• Endovascular aneurysm repair (EVAR) is a type of minimally-invasive endovascular surgery used to treat pathology of the aorta, most commonly an abdominal aortic aneurysm (AAA). (wikipedia.org)
  • When used to treat thoracic aortic disease, the procedure is then specifically termed TEVAR for "thoracic endovascular aortic/aneurysm repair. (wikipedia.org)
  • I also provide treatment for failed endovascular aneurysm repair, infected arterial grafts, carotid artery disease and peripheral vascular disease. (rochester.edu)
  • Surgery is performed inside the patient's aorta and does not require the chest or abdomen to be opened as with open surgical aneurysm repair. (baycare.org)
  • Studies show TEVAR patients have almost 80 percent fewer complications than patients treated with open surgical aneurysm repair. (baycare.org)
  • He is a board certified vascular surgeon with special interests in endovascular and open abdominal and thoracic aortic aneurysm repair, carotid stenting and treatment of vein diseases. (uky.edu)
  • For patients with aneurysms that need to be repaired, we offer minimally invasive repair with a stent-graft (endovascular aortic aneurysm repair, EVAR), or open repair depending on each patient's condition and specific anatomy. (valleymed.org)
  • The purpose of this study was to assess renal perioperative outcomes and renal function deterioration after fenestrated-branched endovascular aneurysm repair (F/BEVAR) in patients with chronic kidney disease (CKD). (elsevierpure.com)
  • Background and Aims Thoracic endovascular aneurysm repair (TEVAR) has been widely used in treating thoracic aortic diseases. (zpwz.net)
  • Sixty-two patients (54.9%) underwent thoracic endovascular aortic repair, 22 underwent endovascular aneurysm repair (19.5%), and 29 (25.6%) required open surgery. (nih.gov)
  • Our program received a "high performing" rating (the highest possible) from U.S. News & World Report for abdominal aortic aneurysm repair, aortic valve surgery and transcatheter aortic valve replacement. (umcvc.org)
  • Endografts have been used in patients with aortic dissection, noting the extremely complex nature of open surgical repair in these patients. (wikipedia.org)
  • In uncomplicated type B aortic dissection, TEVAR does not seem either to improve or compromise 2-year survival and adverse event rates. (wikipedia.org)
  • Its use in complicated aortic dissection is under investigation. (wikipedia.org)
  • In the Clinical Practice Guidelines of the European Society for Vascular Surgery, it is recommended that in patients with complicated acute type B aortic dissection, endovascular repair with thoracic endografting should be the first line intervention. (wikipedia.org)
  • Professor Nienaber is a consultant cardiologist at Royal Brompton Hospital, with his research and clinical activities focused on the diagnosis and non-surgical treatment of acute and chronic aortic pathologies, such as aneurysms and aortic dissection. (rbht.nhs.uk)
  • He is the co-founder of IRAD (International Registry of Aortic Dissection), which operates as a global network for acute aortic conditions. (rbht.nhs.uk)
  • Through this, he has pioneered new endovascular techniques to treat aortic dissection and initiated and participated in guideline-changing trials. (rbht.nhs.uk)
  • Dissection is another condition that may affect the thoracic aorta. (medscape.com)
  • The dissection can also progress proximally, to involve the aortic sinus, aortic valve, and coronary arteries. (medscape.com)
  • [ 4 ] Nonetheless, ongoing studies are still trying to identify which patients with thoracic aortic dissection can benefit from TEVAR. (medscape.com)
  • Patients with complicated dissections, including cases of malperfusion (where a blood supply is impeded by flaps of aortic tissue caused by the dissection), appear to benefit from TEVAR to seal the site of dissection and reappose aortic wall layers. (medscape.com)
  • To address this question, a prospective, randomized clinical trial has been completed in Europe, the INSTEAD XL trial (INvestigation of STEnt grafts in patients with type B aortic dissection), which initially at 1 year did not show a mortality benefit. (medscape.com)
  • Acute Type A aortic dissection (TAAD) is typically fatal when not treated expeditiously. (upmcphysicianresources.com)
  • Endovascular repair should only be considered when the patient is a poor candidate for surgery due to comorbidities and when the anatomy of the ascending aorta and the dissection is amenable to thoracic endovascular aortic repair (TEVAR). (upmcphysicianresources.com)
