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51. Multicenter trans-Atlantic experience with fenestrated-branched endovascular aortic repair of chronic post-dissection thoracoabdominal aortic aneurysms

Author

Abdelhalim, Mohamed A., primary, Tenorio, Emanuel R., additional, Oderich, Gustavo S., additional, Haulon, Stephan, additional, Warren, Gasper, additional, Adam, Donald, additional, Claridge, Martin, additional, Butt, Talha, additional, Abisi, Said, additional, Dias, Nuno V., additional, Kölbel, Tilo, additional, Gallitto, Enrico, additional, Gargiulo, Mauro, additional, Gkoutzios, Panos, additional, Panuccio, Giuseppe, additional, Kuzniar, Marek, additional, Mani, Kevin, additional, Mees, Barend M., additional, Schurink, Geert W., additional, Sonesson, Björn, additional, Spath, Paolo, additional, Wanhainen, Anders, additional, Schanzer, Andres, additional, Beck, Adam W., additional, Schneider, Darren B., additional, Timaran, Carlos H., additional, Eagleton, Matthew, additional, Farber, Mark A., additional, and Modarai, Bijan, additional

Published
2023
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54. Effect of bridging stent graft selection for directional branches on target artery outcomes of fenestrated-branched endovascular aortic repair in the United States Aortic Research Consortium

Author

Tenorio, Emanuel R., primary, Schanzer, Andres, additional, Timaran, Carlos H., additional, Schneider, Darren B., additional, Mendes, Bernardo C., additional, Eagleton, Matthew J., additional, Farber, Mark A., additional, Parodi, F. Ezequiel, additional, Gasper, Warren J., additional, Beck, Adam W., additional, Sweet, Matthew P., additional, Zettervall, Sara L., additional, Huang, Ying, additional, Oderich, Gustavo S., additional, and Tenorio, Emanuel R., additional

Published
2023
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55. Outcomes After Endovascular Aortic Intervention in Patients With Connective Tissue Disease

Author

Olsson, Karl Wilhelm, primary, Mani, Kevin, additional, Burdess, Anne, additional, Patterson, Suzannah, additional, Scali, Salvatore T., additional, Kölbel, Tilo, additional, Panuccio, Giuseppe, additional, Eleshra, Ahmed, additional, Bertoglio, Luca, additional, Ardita, Vincenzo, additional, Melissano, Germano, additional, Acharya, Amish, additional, Bicknell, Colin, additional, Riga, Celia, additional, Gibbs, Richard, additional, Jenkins, Michael, additional, Bakthavatsalam, Arvind, additional, Sweet, Matthew P., additional, Kasprzak, Piotr M., additional, Pfister, Karin, additional, Oikonomou, Kyriakos, additional, Heloise, Tessely, additional, Sobocinski, Jonathan, additional, Butt, Talha, additional, Dias, Nuno, additional, Tang, Ching, additional, Cheng, Stephen W. K., additional, Vandenhaute, Sarah, additional, Van Herzeele, Isabelle, additional, Sorber, Rebecca A., additional, Black, James H., additional, Tenorio, Emanuel R., additional, Oderich, Gustavo S., additional, Vincent, Zoë, additional, Khashram, Manar, additional, Eagleton, Matthew J., additional, Pedersen, Steen Fjord, additional, Budtz-Lilly, Jacob, additional, Lomazzi, Chiara, additional, Bissacco, Daniele, additional, Trimarchi, Santi, additional, Huerta, Abigail, additional, Riambau, Vincent, additional, and Wanhainen, Anders, additional

Published
2023
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56. Prospective Assessment of Direct Measurements of Absorbed Radiation Exposure in Operators and Patients Undergoing Fenestrated and Branched Endovascular Aortic Repair

Author

Vacirca, Andrea, primary, Tenorio, Emanuel R., additional, Neto, Marina Dias, additional, Lima, Guilherme B.B., additional, Sulzer, Titia, additional, Mesnard, Thomas, additional, Baghbani-Oskouei, Aidin, additional, Huang, Ying, additional, Savadi, Safa, additional, Feng, Ching Mei, additional, Huynh, Jimmy, additional, and Oderich, Gustavo S., additional

Published
2023
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57. Family History of Aortic Disease Has No Effect on Outcomes of Fenestrated-branched Endovascular Aortic Repair in Patients with Complex Aortic Aneurysms

