Frozen Elephant Trunk in Acute Aortic Dissection
|
|
- Blaze Richard
- 6 years ago
- Views:
Transcription
1 Frozen Elephant Trunk in Acute Aortic Dissection Derek R. Brinster, M.D. Professor of Cardiovascular and Thoracic Surgery Hofstra North Shore-LIJ School of Medicine Director of Aortic Surgery for the North Shore-LIJ Health System
2 Aortic Dissections Elephant trunk defined Methods of Frozen Elephant Trunk Frozen Elephant Trunk rationale Evidence
3 Definitions
4 Aortic Dissection Macura et al. p. 309 AJR, August 2003
5 AORTIC DISSECTIONS Indications for surgery Type A/ Type I & II: All patients Type B / Type III Uncomplicatedà medical management Complicatedà surgery (open standard v. stent graft) Prevention of future morbidity with immediate stent grafting?
6 Surgical Background Despite advances, many large series including recent ones, reveal a >25% post operative mortality rate. IRAD, JAMA: 2002 Only 55% return to independent living Hagan et al, 2000: Fann et al, 1995 Tan et al. Ann Thor Surg 2005
7 Natural History: Survival
8 Figure 3. Unadjusted Kaplan-Meier survival curve stratified by in-hospital management from date of hospital discharge. Thomas T. Tsai et al. Circulation. 2006;114:I-350-I-356 Copyright American Heart Association, Inc. All rights reserved.
9 The False Lumen
10 False Lumen Dynamic Obstruction Trimarchi et al. Annals of Cardiothoracic Surgery, Vol 3, No 4, 2014
11 Fate of Descending Aorta after Conventional Type I Dissection 20% 40% of patients require a second operation for aneurysmal dilatation of the descending aorta A large false lumen, with an area of the true lumen <30% 6 months after surgery, is the strongest predictor for secondary dilatation of the diseased downstream aorta. Immer et al Circulation. 2005;112[suppl I]:I- 249 I-252.
12 INSTEAD-XL: 5 Year Outcomes TEVAR with OMT versus OMT Aortic progression (27.0% versus 46.1%; P=0.04) Nienaber et al Circ Cardiovasc Interv Aug;6(4):407-16
13 INSTEAD-XL: 5 Year Outcomes TEVAR with OMT versus OMT Aorta-specific mortality (6.9% versus 19.3%; P=0.04) Nienaber et al Circ Cardiovasc Interv Aug;6(4):407-16
14 INSTEAD-XL: 5 Year Outcomes TEVAR with OMT versus OMT All-cause mortality (11.1% versus 19.3%; P=0.14) Nienaber et al Circ Cardiovasc Interv Aug;6(4):407-16
15 Rationale for the Frozen Elephant Trunk -FET Reduce the Reoperation Rate Reduce the False Lumen
16 The insertion of the invaginated prosthesis into the descending thoracic aorta. Marc A.A.M. Schepens MMCTS 2007;2007:mmcts European Association for Cardio-thoracic Surgery
17 Extraction of the prosthesis out of the descending aorta leaving the trunk behind. Marc A.A.M. Schepens MMCTS 2007;2007:mmcts European Association for Cardio-thoracic Surgery
18 Completion of the repair European Association for Cardio-thoracic Surgery Marc A.A.M. Schepens MMCTS 2007;2007:mmcts
19 Type A Dissection: Frozen Elephant Trunk Vallabhajosyula Ann Cardiothorac Surg 2013;2(3):
20 JOTEC E-vita
21 ThoraFlex Vascutek
22 Immediate Therapy Malperfusion of true lumen Complex primary and reentry tears of arch/descending aorta Facilitate arch reconstruction
23 Long Term Therapy Survival False Lumen Consequence Re-intervention rate
24 Data Retrospective, observational studies Bias Level C evidence
25
26
27 10% 5% 4% 10% 90% 92%
28 Mortality : Proximal Aortic Repair (PAR) v. Distal Aortic Repair (DAR) J Card Surg 2015;30:
29 Hybrid Reduces Mortality (Not Significant) Mortality Conventional Surgery v. FET J Card Surg 2015;30:
30 Distal Reintervention Rate: Proximal Aortic Repair (PAR) v. Distal Aortic Repair (DAR) J Card Surg 2015;30:
31 Hybrid Reduces the need for Reintervention (Significant) Distal Reintervention Rate: Proximal Aortic Repair (PAR) v. Distal Aortic Repair (DAR) J Card Surg 2015;30:
