01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Early and delayed rupture after endovascular abdominal aortic aneurysm repair in a 10-year multicenter registry

Leah Candell, MD, Lue-Yen Tucker, BA, Philip Goodney, MD, Joy Walker, MD, Steven Okuhn, MD, Bradley Hill, MD, Robert Chang, MD

Objective: Rupture after abdominal endovascular aortic aneurysm repair (EVAR) is a function of graft maintenance of the seal and fixation. We describe our 10-year experience with rupture after EVAR.

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Volume of new-onset thrombus is associated with the development of postimplantation syndrome after endovascular aneurysm repair

John D. Kakisis, MD, FEBVS, Konstantinos G. Moulakakis, MD, FEBVS, Constantine N. Antonopoulos, MD, Spyridon N. Mylonas, MD, Triantafillos G. Giannakopoulos, MD, George S. Sfyroeras, MD, FEBVS, Petros Karakitsos, MD, Christos D. Liapis, MD, FACS, FRCS, FEBVS

Objective: The objective of this study was to evaluate the impact of contrast medium volume, inferior mesenteric artery (IMA) patency, and pre-existing as well as new-onset thrombus on the inflammatory response after elective endovascular aneurysm repair (EVAR).

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Comparative safety of endovascular and open surgical repair of abdominal aortic aneurysms in low-risk male patients

Jeffrey J. Siracuse, MD, Heather L. Gill, MD, Ashley R. Graham, MD, Darren B. Schneider, MD, Peter H. Connolly, MD, Art Sedrakyan, MD, PhD, Andrew J. Meltzer, MD

Objective: The prevalence of significant comorbidities among patients with abdominal aortic aneurysms (AAAs) has contributed to widespread enthusiasm for endovascular AAA repair (EVAR). However, the advantages of EVAR in patients at low risk for open surgical repair (OSR) remain unclear. The objective of this study was to assess perioperative outcomes of EVAR and OSR in low-risk patients.

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Alternative access techniques with thoracic endovascular aortic repair, open iliac conduit versus endoconduit technique

Guido H.W. van Bogerijen, MD, David M. Williams, MD, Jonathan L. Eliason, MD, Narasimham L. Dasika, MD, G. Michael Deeb, MD, Himanshu J. Patel, MD

Background: Iliac artery endoconduits (ECs) have emerged as important alternatives to retroperitoneal open iliac conduits (ROICs) to aid in transfemoral delivery for thoracic endovascular aortic repair (TEVAR). We present, to our knowledge, the first comparative analysis between these alternative approaches.

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. A novel endovascular debranching technique using physician-assembled endografts for repair of thoracoabdominal aneurysms

Joe Anderson, Madeline Nykamp, Laura Danielson, Tyler Remund, PhD, Patrick W. Kelly, MD

Objective: The objective of this study was to demonstrate a technique that uses physician-assembled endografts to make use of the benefits of parallel grafts while also providing for circumferential seal and fixation in repair of thoracoabdominal aneurysms in inoperable patients.

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Custom-made versus off-the-shelf multibranched endografts for endovascular repair of thoracoabdominal aortic aneurysms

Theodosios Bisdas, MD, Konstantinos P. Donas, MD, Michel J. Bosiers, MD, Giovanni Torsello, MD, Martin Austermann, MD

Objective: This study compared early outcomes between the custom-made and the new off-the-shelf multibranched endograft (mbEVAR, t-branch; Cook Medical, Bloomington, Ind) for the endovascular repair of thoracoabdominal aortic aneurysms (TAAAs).

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Role of cardiac evaluation before thoracic endovascular aortic repair

Asvin M. Ganapathi, MD, Brian R. Englum, MD, Matthew A. Schechter, MD, John P. Vavalle, MD, J. Kevin Harrison, MD, Richard L. McCann, MD, G. Chad Hughes, MD

Background: Patients with thoracic aortic disease undergoing thoracic endovascular aortic repair (TEVAR) often have concomitant coronary artery disease and are at risk for perioperative adverse cardiac events. Despite this risk, the need for and extent of preoperative cardiac workup before TEVAR remain undefined. This study seeks to assess the adequacy of a limited cardiac evaluation before TEVAR, including assessment of cardiac symptoms, resting electrocardiography (ECG), and transthoracic echocardiography (TTE), as well as to estimate the incidence of perioperative cardiac events in patients undergoing TEVAR.

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Emergency endovascular stent grafting in acute complicated type B dissection

Dominik Wiedemann, MD, Marek Ehrlich, MD, Philippe Amabile, MD, Luigi Lovato, MD, Hervé Rousseau, MD, Arturo Evangelista-Masip, MD, Patrick Moeller, MD, Joseph Bavaria, MD

Objective: The objective of this study was to assess midterm results of emergency endovascular stent grafting for patients with life-threatening complications of acute type B aortic dissection.

01 noviembre 2014

JOURNAL OF VASCULAR SURGERY. Durability of the Endurant stent graft in patients undergoing endovascular abdominal aortic aneurysm repair

Theodosios Bisdas, MD, Kristin Weiss, MD, Markus Eisenack, MD, Martin Austermann, MD, Giovanni Torsello, MD, Konstantinos P. Donas, MD

Objective: Several studies have confirmed the excellent early performance of the Endurant (Medtronic Endovascular, Santa Rosa, Calif) endoprosthesis to treat abdominal aortic aneurysms (AAAs). However, data about the long-term durability of the device are still lacking. We conducted this prospective two-center single-arm study to assess the late outcomes of the endograft in patients undergoing AAA repair.

01 octubre 2014

JOURNAL OF VASCULAR SURGERY. Impact on outcomes by measuring tortuosity with reporting standards for thoracic endovascular aortic repair

Chun-Ku Chen, MD, I-Ping Liang, MD, Hsiao-Ting Chang, MD, MS, Wei-Yuan Chen, MD, MS, I-Ming Chen, MD, Mei-Han Wu, MD, Ming-Huei Sheu, MD, Chun-Che Shih, MD, PhD

Objective: In this study, we assessed the association between the tortuosity of the thoracic aorta as measured by the reporting standards for thoracic endovascular aortic repair (TEVAR), described by the Society for Vascular Surgery, and midterm outcomes after TEVAR for atherosclerotic aneurysms.

01 octubre 2014

JOURNAL OF VASCULAR SURGERY. Aortic remodeling after thoracic endovascular aortic repair for intramural hematoma

Kedar S. Lavingia, MD, Sadaf S. Ahanchi, MD, Richard E. Redlinger, MD, Navalkishor R. Udgiri, MBBS, Jean M. Panneton, MD

Background: Intramural hematoma (IMH), penetrating atherosclerotic ulcer (PAU), and aortic dissection comprise a spectrum of acute aortic pathologies. Although thoracic endovascular aortic repair (TEVAR) has increasingly been applied to aortic dissection, there is a paucity of data on the anatomic effect of TEVAR for IMH. Our goal was to investigate the extent of aortic remodeling after TEVAR.

01 octubre 2014

JOURNAL OF VASCULAR SURGERY. Percutaneous thoracic endovascular aortic repair is not contraindicated in obese patients

Jason Zakko, BA, Salvatore Scali, MD, Adam W. Beck, MD, Charles T. Klodell Jr., MD, Thomas M. Beaver, MD, MS, Tomas D. Martin, MD, Thomas S. Huber, MD, PhD, Robert J. Feezor, MD

Objective: There are limited data describing the preclose technique with the Perclose ProGlide device (Abbott Vascular, Redwood City, Calif) in percutaneous thoracic endovascular aortic repair (P-TEVAR), particularly in obese patients, in whom use of this technique is thought to be relatively contraindicated. The purpose of this analysis was to describe our experience with P-TEVAR and to compare outcomes in patients with or without obesity.

01 octubre 2014

JOURNAL OF VASCULAR SURGERY. Outcomes for supra-aortic branch vessel stenting in the treatment of thoracic aortic disease

Adrian O´Callaghan, MB, Tara M. Mastracci, MD, Roy K. Greenberg, MD, Matthew J. Eagleton, MD, James Bena, MS, Yuki Kuramochi, RN

Objective: Endovascular options for the treatment of proximal thoracic and arch disease have evolved over the years. In this manuscript, we review the midterm results of fenestrated compared with chimney configurations for proximal aortic aneurysm disease.

01 octubre 2014

JOURNAL OF VASCULAR SURGERY. Limited survival in dialysis patients undergoing intact abdominal aortic aneurysm repair

Theodore H. Yuo, MD, MSc, Joseph Sidaoui, MD, Luke K. Marone, MD, Efthymios D. Avgerinos, MD, Michel S. Makaroun, MD, Rabih A. Chaer, MD, MSc

Objective: Elective abdominal aortic aneurysm (AAA) repair in suitable candidates is a standard modality. The outcomes of AAA repair in patients with end-stage renal disease on dialysis are not well characterized, and there is questionable survival advantage in such patients with limited life expectancy. We sought to describe outcomes after AAA repair in U.S. dialysis patients.

01 octubre 2014

JOURNAL OF VASCULAR SURGERY. Shuttering of the superior mesenteric artery during fenestrated endovascular aneurysm repair

Brant W. Ullery, MD, George K. Lee, MD, Jason T. Lee, MD

Objective: Shuttering occurs when a scallop or fenestration does not align perfectly with the target vessel ostium and is potentially minimized by stenting. The current United States Food and Drug Administration-approved fenestrated endovascular aneurysm repair (f-EVAR) device is most commonly configured with an unstented superior mesenteric artery (SMA) scallop, thereby subjecting the SMA to risk of partial coverage. We aimed to describe the incidence, severity, and clinical effect of SMA shuttering during f-EVAR.