR seems to be preferred in patients with cancer; however, related research on the clinical efficacy and safety of TAVR in patients with cancer and severe aortic stenosis is limited, and conclusions are controversial. This study aimed to evaluate the clinical outcomes of patients with cancer who underwent TAVR. METHOD AND RESULTS: We conducted a systematic review and meta-analysis to investigate the clinical outcomes in patients with and without cancer who underwent TAVR...
June 2024: IJC Heart & Vasculature
#3
JOURNAL ARTICLE
Qinshu Wen, Yepeng Zhang, Jun Wei, Mingyang Shen, Guangyan Wu, Xiaolong Du, Xiaoqiang Li, Min Zhou
OBJECTIVE: This multicentre study aimed to assess the early and midterm outcomes of fenestrated physician modified endografts (PMEGs) for endovascular aortic arch repair in zone 0. METHODS: Between 2018 and 2022, a retrospective study was conducted in three centres of consecutive patients undergoing endovascular aortic arch repair in zone 0 with PMEGs. Endpoints included technical success, 30 day mortality, major adverse events, secondary interventions, stent stability, target vessel patency, and overall survival...
April 17, 2024: European Journal of Vascular and Endovascular Surgery
#4
REVIEW
Willard N Applefeld, Jacob C Jentzer
The acute aortic syndromes (AAS) are life-threatening vascular compromises within the aortic wall. These include aortic dissection (AD), intramural hematoma (IMH), penetrating aortic ulcer (PAU), and blunt traumatic thoracic aortic injury (BTTAI). While patients classically present with chest pain, the presentation may be highly variable. Timely diagnosis is critical to initiate definitive treatment and maximize chances of survival. In high-risk patients, treatment should begin immediately, even while diagnostic evaluation proceeds...
May 2024: Cardiology Clinics
#5
JOURNAL ARTICLE
Sebastián Gómez-Galán, Alejandro Velandia-Sánchez, Julián M Corso-Ramírez, Camilo A Polanía-Sandoval, Paula C Florez-Amaya, Sergio A Ortigoza-Espitia, Sofía N Suarez-Vásquez, Lina M Sanabria-Arévalo, Juan G Barrera-Carvajal, Jaime Camacho-Mackenzie
OBJECTIVES: Coronary artery disease (CAD) and abdominal aortic aneurysm (AAA) are common arterial pathologies that might occur simultaneously; however, there is not enough evidence about the optimal strategy for patients with concomitant indications of coronary artery bypass grafting (CABG) and open repair of the AAA (AAOR). This study aims to present the outcomes in low and moderate cardiac surgical risk patients who underwent one-stage or two-stage elective CABG and AAOR in a middle-income country...
April 17, 2024: Vascular
#6
JOURNAL ARTICLE
Yuh Ing Lok, Jaime Villaquiran, James Kuo
Redo ascending and aortic arch surgeries following previous cardiac or aortic surgery are associated with high risk of morbidity and mortality due to multiple factors included sternal re-entry injury, extensive aortic arch surgery, emergency aortic surgery, prolonged cardiopulmonary bypass duration, poor heart function, and patients with older age. Therefore, appropriate surgical strategies are important. We report a case of a 72-year-old gentleman with previous surgery of aortic root replacement who presented with acute Type A aortic dissecting aneurysm of ascending and aortic arch complicated with left hemothorax, which was successfully treated by emergency redo aortic surgery with frozen elephant trunk (FET) technique...