Author

Baghbani-Oskouei, Aidin, primary, Savadi, Safa, additional, Sulzer, Titia, additional, Vacirca, Andrea, additional, Mesnard, Thomas, additional, Tenorio, Emanuel R., additional, Mendes, Bernardo C., additional, Mirza, Aleem K., additional, Saqib, Naveed, additional, Huang, Ying, additional, and Oderich, Gustavo S., additional

Published
2023
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58. Total Transfemoral Approach Is Associated With Lower Rates of Cerebrovascular Events and Improved Outcomes Compared With Upper Extremity Approach During Fenestrated-Branch Endovascular Aortic Repair

Author

Mesnard, Thomas, primary, Vacirca, Andrea, additional, Sulzer, Titia, additional, Baghbani-Oskouei, Aidin, additional, Savadi, Safa, additional, Huang, Ying, additional, Tenorio, Emanuel R., additional, Mendes, Bernardo C., additional, Mirza, Aleem, additional, Saqib, Naveed, additional, and Oderich, Gustavo S., additional

Published
2023
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59. Augmented Reality Improves Learning Curve of Endovascular Navigation

Author

Wong, Joshua, primary, Mesnard, Thomas, additional, Vacirca, Andrea, additional, George, Mitchell J., additional, Sulzer, Titia, additional, Baghbani-Oskouei, Aidin, additional, Savadi, Safa, additional, Huang, Ying, additional, Holladay, Matthew, additional, Goel, Vikash, additional, Tenorio, Emanuel R., additional, and Oderich, Gustavo S., additional

Published
2023
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60. Outcomes After Endovascular Aortic Intervention in Patients With Connective Tissue Disease

Author

Olsson, Karl Wilhelm, Mani, Kevin, Burdess, Anne, Patterson, Suzannah, Scali, Salvatore T, Kölbel, Tilo, Panuccio, Giuseppe, Eleshra, Ahmed, Bertoglio, Luca, Ardita, Vincenzo, Melissano, Germano, Acharya, Amish, Bicknell, Colin, Riga, Celia, Gibbs, Richard, Jenkins, Michael, Bakthavatsalam, Arvind, Sweet, Matthew P, Kasprzak, Piotr M, Pfister, Karin, Oikonomou, Kyriakos, Heloise, Tessely, Sobocinski, Jonathan, Butt, Talha, Dias, Nuno, Tang, Ching, Cheng, Stephen W K, Vandenhaute, Sarah, Van Herzeele, Isabelle, Sorber, Rebecca A, Black, James H, Tenorio, Emanuel R, Oderich, Gustavo S, Vincent, Zoë, Khashram, Manar, Eagleton, Matthew J, Pedersen, Steen Fjord, Budtz-Lilly, Jacob, Lomazzi, Chiara, Bissacco, Daniele, Trimarchi, Santi, Huerta, Abigail, Riambau, Vincent, and Wanhainen, Anders

Abstract

IMPORTANCE: Endovascular treatment is not recommended for aortic pathologies in patients with connective tissue diseases (CTDs) other than in redo operations and as bridging procedures in emergencies. However, recent developments in endovascular technology may challenge this dogma.OBJECTIVE: To assess the midterm outcomes of endovascular aortic repair in patients with CTD.DESIGN, SETTING, AND PARTICIPANTS: For this descriptive retrospective study, data on demographics, interventions, and short-term and midterm outcomes were collected from 18 aortic centers in Europe, Asia, North America, and New Zealand. Patients with CTD who had undergone endovascular aortic repair from 2005 to 2020 were included. Data were analyzed from December 2021 to November 2022.EXPOSURE: All principal endovascular aortic repairs, including redo surgery and complex repairs of the aortic arch and visceral aorta.MAIN OUTCOMES AND MEASURES: Short-term and midterm survival, rates of secondary procedures, and conversion to open repair.RESULTS: In total, 171 patients were included: 142 with Marfan syndrome, 17 with Loeys-Dietz syndrome, and 12 with vascular Ehlers-Danlos syndrome (vEDS). Median (IQR) age was 49.9 years (37.9-59.0), and 107 patients (62.6%) were male. One hundred fifty-two (88.9%) were treated for aortic dissections and 19 (11.1%) for degenerative aneurysms. One hundred thirty-six patients (79.5%) had undergone open aortic surgery before the index endovascular repair. In 74 patients (43.3%), arch and/or visceral branches were included in the repair. Primary technical success was achieved in 168 patients (98.2%), and 30-day mortality was 2.9% (5 patients). Survival at 1 and 5 years was 96.2% and 80.6% for Marfan syndrome, 93.8% and 85.2% for Loeys-Dietz syndrome, and 75.0% and 43.8% for vEDS, respectively. After a median (IQR) follow-up of 4.7 years (1.9-9.2), 91 patients (53.2%) had undergone secondary procedures, of which 14 (8.2%) were open conversions.CONCLUSIONS AND RELEVANCE: This study found that endovascular aortic interventions, including redo procedures and complex repairs of the aortic arch and visceral aorta, in patients with CTD had a high rate of early technical success, low perioperative mortality, and a midterm survival rate comparable with reports of open aortic surgery in patients with CTD. The rate of secondary procedures was high, but few patients required conversion to open repair. Improvements in devices and techniques, as well as ongoing follow-up, may result in endovascular treatment for patients with CTD being included in guideline recommendations.

