Welcome to another edition of “This Week In Aortic Surgery”.
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 carefully selected snapshot of high-impact research studies in Aortic Surgery. We do the heavy lifting of sorting through current surgical journals to put together key research articles that 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.
New Technique for Preconditioning of the Spinal Cord Before Endovascular Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms
Authors: Björn Sonesson, MD, PhD, Nuno V. Dias, MD, PhD, Timothy A. Resch, MD, PhD
Conclusions: “A new and fast way of staging and preconditioning the spinal cord using a modified stent-graft prior to definitive repair might be an alternative to segmental artery embolization.”
Outcomes and Predictors of Endovascular Treatment for Type B Aortic Dissection Complicated by Unilateral Renal Ischemia
Authors: Min Zhou, MD, PhD, Xueqin Bai, MD, Liang Cai, MD, Yong Ding, MD, PhD, Xu Li, MD, Jiang Lin, MD, PhD, Weiguo Fu, MD, PhD, Zhenyu Shi, MD, PhD
Conclusions: “Preoperative serum creatinine was an effective index used to predict renal and aortic outcomes in this patient cohort. Active imaging follow-up and aggressive endovascular intervention are suggested in patients with RMD >27%.”
Comparison of early patency rate and long-term outcomes of various techniques for reconstruction of segmental arteries during thoracoabdominal aortic aneurysm repair
Authors: Soichiro Henmi, Yuki Ikeno, Koki Yokawa, Yasuko Gotake, Hidekazu Nakai, Katsuhiro Yamanaka, Takeshi Inoue, Hiroshi Tanaka, Yutaka Okita
Conclusions: “Island reconstruction and single-cuff anastomosis might offer better patency rates and prevent spinal cord ischaemic injury than graft interposition. Because some patients with island reconstruction required reoperation for patch aneurysms in segmental arteries, single-cuff anastomosis is preferable in terms of early- and long-term outcomes.”
Fenestrated or branched endovascular aortic repair for postdissection thoracoabdominal aortic aneurysm
Authors: Yuk Law, FRCSa, Nikolaos Tsilimparis, MD, Fiona Rohlffs, MD, Vladimir Makaloski, MD, Christian-Alexander Behrendt, MD, Franziska Heidemann, MD, Sabine Helena Wipper, MD, Eike Sebastian Debus, PhD, Tilo Kölbel, PhD
Conclusions: “FB-EVAR was feasible for postdissection thoracoabdominal aneurysm. Despite the associated perioperative risk and high probability of planned or unplanned reintervention, the procedure led to favorable aortic remodeling with false lumen thrombosis and aneurysm regression.”
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)
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