  • Imaging to evaluate the stroke revealed a type A aortic dissection. (upmcphysicianresources.com)
  • Half of the 118 patients (50%) had a type A aortic dissection, the same diagnosis as our patient. (upmcphysicianresources.com)
  • Complications of endovascular stent-graft repairs of the thoracic aorta include spinal cord ischemic injury, retrograde aortic dissection, and iliofemoral arterial injury. (mhmedical.com)
  • This chapter presents the advantages and challenges of thoracic endovascular aortic repair (TEVAR) of the following pathologies of the thoracic aorta: aneurysm, dissection, penetrating atheromatous ulcers, intramural hematomas (IMHs), and traumatic lesions. (mhmedical.com)
  • Results The 5 patients included 4 patients with aortic arch aneurysm and 1 patient with Stanford type B aortic dissection. (zpwz.net)
  • Preoperative diagnoses included annulo-aortic ectasia ( n = 2), localized dissection of the sinus of Valsalva ( n = 2), acute type B aortic dissection ( n = 1), and chronic type B ( n = 4). (springer.com)
  • A thoracoabdominal aortic replacement was required in three patients who had descending replacement for residual chronic type B aortic dissection. (springer.com)
  • A patient who had thoracic endovascular aortic repair for complicated acute type B aortic dissection showed no aortic dilatation for 7 years after TEVAR. (springer.com)
  • Despite no characteristic physical findings besides hypertension, connective tissue disease including ACTA2 mutations should be considered for aortic dissection in young adult patients. (springer.com)
  • Mutation of ACTA2 gene as an important cause of familial and nonfamilial nonsyndromatic thoracic aortic aneurysm and/or dissection (TAAD). (springer.com)
  • LeMaire SA, Russell L. Epidemiology of thoracic aortic dissection. (springer.com)
  • The objective of the study is to determine the safety and efficacy of the TBE in treating lesions of the aortic arch and descending thoracic aorta, which includes dissection, trauma or aneurysm. (cooperhealth.org)
  • Clinical research interests include thoracic aortic diseases (aortic dissection, aneurysm) and cardiac valvular disease, including surgical treatment, endovascular thoracic aortic stent-graft repair, mitral valve repair, and valve-sparing aortic root replacement. (stanford.edu)
  • BACKGROUND: Acute type A aortic dissection (ATAAD) is a catastrophic disease with high morbidity and mortality. (bvsalud.org)
  • This study aimed to evaluate the feasibility and safety of the novel Stanford A aortic dissection complete endovascular reconstruction system in a porcine model. (bvsalud.org)
  • CONCLUSION: It was feasible and secure to use Stanford A aortic dissection complete endovascular reconstruction system to implement a transcatheter endovascular repair in a porcine model. (bvsalud.org)
  • With this novel system, treating acute type A aortic dissection may be more efficient and secure in human. (bvsalud.org)
  • Scholars@Duke publication: Knowledge gaps in surgical management for aortic dissection. (duke.edu)
  • Knowledge gaps in surgical management for aortic dissection. (duke.edu)
  • Aortic dissection (AD) is recognized as a potentially fatal condition and its standard treatment has been surgical intervention for acute type A AD (TAAD) and complicated acute type B AD (TBAD), and medical management for uncomplicated acute type B AD. (duke.edu)
  • Provides comprehensive recommendations for the diagnosis and management of thoracic aortic diseases, including aortic dissection. (pharmacy-acutecareuniversity.com)
  • Investigated the long-term outcomes of patients with uncomplicated type B aortic dissection treated with medical therapy versus thoracic endovascular repair (TEVAR). (pharmacy-acutecareuniversity.com)
  • A single-center retrospective chart review evaluated patients diagnosed with aortic dissection. (pharmacy-acutecareuniversity.com)
  • Clevidipine administration during initial medical management of aortic dissection showed similar efficacy compared to SNP when used as adjunct therapy to esmolol. (pharmacy-acutecareuniversity.com)
  • HTAADVar: Aggregation and fully automated clinical interpretation of genetic variants in heritable thoracic aortic aneurysm and dissection. (cdc.gov)
  • Clinical manifestations and genetic characteristics in the Taiwan thoracic aortic aneurysm and dissection cohort - a prospective cohort study. (cdc.gov)
  • Characterization of syndromic, non-syndromic familial, and sporadic Type B Aortic Dissection. (cdc.gov)