Published
2023
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61. Outcomes of “Anterior Versus Posterior Divisional Branches of the Hypogastric Artery as Distal Landing Zone for Iliac Branch Devices”: The International Multicentric R3OYAL Registry

Author

D’Oria, Mario, Lima, Guilherme B. B., Dias, Nuno, Parlani, Giambattista, Farber, Mark, Tsilimparis, Nikolaos, DeMartino, Randall, Timaran, Carlos, Kolbel, Tilo, Gargiulo, Mauro, Milner, Ross, Melissano, Germano, Maldonado, Thomas, Mani, Kevin, Tenorio, Emanuel R., and Oderich, Gustavo S.

Abstract

Objective: The aim of this multicentric registry was to assess the outcomes of “anteRior versus posteRior divisional bRanches Of the hYpogastric artery as distAl landing zone for iLiac branch devices (R3OYAL).”Methods: The main exposure of interest for the purpose of this study was the internal iliac artery (IIA) divisional branch (anterior vs posterior) that was used as distal landing zone. Early endpoints included technical success and adverse events. Late endpoints included survival, primary/secondary IIA patency, and IIA branch instability.Results: A total of 171 patients were included in the study, of which 50 received bilateral implantation of iliac branch devices (IBDs). This resulted in a total of 221 incorporated IIAs included in the final analysis, of which 40 were anterior divisional branches and 181 were posterior divisional branches. Technical success was high in both groups (anterior division: 98% vs posterior division: 100%, P= .18). Occurrence of any adverse event was noted in 14% of patients in both groups (P= 1.0). The overall rate of freedom from the composite IBD branch instability did not show significant differences between patients receiving distal landing in the anterior or posterior division of the IIA at 3 years (79% vs 87%, log-rank test = .215). The 3-year estimates of IBD patency were significantly lower in patients who received distal landing in the anterior divisional branch than those who received distal landing in the posterior divisional branch (primary patency: 81% vs 96%, log-rank test = .009; secondary patency: 81% vs 97%, log-rank test < .001).Conclusions: The use of the anterior or posterior divisional branches of the IIA as distal landing zone for IBD implantation shows comparable profiles in terms of immediate technical success, perioperative safety, and side-branch instability up to 3 years. However, IBD patency at 3 years was higher when the distal landing zone was achieved within the posterior divisional branch of the IIA.Clinical Impact The results from this large multicentric registry confirm that use of the anterior or posterior divisional branches of the internal iliac artery (IIA) as distal landing zone for implantation of iliac branch devices (IBD) shows comparable profiles of safety and feasibility, thereby allowing to extend the indications for endovascular repair of aorto-iliac aneurysms to cases with unsuitable anatomy within the IIA main trunk. Although mid-term rates of device durability and branch instability seem to be similar, the rates of primary and secondary IBD patency at three years was favored when the distal landing zone was achieved in the posterior divisional branch of the IIA.

Published
2024
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62. Changes in renal-mesenteric duplex ultrasound velocities after fenestrated and branched endovascular aortic aneurysm repair

Author

Sulzer, Titia A.L., Macedo, Thanila A., Strissel, Nicole, Hesley, Gina K., Lekah, Alexander, Tallarita, Tiziano, Dias-Neto, Marina, Huang, Ying, Tenorio, Emanuel R., Vacirca, Andrea, Mesnard, Thomas, Baghbani-Oskouei, Aidin, Savadi, Safa, de Bruin, Jorg L., Verhagen, Hence J.M., Mendes, Bernardo, Oderich, Gustavo S., Sulzer, Titia A.L., Macedo, Thanila A., Strissel, Nicole, Hesley, Gina K., Lekah, Alexander, Tallarita, Tiziano, Dias-Neto, Marina, Huang, Ying, Tenorio, Emanuel R., Vacirca, Andrea, Mesnard, Thomas, Baghbani-Oskouei, Aidin, Savadi, Safa, de Bruin, Jorg L., Verhagen, Hence J.M., Mendes, Bernardo, and Oderich, Gustavo S.

