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Vascular

October 1, 2014
Massimo Caputo of Rush University Medical Center in Chicago discusses his experience as a CTSNet contributor. Dr. Caputo has contributed four videos on congenital heart surgery to CTSNet’s educational resources.
September 24, 2014
This video commences with a brief presentation on the management of Type A aortic dissections and proceeds into an operative video showing the steps used when operating on these cases.
September 16, 2014
This retrospective review summarizes a single institution experience with thoracic aortic endovascular stenting in 420 pts over 20 years.  Indications were aneurysm (238), dissection (100) and trauma (39).  78% of pts were deemed to be at high risk for open repair.  Mortality was 4.8%, stroke incidence was 5%, and cord ischemia was temporary in 7.9%
September 15, 2014
CTSNet is pleased to announce the addition of a Minimally Invasive Portal to its educational resources. The portal is designed to become a comprehensive resource for minimally invasive CT surgery procedures.
September 2, 2014
This video demonstrates an endovascular aortic repair for a penetrating aortic ulcer.
August 25, 2014
This video demonstrates a mini-bentall procedure, where an aortic root replacement with re-implantation of the coronary buttons is performed via a minimally invasive approach.
August 14, 2014
This double-blind placebo-controlled trial involved 153 pts undergoing elective endovascular aortic aneurysm repair, of whom half received methylprednisolone preoperatively.  The intervention reduced the systemic inflammatory response from 92% to 27%, plasma IL-6 was decreased by 90%, and CRP, body temperature, IL-8, and TNF were also reduced.  MMP-9
August 14, 2014
This retrospective review reports on single-institution results for management of aneurysms involving the entire aorta using a 2-stage elephant trunk technique.  288 pts had only a first stage operation, and 157 pts underwent a complete 2 stage repair.  Mortality was 9.1% and stroke rate after stage 1 was 3.4%.   Mortality prior to 2nd stage repair w
August 5, 2014
The outcomes of repair of acute type A dissection using aortic valve resuspension and sinus of Valsalva reinforcement were tracked in 489 pts operated 1993-2013.  Hospital mortality was 11%.  5-year survival was 69%, and freedom from proximal reoperation was 96% at 5 years.
July 4, 2014
The timing of repair of blunt aortic injury in patients with concomitant traumatic brain injury is controversial.  This single institution retrospective review analyzed outcomes in 75 pts with blunt aortic injury and traumatic brain injury, comparing early repair (<24 hrs after admission) to delayed repair.  Pts undergoing early repair suffered wo

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