  • Clinical Features and Outcomes of Pregnancy-Related Acute Aortic Dissection. (cdc.gov)
  • Acute aortic dissection (AAD) is one of the "big four" deadly threats in emergency department (ED) patients presenting with chest pain-the other three being acute coronary syndrome , pulmonary embolus , and pericarditis /tamponade. (medscape.com)
  • citation needed] EVAR is also used for rupture of the abdominal and descending thoracic aorta, and in rare cases used to treat pathology of the ascending aorta. (wikipedia.org)
  • Aneurysms that involve the ascending aorta may extend as far proximally as the aortic annulus and as far distally as the innominate artery, whereas descending thoracic aneurysms begin beyond the left subclavian artery. (medscape.com)
  • [ 6 ] They successfully replaced the ascending aorta with an aortic allograft. (medscape.com)
  • In contrast, the ascending aorta has previously not been considered amenable to endovascular repair due to anatomic and physiologic constraints. (upmcphysicianresources.com)
  • The ascending aorta is more dynamic than the descending thoracic aorta and undergoes vast conformational changes with each heartbeat. (upmcphysicianresources.com)
  • In contrast, the stent-grafts used for endovascular repair are relatively static and are at risk for being dislodged due to the very dynamic environment of the ascending aorta. (upmcphysicianresources.com)
  • Additionally, the curvature of the ascending aorta, location of the origin of the brachiocephalic arteries, sinus segment effacement, coronary artery origins are all important considerations when planning an endovascular strategy for the ascending aorta. (upmcphysicianresources.com)
  • However, careful patient selection is critical when planning for endovascular treatment of the ascending aorta. (upmcphysicianresources.com)
  • A systematic review of reports of TEVAR of the ascending aorta published between 1995 to 2017 found 46 publications detailing primary endovascular repair of the ascending aorta using stent grafts in a total of 118 patients. (upmcphysicianresources.com)
  • Open surgical intervention remains the reference standard for acute TAAD and chronic TAAD with complications until an endoprosthesis that will suit the complex anatomy of aortic root, ascending aorta, and aortic arch is developed. (duke.edu)
  • At the union of the ascending aorta with the aortic arch, the caliber of the vessel is increased. (medscape.com)
  • Importantly, a small percentage of patients who were undergoing TEVAR did not have their aneurysms entirely excluded from the aortic circulation at 1- and 2-year follow-up. (medscape.com)
  • Dake et al and investigators in Europe later showed TEVAR could be performed from a technical standpoint in patients with descending thoracic aortic dissections (patients with tears in the wall of their aortas). (medscape.com)
  • [ 6 ] However, 5-year follow-up revealed an aorta-specific survival benefit in patients treated with TEVAR versus medical therapy (6.9% vs 19.3% risk of aorta-specific mortality, respectively), as well as less disease progression risk(27.0% vs 46.1%, respectively). (medscape.com)
  • University of Florida/Shands Hospital in Gainesville, Florida, experience with open repair and Thoracic EndoVascular Aortic Repair (TEVAR) repair of thoracic aortic disease with a shift toward TEVAR. (medscape.com)
  • However, aortic arch disease remains one of tough parts and research directions of TEVAR due to its treatment difficulties and high risk. (zpwz.net)
  • Nowadays, thoracic aortic endovascular repair (TEVAR) provides a potential treatment option for the patient with ATAAD, but traditional stent grafts (SGs), which are not designed for the ATAAD, are inapplicable to the unique anatomy of the aortic arch. (bvsalud.org)
  • Provided evidence supporting the use of TEVAR in certain patients with uncomplicated type B dissections to reduce disease progression and improve outcomes. (pharmacy-acutecareuniversity.com)
  • In 2003, EVAR surpassed open aortic surgery as the most common technique for repair of AAA, and in 2010, EVAR accounted for 78% of all intact AAA repair in the United States. (wikipedia.org)
  • Patients with aneurysms require elective repair of their aneurysm when it reaches a diameter large enough (typically greater than 5.5 cm) such that the risk of rupture is greater than the risk of surgery. (wikipedia.org)
  • The options for repair include traditional open aortic surgery or endovascular repair. (wikipedia.org)
  • After a few years, the survival after repair is similar to EVAR or open surgery. (wikipedia.org)