Abstract

Objective: Stenting of renal and mesenteric vessels may result in changes in velocity measurements due to arterial compliance, potentially giving rise to confusion about the presence of stenosis during follow-up. The aim of our study was to compare preoperative and postoperative changes in peak systolic velocity (PSV, cm/s) after placement of the celiac axis (CA), superior mesenteric artery (SMA) and renal artery (RAs) bridging stent grafts during fenestrated-branched endovascular aortic repair (FB-EVAR) for treatment of complex abdominal aortic aneurysms (AAA) and thoracoabdominal aortic aneurysms. Methods:Patients were enrolled in a prospective, nonrandomized single-center study to evaluate FB-EVAR for treatment of complex AAA and thoracoabdominal aortic aneurysms between 2013 and 2020. Duplex ultrasound examination of renal-mesenteric vessels were obtained prospectively preoperatively and at 6 to 8 weeks after the procedure. Duplex ultrasound examination was performed by a single vascular laboratory team using a predefined protocol including PSV measurements obtained with <60° angles. All renal-mesenteric vessels incorporated by bridging stent grafts using fenestrations or directional branches were analyzed. Target vessels with significant stenosis in the preoperative exam were excluded from the analysis. The end point was variations in PSV poststent placement at the origin, proximal, and mid segments of the target vessels for fenestrations and branches. Results: There were 419 patients (292 male; mean age, 74 ± 8 years) treated by FB-EVAR with 1411 renal-mesenteric targeted vessels, including 260 CAs, 409 SMAs, and 742 RAs. No significant variances in the mean PSVs of all segments of the CA, SMA, and RAs at 6 to 8 weeks after surgery were found as compared with the preoperative values (CA, 135 cm/s vs 141 cm/s [P = .06]; SMA, 128 cm/s vs 125 cm/s [P = .62]; RAs, 90 cm/s vs 83 cm/s [P = .65]). Compared

Published
2023

63. Multicenter trans-Atlantic experience with fenestrated-branched endovascular aortic repair of chronic post-dissection thoracoabdominal aortic aneurysms

Author

Abdelhalim, Mohamed A., Tenorio, Emanuel R., Oderich, Gustavo S., Haulon, Stephan, Warren, Gasper, Adam, Donald, Claridge, Martin, Butt, Talha, Abisi, Said, Dias, Nuno V., Kölbel, Tilo, Gallitto, Enrico, Gargiulo, Mauro, Gkoutzios, Panos, Panuccio, Giuseppe, Kuzniar, Marek, Mani, Kevin, Mees, Barend M., Schurink, Geert W., Sonesson, Björn, Spath, Paolo, Wanhainen, Anders, Schanzer, Andres, Beck, Adam W., Schneider, Darren B., Timaran, Carlos H., Eagleton, Matthew, Farber, Mark A., Modarai, Bijan, Abdelhalim, Mohamed A., Tenorio, Emanuel R., Oderich, Gustavo S., Haulon, Stephan, Warren, Gasper, Adam, Donald, Claridge, Martin, Butt, Talha, Abisi, Said, Dias, Nuno V., Kölbel, Tilo, Gallitto, Enrico, Gargiulo, Mauro, Gkoutzios, Panos, Panuccio, Giuseppe, Kuzniar, Marek, Mani, Kevin, Mees, Barend M., Schurink, Geert W., Sonesson, Björn, Spath, Paolo, Wanhainen, Anders, Schanzer, Andres, Beck, Adam W., Schneider, Darren B., Timaran, Carlos H., Eagleton, Matthew, Farber, Mark A., and Modarai, Bijan