32 Hybrid Reduces the need for Reintervention (Significant) Complete FL thrombosis: FET 98% v. Antegrade/retrograde TEVAR 45% (Significant) Distal Reintervention Rate: Proximal Aortic Repair (PAR) v. Distal Aortic Repair (DAR) J Card Surg 2015;30:
33 DAR Reduces the need for Reintervention (Significant) Complete FL thrombosis: FET 98% v. Hybrid 45% (Significant) FET Reintervention 3.6% v. Hybrid 5.2 % (Significant) J Card Surg 2015;30: Distal Reintervention Rate: Surgery v. FET
34 Balance Alive Patient Long term morbidity
35 Summary Residual False Lumen 50-70% after standard surgical repair (30% after standard total arch) 13-25% of patients with False Lumen need another procedure in 5 years 8-25% operative mortality associated with open reoperation
36 Frozen Elephant Trunk in Acute Aortic Dissection Derek R. Brinster, M.D. Professor of Cardiovascular and Thoracic Surgery Hofstra North Shore-LIJ School of Medicine Director of Aortic Surgery for the North Shore-LIJ Health System
Management of Acute Aortic Syndromes. M. Grabenwoger, MD Dept. of Cardiovascular Surgery Hospital Hietzing, Vienna, Austria
Management of Acute Aortic Syndromes M. Grabenwoger, MD Dept. of Cardiovascular Surgery Hospital Hietzing, Vienna, Austria I have nothing to disclose. Acute Aortic Syndromes Acute Aortic Dissection Type
More informationGlobal Evidence for the Treatment of Type B Aortic Dissection
Global Evidence for the Treatment of Type B Aortic Dissection Ross Milner, MD Professor of Surgery Director, Center for Aortic Diseases September 17, 2016 Disclosures Consultant Cook, Endospan, Medtronic,
More informationAggressive Resection/Reconstruction of the Aortic Arch in Type A Dissection
Aggressive Resection/Reconstruction of the Aortic Arch in Type A Dissection M. Grabenwoger Dept. of Cardiovascular Surgery Hospital Hietzing Vienna, Austria Disclosure Statement Consultant of Jotec, Hechingen,
More informationAsymptomatic Radiology / Clinical data Report / Cohort bias Referral bias. UCSF Vascular Symposium April 7-9, Acute Aortic Dissection
Aortic Dissection: Natural History What is the Natural History of Aortic Dissection? UCSF Vascular Symposium April 7-9, 2011 Asymptomatic Radiology / Clinical data Report / Cohort bias Referral bias Stephen
More informationDissection de type B: l étude Instead et corollaire stratégique
Dissection de type B: l étude Instead et corollaire stratégique Christoph A. Nienaber, MD, FACC University Rostock Heartcenter Med. Clinic I Cardiology christoph.nienaber@med.uni-rostock.de Type B aortic
More informationUC SF Early Intervention in Type B Dissection: Results From the INSTEAD XL Trial. Acute Type B Dissection. Outline. Disclosures.
Early Intervention in Type B Dissection: Results From the INSTEAD XL Trial None Disclosures Jade S. Hiramoto, MD, MAS April 4, 2014 Outline Background Current treatment Results from INSTEAD trial Results
More informationAcute non-complicated TBD Do need TEVAR treatment
Acute non-complicated TBD Do need TEVAR treatment Prof. Dr. med. Christoph A. Nienaber Universität Rostock Universitäres Herzzentrum christoph.nienaber@med.uni-rostock.de Survival in type B dissection
More informationAntegrade Thoracic Stent Grafting during Repair of Acute Debakey I Dissection: Promotes Distal Aortic Remodeling and Reduces Late Open Re-operation
Antegrade Thoracic Stent Grafting during Repair of Acute Debakey I Dissection: Promotes Distal Aortic Remodeling and Reduces Late Open Re-operation Vallabhajosyula, P: Szeto, W; Desai, N; Pulsipher, A;
More informationUC SF. Disclosures. Thoracic Endovascular Aortic Repair 4/24/2009. Management of Acute Dissections: Is There Still a Role for Open Surgery?
