Extended Arch Techniques for Acute Aortic Dissection: a systematic review and classification
|
|
|
- Francine Thompson
- 6 years ago
- Views:
Transcription
1 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 of Alberta University of Calgary
2 Outline Background Classification system Results of a systematic review of the data The Calgary experience Future directions
3 Case 49M presented to hospital feelings as though he s been hit in the chest with a hammer PMHX: HTN, smoker, dyslipidemia HR 95, BP 100/70, SpO2 93% ORA O/E: tender abdomen Lactate = 4
4 Initial CT
5 Initial CT
6 Initial CT
7 What operation would be the most appropriate for this patient?
8 Type A Aortic Dissection High morbidity and mortality Requires surgical correction Current standard is to resect the intimal tear, reconstruct proximal arch, and deal with complications Overall results are sub-optimal
9 Registry Data IRAD 2005: operative mortality 25.1% GERAADA 2015: operative mortality 16.9% CTAC 2015: operative mortality 17.8%
10 We are improving, but not enough Pape 2015 J Am Coll Cardiol
11 Long term results Ten year survival estimates vary Geirsson (2007 Ann Thorac Surg): 46% Olsson (2013 J Vasc Surg): 64% Fattouch (2009 Ann Thorac Surg): 60% if false lumen remains patent but 90% if false lumen occluded Reoperation ~20% at 10 years
12 Who does this happen to? Tsai 2006 Circulation
13 The problem High short term morbidity and mortality that has remained relatively stagnant + Compromised long term survival
14 How can we improve short term and long term outcomes in these patients?
15 A solution? Select centres around the world are trying different types of operations Extended arch replacement may improve long term prognosis without a rise in short term morbidity and mortality More surgery = better results?
16 Classification of Surgical Technique
17 Type 0 Total arch replacement without stent graft
18 Rylski (2014) Total arch vs. hemiarch vs. ascending aortic replacement No significant difference in hospital mortality J Thorac Cardiovasc Surg
19 Type 1 Total arch plus frozen elephant trunk Stent graft is placed through open arch at time of circulatory arrest
20 Uchida (2011) 80 patients Patients were younger or had a distal entry tear 10 year survival was 75% with freedom from reoperation of 95% Compared to hemi-arch replacement, with a long term survival benefit Eur J Cardiothorac Surg
21 Tsagakis (2010) 68 patients implanted with the E-Vita graft Hospital mortality = 13% J Thorac Cardiovasc Surg
22 Type 2 Hemi-arch plus frozen elephant trunk Stent graft is placed through open arch at time of circulatory arrest
23 Pochettino (2009)
24 Pochettino (2009) Type 2 compared to standard repair no significant difference in: Mortality (14% vs 14%) Stroke (3% vs 10%) SCI (8% vs 2%) Re-intervention (25% vs 12%) Ann Thorac Surg
25 Chen (2015) Triple branched stent graft place under direct visualization then deployed J Thorac Cardiovasc Surg
26 Chen (2015)
27 Type 3 Total arch plus warm elephant trunk Stent is placed after coming off CPB with aid of fluoroscopy
28 Chang (2013) Single stage operation 21 patient cohort with one death (4.8%) J Thorac Cardiovasc Surg
29 Chang
30 Systematic review 596 studies identified 37 studies met inclusion criteria for final review
31 Recall the registry data.. IRAD 2005: operative mortality 25.1% GERAADA 2015: operative mortality 16.9% CTAC 2015: operative mortality 17.8%
32 Total arch replacement
33 Total arch replacement Study No of patients Hospital Mortality (%) Stroke (%) SCI (%) Cho (2009) 28 1 (3.6) 3 (10.7) 1 (3.6) Di Eusanio (2015) (22.6) 4 (7.5) - Kim (2011) 44 6 (13.4) 10 (22.7) 1 (2.3) Ochiai (2005) 46 3 (6.5) 1 (2.2) 0 Rylski (2014) 14 4 (28.6) 1 (7) - Shiono (2006) 29 2 (6.9) 3 (10.3) - Takahara (2002) 37 3 (8.1) 0 2 (5.4) Tan (2003) 17 4 (23.5) - - Watanuki (2007) 54 2 (3.7) 3 (5.6) - TOTAL (11.5) 25 (8.2) 4 (2.6)
34 Total arch plus FET
35 Total arch plus FET Study No of patients Hospital Mortality (%) Stroke (%) SCI (%) Chen (2010) 28 4 (14.3) 3 (10.7) - Katayama (2015) (5.8) 4 (3.3) 2 (1.7) Liu (2008) 15 1 (6.7) 2 (13.3) - Lu (2015) 21 2 (9.5) 0 0 Ma (2013) (7.8) 10 (2.5) 10 (2.5) Mizuno (2002) 9 1 (11.1) 1 (11.1) 2 (22.2) Shen (2012) 22 2 (9.1) 0 1 (4.5) Shi (2014) 41 3 (7.3) 0 0 Shi (2014) 84 5 (5.9) 0 0 Shrestha (2015) 52 8 (15.4) 6 (11.5) 2 (3.8) Uchida (2011) 80 4 (5) 2 (2.5) 0 Xiao (2014) 33 6 (18.2) 0 0 Yang (2014) 86 5 (5.8) 2 (2.3) 2 (2.3) TOTAL (8.0) 30 (3.0) 19 (2.0)
36 Hemi-arch plus FET
37 Hemi-arch plus FET Study No of patients Hospital Mortality (%) Stroke (%) SCI (%) Chen (2014) (4.9) 2 (1.6) - Chen (2015) (4.8) 2 (1.9) 0 Fleck (2002) 8 1 (12.5) 0 0 Hua (2013) 34 2 (5.9) 0 2 (5.9) Jakob (2008) 22 2 (9.1) 2 (9.1) - Pan (2013) Panos (2005) Pochettino (2009) 36 5 (13.9) 1 (3) 3 (9) Preventza (2014) 25 3 (12) 3 (12) 2 (8) Roselli (2013) (11.8) 2 (11.8) Shen (2012) 16 1 (6.2) 0 1 (6.2) Shi (2014) 54 2 (3.7) 0 0 Shi 2 (2014) 71 3 (4.2) 0 0 Vallabhajosyula (2014) 62 6 (9.7) 3 (4.8) 0 TOTAL (6.0) 15 (2.6) 10 (2.3)
38 Total arch plus warm ET
39 Total arch plus warm ET Study No of patients Hospital Mortality (%) Stroke (%) SCI (%) Chang (2013)* 21 1 (4.8) 0 0 Esposito (2015) 89 8 (8.9) 3 (3.4) 0 Glauber (2011) 23 1 (4.3) 0 - Marullo (2010) 24 1 (4.2) 0 - TOTAL (7.0) 3 (1.9) 0
40 Summary of results Surgical Technique Hospital Mortality (%) Stroke (%) SCI (%) Total Arch Total Arch plus FET Hemi arch plus FET Total arch plus warm ET
41 2014 ESC Guidelines
42 The Calgary Experience Kent (2014) published results of 20 patients J Thorac Cardiovasc Surg
43 The Calgary Experience Hospital mortality = 5% Stroke = 5% SCI = 20% All transient
44 Back to the case
45 Procedure Performed Total arch replacement with warm elephant trunk New approach: Zone 2 arch replacement
46 Intraoperative angiogram
47 Intraoperative angiogram
48 Post-operative CT
49 Post-operative CT
50 Summary Extended arch surgery for type A dissection has comparable peri-operative mortality to established registry data These results are based on early data There is a substantial learning curve Further study is needed to compare techniques
51 Thank you!
Emerging 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
Frozen Elephant Trunk in Acute Aortic Dissection
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
Aggressive 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,
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
Department 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
Aggressive 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
Strategies 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
Descending 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.
Accepted 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
STS/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
When 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,
Therapeutic 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
Total 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
Antegrade 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;
OPEN AND ENDOVASCULAR TECHNIQUES IN THE CARDIOTHORACIC SURGEON S HANDS
4 th Aortic Live Symposium OPEN AND ENDOVASCULAR TECHNIQUES IN THE CARDIOTHORACIC SURGEON S HANDS A/Prof George Matalanis Director Cardiac Surgery Austin Hospital Disclosure I do not have any potential
Animesh 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
Endovascular 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,
Acute Aortic Dissection: Decision and Outcome
Acute Aortic Dissection: Decision and Outcome Marc R. Moon, M.D. John M. Shoenberg Chair in CV Disease Chief, Cardiac Surgery Director, Center for Diseases of the Thoracic Aorta Washington University School
Hemiarch versus total aortic arch replacement in acute type A dissection: a systematic review and meta-analysis
Systematic Review Hemiarch versus total aortic arch replacement in acute type A dissection: a systematic review and meta-analysis Shi Sum Poon, Thomas Theologou, Deborah Harrington, Manoj Kuduvalli, Aung
Covered 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
THE 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,
Animesh 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
Quo 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
The 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,
What 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
Asymptomatic 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
Is 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
Lulu Liu, Chaoyi Qin, Jianglong Hou, Da Zhu, Bengui Zhang, Hao Ma, Yingqiang Guo
Case Report One-stage hybrid surgery for acute Stanford type A aortic dissection with David operation, aortic arch debranching, and endovascular graft: a case report Lulu Liu, Chaoyi Qin, Jianglong Hou,
Early- 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.
What 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
Midterm Results of Aortic Arch Replacement in a Stanford Type A Aortic Dissection With an Intimal Tear in the Aortic Arch
ORIGINAL ARTICLE DOI 10.4070 / kcj.2009.39.7.270 Print ISSN 1738-5520 / On-line ISSN 1738-5555 Copyright c 2009 The Korean Society of Cardiology Midterm Results of Aortic Arch Replacement in a Stanford
Indications 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
Aortic Arch pathology options: Open,Hybrid, fenestration, Chimney or branched stent-graft?
Aortic Arch pathology options: Open,Hybrid, fenestration, Chimney or branched stent-graft? Chang Shu, M.D., Ph.D Vascular Surgery Center National Center for Cardiovascular Diseases. Fuwai Hospital, CAMS
UC 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,
Current 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
Neurological outcomes and mortality in patients with type A aortic dissection. Impact of intra-operative management
Neurological outcomes and mortality in patients with type A aortic dissection. Impact of intra-operative management P Santé, M. Buonocore L Majello, A Caiazzo, G Petrone, G Nappi Dept. of Cardiothoracic
Transluminal 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
Optimised 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
Ascending 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
Early 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
Hybrid 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
Ascending 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,
Hybrid 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
Disclosures: Acute Aortic Syndrome. A. Michael Borkon, M.D. Director of CV Surgery Mid America Heart Institute Saint Luke s Hospital Kansas City, MO
Acute Aortic Syndrome Disclosures: A. Michael Borkon, M.D. Director of CV Surgery Mid America Heart Institute Saint Luke s Hospital Kansas City, MO No financial relationships to disclose 1 Acute Aortic
Endovascular 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
Ascending 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
Development 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
Type 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
Joseph 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
The 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
TEVAR 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
UC 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
Modification in aortic arch replacement surgery
Gao et al. Journal of Cardiothoracic Surgery (2018) 13:21 DOI 10.1186/s13019-017-0689-y LETTER TO THE EDITOR Modification in aortic arch replacement surgery Feng Gao 1,2*, Yongjie Ye 2, Yongheng Zhang
Surgical outcomes for acute type A aortic dissection with aggressive primary entry resection
European Journal of Cardio-Thoracic Surgery 50 (2016) 567 573 doi:10.1093/ejcts/ezw111 Advance Access publication 3 April 2016 ORIGINAL ARTICLE Cite this article as: Inoue Y, Minatoya K, Oda T, Itonaga
Gelweave TM. Thoracic and Thoracoabdominal Graft Geometries. Ante-Flo TM 4 Branch Plexus. Siena Valsalva TM Trifurcate Arch Graft. Coselli.
Gelweave TM Thoracic and Thoracoabdominal Graft Geometries Ante-Flo TM 4 Branch Plexus Siena Valsalva TM Trifurcate Arch Graft Coselli Lupiae Product availability subject to local regulatory approval.
Associated bare stenting of distal aorta with a Djumbodis system versus conventional surgery in type A aortic dissection
Featured Article Associated bare stenting of distal aorta with a Djumbodis system versus conventional surgery in type A aortic dissection Thierry Caus 1, Dmitry Sirota 2, Joseph Nader 1, Maxim Lyashenko
Frozen 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
Vascular Intervention
10 : 389-393, 2001 B Vascular Intervention 1 1 2 1 1 1 1 3 2 1 1997 7 2000 4 B 29 19 10 50 84 66.1 stent graft S/G primary entry stenting S/G 12 4 2 1 1 40 mm 8 1 MOF 1 endoleak + 11 91.6% 10 stenting
DISCLOSURES 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
Follow-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
The Journal of Thoracic and Cardiovascular Surgery
Accepted Manuscript Chronic type A dissection: when to operate? Francois Dagenais, MD PII: S0022-5223(18)33131-3 DOI: https://doi.org/10.1016/j.jtcvs.2018.11.032 Reference: YMTC 13781 To appear in: The
Pioneering 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
Type II arch hybrid debranching procedure
Safeguards and Pitfalls Type II arch hybrid debranching procedure Prashanth Vallabhajosyula, Wilson Y. Szeto, Nimesh Desai, Caroline Komlo, Joseph E. Bavaria Division of Cardiovascular Surgery, University
Thoracic 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
Aortic 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
Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS. Arch Pathology: The Endovascular Era is here
Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS Arch Pathology: The Endovascular Era is here Disclosures Consultant: Cook Medical, Bolton Medical, Medtronic Inc, Volcano,
Re-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
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?
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
State of Art Hybrid Approach
State of Art Hybrid Approach for Complex Aorta Diseases Won Ho Kim, MD Division of Cardiology, Eulji University Hospital Eulji University School of Medicine, Daejeon, Korea Introduction.Hybrid procedure
Frozen elephant trunk for DeBakey type 1 dissection: the Cleveland Clinic technique
Masters of Cardiothoracic Surgery Frozen elephant trunk for DeBakey type 1 dissection: the Cleveland Clinic technique Eric E. Roselli, Michael Z. Tong, Faisal G. Bakaeen Aorta Center, Department of Thoracic
IMH/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
CLINICAL RESEARCH. Zhihuang Qiu Liangwan Chen Hua Cao Guican Zhang Fan Xu Qiang Chen
e-issn 1643-3750 DOI: 10.12659/MSM.892492 Received: 2014.09.15 Accepted: 2014.10.28 Published: 2015.03.04 Analysis of Risk Factors for Acute Kidney Injury after Ascending Aortic Replacement Combined with
Dissection 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
Experience of endovascular procedures on abdominal and thoracic aorta in CA region
Experience of endovascular procedures on abdominal and thoracic aorta in CA region May 14-15, 2015, Dubai Dr. Viktor Zemlyanskiy National Research Center of Emergency Care Astana, Kazakhstan Region Characteristics
THORACOABDOMINAL AORTIC ANEURYSMS HYBRID REPAIR
Update on Open and Endovascular Therapeutic Option for Aortic Repair CENTRE CARDIO-TORACIQUE DE MONACO Friday November 7 th, 2014 THORACOABDOMINAL AORTIC ANEURYSMS HYBRID REPAIR Roberto Chiesa Vascular
Abdominal and thoracic aneurysm repair
Abdominal and thoracic aneurysm repair William A. Gray MD Director, Endovascular Intervention Cardiovascular Research Foundation Columbia University Medical Center Abdominal Aortic Aneurysm Endografts
Title. Different arch branched devices are available, is morphology the. main criteria of choice? Ciro Ferrer, MD
Different arch branched devices are available, is morphology the Title main criteria of choice? Ciro Ferrer, MD Vascular Surgery Unit Sapienza University of Rome Disclosure Speaker name: Ciro Ferrer Proctoring/speaking
Evolution of Thoracic Aortic Surgery A Rapidly Advancing Paradigm. October 15 th, 2014 Family Practice Evening Course University of Calgary
Evolution of Thoracic Aortic Surgery A Rapidly Advancing Paradigm October 15 th, 2014 Family Practice Evening Course University of Calgary Jehangir Appoo Division of Cardiac Surgery Libin Cardiovascular
Distal 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
Aortic Dissection: The Great Masquerader
Aortic Dissection: The Great Masquerader Calgary Emergency Physicians Grand Rounds June 11, 2015 Eric Herget & Jehangir Appoo Aortic Dissection: The Great Masquerader Calgary Emergency Physicians Grand
Midterm Change of Descending Aortic False Lumen After Repair of Acute Type I Dissection
Midterm Change of Descending Aortic False Lumen After Repair of Acute Type I Dissection Kay-Hyun Park, MD, PhD, Cheong Lim, MD, PhD, Jin Ho Choi, MD, Euisuk Chung, MD, Sang Il Choi, MD, PhD, Eun Ju Chun,
Endovascular surgery in Marfan syndrome: CON
Perspective Endovascular surgery in Marfan syndrome: CON Nicholas T. Kouchoukos Division of Cardiovascular and Thoracic Surgery, Missouri Baptist Medical Center, BJC Healthcare, St. Louis, Missouri, USA
Malperfusion 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
Total aortic repair: the new paradigm in the treatment of acute type A aortic dissection
Perspective Total aortic repair: the new paradigm in the treatment of acute type A aortic dissection George Matalanis 1, Nisal K. Perera 1, Sean D. Galvin 2 1 Department of Cardiac Surgery, The Austin
Intravascular Ultrasound in the Treatment of Complex Aortic Pathologies. Naixin Kang, M.D. Vascular Surgery Fellow April 26 th, 2018
Intravascular Ultrasound in the Treatment of Complex Aortic Pathologies Naixin Kang, M.D. Vascular Surgery Fellow April 26 th, 2018 DISCLOSURES Nothing To Disclose 2 ENDOVASCULAR AORTIC INTERVENTION Improved
Aortic 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
Minimally Invasive Aortic Arch Surgery:
Minimally Invasive Aortic Arch Surgery: Where are we? Where are we headed? Jehangir J. Appoo Libin Cardiovascular Institute University of Calgary www.aorta.ca June 15, 2016 Cardiac Masters Day: Minimally
Treatment 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
Combined 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,
CT 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
Chairman and O. Wayne Isom Professor Department of Cardiothoracic Surgery Weill Cornell Medicine
Leonard N. Girardi, M.D. Chairman and O. Wayne Isom Professor Department of Cardiothoracic Surgery Weill Cornell Medicine New York, New York Houston Aortic Symposium Houston, Texas February 23, 2017 weill.cornell.edu
Optimal 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
Is 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
Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui
Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui Aortic Center, Lille University Hospital, France Disclosures
Current Trends in. Torin P. Fitton, MD Division of Cardiothoracic Surgery Lahey Clinic NO DISCLOSURES. Aortic Syndromes
Current Trends in Aortic Syndromes Torin P. Fitton, MD Division of Cardiothoracic Surgery Lahey Clinic NO DISCLOSURES Aortic Syndromes Aortic Aneurysm Aortic Dissection Intramural Hematoma (IMH) Penetrating
Performance 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
Optimal repair of acute aortic dissection
Optimal repair of acute aortic dissection Dept. of Vascular Surgery, The 2nd Xiang-Yale Hospital, Central-South University, China Hunan Major Vessels Diseases Clinical Center Chang Shu Email:changshu01@yahoo.com
Acute 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
La dissection aortique de type B : Dépistage et Suivi
La dissection aortique de type B : Dépistage et Suivi Philippe Cluzel Département d Imagerie Cardiovasculaire et de Radiologie Interventionnelle et Thoracique (DICVRIT) Sorbonne Université Médecine, UMR
Current treatment of Aortic Aneurysms and Dissections. Adam Keefer, MD, FACS Sean Hislop, MD, FACS
Current treatment of Aortic Aneurysms and Dissections Adam Keefer, MD, FACS Sean Hislop, MD, FACS Patient 1 69 year old well-educated man with reoccurring pain in his upper abdomen and a pulsatile mass.