AORTA最新文献

{"title":"The Aortic Team Model for the Management of the Distal Arch, Descending Thoracic and Thoracoabdominal Aorta: Appraisal at 3 Years.","authors":"R Scott McClure, Kenton L Rommens, Eric J Herget, Michelle Keir, Alex J Gregory, Holly N Smith, Randy D Moore","doi":"10.1055/s-0044-1779249","DOIUrl":"10.1055/s-0044-1779249","url":null,"abstract":"<p><strong>Background: </strong> This study aimed to assess feasibility, logistical challenges, and clinical outcomes associated with the implementation of an Aortic Team model for the management of distal arch, descending thoracic and thoracoabdominal aortic disease.</p><p><strong>Methods: </strong> An Aortic Team care pathway was implemented in November 2019. Working as a unit, two cardiac surgeons, two vascular surgeons, an interventional radiologist, a cardiologist, and an anesthesiologist collectively determined care decisions via multispecialty presence at an Aortic Clinic. Cardiac and vascular surgeons operated in tandem for open procedures. Interventional radiology participated alongside cardiac and vascular for endovascular procedures. Cardiology aided in medical therapies for heritable and degenerative disease, and had a lead role for genetics and high-risk pregnancy referrals. The model spanned three hospitals. Clinical outcomes at 3 years were assessed.</p><p><strong>Results: </strong> There were 35 descending thoracic and thoracoabdominal surgeries and 77 thoracic endovascular aortic repairs. Endoarch devices were used in 7 cases (Gore Thoracic Branch Endoprosthesis, 4, Terumo RelayBranch, 3) and an endothoracoabdominal device in 4 cases (Cook Zenith t-branch). The Aortic Clinic acquired 456 patients, with yearly increases (54 patients [year 1], 181 patients [year 2], 221 patients [year 3]). For surgery, mortality was 8.6% (3/35), permanent paralysis 5.7% (2/35), stroke 8.6% (3/35), permanent dialysis 0%, and reinterventions 8.6% (3/35). For endovascular cases, mortality was 3.9% (3/77), permanent paralysis 3.9% (3/77), stroke 5.2% (4/77), permanent dialysis 1.3% (1/77), and reinterventions 16.9% (13/77).</p><p><strong>Conclusion: </strong> An Aortic Team model is feasible and ensures all treatment options are considered. Conventional open thoracoabdominal procedures showed acceptable outcomes. Endoarch technology shows early promise.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":"165-173"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The New Delivery Method for Cardioplegic Solution in Type A Aortic Dissection.","authors":"Evgeny V Rosseikin, Evgeny E Kobzev, Alexander A Gornostaev","doi":"10.1055/s-0044-1780519","DOIUrl":"10.1055/s-0044-1780519","url":null,"abstract":"<p><p>Adequate myocardial protection is crucial for a successful cardiac surgery. In type A aortic dissection, standard methods of delivery of cardioplegic solution may not be adequately effective. Ineffectiveness may happen due to both features of the anatomy of the dissection and to peculiarities of the delivery method itself. We present a new method of delivering a cardioplegic solution using a Foley catheter through the orifice of the brachiocephalic trunk or the left common carotid artery.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":"207-209"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"8th International Meeting on Aortic Diseases.","authors":"John A Elefteriades, Bulat A Ziganshin","doi":"10.1055/s-0044-1787743","DOIUrl":"10.1055/s-0044-1787743","url":null,"abstract":"","PeriodicalId":52392,"journal":{"name":"AORTA","volume":"11 5","pages":"e1"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11167133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Natural\" History of Operated Type A Aortic Dissection.","authors":"Gian B Danzi, Alberto Carrozza, Silvia Frattini","doi":"10.1055/s-0043-1774415","DOIUrl":"10.1055/s-0043-1774415","url":null,"abstract":"<p><p>We describe the case of a 66-year-old gentleman with a previous replacement of the ascending aorta for an acute Type A aortic dissection who did not attend any scheduled follow-up visit. Seventeen years later, he presented to our institution with severe aortic regurgitation and with a giant aneurysmal dilation of the abdominal aorta.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":"162-163"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11038715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular Repair of Zone 0 Ascending Aortic Pseudoaneurysm: A Case Report.","authors":"Sarah Halbert, Christian Nagy, Jared Antevil, Shawn Sarin, Gregory Trachiotis","doi":"10.1055/s-0043-1777436","DOIUrl":"10.1055/s-0043-1777436","url":null,"abstract":"<p><p>Although open surgery is standard of care for ascending aortic pathology, endovascular approaches can be viable options. We report the case of a 77-year-old man with a 5.7-cm ascending aorta penetrating ulcer. Given his age and clinical profile, the patient underwent Zone 0 thoracic endovascular aortic repair.