  • Minimally Invasive Valve Repair and Replacement surgery. (ijn.com.my)
  • An aortoesophageal fistula after an esophageal SEMS insertion for a benign disease has rarely been reported and only in cases where there was a thoracic neoplasm, thoracic aortic aneurism, endovascular stent repair, foreign body or esophageal surgery. (wjgnet.com)
  • In 1994, Dake et al first reported the use of thoracic "stent-grafts" for the treatment of descending thoracic aortic aneurysms in patients who were believed to be at excessive risk for conventional open surgery. (medscape.com)
  • Our surgeons are uniquely trained and experienced to weigh available treatment options, including medical therapy, endovascular approaches and bypass surgery. (ynhh.org)
  • Research and development play a significant role in the ongoing success of our vascular and endovascular surgery program. (ynhh.org)
  • Dr. Toursavadkohi is an assistant professor of surgery for the University of Maryland Heart and Vascular Center and the director of quality at the University of Maryland Center for Aortic Disease. (umms.org)
  • NEXUS is designed to make a minimally invasive repair possible for more patients while possibly reducing the risks of surgery. (ucdavis.edu)
  • The institute of vascular and endovascular surgery at Ramaiah Memorial Hospital provides top of the line vascular, endovascular & advanced Diabetic Wound care therapies. (msrmh.com)
  • Besides this clinic there are 36 Thoracic surgery clinics in India. (doctor.global)
  • Open-chest surgery to repair a thoracic aortic aneurysm generally involves removing the damaged section of the aorta and replacing it with a synthetic tube (graft), which is sewn into place. (onteenstoday.com)
  • Endovascular surgery. (onteenstoday.com)
  • Patients with moderate to severe CD are at high risk for needing surgery and hospitalization and for developing disease-related complications, corticosteroid dependence, and serious infections. (bvsalud.org)
  • In particular, how to reconstruct the three branches of aortic arch in a minimally invasive way is a major challenge for vascular surgery. (zpwz.net)
  • 50 years old) who underwent surgery for thoracic aortic diseases between 2004 and 2014. (springer.com)
  • The vascular and endovascular surgery team at Ochsner Health provides multidisciplinary care using leading-edge techniques and technology to treat complex vascular diseases. (ochsner.org)
  • Not all vascular or venous disease treatment requires surgery. (ochsner.org)
  • Most modern surgery to treat vascular disease is endovascular, or minimally invasive. (ochsner.org)
  • When endovascular surgery is not an option, our surgeons use open surgical techniques but will always take a conservative approach. (ochsner.org)
  • Technology came out about 20 years ago that enabled us to endovascularly repair aortic aneurysms below the kidney arteries," says vascular surgeon Joseph V. Lombardi, MD, FACS, head of the Division of Vascular and Endovascular Surgery and director of the Cooper Aortic Center. (cooperhealth.org)
  • Treatment is endovascular stent grafting or surgery. (msdmanuals.com)
  • Dr. Kret completed his clinical fellowship in Vascular and Endovascular Surgery at Stanford University, where he gained extensive experience in complex endovascular repair of thoracic and abdominal aortic aneurysms, including the the use of branched and fenestrated technology. (uchealth.org)
  • In some cases, surgery is not always the best treatment for patients with aortic conditions. (umcvc.org)
  • CONCLUSION: Identifying the microbiological aetiology in patients with aortic VGEI enables individualised, specific antibiotic treatment, which may be useful in patients with a VGEI excluded from surgery. (lu.se)
  • EVAR involves the placement of an expandable stent graft within the aorta to treat aortic disease without operating directly on the aorta. (wikipedia.org)
  • If the proximal aortic neck is also involved with the aneurysm, the patient may be a candidate for complex visceral EVAR with a fenestrated or branched EVAR. (wikipedia.org)
  • In addition, he received training in both open and endovascular therapies for carotid and lower extremity arterial disease, dialysis access creation and maintenance, as well as endovenous ablation for varicose veins. (uchealth.org)
  • But the technology has developed slowly for treating thoracic aneurysms and aortic arch disease," he continues. (cooperhealth.org)
  • In uncomplicated aortic dissections, no benefit has been demonstrated over medical management alone. (wikipedia.org)
