IRAD Investigator Meeting American College of Cardiology 2012
|
|
|
- Darleen Watts
- 5 years ago
- Views:
Transcription
1 IRAD Investigator Meeting American College of Cardiology 2012
2 { Agenda
3 Agenda I. Database Update II. Notes on Variables III. Participating Sites IV. IRAD Expansion V. IRAD IVC VI. Patient Education VII. Dynamic Imaging VIII. Publications Update IX. Manuscripts in Preparation X. ACC 2012 Presentations XI. Upcoming Meetings XII in Review XIII. Future Directions
4 { Database Update
5 Total Patients Type A Type B
6 Michigan Mass. Gen. U. Penn. S. Orsola Vall d'hebron RBK San Donato Tromso St. Michaels Brigham & Women's Minneapolis Heart Tokyo Eppendorf-Rostock Calgary Mayo Wash. U. Vienna Hadassah U. Mass. San Giovanni e Ruggi 12 de Octubre Duke Dartmouth U. Colorado U. Chicago Bichat U. Virginia Graz U. Pittsburgh U. Minnesota 600 No. of Cases by Hospital
7 Total Follow-up Follow-up defined as a patient having at least one completed follow-up form (79.8%) (51.6%) Total Survived Followed Up
8 Follow-up by Type Type A Dissection Type B Dissection (48.3%) (56.8%) Survived Followed Up 0 Survived Followed Up
9 Mass. Gen. Michigan RBK S. Orsola Vall d'hebron San Donato Tromso St. Michaels Eppendorf-Rostock Calgary Minneapolis Heart Brigham & Women's Vienna U. Mass. Tokyo Wash. U. 12 de Octubre Hadassah Mayo Duke U. Penn. Dartmouth U. Chicago Bichat Graz San Giovanni e Ruggi U. Colorado U. Pittsburgh U. Virginia U. Minnesota 250 Follow-up by Hospital
10 RBK U. Mass. 12 de Octubre Tromso Eppendorf-Rostock Calgary Vall d'hebron Mass. Gen. St. Michaels San Donato S. Orsola Minneapolis Heart Michigan Vienna Duke Hadassah Brigham & Women's Wash. U. U. Chicago Tokyo Mayo U. Penn. San Giovanni e Ruggi Dartmouth U. Colorado Bichat U. Virginia Graz U. Pittsburgh U. Minnesota % Follow-up by Hospital 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0%
11 Michigan Mass. Gen. Vall d'hebron S. Orsola Tromso Eppendorf-Rostock RBK San Donato St. Michaels Calgary Tokyo U. Mass. Minneapolis Heart Mayo Wash. U. Brigham & Women's Duke Hadassah 12 de Octubre U. Penn. Vienna San Giovanni e Ruggi Dartmouth U. Colorado U. Chicago Bichat U. Virginia Graz U. Pittsburgh U. Minnesota Type B Follow-up
12 12 de Octubre RBK Tromso S. Orsola Vall d'hebron Eppendorf-Rostock St. Michaels U. Mass. Calgary Mass. Gen. Michigan San Donato Hadassah Brigham & Women's Duke Minneapolis Heart Mayo Tokyo Wash. U. U. Penn. Vienna San Giovanni e Ruggi Dartmouth U. Colorado U. Chicago Bichat U. Virginia Graz U. Pittsburgh U. Minnesota % Type B Follow-up 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0%
13 RBK Tromso S. Orsola Vall d'hebron Eppendorf-Rostock St. Michaels Calgary Mass. Gen. Michigan San Donato Brigham & Women's Minneapolis Heart Mayo Tokyo Wash. U. U. Penn % 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% % Type B Follow-up Sites with >100 Cases
14 RBK Mass. Gen. S. Orsola San Donato Michigan Vall d'hebron St. Michaels Minneapolis Heart Tromso Calgary Brigham & Women's Vienna Eppendorf-Rostock 12 de Octubre U. Mass. Wash. U. Hadassah Tokyo Duke Mayo U. Chicago U. Penn. San Giovanni e Ruggi Dartmouth U. Colorado Bichat U. Virginia Graz U. Pittsburgh U. Minnesota Type A Follow-up
15 RBK U. Mass. 12 de Octubre Tromso Calgary Minneapolis Heart Mass. Gen. Eppendorf-Rostock San Donato Vall d'hebron St. Michaels S. Orsola Vienna Michigan Duke Hadassah Brigham & Women's Wash. U. U. Chicago Tokyo Mayo U. Penn. San Giovanni e Ruggi Dartmouth U. Colorado Bichat U. Virginia Graz U. Pittsburgh U. Minnesota % Type A Follow-up 00.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0%
16 RBK Tromso Calgary Minneapolis Heart Mass. Gen. Eppendorf-Rostock San Donato Vall d'hebron St. Michaels S. Orsola Michigan Brigham & Women's Wash. U. Tokyo Mayo U. Penn. % Type A Follow-up Sites with >100 Cases % 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00%
17 { Notes on Variables
18 Acute Form Variables Only diagnostic imaging studies should be included in the imaging studies section No data from intra-operative or intraprocedure studies should be listed.