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":"152-155"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11038720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary Endovascular Conversions for Failed Open Repair.","authors":"Ryan Gouveia E Melo, Paolo Spath, Jan Stana, Carlota F Prendes, Konstantinous Stavroulakis, Barbara Rantner, Maximilian Pichlmaier, Nikolaos Tsilimparis","doi":"10.1055/s-0043-1774724","DOIUrl":"10.1055/s-0043-1774724","url":null,"abstract":"<p><p>Late aortic and graft-related complications after open aortic repair are not infrequent and a significant number of them are missed, diagnosed at a very late stage, or present as urgent complications such as aortic rupture or aorto-enteric fistula. Once a late complication is diagnosed and reintervention is necessary, both open and endovascular strategies are possible. Open reintervention is complex and usually associated with very high rates of morbidity and mortality. Endovascular techniques may offer several solutions for these cases, which may be tailored to the patient and specific complication. In this review, we aim to summarize current indications, options, and strategies for endovascular salvage after failed or complicated open surgical repair.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":"137-144"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11038728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contributing Reviewers in 2023.","authors":"","doi":"10.1055/s-0044-1786353","DOIUrl":"https://doi.org/10.1055/s-0044-1786353","url":null,"abstract":"","PeriodicalId":52392,"journal":{"name":"AORTA","volume":"11 4","pages":"i"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11038712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare but Fatal Behçet Variant: The Hughes-Stovin Syndrome-Successful Case Report and New Evidence from Literature Review.","authors":"Andrea Ascoli Marchetti, Lorella Belvivere, Renato Argirò, Barbara Kroegler, Fabio M Oddi, Federico Pennetta, Alice de Giorgi, Stefano Fazzini, Daniele Morosetti, Paola Triggianese, Elisabetta Greco, Arianna D'Antonio, Ilaria Coccia, Manfredi Tesauro, Federica Sangiuolo, Arnaldo Ippoliti","doi":"10.1055/s-0043-1777994","DOIUrl":"10.1055/s-0043-1777994","url":null,"abstract":"<p><p>Hughes-Stovin syndrome (HSS) is a rare potentially fatal vasculitis supposedly belonging to the spectrum of Behçet disease without ocular involvement. HSS tends to play by a temporal pattern, starting with thrombosis and followed by formation of pulmonary aneurysms. Since its mortality can reach 25% of cases, early recognition and appropriate therapy represent the major clinical challenges. We describe a rare case of HSS successfully treated via multidisciplinary management by an endovascular approach and immunosuppressive therapy.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":"156-161"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11038734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Near-Infrared Spectroscopy for Spinal Cord Monitoring-A Roadmap to Translational Research in Aortic Medicine.","authors":"Konstantin von Aspern, Josephina Haunschild, Jens Garbade, Christian D Etz","doi":"10.1055/s-0043-1772774","DOIUrl":"10.1055/s-0043-1772774","url":null,"abstract":"<p><p>Extensive aortic aneurysms represent a unique challenge necessitating interdisciplinary efforts for safe and effective treatment. Despite various adjunctive neuroprotective strategies, ischemic spinal cord injury remains a devastating complication. This article describes the implementation of collateral network near-infrared spectroscopy as the first noninvasive spinal cord monitoring modality in the setting of extensive open and endovascular aortic repair, from early conceptualization to clinical utilization. Potential capabilities and remaining uncertainties based on current evidence are outlined and discussed.</p>","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":"145-151"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11038735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atherosclerotic Plaque Characterization Using Deep Learning Methods","authors":"Branko Arsić, Smiljana Tomasevic, Miloš Anić, Branko Gakovic, I. Končar, Nenad D Filipović","doi":"10.1055/s-0042-1750994","DOIUrl":"https://doi.org/10.1055/s-0042-1750994","url":null,"abstract":"","PeriodicalId":52392,"journal":{"name":"AORTA","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45478785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}