UC SF Management of Acute Dissections: Is There Still a Role for Open Surgery? Darren B. Schneider, M.D. Assistant Professor of Surgery and Radiology Division of Vascular Surgery University of California
More informationType B Dissection Sub-Categories
Disclosure Nothing to disclose Type B Dissection On Whom to Operate on and When to do it Charles Eichler Professor, Department of Surgery Division of Vascular and Endovascular Surgery University of California
More informationAggressive Resection/Reconstruction of the Aortic Arch in Type A Dissection: Con
Aggressive Resection/Reconstruction of the Aortic Arch in Type A Dissection: Con Thomas G. Gleason, M.D. Ronald V. Pellegrini Professor and Chief Division of Cardiac Surgery University of Pittsburgh Presenter
More informationEarly outcomes of acute retrograde dissection in the aortic arch and the ascending aorta data from IRAD
Early outcomes of acute retrograde dissection in the aortic arch and the ascending aorta data from IRAD Foeke JH Nauta, MD, PhD Resident Cardiothoracic Surgery, Academic Medical Center, Amsterdam Disclosure
More informationExtended Arch Techniques for Acute Aortic Dissection: a systematic review and classification
Extended Arch Techniques for Acute Aortic Dissection: a systematic review and classification Holly Smith PGY2 Thoracic Aortic Rounds, Foothills Hospital September 25, 2015 Libin Cardiovascular Institute
More informationUC SF An Algorithm to Choose Which Uncomplicated (Asymptomatic) Acute Type B Dissection Patients Should Undergo TEVAR. Disclosures.
An Algorithm to Choose Which Uncomplicated (Asymptomatic) Acute Type B Dissection Patients Should Undergo TEVAR Disclosures Royalties and research grant support from Cook Medical, Inc. Jade S. Hiramoto,
More informationAccepted Manuscript. Is A More Extensive Operation Justified for Acute Type A Dissection Repair? Dr. Leonard N. Girardi
Accepted Manuscript Is A More Extensive Operation Justified for Acute Type A Dissection Repair? Dr. Leonard N. Girardi PII: S0022-5223(18)32552-2 DOI: 10.1016/j.jtcvs.2018.09.048 Reference: YMTC 13502
More informationWhen and how to replace the aortic arch for type A dissection
Perspective When and how to replace the aortic arch for type A dissection Roberto Di Bartolomeo, Alessandro Leone, Luca Di Marco, Davide Pacini Cardiac Surgery Department, S. Orsola-Malpighi Hospital,
More informationTreatment of acute type B aortic dissection: Current status
MEET Cannes, 18. - 21.06.2009 Treatment of acute type B aortic dissection: Current status Christoph A. Nienaber, MD, FACC University of Rostock Department of Internal Medicine, Cardiology christoph.nienaber@med.uni-rostock.de
More informationClinical Trials of Acute and Chronic Dissections. Gregory Landry MD
Clinical Trials of Acute and Chronic Dissections Gregory Landry MD No disclosures Acute vs chronic dissection: Definitions 1950s: Acute < 2 weeks, Chronic > 2 weeks 2013: European Interdisciplinary Consensus
More informationI-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical Department National Taiwan University Hospital
Comparisons of Aortic Remodeling and Outcomes after Endovascular Repair of Acute and Chronic Complicated Type B Aortic Dissections I-Hui Wu, M.D. Ph.D. Clinical Assistant Professor Cardiovascular Surgical
More informationTherapeutic Pathway In Acute Aortic Dissection. Speaker: Cesare Quarto Consultant Cardiac Surgeon Royal Brompton Hospital, London UK
Therapeutic Pathway In Acute Aortic Dissection Speaker: Cesare Quarto Consultant Cardiac Surgeon Royal Brompton Hospital, London UK Disclosure of Interest Speaker name: Cesare Quarto I do not have any
More informationPerformance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry
University of Milan Thoracic Aortic Research Center Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry Santi Trimarchi, MD, PhD Associate
More informationAnimesh Rathore, MD 4/22/17. The Great Debate 45yo Man With Uncomplicated Acute TBAD: The Case For Medical Management
Animesh Rathore, MD 4/22/17 The Great Debate 45yo Man With Uncomplicated Acute TBAD: The Case For Medical Management Disclosures Just a young vascular surgeon who would like to keep his job My opponent
More informationEmerging Roles for Distal Aortic Interventions in Type A Dissection Surgery
Emerging Roles for Distal Aortic Interventions in Type A Dissection Surgery Type A Dissection Workshop 2014 CCC Vancouver Oct 26 th, 2014 Jehangir Appoo Libin Cardiovascular Institute University of Calgary
More informationTEVAR for Chronic dissections: indications for TEVAR, long term results
TEVAR for Chronic dissections: indications for TEVAR, long term results J Sobocinski, R Azzaoui, B Maurel, R Spear, T Martin-Gonzalez, A Hertault, S Haulon Centre de l Aorte, Chirurgie vasculaire, Hôpital
More informationDo the Data Support Endovascular Therapy for Descending Thoracic AD? Woong Chol Kang, M.D.
