This analysis compared results of open repair for chronic Type B dissection (OAR) and endovascular repair (TEVAR) using propensity matching techniques. Freedom from rupture/reintervention at 10 years was 78%. Specific outcomes were similar for both types of intervention, but overall treatment efficacy was better for OAR.
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Propensity Adjusted Analysis of Open and Endovascular Thoracic Aortic Repair for Chronic Type B Dissection: A Twenty-Year Evaluation
April 2, 2015
A New Alternative to Root Replacement in Marfan’s Syndrome: The ExoVasc Personalised Aortic Root Support
April 1, 2015
Tal Golesworthy and Tom Treasure discuss the development of the ExoVasc and its future as an alternative to aortic root replacement.
March 10, 2015
This article describes the technique of composite graft replacement and emphasizes some technical details for the left-handed surgeon.
March 2, 2015
Open repair is the standard for aneurysmal degeneration of the arch. Endovascular techniques offer an alternative for patients with prohibitive comorbidities. This video describes a complete endovascular arch reconstruction using a modified stent graft approach, combined with cervical debranching.
February 16, 2015
This video shows a very rare vascular injury occurring during VATS left upper lobectomy, and its repair. The case suggests some of the limitations of VATS procedures.
Unusual Presentation of Large Aortic Arch Aneurysms Associated with Aortic Coarctation in a 15-Year-Old Girl
February 3, 2015
This video shows the surgical correction of two large thoracic aortic aneurysms in a 15-year-old girl.
Aortic Arch Debranching Technique: Total Aortic Reconstruction from the Aortic Valve to the Aortic Arch
January 21, 2015
This video demonstrates a technique for aortic arch debranching and reconstruction in an elderly patient.
January 14, 2015
Deep hypothermia and cardioplegic myocardial arrest, with or without selective cerebral perfusion, is traditionally performed during aortic arch reconstruction. In this video, the authors describe a technique for selective cerebral perfusion combined with controlled coronary perfusion for hypoplastic aortic arch repair.
Interdisciplinary expert consensus on management of type B intramural haematoma and penetrating aortic ulcer
January 12, 2015
An interdisciplinary expert panel on the treatment of type B intramural haematoma (IMH) and penetrating atherosclerotic ulcer (PAU) evaluated 46 studies on overall 1386 patients. Recommendations for decision making on medical, open surgical or endovascular treatment are given in the paper.
January 12, 2015
17 manuscripts were included in the final analysis and postoperative data of 722 patients were studied. The mean age of patients was 58 years and mean follow-up was 62 months. Hospital mortality was 1.5% (11 deaths).