April 16, 2024: Journal of Cardiothoracic Surgery
#7
JOURNAL ARTICLE
Nora Goebel, Tomasz Stankowski, Francesco Pollari, Kambiz Hassan, Helena Jueckstock, Jens Schubel, Christian Sellin, Thorsten Zielezinski, Yacine Elhmidi, Falk-Udo Sack, Richard Feyrer, Hilmar Doerge, Harald Hausmann, Parwis Massoudy, Michael Schmoeckel, Samer Hakmi, Theodor Fischlein, Dirk Fritzsche, Ulrich F W Franke
BACKGROUND: The benefits of minimally invasive techniques in cardiac surgery remain poorly defined. We evaluated the short- and mid-term outcomes after surgical aortic valve replacement through partial upper versus complete median sternotomy (MS) in a large, German multicenter cohort. METHODS: A total of 2,929 patients underwent isolated surgical aortic valve replacement via partial upper sternotomy (PUS, n = 1,764) or MS ( n = 1,165) at nine participating heart centers between 2016 and 2020...
April 16, 2024: Thoracic and Cardiovascular Surgeon
#8
REVIEW
Reza Eshraghi, Moein Rafiei, Zahra Hadian Jazi, Davood Shafie, Arash Raisi, Hamed Mirzaei
MicroRNAs (miRs, miRNAs) are known to have a part in various human illnesses, such as those related to the heart. One particular miRNA, miR-155, has been extensively studied and has been found to be involved in hematopoietic lineage differentiation, immunity, viral infections, inflammation, as well as vascular remodeling. These processes have all been connected to cardiovascular diseases, including heart failure, diabetic heart disease, coronary artery disease, and abdominal aortic aneurysm. The impacts of miR-155 depend on the type of cell it is acting on and the specific target genes involved, resulting in different mechanisms of disease...
April 1, 2024: Pathology, Research and Practice
#9
REVIEW
Sex-based outcomes after thoracic endovascular aortic repair: a systematic review and meta-analysis.
Yixiao Zhang, Yuchong Zhang, Yulin Wang, Hao Lai, Weiguo Fu, Chunsheng Wang, Lixin Wang, Qiang Ji
OBJECTIVE: As it remains unclear whether there are sex-based differences in clinical outcomes after thoracic endovascular aortic repair (TEVAR), this meta-analysis aimed to evaluate differences in early outcomes and overall survival between female and male patients who underwent TEVAR. METHODS: PubMed, Embase, Web of Science, and Cochrane Central databases were searched for eligible studies published through June 10, 2023, that reported sex-based differences in clinical outcomes after TEVAR...
April 13, 2024: Journal of Vascular Surgery
#10
JOURNAL ARTICLE
Shuichi Shiraishi, Maya Watanabe, Ai Sugimoto, Masanori Tsuchida
OBJECTIVES: The aim of this study was to analyze the risk factors for acute events after systemic-to-pulmonary shunt (SPS) and to investigate the effectiveness of pulmonary blood flow regulation with a metal clip. METHODS: The case histories of 116 patients (78 biventricular [BV] and 38 single ventricle [SV] physiology) who underwent SPS between 2010 and 2021 were retrospectively reviewed. Our strategy was to delay SPS until 1 month of age; pulmonary blood flow (PBF) regulation by partial clipping of the graft, if needed...
April 13, 2024: General Thoracic and Cardiovascular Surgery
#11
JOURNAL ARTICLE
Anastasios Apostolos, Nikolaos Ktenopoulos, Dimitrios-David Chlorogiannis, Odysseas Katsaros, Konstantinos Konstantinou, Maria Drakopoulou, Sotirios Tsalamandris, Antonios Karanasos, Andreas Synetos, Georgios Latsios, Constantina Aggeli, Vasileios Panoulas, Costas Tsioufis, Konstantinos Toutouzas
Patients with severe aortic stenosis (AoS) often present with acute heart failure and compensation, frequently leading to cardiogenic shock. Transcatheter Aortic Valve Replacement (TAVR) has been recently performed as a bailout treatment in such patients. The aim of our meta-analysis is to compare urgent TAVR with elective procedures. We systematically screened three databases searching for studies comparing urgent vs elective TAVR. Primary endpoint is the 30-days mortality. Secondary endpoints included in-hospital mortality, device success, periprocedural vascular complications, 30-days stroke, 30-days acute kidney injury (AKI), permanent pacemaker implantation (PPM), moderate or severe paravalvular leakage, and 30-days bleeding...