Do the Data Support Endovascular Therapy for Descending Thoracic AD? Woong Chol Kang, M.D. Gil Hospital, Gachon University Incheon, Korea Classification of AD Acute vs. Chronic (2weeks) (IIIa, b) type
More informationSTS/EACTS LatAm CV Conference 2017
STS/EACTS LatAm CV Conference 2017 Joseph E. Bavaria, MD Director, Thoracic Aortic Surgery Program Roberts-Measey Professor and Vice Chair of CV Surgery University of Pennsylvania Immediate-Past President
More informationEndovascular repair of residual intimal tear or distal new entry after frozen elephant trunk for type A aortic dissection
Original Article Endovascular repair of residual intimal tear or distal new entry after frozen elephant trunk for type A aortic dissection Xu-Dong Pan*, Bin Li*,#, Wei-Guo Ma, Jun Zheng, Yong-Min Liu,
More informationIs close radiographic and clinical control after repair of acute type A aortic dissection really necessary for improved long-term survival?
doi:10.1510/icvts.2010.239764 Interactive CardioVascular and Thoracic Surgery 11 (2010) 620 625 www.icvts.org Best evidence topic - Aortic and aneurysmal Is close radiographic and clinical control after
More informationWhat is the best treatment for False Lumen growth after type B Dissection
What is the best treatment for False Lumen growth after type B Dissection Nikolaos Tsilimparis, Fiona Rohlffs, Yuk Law, Sebastian Debus, Tilo Kölbel N. Tsilimparis, MD, PhD, FEBVS Deputy Head of German
More informationIndications for stent grafts in type B aortic dissection
expert opinion I Akin C A Nienaber Indications for stent grafts in type B aortic dissection ibrahim akin christoph a nienaber Department of Medicine, Divisions of Cardiology, Pulmology and Intensive Care
More informationEarly- and medium-term results after aortic arch replacement with frozen elephant trunk techniques a single center study
Featured Article Early- and medium-term results after aortic arch replacement with frozen elephant trunk techniques a single center study Sergey Leontyev*, Martin Misfeld*, Piroze Daviewala, Michael A.
More informationThe conundrum about complicated and uncomplicated type B dissection New concepts?
The conundrum about complicated and uncomplicated type B dissection New concepts? Professor Christoph A. Nienaber The Royal Brompton and Harefield NHS Trust Cardiology and Aortic Centre C.Nienaber@rbht.nhs.uk
More informationQuo Vadis Cardiovascular Surgery: The Role of Open and Endovascular Techniques in the future (21st Century)
Quo Vadis Cardiovascular Surgery: The Role of Open and Endovascular Techniques in the future (21st Century) Joseph E. Bavaria, MD Roberts-Measey Professor of Surgery Vice Chair, Division of Cardiovascular
More informationAcute dissections: who should we treat, and how?
Acute dissections: who should we treat, and how? J Sobocinski, R Azzaoui, B Maurel, R Spear, T Martin-Gonzalez, A Hertault, S Haulon Centre de l Aorte, Chirurgie vasculaire, Hôpital Cardiologique, CHRU
More informationEndovascular Treatment of Malperfusion Syndrome
Endovascular Treatment of Malperfusion Syndrome in Type B Aortic Dissection Department of Cardiology, Pusan National luniveristy i Hospital, Han Cheol Lee Endovascular Treatment Indication of Type B Aortic
More informationStrategies in the surgical treatment of type A aortic arch dissection
Perspective Strategies in the surgical treatment of type A aortic arch dissection Jehangir J. Appoo 1*, Zlatko Pozeg 2* 1 Libin Cardiovascular Institute of Alberta, Division of Cardiac Surgery, Department
More informationIMH/Penetrating Aortic Ulcers/ Saccular Aneurysms: How to manage and when to intervene
IMH/Penetrating Aortic Ulcers/ Saccular Aneurysms: How to manage and when to intervene UCSF Vascular Surgery Symposium 2018 Sukgu M Han, MD, MS Assistant Professor of Clinical Surgery Co-director, Comprehensive
More informationFrozen Elephant Trunk procedure in patients with aortic dissection type B and concomitant aortic arch or ascending aortic pathology
Frozen Elephant Trunk procedure in patients with aortic dissection type B and concomitant aortic arch or ascending aortic pathology Eduard Charchyan MD, PhD, Yurii Belov MD, PhD, Denis Breshenkov, Alexey
More informationIs a Paradigm Shift towards Early Endovascular Treatment of Type B Dissection justified?