19 { Participating Sites
20 Active IRAD Sites
21 { IRAD Expansion
22 Interested Sites 33 Sites Have inquired about joining the IRAD registry.
23 New IRAD Sites Centers in the Process of Enrolling University of Osaka, Osaka, Japan Royal Prince Alfred Hospital, Sydney, Australia Henry Ford Hospital, Detroit, Michigan University of Sao Paulo, Sao Paulo, Brazil Cedars-Sinai Medical Center, Los Angeles, California Advocate Christ Medical Center, Chicago, Illinois University of Maryland, Baltimore, Maryland Methodist Hospitals of Memphis, Memphis, Tennessee
24 New IRAD Sites Centers in the Process of Enrolling
25 Adding New Sites - Requirements Interested sites that are recommended by a current IRAD member may join, if they agree to do the following: Establish a dedicated study coordinator at their site Commit to pay ~$5,000 annually, to cover expenses incurred from managing a larger database
26 { Publications Update
27 Recently Published Manuscripts I. Ascending Thoracic Aorta Dimension and Outcomes in Acute Type B Dissection (from the International Registry of Acute Aortic Dissection [IRAD]). American Journal of Cardiology II. The Role of Preoperative Coronary Angiography in the Setting of Type A Acute Aortic Dissection: Insights from the International Registry of Acute Aortic Dissection. American Heart Journal
28 Recently Published Manuscripts III. Sensitivity of the Aortic Dissection Detection (ADD) Risk Score, A Novel Guideline-Based Tool for Identification of Acute Aortic Dissection at Initial Presentation. Circulation IV. Descending Aortic Diameter of 5.5 cm or Greater is Not an Accurate Predictor of Acute Type B Aortic Dissection. Journal of Thoracic and Cardiovascular Surgery
29 Recently Published Manuscripts V. Type-Selective Benefits of Medications in Treatment of Acute Aortic Dissection (from the International Registry of Acute Aortic Dissection[IRAD]). American Journal of Cardiology VI. Correlates of Delayed Recognition and Treatment of Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection (IRAD). Circulation
30 Recently Published Manuscripts VII. Acute Type B Aortic Dissection in the Absence of Aortic Dilatation. Journal of Vascular Surgery VIII.Clinical Presentation, Management and Short-Term Outcome of Patients with Type A Acute Dissection Complicated by Mesenteric Malperfusion. Observations from the International Registry of Acute Aortic Dissection. Journal of Thoracic and Cardiovascular Surgery
31 { Manuscripts in Preparation
32 1. Medical vs. Endovascular Tx in TB AoD 2. Age and Complications in TB AoD 3. Aortic Dimensions and Body Size 4. Marfan Syndrome in AoD Hour Mortality 6. Trends in AoD: 3000 Patients 7. Medical Management of TA AoD 8. BAV in AoD 9. Stroke in AoD 10. New Time Classification 11. Left Renal Artery Involvement in Type A 12. Normal Diameters
33 13. Non-Operative TA Patients 14. False Lumen Thrombosis in TA AoD 15. Spinal Cord Ischemia 16. Mortality Models for TA AoD 17. Young Women with AoD 18. Renal Insufficiency 19. Intramural Hematoma 20. Predictors of Aortic Growth 21. Medications in Marfan Patients 22. Pre-Procedure Neurological Deficits 23. Size and Dissection Risk in Marfan and BAV 24. Differences in Cannulation Strategy
34 25. Imaging Over 15 Years of IRAD 26. Racial Differences 27. Aortic Regurgitation on Follow-Up 28. Type A Dissection with Myocardial Infarction 29. Iatrogenic Aortic Dissection 30. Redissection on Follow-Up 31. CXR Sensitivity 32. Patient Education Surveys 33. Long-Term Follow-Up in Marfan Syndrome 34. Pregnancy in Aortic Dissection 35. Surgery in Elderly Type A Patients
35 IRAD-IVC { Invasive Treatment Cohort
36 Cases Enrolled to Date cases enrolled AHA 2010 ACC 2011 AHA 2011 Current
37 Cannulation Abstract First IRAD submission using IVC data Submitted to the AATS Aortic Symposium conference Compared axillary vs. femoral cannulation in Type A dissection repair Findings: Cannulation strategy did not affect survival or malperfusion-related morbidity 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% Mortality by Site of Cannulation 0.0% Mortality Right Axillary Femoral p=non-significant