Abstract

OBJECTIVE: This multicenter international study aimed to describe outcomes of fenestrated-branched endovascular aortic repairs (FB-EVAR) in a cohort of patients treated for chronic post-dissection thoracoabdominal aortic aneurysms (PD-TAAAs). METHODS: We reviewed the clinical data of all consecutive patients treated by FB-EVAR for repair of extent I to III PD-TAAAs in 16 centers from the United States and Europe (2008-2021). Data were extracted from institutional prospectively maintained databases and electronic patient records. All patients received off-the-shelf or patient-specific manufactured fenestrated-branched stent grafts. Endpoints were any cause mortality and major adverse events at 30 days, technical success, target artery (TA) patency, freedom from TA instability, minor (endovascular with <12 Fr sheath) and major (open or ≥12 Fr sheath) secondary interventions, patient survival, and freedom from aortic-related mortality (ARM). RESULTS: A total of 246 patients (76% male; median age, 67 years [interquartile range, 61-73 years]) were treated for extent I (7%), extent II (55%), and extent III (35%) PD-TAAAs by FB-EVAR. The median aneurysm diameter was 65 mm (interquartile range, 59-73 mm). Eighteen patients (7%) were octogenarians, 212 (86%) were American Society of Anesthesiologists class ≥3, and 21 (9%) presented with contained ruptured or symptomatic aneurysms. There were 917 renal-mesenteric vessels targeted by 581 fenestrations (63%) and 336 directional branches (37%), with a mean of 3.7 vessels per patient. Technical success was 96%. Mortality and rate of major adverse events at 30 days was 3% and 28%, including disabling complications such as new onset dialysis in 1%, major stroke in 1%, and permanent paraplegia in 2%. Mean follow-up was 24 months. Kaplan-Meier (KM) estimated patient survival at 3 and 5 years was 79% ± 6% and 65% ± 10%. KM estimated freedom from ARM was 95% ± 3% and 93% ± 5% at the same intervals. Unplanned secondary interventions

Published
2023
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64. Comparison of single- and multistage strategies during fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms

Author

Dias-Neto, Marina, Tenorio, Emanuel R., Huang, Ying, Jakimowicz, Tomasz, Mendes, Bernardo C., Koelbel, Tilo, Sobocinski, Jonathan, Bertoglio, Luca, Mees, Barend, Gargiulo, Mauro, Dias, Nuno, Schanzer, Andres, Gasper, Warren, Beck, Adam W., Farber, Mark A., Mani, Kevin, Timaran, Carlos, Schneider, Darren B., Pedro, Luis Mendes, Tsilimparis, Nikolaos, Haulon, Stephan, Sweet, Matt, Ferreira, Emilia, Eagleton, Matthew, Yeung, Kak Khee, Khashram, Manar, Vacirca, Andrea, Lima, Guilherme B., Baghbani-Oskouei, Aidin, Jama, Katarzyna, Panuccio, Giuseppe, Rohlffs, Fiona, Chiesa, Roberto, Schurink, Geert Willem, Lemmens, Charlotte, Gallitto, Enrico, Faggioli, Gianluca, Karelis, Angelos, Parodi, Ezequiel, Gomes, Vivian, Wanhainen, Anders, Dean, Anastasia, Colon, Jesus Porras, Pavarino, Felipe, Melo, Ryan Gouveia e, Crawford, Sean, Garcia, Rita, Ribeiro, Tiago, Kappe, Kaj Olav, van Knippenberg, Samira Elize Mariko, Tran, Bich Lan, Gormley, Sinead, Oderich, Gustavo S., Dias-Neto, Marina, Tenorio, Emanuel R., Huang, Ying, Jakimowicz, Tomasz, Mendes, Bernardo C., Koelbel, Tilo, Sobocinski, Jonathan, Bertoglio, Luca, Mees, Barend, Gargiulo, Mauro, Dias, Nuno, Schanzer, Andres, Gasper, Warren, Beck, Adam W., Farber, Mark A., Mani, Kevin, Timaran, Carlos, Schneider, Darren B., Pedro, Luis Mendes, Tsilimparis, Nikolaos, Haulon, Stephan, Sweet, Matt, Ferreira, Emilia, Eagleton, Matthew, Yeung, Kak Khee, Khashram, Manar, Vacirca, Andrea, Lima, Guilherme B., Baghbani-Oskouei, Aidin, Jama, Katarzyna, Panuccio, Giuseppe, Rohlffs, Fiona, Chiesa, Roberto, Schurink, Geert Willem, Lemmens, Charlotte, Gallitto, Enrico, Faggioli, Gianluca, Karelis, Angelos, Parodi, Ezequiel, Gomes, Vivian, Wanhainen, Anders, Dean, Anastasia, Colon, Jesus Porras, Pavarino, Felipe, Melo, Ryan Gouveia e, Crawford, Sean, Garcia, Rita, Ribeiro, Tiago, Kappe, Kaj Olav, van Knippenberg, Samira Elize Mariko, Tran, Bich Lan, Gormley, Sinead, and Oderich, Gustavo S.