April 13, 2024: Angiology
#12
JOURNAL ARTICLE
Ahmet Özderya, Sinan Şahin, Tolga Koşmaz, Mehmet Ali Maz, Murat Gökhan Yerlikaya, Ali Rıza Akyüz, Muhammet Raşit Sayın, Hakan Erkan
BACKGROUND: The aim of this study is to investigate the relationship between HALP score and post-contrast acute kidney injury (PC-AKI) and average 6-year mortality in patients undergoing endovascular abdominal aortic aneurysm repair (EVAR). METHODS: 125 patients who underwent EVAR between January 2015 and December 2020 were included in our study. HALP score was calculated with the formula "hemoglobin × albumin × lymphocyte count/platelet count." In the first phase of the study, two groups were developed: those who developed PC-AKI and those who did not...
April 12, 2024: Vascular
#13
JOURNAL ARTICLE
Kristina Eckrich, Norman Mangner, Sandra Erbs, Felix Woitek, Philipp Kiefer, Florian Schlotter, Georg Stachel, Sergey Leontyev, David Holzhey, Michael A Borger, Axel Linke, Stephan Haussig
BACKGROUND/PURPOSE: Acute kidney injury (AKI) after transcatheter aortic valve implantation (TAVI) increases morbidity and mortality. Our study aimed to investigate the role of baseline N-terminal pro B-type natriuretic peptide (NT-proBNP) as a predictor of AKI following TAVI. METHODS: All consecutive TAVI patients were included in the analysis, except patients with dialysis and those with a GFR < 15 ml/min/1.73 m2 at baseline. Rates of AKI after TAVI were assessed according to the updated valve academic research consortium definitions using AKIN classification in three stages...
March 30, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
#14
JOURNAL ARTICLE
Tongporn Wannatoop, Peerayuht Phuangphung, Tanut Sornmanapong
BACKGROUND: The application of resuscitative endovascular balloon occlusion of the aorta (REBOA) in trauma resuscitation, including for profound shock and cardiac arrest, has gained prominence. This study aimed to determine the characteristics of patients who were transported to the trauma resuscitation area (the TTRA group) and those who died at the scene (the DAS group), aiming to identify suitable REBOA candidates and critical contraindications. METHODS: A descriptive research design was used...
2024: Trauma Surgery & Acute Care Open
#15
REVIEW
Cosmin M Banceu, Diana M Banceu, David S Kauvar, Adrian Popentiu, Vladimir Voth, Markus Liebrich, Marius Halic Neamtu, Marvin Oprean, Daiana Cristutiu, Marius Harpa, Klara Brinzaniuc, Horatiu Suciu
This work aims to provide a comprehensive description of the characteristics of a group of acute aortic diseases that are all potentially life-threatening and are collectively referred to as acute aortic syndromes (AASs). There have been recent developments in the care and diagnostic plan for AAS. A substantial clinical index of suspicion is required to identify AASs before irreversible fatal consequences arise because of their indefinite symptoms and physical indicators. A methodical approach to the diagnosis of AAS is addressed...
February 21, 2024: Journal of Clinical Medicine
#16
JOURNAL ARTICLE
Petroula Nana, Konstantinos Spanos, Giuseppe Panuccio, Fiona Rohlffs, Christian Detter, Yskert von Kodolitsch, José I Torrealba, Tilo Kölbel
INTRODUCTION: Fenestrated and branched thoracic endovascular repair (f/bTEVAR) have been successfully applied in patients with diverse aortic arch pathologies. The aim of this study is to present the early and mid-term outcomes of patients with native proximal aortic landing (NPAL) managed with f/bTEVAR. METHODS: A single-center retrospective analysis of patients with NPAL, managed with f/bTEVAR, between September 1st , 2011, and June 30th , 2022, was conducted...