  • Endovascular repair of the aorta has become an established treatment for acute aortic dissections, aneurysms, and intramural hematomas of the descending thoracic and abdominal aorta. (upmcphysicianresources.com)
  • Endovascular stent grafts have been used to repair aortic aneurysms, Stanford type B aortic dissections, penetrating atherosclerotic ulcers, and traumatic aortic transections. (mhmedical.com)
  • Genetic Basis of Thoracic Aortic Aneurysms and Dissections: Potential Relevance to. (chipsbooks.com)
  • Actin, alpha-2, smooth muscle, aorta (ACTA2) mutations are one of the major causes of familial thoracic aortic aneurysms and dissections. (springer.com)
  • Mutations in smooth muscle alpha-actin (ACTA2) lead to thoracic aortic aneurysms and dissections. (springer.com)
  • Acute aortic dissections with pregnancy in women with ACTA2 mutations. (springer.com)
  • Since the 2005 FDA approval of the TAG device for thoracic aneurysms, the use of endovascular stent grafts for thoracic aortic disease has increased dramatically. (medscape.com)
  • The official FDA-approved "on-label" indication for the commercially available stent grafts currently available in the United States (W. L. Gore TAG, Cook TX2, Medtronic Talent Thoracic) are for patients with descending thoracic aortic aneurysms that are at least 2 times greater than the adjacent aorta. (medscape.com)
  • We offer novel treatment options for patients for whom traditional methods may have been unsuccessful, including open, vascular procedures such as carotid and femoral endarterectomies, extremity and visceral bypass grafts and repair of aneurysms of the aorta and its branches. (ynhh.org)
  • Endovascular stent grafts are deployed through sheaths placed in the common femoral or iliac artery. (mhmedical.com)
  • Endovascular stent grafts have emerged as an exciting new technology to treat thoracic aortic pathologies. (mhmedical.com)
  • non-surgical management of aortic coarctation and malformations. (rbht.nhs.uk)
  • An aortic VGEI was defined according to the Management of Aortic Graft Infection Collaboration (MAGIC) criteria. (lu.se)
  • This single centre retrospective analysis of patients with VGEIs without fistula selected for conservative treatment suggests that conservative management of aortic VGEIs with targeted antibiotic therapy without graft excision is potentially effective, and that antimicrobial treatment will not necessarily be needed indefinitely. (lu.se)
  • In particular, the calibre/tortuosity of the iliac arteries and the relationship of the neck of the aneurysm to the renal arteries are important determinants of whether the aneurysm is amenable to endoluminal repair. (wikipedia.org)
  • Objective: Renal function impairment is a common complication after open repair of complex abdominal aortic aneurysms and thoracoabdominal aortic aneurysms (TAAAs). (elsevierpure.com)
  • Glomerular filtration rate (GFR) was calculated using the Modification of Diet in Renal Disease (MDRD) study equation. (elsevierpure.com)
  • Open repair of DTA is a physiologically impactful operation with relatively high rates of mortality, paraplegia, and renal failure. (bvsalud.org)
  • Treatment of AAAs, TAAAs, and TAAs involves surgical repair in good-risk patients with aneurysms that have reached a size sufficient to warrant repair. (medscape.com)
  • [ 1 ] or traditional open surgical repair. (medscape.com)
  • Current treatment of these pathologies is only open surgical repair. (ucdavis.edu)
  • Traditional open surgical repair of thoracic aortic disease is associated with significant morbidity and mortality. (mhmedical.com)
  • Traditional open surgical repair of thoracic aortic disease continues to be associated with significant morbidity and mortality. (mhmedical.com)
  • One hundred thirteen (39.8%) patients underwent surgical repair of SAA. (nih.gov)
  • Without additional data, patients are left to choose between existing treatment options, such as open surgical repair and stent-grafting. (duke.edu)
  • Our specialty-trained surgeons are experienced in both minimally-invasive procedures and complex surgeries and are supported by state-of-the-art resources at VMC, including a new hybrid operating room and the latest endovascular technologies. (valleymed.org)
  • Vascular & Endovascular surgeons are specialists, who are highly trained to treat diseases of the vascular system. (msrmh.com)
  • Our vascular and endovascular surgeons provide comprehensive, leading-edge treatment for the entire spectrum of vascular disease. (ucsd.edu)