Abstract

Objective: The aim of this study was to compare outcomes of single or multistage approach during fenestrated-branched endovascular aortic repair (FB-EVAR) of extensive thoracoabdominal aortic aneurysms (TAAAs). Methods: We reviewed the clinical data of consecutive patients treated by FB-EVAR for extent I to III TAAAs in 24 centers (2006-2021). All patients received a single brand manufactured patient-specific or off-the-shelf fenestrated-branched stent grafts. Staging strategies included proximal thoracic aortic repair, minimally invasive segmental artery coil embolization, temporary aneurysm sac perfusion and combinations of these techniques. Endpoints were analyzed for elective repair in patients who had a single-or multistage approach before and after propensity score adjustment for baseline differences, including the composite 30-day/in-hospital mortality and/or permanent paraplegia, major adverse event, patient survival, and freedom from aortic-related mortality. Results: A total of 1947 patients (65% male; mean age, 71 +/- 8 years) underwent FB-EVAR of 155 extent I (10%), 729 extent II (46%), and 713 extent III TAAAs (44%). A single-stage approach was used in 939 patients (48%) and a multistage approach in 1008 patients (52%). A multistage approach was more frequently used in patients undergoing elective compared with non-elective repair (55% vs 35%; P < .001). Staging strategies were proximal thoracic aortic repair in 743 patients (74%), temporary aneurysm sac perfusion in 128 (13%), minimally invasive segmental artery coil embolization in 10 (1%), and combinations in 127 (12%). Among patients undergoing elective repair (n = 1597), the composite endpoint of 30-day/in-hospital mortality and/or permanent paraplegia rate occurred in 14% of single-stage and 6% of multistage approach patients (P < .001). After adjustment with a propensity score, multistage approach was associated with lower rates of 30-day/in-hospital mortality and/or permanent paraplegia (o

Published
2023
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65. Mid-Term Outcomes of Complete Aortic Repair: Surgical or Endovascular Total Arch Replacement Followed by Thoracoabdominal Fenestrated-Branched Endovascular Aortic Repair

Author

Chait, Jesse, primary, Tenorio, Emanuel R., additional, Kawajiri, Hidetake, additional, Lima, Guilherme B.B., additional, Cirillo-Penn, Nolan C., additional, Bagameri, Gabor, additional, Pochettino, Alberto, additional, DeMartino, Randall R., additional, Oderich, Gustavo S., additional, and Mendes, Bernardo C., additional

Published
2023
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66. Indications and Outcomes of Iliofemoral Conduits During Fenestrated-Branched Endovascular Repair of Complex Abdominal and Thoracoabdominal Aortic Aneurysms

Author

Vacirca, Andrea, primary, Dias-Neto, Marina, additional, Marcondes, Giulianna, additional, Tenorio, Emanuel R., additional, Barbosa Lima, Guilherme B., additional, Baghbani-Oskouei, Aidin, additional, Mendes, Bernardo C., additional, Saqib, Naveed, additional, Mirza, Aleem K., additional, and Oderich, Gustavo S., additional

Published
2023
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67. Outcomes of fenestrated-branched endovascular aortic repair in patients with or without prior history of abdominal endovascular or open surgical repair

Author

Vacirca, Andrea, primary, Wong, Joshua, additional, Baghbani-Oskouei, Aidin, additional, Tenorio, Emanuel R., additional, Huang, Ying, additional, Mirza, Aleem, additional, Saqib, Naveed, additional, Sulzer, Titia, additional, Mesnard, Thomas, additional, Mendes, Bernardo C., additional, and Oderich, Gustavo S., additional

Published
2023
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69. Comparison of upper extremity and transfemoral access for fenestrated-branched endovascular aortic repair

Author

Chamseddin, Khalil, primary, Timaran, Carlos H., additional, Oderich, Gustavo S., additional, Tenorio, Emanuel R., additional, Farber, Mark A., additional, Parodi, F. Ezequiel, additional, Schneider, Darren B., additional, Schanzer, Andres, additional, Beck, Adam W., additional, Sweet, Matthew P., additional, Zettervall, Sara L., additional, Mendes, Bernardo, additional, Eagleton, Matthew J., additional, and Gasper, Warren J., additional

Published
2023
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71. Outcomes of iliofemoral conduits during fenestrated-branched endovascular repair of complex abdominal and thoracoabdominal aortic aneurysms