April 3, 2024: Journal of Vascular Surgery
#17
Eric N Quintana, Alexandra DeBose-Scarlett, Thomas A McLaren, Stephen P Gondek, Michael C Smith, Madeleine R Alder, Michael T Baker, Ashish S Shah, Tarek S Absi
BACKGROUND: Blunt cardiac injuries rarely result in aortic valve cusp rupture, leading to acute aortic insufficiency and cardiogenic shock. This rare clinical entity carries a high mortality rate if left undiagnosed and not managed surgically, with few patients surviving beyond 24 h. It presents a diagnostic challenge in the polytrauma patient in shock, with multiple possible and complementary etiologies. CASE PRESENTATION: We present a 56-year-old male with persistent hypotension, a wide pulse pressure, and elevated serum troponin levels suggesting blunt cardiac injury after a motor vehicle accident...
June 2024: Trauma Case Reports
#18
Kaileen Fei, Juliet Blakeslee-Carter, Benjamin J Pearce
Iatrogenic aortic injury is a rare complication of laparoscopic nephrectomy with potentially catastrophic complications. Delays in recognition and treatment contribute significantly to patient morbidity and mortality. We present the case of a patient with acute limb ischemia and mesenteric ischemia secondary to partial transection of the supraceliac aorta during laparoscopic nephrectomy with a staple ligature. The injury was successfully treated with resection of the stapled aorta and reconstruction of a thoracoabdominal aortic bypass with a jump graft to the celiac artery...
April 2024: Journal of Vascular Surgery Cases and Innovative Techniques
#19
JOURNAL ARTICLE
Nora Göbel, Simone Holder, Franziska Hüther, Yasemin Anguelov, Dorothee Bail, Ulrich Franke
OBJECTIVE: The extent of surgery and the role of the frozen elephant trunk (FET) for surgical repair of acute aortic dissection type I are still subjects of debate. The aim of the study is to evaluate the short- and long-term results of acute surgical repair of aortic dissection type I using the FET compared to standard proximal aortic repair. METHODS: Between October 2009 and December 2016, 172 patients underwent emergent surgery for acute type I aortic dissection at our center...
2024: Frontiers in Cardiovascular Medicine
#20
JOURNAL ARTICLE
Derk Frank, Eric Durand, Sandra Lauck, Douglas F Muir, Mark Spence, Mariuca Vasa-Nicotera, David Wood, Francesco Saia, Cristóbal A Urbano-Carrillo, Damien Bouchayer, Vlad Anton Iliescu, Christophe Saint Etienne, Florence Leclercq, Vincent Auffret, Lluis Asmarats, Carlo Di Mario, Aurelie Veugeois, Jiri Maly, Andreas Schober, Luis Nombela-Franco, Nikos Werner, Joan Antoni Gómez-Hospital, Julia Mascherbauer, Giuseppe Musumeci, Nicolas Meneveau, Thibaud Meurice, Felix Mahfoud, Federico De Marco, Tim Seidler, Florian Leuschner, Patrick Joly, Jean-Philippe Collet, Ferdinand Vogt, Emilio Di Lorenzo, Elmar Kuhn, Vicente Peral Disdier, Violetta Hachaturyan, Claudia M Lüske, Radka Rakova, Wilbert Wesselink, Jana Kurucova, Peter Bramlage, Gemma McCalmont
BACKGROUND AND AIMS: There is significant potential to streamline the clinical pathway for patients undergoing transcatheter aortic valve implantation (TAVI). The purpose of this study was to evaluate the effect of implementing BENCHMARK best practices on the efficiency and safety of TAVI in 28 sites in 7 European countries. METHODS: This was a study of patients with severe symptomatic aortic stenosis (AS) undergoing TAVI with balloon-expandable valves before and after implementation of BENCHMARK best practices...
March 30, 2024: European Heart Journal
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