  • Our surgeons are at the forefront of advanced research for treating vascular disease to get you home and recover faster. (ucsd.edu)
  • Ochsner vascular and endovascular surgeons treat problems with your vascular system, the blood vessels that circulate throughout your body. (ochsner.org)
  • Our surgeons perform the most aortic surgeries done annually anywhere in Michigan. (umcvc.org)
  • We have Michigan's largest team of skilled surgeons who specialize in aortic disease. (umcvc.org)
  • Our surgeons have extensive experience with patients who had previous heart or aortic procedures and need additional treatment. (umcvc.org)
  • In general, surgeons prefer aortic valve repair over replacement, especially in younger patients. (umcvc.org)
  • citation needed] Endovascular procedures aim to reduce the morbidity and mortality of treating arterial disease in a patient population that is increasingly older and less fit than when major open repairs were developed and popularized. (wikipedia.org)
  • This observation may be the result of durability problems with early endograft, with a corresponding need for additional procedures to repair endoleaks and other device-related issues. (wikipedia.org)
  • Nonetheless, the expertise of a vascular surgeon is not limited to just surgeries, they are also trained for carrying out endovascular procedures and prescribing preventive medication. (healthwire.pk)
  • Some types of endovascular surgical procedures are outpatient, meaning you can go home the same day. (ochsner.org)
  • Although ischemia in these layers is rare, certain procedures place patients at risk for possible events, such as cardiopulmonary bypass, coronary angiography, and endovascular coil embolization. (bvsalud.org)
  • Our team is known for developing new aortic disease procedures that offer patients better results than standard procedures. (umcvc.org)
  • Open aortic valve procedures require direct access to the heart. (umcvc.org)
  • Methods The clinical data of 5 patients with aortic arch disease treated by CS system in the Second Xiangya Hospital of Central South University and Fuwai Hospital of Chinese Academy of Medical Sciences from August 2022 to April 2023 were retrospectively analyzed. (zpwz.net)
  • His role sees him consult with patients who have aortic conditions, and their families, to help them understand their disease better and provide the best treatment option. (rbht.nhs.uk)
  • In patients who have aortic valve stenosis, replacement is usually the only option. (umcvc.org)
  • From varicose veins to treatment for vascular disease, our specialists in vascular and endovascular care are here to help you live your best, healthiest life. (valleymed.org)
  • Patients with clear symptoms of vascular disease, such as painful varicose veins or gangrene of the foot, are welcome to contact our clinic to schedule an appointment. (valleymed.org)
  • And our vascular and endovascular surgical laboratories are accredited nationally by the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL). (ucsd.edu)
  • Why choose Ochsner Health for your vascular and endovascular surgical care? (ochsner.org)
  • For example, in the early stages of peripheral arterial disease, the prescription is just to take regular walks. (aveclinics.com)
  • We have a tradition of excellence in clinical care, innovative methods of evaluation and treatment of Arterial, venous & diabetic foot diseases. (msrmh.com)
  • It will evaluate the safety and effectiveness of the NEXUS system in treating problems of the thoracic aorta that involve the aortic arch - the top part of the main artery carrying blood away from the heart. (ucdavis.edu)
  • Centers for Disease Control and Prevention. (cdc.gov)
  • I also hold the position of Director of the University of Rochester Cardiovascular Engineering Lab, which is researching novel ultrasound imaging and 3D printing techniques to examine patient-specific aortic tissue properties and treatment strategies for aortic aneurysmal disease. (rochester.edu)
  • Mortality is high in acute aortic syndrome (AAS), which therefore requires early treatment. (revespcardiol.org)
  • 001) due to the greater use of endovascular treatment. (revespcardiol.org)
  • all three were approved for use in the treatment of thoracic aortic aneurysms. (medscape.com)
  • Further evaluation of this patient's imaging studies and an echocardiogram allowed us to consider her for endovascular treatment of her TAAD. (upmcphysicianresources.com)
  • Thousands of patients have new hope for treatment of thoracic aortic arch disease , thanks to a new minimally invasive treatment being tested at UC Davis Health. (ucdavis.edu)