38 Future Project Ideas Pre-op stratification of Type A patients Pre-op stratification of Type B patients Variation in outcomes among IRAD site following TAAoD repair Fate of aortic valve following TAAoD Is EEG monitoring mandatory during circulatory arrest in TAAoD? Outcomes following aortic valve sparing operation in patients presenting with aortic valve incompetence in TAAoD Open repair vs. closed repair
39 Future Project Ideas Comparing antegrade cerebral perfusion, retrograde cerebral perfusion and deep hypothermic circulatory arrest without brain perfusion Limited resection versus aggressive resection of descending dissection Use of glue as a risk factor? Elephant trunk repair vs. standard ascending aortic replacement in TAAoD Long-term outcome of un-operated root in patients < 60 years of age? Long-term outcome of un-operated arch in patients < 60 years of age?
40 Patient Education { Survey Results
41 Patient Education Surveys 26 responses 50% use some sort of guidelines to determine appropriate patient activity Majority recommended avoiding weight lifting Aerobic Recommendations Isometric Recommendations 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% 100.0% 80.0% 60.0% 40.0% 20.0% 0.0%
42 Dynamic Imaging { Survey Results
43 Imaging Survey Distributed to AHA attendees and ed to IRAD investigators Most expressed a desire to work with imaging specialists at their site Ultimate goal: develop standardized imaging protocols Echocardiography and CT imaging capabilities varied
44 { ACC 2012 IRAD Presentations
45 ACC 2012 IRAD Presentations Poster Presentations: Temporal Trends in Imaging in Acute Aortic Dissection Aortic Dissection During Pregnancy Acute Type A Dissection Causing Acute Myocardial Infarction Long-Term Follow-Up in Marfan Patients after Successful Surgery for Acute Type A Aortic Dissection
46 ACC 2012 (continued) Poster Presentations (continued): Mortality and Outcomes of Patients Presenting with and without Iatrogenic Aortic Dissections Acute Renal Failure and its Early and Late Implications in Acute Aortic Dissection Is Size a Good Predictor of Dissection Risk in Patients with Marfan Syndrome of Bicuspid Aortic Valves?
47 { Upcoming Meetings
48 Charing Cross Aorta 2012: April 12-13, London, England Attendees Confirmed: 33 Chair: Co-Chairs: Kim A. Eagle, MD Santi Trimarchi, MD Eduardo Bossone, MD Patrick O Gara, MD Joseph Bavaria, MD
49 Charing Cross Attendees Joseph Bavaria Eduardo Bossone Lori Conklin Nimesh Desai Marco Di Eusanio Kim Eagle Arturo Evangelista Mark Fillinger Alberto Forteza James Froehlich Dan Gilon Martin Grabenwoger Lisa Hackbarth Eric Isselbacher Frederik Jonker Eva Kline-Rogers Amit Korach Sheila McGreal Emil Missov Franz Moll Dan Montgomery Truls Myrmel Patrick O Gara Himanshu Patel Mark Peterson Linda Pitler Brett Reece Hasan Siddiqi Sonja Sierpath Peter Taylor Santi Trimarchi Elise Woznicki Syed Yusuf
50 AATS Aortic Symposium 2012: April 26-27, New York City IRAD IVC Meeting: Wednesday, April 25 th, 4:00-6:00 p.m. The Hilton New York Investigator dinner to follow (sponsored by GORE) Attendees Confirmed: 8
51 AATS Aortic Symposium 2012 (continued) Oral Presentation: Patients with Type A Acute Aortic Dissection Presenting with Major Brain Injury: Should we Operate on Them? Presentation on Demand: Outcomes Following Repair for Acute Type A Dissection are Independent of Cannulation Strategy: Femoral vs. Right Axillary Artery
52 ESC 2012: August 25-29, Munich Two abstracts submitted: The Use of Chest X-Ray as a Diagnostic Tool in Acute Aortic Dissection Racial Differences in Acute Aortic Dissection
53 { Funding
54 Current IRAD Funding Sources W.L. Gore & Associates, Inc. Varbedian Aortic Research Fund Hewlett Foundation Mardigian Foundation UM Faculty Group Practice Terumo
55 { 2011 in Review
56 IRAD by the Numbers 16 abstracts accepted for presentation 8 manuscripts published in peer-reviewed journals 3 investigator meetings, with one dedicated solely to the Interventional Cohort 16 topics suggested for the AHA 2012 submission 32 projects in preparation
57 IRAD by the Numbers In 2011 (compared to 2010): 135.2% increase in IVC data 26.1% increase in overall patient enrollment 10.9% increase in follow-up forms completed 50.0% increase in yearly manuscript publication 16.7% increase in annual abstract acceptance So far in 2012, there has been a 28.6% increase in accepted abstracts when compared to 2011