Author

Dias-Neto, Marina, primary, Marcondes, Giulianna, additional, Tenorio, Emanuel R., additional, Barbosa Lima, Guilherme B., additional, Baghbani-Oskouei, Aidin, additional, Vacirca, Andrea, additional, Mendes, Bernardo C., additional, Saqib, Naveed, additional, Mirza, Aleem K., additional, and Oderich, Gustavo S., additional

Published
2023
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76. Comparison of single and multistage strategies during fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms

Author

Dias-Neto, Marina, primary, Tenorio, Emanuel R., additional, Huang, Ying, additional, Jakimowicz, Tomasz, additional, Mendes, Bernardo C., additional, Kolbel, Tilo, additional, Sobocinski, Jonathan, additional, Bertoglio, Luca, additional, Mees, Barend, additional, Gargiulo, Mauro, additional, Dias, Nuno, additional, Schanzer, Andres, additional, Gasper, Warren, additional, Beck, Adam W., additional, Farber, Mark A., additional, Mani, Kevin, additional, Timaran, Carlos, additional, Schneider, Darren B., additional, Mendes Pedro, Luis, additional, Tsilimparis, Nikolaos, additional, Haulon, Stéphan, additional, Sweet, Matt, additional, Ferreira, Emília, additional, Eagleton, Matthew, additional, Yeung, Kak Khee, additional, Khashram, Manar, additional, Varcica, Andrea, additional, Lima, Guilherme B., additional, Baghbani-Oskouei, Aidin, additional, Jama, Katarzyna, additional, Panuccio, Giuseppe, additional, Rohlffs, Fiona, additional, Chiesa, Roberto, additional, Schurink, Geert Willem, additional, Lemmens, Charlotte, additional, Gallitto, Enrico, additional, Faggioli, Gianluca, additional, Karelis, Angelos, additional, Parodi, Ezequiel, additional, Gomes, Vivian, additional, Wanhainen, Anders, additional, Dean, Anastasia, additional, Colon, Jesus Porras, additional, Pavarino, Felipe, additional, Gouveia e Melo, Ryan, additional, Crawford, Sean, additional, Garcia, Rita, additional, Ribeiro, Tiago, additional, Kappe, Kaj Olav, additional, van Knippenberg, Samira Elize Mariko, additional, Lan Tran, Bich, additional, Gormley, Sinead, additional, and Oderich, Gustavo S., additional

Published
2023
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81. Safety of Percutaneous Femoral Access for Endovascular Aortic Aneurysm Repair Through Previously Surgically Exposed or Repaired Femoral Arteries.

Author

Meertens, Max M., Tenorio, Emanuel R., Lemmens, Charlotte C., Marcondes, Giulianna B., Lima, Guilherme B. B., Schurink, Geert Willem H., Mendes, Bernardo C., Oderich, Gustavo S., and Mees, Barend M. E.

Abstract

Objective: Percutaneous femoral artery access is being increasingly used in endovascular aortic repair (EVAR). The technique can be challenging in patients with previously surgically exposed or repaired femoral arteries because of excessive scar tissue. However, a successful percutaneous approach may cause less morbidity than a "re-do" open femoral approach. The aim of this study was to assess the impact of prior open surgical femoral exposure on technical success and clinical outcomes of percutaneous approach. Methods: This study retrospectively reviewed the clinical data of patients who underwent percutaneous EVAR between 2010 and 2020 at 2 major aortic centers. Patients were divided into 2 groups (with or without prior open surgical femoral access) for analysis of clinical outcomes. Only punctures with sheaths ≥12Fr were included for analysis. The access and (pre)closure techniques were similar in both institutions. Primary end points were intraoperative technical success, access-related revision, and access complications. A multivariate analysis was performed to identify determinants of conversion to open approach and femoral access complications in intact and re-do groins. Results: A total of 632 patients underwent percutaneous (complex) EVAR: 98 had prior open surgical femoral access and 534 patients underwent de novo femoral percutaneous access. A total of 1099 femoral artery punctures were performed: 149 in re-do and 950 in intact groins. The extent of endovascular repair included 159 infrarenal, 82 thoracic, 368 fenestrated/branched, and 23 iliac branch devices. No significant differences were seen in technical success (re-do 93.3% vs intact 95.3%, p=0.311), access-related surgical revision (0.7% vs 0.6%, p=0.950), and access complications (2.7% vs 4.0%, p=0.443). For the whole group, significant predictors for access complications in multivariate analyses were main access site (odds ratio [OR] 2.39; 95% confidence interval [CI] 1.07%–5.35%; p=0.033) and increase of the procedure time per hour (OR 1.65; 95% CI 1.34%–2.04%; p<0.001), while increase in sheath-vessel ratio had a protective effect (OR 0.33; 95% CI 0.127%–0.85%; p=0.021). Surgical conversion was predicted by main access site (OR 2.32; 95% CI 1.28%–4.19%; p=0.007) and calcification of 50% to 75% of the circumference of the access vessel (OR 3.29; 95% CI 1.38%–7.86%; p=0.005). Conclusion: Within our population prior open surgical femoral artery exposure or repair had no negative impact on the technical success and clinical outcomes of percutaneous (complex) endovascular aortic aneurysm repair. [ABSTRACT FROM AUTHOR]