  • Although there are new methods for the endovascular treatment of aortic arch diseases, such as hybrid technique, chimney technique, branched stent technique and fenestration technique, these techniques have their limitations. (zpwz.net)
  • This study was performed to present the results of the first-in-man (FIM) study of applying a novel integrated supra-arch branched stent-graft system (Concave Supra-arch branched stent-graft system, CS system) for the endovascular treatment of aortic arch diseases, to assess its safety and effectiveness. (zpwz.net)
  • Cooper is one of only a handful of hospitals in the tri-state region-and fewer than 40 nationwide-participating in a pivotal study of the GORE® TAG® Thoracic Branch Endoprosthesis (TBE), the first device designed specifically for the endovascular treatment of aortic arch lesions. (cooperhealth.org)
  • It offers a minimally invasive treatment for patients with these more complicated aortic aneurysms. (cooperhealth.org)
  • Bottom line, as a commercially available device-which it already is in Europe-the TBE could offer an important less-invasive treatment option for the population of U.S. patients with aortic arch disease, a condition that traditionally has posed significant challenges for both open surgical and endovascular management. (cooperhealth.org)
  • In this article, we will discuss the current indications and treatment options for TAAD and TBAD by chronicity of the disease, which comprises four categories: acute TAAD, chronic (repaired) TAAD, acute TBAD, and chronic TBAD. (duke.edu)
  • Our Comprehensive Aortic Program at the Frankel Cardiovascular Center offers a wide range of treatment options for aortic disease. (umcvc.org)
  • OBJECTIVE: The aim of this study was to describe and present the outcomes of a specific treatment protocol for aortic vascular graft and endograft infections (VGEIs) without explantation of the infected graft. (lu.se)
  • secondary outcomes were antimicrobial treatment duration, infection eradication, treatment failure despite antimicrobial treatment, and the development of aortic fistulation. (lu.se)
  • Following the general analytic strategy used in the Global Burden of Disease Study (GBD) 2019, we analyzed the mortality and years of life lost (YLLs) due to AA, stratified by sex, age, and province-level region in China from 1990 to 2019. (biomedcentral.com)
  • The disease burden of AA increased significantly from 1990 to 2019 in China, with higher mortality and YLLs in males, senior populations, and among residents of most western provinces in China. (biomedcentral.com)
  • China has the largest and rapidly aging population, with a total population at the 2020 population census of 1.4 billion and a proportion of elder than 60 years old of 18.7% according to the lately released data of the seventh national population census [ 9 ], but epidemiologic surveys about the mortality or disease burden analysis of AA are inadequate. (biomedcentral.com)
  • The Global Burden of Diseases, Injuries and Risk Factors Study (GBD) provides a comprehensive assessment of the mortality and disability resulting from diseases, injuries, and risk factors based on published, publicly available, and contributed data worldwide [ 10 ]. (biomedcentral.com)
  • Familial Associations of Prevalence and Cause-Specific Mortality for Thoracic Aortic Disease and Bicuspid Aortic Valve in a Large-Population Database. (cdc.gov)
  • A heart with Annuloaortic ectasia shows degeneration or changes in appearance and/or loss of function of the aorta that can lead to a number of aortic diseases such as leaking of blood through the aortic valve which is called aortic insufficiency or aortic regurgitation. (onteenstoday.com)
  • Seike Y, Minatoya K, Sasaki H, Tanaka H. Recurrent aortic regurgitation after valve-sparing aortic root replacement due to dilatation of a previously implanted Valsalva graft. (springer.com)
  • Аортальна регургітація Aortic regurgitation (AR) is incompetency of the aortic valve causing backflow from the aorta into the left ventricle during diastole. (msdmanuals.com)
  • Our doctors and researchers actively study vascular disease and conduct clinical trials. (ynhh.org)
  • In June 2020, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) released a joint update of their clinical practice guideline for managing dyslipidemia to reduce cardiovascular disease risk in adults. (bvsalud.org)
  • Using the CS system for endovascular three-branch reconstruction of aortic arch lesions has a high success rate of operation and satisfactory short-term outcome, indicating promising prospects for clinical application. (zpwz.net)