58 IRAD by the Numbers 3 international investigators visited the coordinating center: Toru Suzuki Medications in Aortic Dissection; Medications in Marfan Syndrome Patients Truls Myrmel and Magnus Larsen False Lumen Thrombosis and Left Renal Artery Involvement 4 investigators plan to visit MCORRP: Linda Pape Trends in IRAD Magnus Larsen Left Renal Artery Involvement, Aortic Rupture on Follow-Up Jip Tolenaar Aortic Arch Dissection
59 { Future Directions
60 Registry Aims for 2012 Standardize training for data abstraction Improve follow-up percentages Enroll 1000 patients into the IVC registry; publish subgroup-focused papers and incorporate new surgical data into other IRAD projects.
61 Registry Aims for 2012 Expand IRAD to new sites using the pay-to-play model, focusing on geographical diversity and high-enrolling surgical and endovascular centers of excellence Begin work on IRAD imaging protocols Disseminate information gleaned from the patient education survey
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 dissection in patients with Marfan syndrome based on the IRAD data
Perspective Aortic dissection in patients with Marfan syndrome based on the IRAD data Hector W. L. de Beaufort 1, Santi Trimarchi 1, Amit Korach 2, Marco Di Eusanio 3, Dan Gilon 4, Daniel G. Montgomery
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;
Aortic Expansion After Acute Type B Aortic Dissection
Aortic Expansion After Acute Type B Aortic Dissection Frederik H.W. Jonker, MD, PhD, Santi Trimarchi, MD, PhD, Vincenzo Rampoldi, MD, Himanshu J. Patel, MD, Patrick O Gara, MD, FACC, Mark D. Peterson,
The 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
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
AORTIC DISSECTIONS Current Management. TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida
AORTIC DISSECTIONS Current Management TOMAS D. MARTIN, MD, LAT Professor, TCV Surgery Director UF Health Aortic Disease Center University of Florida DISCLOSURES Terumo Medtronic Cook Edwards Cryolife AORTIC
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,
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
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
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
Importance 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
International Registry of Acute Aortic Dissection (IRAD)
International Registry of Acute Aortic Dissection (IRAD) Manuscripts Published or In Press Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, Evangelista A, Fattori R, Suzuki T,
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
Echocardiographic Evaluation of the Aorta
Echocardiographic Evaluation of the Aorta William F. Armstrong M.D. Director Echocardiography Laboratory Professor of Medicine University of Michigan The Aorta: What to Evaluate Dimensions / shape Atherosclerotic
RETROGRADE BRANCH. Gustavo S. Oderich MD Professor of Surgery Director of Endovascular Therapy Division of Vascular and Endovascular Surgery
RETROGRADE BRANCH Gustavo S. Oderich MD Professor of Surgery Director of Endovascular Therapy Division of Vascular and Endovascular Surgery FACULTY DISCLOSURE Consulting* Cook Medical Inc., WL Gore Research
Remodeling of the Remnant Aorta after Acute Type A Aortic Dissection Surgery
Remodeling of the Remnant Aorta after Acute Type A Aortic Dissection Surgery Are Young Patients More Likely to Develop Adverse Aortic Remodeling of the Remnant Aorta Over Time? Suk Jung Choo¹, Jihoon Kim¹,
Is 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
Aortic Dissection in BAV Patients: The IRAD Experience and Beyond
Aortic Dissection in BAV Patients: The IRAD Experience and Beyond Eduardo Bossone, MD, Ph.D, FESC, FACC Cardiology Division - Heart Dept. University of Salerno, Italy I have no financial relationships
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
Aortic dissection is a catastrophic cardiovascular disease
Clinical Profiles and Outcomes of Acute Type B Aortic Dissection in the Current Era: Lessons From the International Registry of Aortic Dissection (IRAD) Toru Suzuki, MD; Rajendra H. Mehta, MD; Hüseyin
Acute Aortic Dissection Presenting with Primarily Abdominal Pain: A Rare Manifestation of a Deadly Disease