Is a Paradigm Shift towards Early Endovascular Treatment of Type B Dissection justified? Dittmar Böckler Department of Vascular and Endovascular Surgery University of Heidelberg, Germany Disclosure Speaker
More informationCombined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR
Combined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR William J. Quinones-Baldrich MD Professor of Surgery Director UCLA Aortic Center UCLA Medical Center Los Angeles,
More informationOPTIONS IN AORTIC ARCH RECONSTRUCTION: CONVENTIONAL vs. FROZEN ELEPHANT TRUNK. Ricardo R Dias
OPTIONS IN AORTIC ARCH RECONSTRUCTION: CONVENTIONAL vs. FROZEN ELEPHANT TRUNK Ricardo R Dias ricardo.dias@incor.usp.br No disclosure 2 SURGERY should be considered maximal diameter 55mm symptons signs
More informationThoracic Aortic Research Center. University of Milan
University of Milan Thoracic Aortic Research Center Update on IRAD Santi Trimarchi, MD, PhD Associate Professor of Vascular Surgery, University of Milan Head, Unit of Vascular Surgery II Director, Thoracic
More informationSanti Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan
The Gore GREAT Registry: Update about a real life data collection Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan Disclosures
More informationThe role of false lumen intervention to promote remodelling via induced thrombosis the FLIRT concept
The role of false lumen intervention to promote remodelling via induced thrombosis the FLIRT concept Professor Christoph A. Nienaber The Royal Brompton and Harefield NHS Trust Cardiology and Aortic Centre
More informationOpen fenestration for complicated acute aortic B dissection
Art of Operative Techniques Open fenestration for complicated acute aortic B dissection Santi Trimarchi 1, Sara Segreti 1, Viviana Grassi 1, Chiara Lomazzi 1, Marta Cova 1, Gabriele Piffaretti 2, Vincenzo
More informationThe Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations
The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations Joseph V. Lombardi, MD Professor & Chief, Division of Vascular & Endovascular Surgery Department of Surgery,
More informationAnimesh Rathore, MD 4/21/17. Penetrating atherosclerotic ulcers of aorta
Animesh Rathore, MD 4/21/17 Penetrating atherosclerotic ulcers of aorta Disclosures No financial disclosures Thank You Dr. Panneton for giving this lecture for me. I am stuck at Norfolk with an emergency
More informationWhat Determines Aortic False Lumen Growth Post Dissection?
Aortic Dissections What Determines Aortic False Lumen Growth Post Dissection? UCSF Vascular Symposium April 26, 2012 Most common aortic emergency Incidence of aortic dissections are 2/100,000 person-years
More informationUnderstanding the Predictors of Aneurysmal Degeneration in Type B Dissection
Understanding the Predictors of Aneurysmal Degeneration in Type B Dissection A case example illustrating when early endovascular intervention may provide the best outcome. BY DITTMAR BÖCKLER, MD, PhD;
More informationImportance of false lumen thrombosis in type B aortic dissection prognosis
Importance of false lumen thrombosis in type B aortic dissection prognosis Santi Trimarchi, MD, PhD, a Jip L. Tolenaar, MD, a Frederik H. W. Jonker, MD, PhD, b Brian Murray, MD, c Thomas T. Tsai, MD, d
More informationWHICH PLACE FOR EMERGENT INTERVENTION IN COMPLICATED ACUTE TYPE B DISSECTION (ctbaod)
WHICH PLACE FOR EMERGENT INTERVENTION IN COMPLICATED ACUTE TYPE B DISSECTION (ctbaod) Epidemiology of type B Aortic Dissection TYPE B dissection: 0,5-2,1/100.000/year (40% of all dissection) Hospital mortality
More informationTransluminal Stent-graft Placement endovascular surgery
13 545 551 2004 Transluminal Stent-graft Placement endovascular surgery 1 1 2 2 1 1 1 3 2 1 1996 11Transluminal Stent-graft Placement TSGP 6 82 TSGP T42 O TSGP Th10 T 26 O 5 T 3 O 23T 6 O 2 T 47 A15B17B15O
More informationIs there a way to predict the risk in uncomplicated Type B aortic dissections? FRANS MOLL University Medical Centre Utrecht - Netherlands
Is there a way to predict the risk in uncomplicated Type B aortic dissections? FRANS MOLL University Medical Centre Utrecht - Netherlands Disclosures: - Consultant Philips Health Care - Best Doctors Overview
More informationFollow-up of Aortic Dissection: How, How Often, Which Consequences Euro Echo 2011
Follow-up of Aortic Dissection: How, How Often, Which Consequences Euro Echo 2011 Susan E. Wiegers, MD, FASE Director of Clinical Echocardiography Hospital of the University of Pennsylvania Disclosure
More informationNo Disclosure. Aortic Dissection in Japan. This. The Challenge of Acute and Chronic Type B Aortic Dissections with Endovascular Aortic Repair
No Disclosure The Challenge of Acute and Chronic Type B Aortic Dissections with Endovascular Aortic Repair Toru Kuratani Department of Cardiovascular Surgery Osaka University Graduate School of Medicine,
More informationHigh Risk Uncomplicated Type B Dissection
High Risk Uncomplicated Type B Dissection Ali Azizzadeh, MD, FACS Director, Vascular Surgery Vice Chair, Department of Surgery Associate Director, Heart Institute Cedars-Sinai Medical Center Los Angeles,
More informationCurrent State of Thoracic Branch Devices and Ongoing Clinical Trials
Current State of Thoracic Branch Devices and Ongoing Clinical Trials Hiroo Takayama, MD, PhD Associate Professor of Surgery Director of Cardiovascular Institute Co-Director of Aortic Center NY Presbyterian/Columbia
More informationHybrid repair of aortic arch aneurysms: a comprehensive review
Review Article Hybrid repair of aortic arch aneurysms: a comprehensive review Steve Xydas 1, Christos G. Mihos 2, Roy F. Williams 1, Angelo LaPietra 1, Maurice Mawad 1, S. Howard Wittels 3, Orlando Santana
More informationDistal Arch and Descending Aorta: What Is the Optimal Therapy in 2017?
Distal Arch and Descending Aorta: What Is the Optimal Therapy in 2017? Eric E. Roselli, MD Chief, Adult Cardiac Surgery Director, Aorta Center Heart and Vascular Institute, Cleveland Clinic Disclosures
More informationDescending endograft for DeBakey type 1 aortic dissection: pro
Perspective Descending endograft for DeBakey type 1 aortic dissection: pro Paolo Berretta, Marco Di Eusanio Division of Cardiac Surgery, G. Mazzini Hospital, Teramo, Italy Correspondence to: Marco Di Eusanio.
More informationFrozen versus conventional elephant trunk technique: application in clinical practice
European Journal of Cardio-Thoracic Surgery 51 (2017) i20 i28 doi:10.1093/ejcts/ezw335 Cite this article as: Di Bartolomeo R, Murana G, Di Marco L, Pantaleo A, Alfonsi J, Leone A et al. Frozen versus conventional
More informationPioneering EVAR techniques in aortic dissection
Pioneering EVAR techniques in aortic dissection Jianing Yue, Weiguo Fu Department of Vascular Surgery Zhongshan Hospital Fudan University Shanghai, China LINC Asia-Pacific 2016 March 8-10, 2016 Hong Kong
More informationDISCLOSURES ISOLATED DTA LESION? TYPE B DISSECTIONS TREATMENT OPTIONS
Endovascular Repair of Aortic Arch Pathologies; What is available/possible in the U.S. in 2018? Kaiser Permanente Endovascular Symposium 6/2/18 Sukgu M Han, MD, MS Assistant Professor of Clinical Surgery
More informationF. Terzi, S. Gianstefani, R. Fattori. cardiology and interventional cardiology unit, ospedali riuniti Marche nord, pesaro.
14_14 03/02/17 14.16 Pagina 101 Type B aortic dissection: it should Be TreaTed F. Terzi, S. Gianstefani, R. Fattori cardiology and interventional cardiology unit, ospedali riuniti Marche nord, pesaro.
More informationOptimal Treatment of Chronic Dissection
Optimal Treatment of Chronic Dissection Chun-Che Shih 施俊哲 MD, Ph.D. Chief, Professor Institute of Clinical Medicine National Yang Ming University Division of Cardiovascular Surgery Taipei Veterans General
More informationAre stent-grafts for acute type B dissection durable? Est-ce que les stents graft pour la dissection aigue de type B sont efficaces à moyen terme?
Are stent-grafts for acute type B dissection durable? Est-ce que les stents graft pour la dissection aigue de type B sont efficaces à moyen terme? Martin Björck, Johnny Steuer, Anders Wanhainen Uppsala
More informationAcute dissections of the descending thoracic aorta (Debakey
Endovascular Treatment of Acute Descending Thoracic Aortic Dissections Nimesh D. Desai, MD, PhD, and Joseph E. Bavaria, MD Acute dissections of the descending thoracic aorta (Debakey type III or Stanford
More informationHybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm
Hybrid Repair of a Complex Thoracoabdominal Aortic Aneurysm Virendra I. Patel MD MPH Assistant Professor of Surgery Massachusetts General Hospital Division of Vascular and Endovascular Surgery Disclosure
More informationAortic Center of Excellence at Sentara
Gordon K. Stokes, MD, FACS Eastern Virginia Medical School Sentara Vascular Specialists Norfolk, VA Aortic Center of Excellence at Sentara April 25, 2014 Disclosures I have no disclosures relevant to this
More informationDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital of Capital Medical University, Beijing Aortic Disease Center, Beijing, China;
Featured Article Sun s procedure of total arch replacement using a tetrafurcated graft with stented elephant trunk implantation: analysis of early outcome in 398 patients with acute type A aortic dissection
More informationCovered stent graft for distal stent graft-induced new entry after frozen elephant trunk operation for aortic dissection.
Research Article http://www.alliedacademies.org/annals-of-cardiovascular-and-thoracic-surgery/ Covered stent graft for distal stent graft-induced new entry after frozen elephant trunk operation for aortic
More informationTHE EVOLUTION OF FET-TECHNIQUE
4 th Aortic Live Symposium THE EVOLUTION OF FET-TECHNIQUE Heinz Jakob, MD PhD West German Heart andvascular Center, University Duisburg-Essen, Germany Disclosure Speaker name: Heinz Jakob JOTEC GmbH, Hechingen,
More informationSurgical management of acute type A aortic dissection: branch-first arch replacement with total aortic repair
Art of Operative Techniques Surgical management of acute type A aortic dissection: branch-first arch replacement with total aortic repair Sean D. Galvin 1, Nisal K. Perera 2, George Matalanis 2 1 Department
More informationAnother pregnancy after a previous aortic dissection in pregnancy?
Another pregnancy after a previous aortic dissection in pregnancy? Dr Leisa Freeman GUCH & Maternal Cardiology Unit Norfolk & Norwich University Hospital UK Arterial wall changes & haemodynamic effects
More informationAscending Aorta: Is The Endovascular Approach Realistic?
University Heart Center Hamburg GERMAN AORTIC CENTER UHC Ascending Aorta: Is The Endovascular Approach Realistic? Tilo Kölbel, Christian Detter, Yskert v. Kodolitsch, Sebastian Debus University Heart Center
More informationAscending Aorta: Is The Endovascular Approach Realistic?
Ascending Aorta: Is The Endovascular Approach Realistic? Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Disclosures Research-grants, travelling, proctoring speaking-fees,
More informationEndovascular therapy for Ischemic versus Nonischemic complicated acute type B aortic dissection (catbad).
Endovascular therapy for Ischemic versus Nonischemic complicated acute type B aortic dissection (catbad). AS. Eleshra, MD 1, T. Kölbel, MD, PhD 1, F. Rohlffs, MD 1, N. Tsilimparis, MD, PhD 1,2 Ahmed Eleshra
More informationThe natural history of uncomplicated type B dissection, PAU and IMH: the IRAD knowledge. Santi Trimarchi, MD, PhD
IRCCS Policlinico San Donato University of Milan Thoracic Aortic Research Center The natural history of uncomplicated type B dissection, PAU and IMH: the IRAD knowledge Santi Trimarchi, MD, PhD No COI
More informationAcute Type B dissection. Closure of the infra diaphragmatic tear: how and when?
Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when? Prof. Olgierd Rowiński II Department of Clinical Radiology Medical University of Warsaw Disclosure Speaker name: Olgierd
More informationTotal endovascular techniques utilization in aortic dissection radical treatment
Total endovascular techniques utilization in aortic dissection radical treatment Chang Shu, MD, PhD Vascular Surgery Center National Center for Cardiovascular Diseases. Fuwai Hospital, CAMS & PUMC Beijing,
More informationMalperfusion Syndromes Type B Aortic Dissection with Malperfusion
Malperfusion Syndromes Type B Aortic Dissection with Malperfusion Jade S. Hiramoto, MD, MAS April 27, 2012 Associated with early mortality Occurs when there is end organ ischemia secondary to aortic branch
More informationOptimised management of type A aortic dissection with visceral malperfusion concept to reconsider
Optimised management of type A aortic dissection with visceral malperfusion concept to reconsider Matthias Thielmann, MD, PhD, FAHA Thoracic and Cardiovascular Surgery, West-German Heart and Vascular Center
More informationInfluence of Radiologically Evident Residual Intimal Tear on Expansion of Descending Aorta Following Surgery for Acute Type I Aortic Dissection
Korean J Thorac Cardiovasc Surg 2014;47:6-12 ISSN: 2233-601X (Print) ISSN: 2093-6516 (Online) Clinical Research http://dx.doi.org/10.5090/kjtcs.2014.47.1.6 Influence of Radiologically Evident Residual
More informationIntroducing the GORE TAG Conformable Thoracic Stent Graft with ACTIVE CONTROL System
Introducing the GORE TAG Conformable Thoracic Stent Graft with ACTIVE CONTROL System K. Oikonomou Department of Vascular Surgery Regensburg University Disclosures W.L. Gore & Associates Sponsored Presentation
More informationAscending Aorta: The Endovascular Approach
University Heart Center Hamburg GERMAN AORTIC CENTER Ascending Aorta: The Endovascular Approach Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Gold Standard for Ascending
More informationRe-interventions on the thoracic and thoracoabdominal aorta in patients with Marfan syndrome
Perspective Re-interventions on the thoracic and thoracoabdominal aorta in patients with Marfan syndrome Florian S. Schoenhoff, Thierry P. Carrel Department of Cardiovascular Surgery, University Hospital
More informationLa sindrome aortica acuta oggi
University of Milan Thoracic Aortic Research Center La sindrome aortica acuta oggi Santi Trimarchi, MD, PhD Professore Associato di Chirurgia Vascolare, Università degli Studi di Milano Direttore, Divisione
More informationDevelopment of Stent Graft. Kato et al. Development of an expandable intra-aortic prothesis for experimental aortic dissection.
Development of Stent Graft Kato et al. Development of an expandable intra-aortic prothesis for experimental aortic dissection. ASAIO J 1993 The New England Journal of Medicine Downloaded from nejm.org
More informationAortic Arch/ Thoracoabdominal Aortic Replacement
Aortic Arch/ Thoracoabdominal Aortic Replacement Joseph S. Coselli, M.D. Vice Chair, Department of Surgery Professor, Chief, and Cullen Foundation Endowed Chair Division of Cardiothoracic Surgery Baylor
More informationThoracic Endovascular Aortic Repair (TEVAR) Indications and Basic Procedure
Thoracic Endovascular Aortic Repair (TEVAR) Indications and Basic Procedure Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Disclosure Speaker name: Tilo Kölbel, MD I
More informationEndo-Bentall: Fact or Fiction?
Endo-Bentall: Fact or Fiction? Eric E. Roselli, MD Chief, Adult Cardiac Surgery Surgical Director, Aorta Center Heart and Vascular Institute, Cleveland Clinic Disclosures Bolton Cook Cryolife Edwards Gore
More informationSun s procedure for complex aortic arch repair: total arch replacement using a tetrafurcate graft with stented elephant trunk implantation
Art of Operative Techniques Sun s procedure for complex aortic arch repair: total arch replacement using a tetrafurcate graft with stented elephant trunk implantation Wei-Guo Ma 1,2, Jun-Ming Zhu 1, Jun
More informationType B aortic dissection: new perspectives
Review Article on Cardiac Surgery Page 1 of 8 Type B aortic dissection: new perspectives Marc A.A.M Schepens Department of Cardiac Surgery, AZ St. Jan, Brugge, Belgium Correspondence to: Marc A.A.M Schepens.
More informationCT angiography in type I acute aortic dissection complicated with malperfusion - a visual review of obstruciton patterns
CT angiography in type I acute aortic dissection complicated with malperfusion - a visual review of obstruciton patterns Eneva M. St. Ekaterna University Hospital Report objectives 1. Review malperfusion
More informationJoseph E. Bavaria, MD
EACTS Master Class on Aortic Valve Repair Joseph E. Bavaria, MD Director, Thoracic Aortic Surgery Program Roberts Measey Professor and Vice Chair of CV Surgery University of Pennsylvania Immediate-Past
More informationTechnique and Outcome of Laser Fenestration For Arch Vessels
Technique and Outcome of Laser Fenestration For Arch Vessels Jean M. Panneton MD, FRCSC, FACS Professor of Surgery Chief & Program Director Division of Vascular Surgery Eastern Virginia Medical School
More informationLong-Term Predictors of Descending Aorta Aneurysmal Change in Patients With Aortic Dissection
Journal of the American College of Cardiology Vol. 50, No. 8, 2007 2007 by the American College of Cardiology Foundation ISSN 0735-1097/07/$32.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2007.03.064
More informationTotal Endovascular Repair Type A Dissection. Eric Herget Interventional Radiology
Total Endovascular Repair Type A Dissection Eric Herget Interventional Radiology 65 year old male Acute Type A Dissection Severe Aortic Regurgitation No co-morbidities Management? Part II Evolving Global
More informationRedo treatment and open conversion after TEVAR
Redo treatment and open conversion after TEVAR Roberto Chiesa Vascular Surgery, Vita-Salute University Scientific Institute San Raffaele Milan, Italy Number of procedures Off-Label indications for TEVAR
More information