  • The aim of this study was to review our clinical results of young adult patients with aortic disease caused by ACTA2 mutations. (springer.com)
  • We participate in numerous clinical trials involving aortic conditions. (umcvc.org)
  • Genetic and clinical determinants of abdominal aortic diameter: genome-wide association studies, exome array data and Mendelian randomization study. (cdc.gov)
  • Late-onset Pompe disease (LOPD) in Belgium: clinical characteristics and outcome measures. (cdc.gov)
  • Sir William Osler was referring to the difficulties of diagnosing AAD when he stated that "[t]here is no disease more conducive to clinical humility than aneurysm of the aorta. (medscape.com)
  • An AAA was defined as having a maximum abdominal aortic diameter of 3.0 cm or greater. (onteenstoday.com)
  • Among them, 2 patients had hypertension, 2 patients had coronary heart disease, 1 patient had diabetes, and 3 patients had abnormal lipid profiles. (zpwz.net)
  • Aortic aneurysm (AA) is characterized by permanent full-thickness dilation of the aortic wall, greater than 50% in diameter of normal size, and it can be generally classified into thoracic aortic aneurysm (TAA) and abdominal aortic aneurysm (AAA) according to the involved segments [ 1 ]. (biomedcentral.com)
  • An abdominal aortic aneurysm (AAA) is an abnormal dilation of the abdominal aorta between the diaphragm and the aortic bifurcation of the iliac arteries. (onteenstoday.com)
  • Angiotensin II brockade and aortic-root dilation in Marfan's syndrome. (springer.com)
  • Causes include valvular degeneration and aortic root dilation. (msdmanuals.com)
  • Lastly, the repair is also indicated for aneurysms that are the source of pain and tenderness, which may indicate impending rupture. (wikipedia.org)
  • Repair of saccular aortic aneurysms (SAAs) is frequently recommended based on a perceived predisposition to rupture, despite little evidence that these aneurysms have a more malignant natural history than fusiform aortic aneurysms. (nih.gov)
  • Aneurysms that coexist in both segments of the aorta (thoracic and abdominal) are termed thoracoabdominal aneurysms (TAAAs). (medscape.com)
  • While we can treat many thoracic and thoracoabdominal aneurysms with an endovascular stent graft, there are limitations when the aortic arch is involved. (cooperhealth.org)
  • Survival, Reintervention, and Value of Open and Endovascular Repair for Chronic Mesenteric Ischemia. (rochester.edu)
  • Most recently, we treated a 67-year-old woman with multiple comorbidities, including chronic obstructive pulmonary disease (COPD) who was oxygen dependent and chronic kidney disease on dialysis. (upmcphysicianresources.com)
  • Thoracic endovascular aortic repair is now the first line for complicated acute and chronic TBADs. (duke.edu)
  • Before one begins a review of endovascular repair of thoracic aortic pathology, a review of the current state of open thoracic replacement is required. (mhmedical.com)
  • Simultaneously, Gross et al successfully used allografts to treat complex thoracic aortic coarctations, including those with aneurysmal involvement. (medscape.com)
  • At the UPMC Center for Thoracic Aortic Disease in the UPMC Heart and Vascular Institute, we routinely treat the descending thoracic aorta in an endovascular fashion. (upmcphysicianresources.com)
  • We can treat thoracic and abdominal aortic aneurysms, and aneurysms of the iliac, femoral, and popliteal arteries. (valleymed.org)
  • How do you treat aortic ectasia? (onteenstoday.com)
  • Through this trial, we can treat these arch aneurysms, or thoracic aneurysms with arch involvement, endovascularly, through the groin," Dr. Lombardi explains. (cooperhealth.org)
  • There's a commitment on the part of the Cooper Aortic Center to introduce new technology to the South Jersey community that enables us to treat more complicated aneurysms," Dr. Lombardi says. (cooperhealth.org)
  • Therefore, we innovatively created the BRIDGE system (Chuangxin Medical, Shenzhen, China), a complete endovascular reconstruction system designed to treat ATAAD. (bvsalud.org)
  • Why Choose Us to Treat Aortic Conditions? (umcvc.org)
  • Learn more about the aortic conditions we treat. (umcvc.org)
  • The design of this system optimates the brain protection strategy of total endovascular repair of aortic arch and can effectively preserve the arch branches while treating aortic arch lesions without sufficient proximal landing zone. (zpwz.net)