Acute Aortic Dissection Presenting with Primarily Abdominal Pain: A Rare Manifestation of a Deadly Disease Gilbert R. Upchurch, Jr., MD, 1 Christoph Nienaber, MD, 2 Rossella Fattori, MD, 3 Arturo Evangelista,
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,
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
Cerebral Protection In Aortic dissection
Cerebral Protection In Aortic dissection Davide Pacini CARDIAC SURGERY DEPARTMENT - St. ORSOLA HOSPITAL UNIVERSITY OF BOLOGNA - ITALY FINANCIAL DISCLOSURE: NONE Cerebral protection in type A AoD Antegrade
16 September 2017 BARTS AORTOVASCULAR SYMPOSIUM Barts Heart Centre London, UK PROGRAMME. Accredited by RCS Up to 5 CPD points
16 September 2017 BARTS AORTOVASCULAR SYMPOSIUM 2017 Barts Heart Centre London, UK Accredited by RCS Up to 5 CPD points PROGRAMME Symposium Directors Welcome Dr Mohamad Bashir Professor Aung Oo Professor
Santi 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
BARTS AORTOVASCULAR SYMPOISUM 2017
BARTS AORTOVASCULAR SYMPOISUM 2017 September 16 th, 2017 Venue: Great Hall, Barts Heart Centre St Bartholomew s Hospital West Smithfield London EC1A 7BE In Collaboration, with Center of Thoracic Aortic
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
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
Surgery for Aortic Disease. Acute Aortic Intramural Hematoma An Analysis From the International Registry of Acute Aortic Dissection
Surgery for Aortic Disease Acute Aortic Intramural Hematoma An Analysis From the International Registry of Acute Aortic Dissection Kevin M. Harris, MD; Alan C. Braverman, MD; Kim A. Eagle, MD; Elise M.
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
Key Words Aneurysms Aortic disease Atherosclerosis Heart surgery Elderly
70 : Outcome of Aortic Arch Surgery in Patients Aged 70 Years or Older: Axillary Artery Cannulation and Selective Cerebral Perfusion Supports Yasuhisa Takao Tetsuro Fumihiro Kunihiro Masataka Kazue Kiyoshige
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
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
SURGICAL INTERVENTION IN AORTOPATHIES ZOHAIR ALHALEES, MD RIYADH, SAUDI ARABIA
SURGICAL INTERVENTION IN AORTOPATHIES ZOHAIR ALHALEES, MD RIYADH, SAUDI ARABIA In patients born with CHD, dilatation of the aorta is a frequent feature at presentation and during follow up after surgical
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
UC 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
Multimodality Imaging of the Thoracic Aorta
Multimodality Imaging of the Thoracic Aorta Steven Goldstein MD, FACC Director Noninvasive Cardiology MedStar Heart and Vascular Institute Washington Hospital Center Saturday, October 8, 2016 DISCLOSURE
Advances in the Treatment of Acute Type A Dissection: An Integrated Approach
Advances in the Treatment of Acute Type A Dissection: An Integrated Approach Joseph E. Bavaria, MD, Derek R. Brinster, MD, Robert C. Gorman, MD, Y. Joseph Woo, MD, Thomas Gleason, MD, and Alberto Pochettino,
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
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
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,
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
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
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
Operate NOT every BAV aorta at 5 cm. Markus Schwerzmann, MD
Operate NOT every BAV aorta at 5 cm Markus Schwerzmann, MD Historical perspective Curr Probl Cardiol 2008;33:203-77 Yale Center for thoracic aortic disease database (2000): 1600 patients with a thoracic
Acute abdominal aortic dissection: Insight from the International Registry of Acute Aortic Dissection (IRAD)
From the Society for Clinical Vascular Surgery Acute abdominal aortic dissection: Insight from the International Registry of Acute Aortic Dissection (IRAD) Santi Trimarchi, MD, a Thomas Tsai, MD, b Kim
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
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
Descending aorta replacement through median sternotomy
Descending aorta replacement through median sternotomy Mitrev Z, Anguseva T, Belostotckij V, Hristov N. Special hospital for surgery Filip Vtori Skopje - Makedonija June, 2010 Cardiosurgery - Skopje 1