Published
2023
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82. Correction to: Early Feasibility of Endovascular Repair of Distal Aortic Arch Aneurysms Using Patient-Specific Single Retrograde Left Subclavian Artery Branch Stent Graft

Author

Wong, Joshua, primary, Tenorio, Emanuel R., additional, Lima, Guilherme, additional, Dias-Neto, Marina, additional, Baghbani-Oskouei, Aidin, additional, Mendes, Bernardo, additional, Kratzberg, Jarin, additional, Ocasio, Laura, additional, Macedo, Thanila A., additional, and Oderich, Gustavo S., additional

Published
2022
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83. Early Feasibility of Endovascular Repair of Distal Aortic Arch Aneurysms Using Patient-Specific Single Retrograde Left Subclavian Artery Branch Stent Graft

Author

Wong, Joshua, primary, Tenorio, Emanuel R., additional, Lima, Guilherme, additional, Dias-Neto, Marina, additional, Baghbani-Oskouei, Aidin, additional, Mendes, Bernardo, additional, Kratzberg, Jarin, additional, Ocasio, Laura, additional, Macedo, Thanila A., additional, and Oderich, Gustavo S., additional

Published
2022
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87. Fenestrated-branched endovascular repair for distal thoracoabdominal aortic pathology after total aortic arch replacement with frozen elephant trunk

Author

Shalan, Ahmed, primary, Tenorio, Emanuel R., additional, Mascaro, Jorge G., additional, Juszczak, Maciej T., additional, Claridge, Martin W., additional, Melloni, Andrea, additional, Bertoglio, Luca, additional, Chiesa, Roberto, additional, Oderich, Gustavo S., additional, and Adam, Donald J., additional

Published
2022
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90. Outcomes of “Anterior Versus Posterior Divisional Branches of the Hypogastric Artery as Distal Landing Zone for Iliac Branch Devices”: The International Multicentric R3OYAL Registry

Author

D’Oria, Mario, primary, Lima, Guilherme B. B., additional, Dias, Nuno, additional, Parlani, Giambattista, additional, Farber, Mark, additional, Tsilimparis, Nikolaos, additional, DeMartino, Randall, additional, Timaran, Carlos, additional, Kolbel, Tilo, additional, Gargiulo, Mauro, additional, Milner, Ross, additional, Melissano, Germano, additional, Maldonado, Thomas, additional, Mani, Kevin, additional, Tenorio, Emanuel R., additional, Oderich, Gustavo S., additional, Karelis, Angelos, additional, Sonesson, Bjorn, additional, Lepidi, Sandro, additional, Simonte, Gioele, additional, Isernia, Giacomo, additional, Motta, Fernando, additional, Öz, Tugce, additional, Stana, Jan, additional, Mendes, Bernardo, additional, Scott, Carla, additional, Haack, Kirsten, additional, Gallitto, Enrico, additional, Logiacco, Antonino, additional, Babrowski, Trissa, additional, Bertoglio, Luca, additional, Grandi, Alessandro, additional, and Wanhainen, Anders, additional

Published
2022
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96. Feasibility of Endovascular Repair of Distal Aortic Arch Aneurysms Using Patient-Specific Single Retrograde Left Subclavian Artery Branch Stent Graft

Author

Oderich, Gustavo S., primary, Wong, Joshua, additional, Tenorio, Emanuel R., additional, Dias-Neto, Marina, additional, Lima, Guilherme B., additional, Baghbani-Oskouei, Aidin, additional, Mendes, Bernardo C., additional, Kratzberg, Jarin, additional, Ocasio, Laura, additional, and Macedo, