Welcome to another edition of “This Week In Aortic Surgery”, also known as Aortic Surgery Research Review.

The Aortic Surgery Research Review #7 covers a range of important clinical and research topics in aortic surgery. 

Factors influencing the choice between transcatheter and surgical treatment of severe aortic stenosis in patients younger than 80 years: Results from the OBSERVANT study

“Conclusion: Among patients under 80 years of age with symptomatic severe AS, only 10% underwent TAVI. These patients were at higher baseline risk compared to those undergoing SAVR. The decision to perform TAVI was driven by the presence of both anatomical and clinical factors beyond surgical risk scores. Patients under 65 years of age, despite the low Logistic EuroSCORE, had the highest preoperative risk profile and carried the worse outcome.”


Multicenter Analysis of Endovascular Aortic Arch In Situ Stent-Graft Fenestrations for Aortic Arch Pathologies

“Conclusions: The aortic arch in situ fenestration technique for endovascular aortic arch repair seems to be valuable treatment option for selected patients, although initial consideration of other treatment options is mandatory. Data about long-term durability are required.”


Complication Incidences and Treatment Outcomes of Endovascular Aneurysm Repair—A Single-Center Long-Time Follow-Up Study

“Conclusions: We presented a 10-year single-center study of EVAR. Many patients treated with EVAR had a radiological visible complication, mainly in the beginning of the follow-up period. Only a smaller fraction required reintervention and having a reintervention-requiring complication was not connected to increased mortality.”


Editor’s Choice – Five Year Outcomes of the Endurant Stent Graft for Endovascular Abdominal Aortic Aneurysm Repair in the ENGAGE Registry

“Conclusions: Five year follow up of patients in the ENGAGE registry demonstrates sustained safety, effectiveness, and durability in an international cohort that is reflective of real world experience. Additional follow up is expected through to 10 years.”


Rate of reoperation at 1 year for aortic repair vs replacement in aortic regurgitation. A trial sequence analysis of published meta‐analysis results

“The pooled estimate of a recent meta‐analysis concluded that rate of reoperation at 1 year was significantly higher in Aortic valve repair (8.82% vs 3.70%) as compared with aortic valve replacement in patients with aortic regurgitation (odds ratio = 2.67, 95% confidence interval [1.08, 3.62], P = .03). We performed a trial sequential analysis using the published data of the meta‐analysis and found the evidence is not strong enough for the conclusion.”


Feel free to pass along any suggestions or recommendations for a recently published research study in aortic surgery or aortic disease management that you think would be good for us to include.

You can send me a note with information about the study and I will gladly consider including it in my weekly roundup. (info at badaorta.com)

About Us:

We offer a curated selection of top research articles each week which are hand-picked from leading surgical journals.

We save you time by reviewing numerous publications each week and provide you with a careful selection of high-impact research studies in Aortic Surgery.

We do the heavy lifting of sifting through current surgical journals to bring together key research articles which provide a real-world perspective on important aspects of Aortic Surgery.

We include a wide-range of publications in specialties ranging from Cardiac Surgery, Vascular Surgery, Minimally Invasive Surgery, Endovascular Surgery, Interventional Cardiology and Interventional Radiology.