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
TEVAR for the Ascending Aorta
TEVAR for the Ascending Aorta Himanshu J. Patel MD Joe D. Morris Collegiate Professor Section Head, Adult Cardiac Surgery University of Michigan Frankel Cardiovascular Center Disclosures Himanshu J. Patel
Acute aortic dissection is a highly lethal cardiovascular
Gender-Related Differences in Acute Aortic Dissection Christoph A. Nienaber, MD*; Rossella Fattori, MD*; Rajendra H. Mehta, MD, MS; Barbara M. Richartz, MD; Arturo Evangelista, MD; Michael Petzsch, MD;
Understanding 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;
Insights from the International Registry of Acute Aortic Dissection
OPEN ACCESS Review article Insights from the International Registry of Acute Aortic Dissection 1 Servei de Cardiología. Hospital Universitari Vall d Hebron. Barcelona 2 Cardiovascular Center. University
Acute type B aortic dissection in the absence of aortic dilatation
Acute type B aortic dissection in the absence of aortic dilatation Santi Trimarchi, MD, a Frederik H. W. Jonker, MD, PhD, b James B. Froehlich, MD, c Gilbert R. Upchurch, MD, d Frans L. Moll, MD, PhD,
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
Currently, aortic dissection is associated with a high mortality
Efficacy and Pitfalls of Transapical Cannulation for the Repair of Acute Type A Aortic Dissection Akihito Matsushita, MD, Susumu Manabe, MD, Minoru Tabata, MD, MPH, Toshihiro Fukui, MD, Tomoki Shimokawa,
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
Advances in Treatment of Traumatic Aortic Transection
Advances in Treatment of Traumatic Aortic Transection Himanshu J. Patel MD University of Michigan Medical Center Author Disclosures Consulting fees from WL Gore Inc. There is no disease more conducive
La 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
Research Article Propensity Score-Matched Analysis of Open Surgical and Endovascular Repair for Type B Aortic Dissection
Hindawi Publishing Corporation International Journal of Vascular Medicine Volume 2011, Article ID 364046, 7 pages doi:10.1155/2011/364046 Research Article Propensity Score-Matched Analysis of Open Surgical
Bicuspid aortic root spared during ascending aorta surgery: an update of long-term results
Short Communication Bicuspid aortic root spared during ascending aorta surgery: an update of long-term results Marco Russo, Guglielmo Saitto, Paolo Nardi, Fabio Bertoldo, Carlo Bassano, Antonio Scafuri,
Cardiovascular Surgery
Cardiovascular Surgery Importance of Refractory Pain and Hypertension in Acute Type B Aortic Dissection Insights From the International Registry of Acute Aortic Dissection (IRAD) Santi Trimarchi, MD; Kim
Surgical indications in ascending aorta aneurysms: What do we know? Jean-Luc MONIN, MD, PhD. Institut Mutualiste Montsouris, Paris, FRANCE
Surgical indications in ascending aorta aneurysms: What do we know? Jean-Luc MONIN, MD, PhD. Institut Mutualiste Montsouris, Paris, FRANCE Disclosures related to this talk : NONE 2 Clinical case A 40 year-old
I-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
Aortic Arch Treatment Open versus Endo Evidence versus Zeitgeist. M. Grabenwoger Dept. of Cardiovascular Surgery Hospital Hietzing Vienna, Austria
Aortic Arch Treatment Open versus Endo Evidence versus Zeitgeist M. Grabenwoger Dept. of Cardiovascular Surgery Hospital Hietzing Vienna, Austria Evidence Surgical aortic arch replacement with a Dacron
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
Complex Thoracic and Abdominal Aortic Repair Using Hybrid Techniques
Complex Thoracic and Abdominal Aortic Repair Using Hybrid Techniques Tariq Almerey MD, January Moore BA, Houssam Farres MD, Richard Agnew MD, W. Andrew Oldenburg MD, Albert Hakaim MD Department of Vascular
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
Acute 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
No 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,
Update on Acute Aortic Syndrome
SUNDAY Update on Acute Aortic Syndrome Diana Litmanovich, MD Learning objectives To be familiar with the definition, natural history, and imaging findings of acute aortic syndrome, including: I. Aortic
What Are the Current Guidelines for Treating Thoracic Aortic Disease?
What Are the Current Guidelines for Treating Thoracic Aortic Disease? Eric M. Isselbacher, M.D. Director, MGH Healthcare Transformation Lab Co-Director, MGH Thoracic Aortic Center Associate Professor of
Total arch replacement with separated graft technique and selective antegrade cerebral perfusion
Masters of Cardiothoracic Surgery Total arch replacement with separated graft technique and selective antegrade cerebral perfusion Teruhisa Kazui 1,2 1 Hamamatsu University School of Medicine, Hamamatsu,
IMAGING the AORTA. Mirvat Alasnag FACP, FSCAI, FSCCT, FASE June 1 st, 2011
IMAGING the AORTA Mirvat Alasnag FACP, FSCAI, FSCCT, FASE June 1 st, 2011 September 11, 2003 Family is asking $67 million in damages from two doctors Is it an aneurysm? Is it a dissection? What type of
New ASE Guidelines: What you must know
New ASE Guidelines: What you must know Federico M Asch MD, FASE, FACC Chair, ASE Guidelines and Standards Committee Medstar Washington Hospital Center Medstar Health Research Institute Georgetown University
ADSORB trial results: Is it enough to switch the paradigm?
ADSORB trial results: Is it enough to switch the paradigm? Jan Brunkwall, MD, PhD Professor and Chairman Complications to acute type B dissection Mortality Rupture Organ Ischemia Dilatation/Aneurysm Refractory
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
Endovascular 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
Case 9799 Stanford type A aortic dissection: US and CT findings
Case 9799 Stanford type A aortic dissection: US and CT findings Accogli S, Aringhieri G, Scalise P, Angelini G, Pancrazi F, Bemi P, Bartolozzi C Department of Diagnostic and Interventional Radiology, University
Role of Gender in TEVAR and EVAR results from the GREAT registry
Role of Gender in TEVAR and EVAR results from the GREAT registry Mauro Gargiulo Vascular Surgery University of Bologna - DIMES Policlinico S.Orsola-Malpighi Bologna, Italy mauro.gargiulo2@unibo.it Disclosure
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
Cardiovascular Surgery
Cardiovascular Surgery Aortic Diameter >5.5 cm Is Not a Good Predictor of Type A Aortic Dissection Observations From the International Registry of Acute Aortic Dissection (IRAD) Linda A. Pape, MD; Thomas
Clinical Outcome of Emergency Surgery for Complicated Acute Type B Aortic Dissection
Circulation Journal Official Journal of the Japanese Circulation Society http://www.j-circ.or.jp ORIGINAL ARTICLE Cardiovascular Surgery Clinical Outcome of Emergency Surgery for Complicated Acute Type
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
Thoracic 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
Ascending Thoracic Aorta: Postsurgical CT Evaluation
Ascending Thoracic Aorta: Postsurgical CT Evaluation Santiago Martinez Jimenez, MD GOALS Ascending Thoracic Aorta: Postsurgical CT Evaluation Santiago Martínez MD smartinez-jimenez@saint-lukes.org Saint
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.
debris + 3 debris debris debris Tel: ,3
13 467 471 2004 debris + 3 13.2 15.47.0 6.5 7.7 0 3 25.012.5 7.0 0 13 467 471 2004 Tel: 075-251-5752 602-8566 463-1 2004 3 7 2004 5 18 30 1 2,3 4 2000 7 debris debris debris 7 13 4 Table 1 Patients profiles
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,
High 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,
Extended 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
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
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
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
Do 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
Aortic CT: Intramural Hematoma. Leslie E. Quint, M.D.
Aortic CT: Intramural Hematoma Leslie E. Quint, M.D. 43 M Mid back pain X several months What type of aortic disease? A. Aneurysm with intraluminal thrombus B. Chronic dissection with thrombosed false
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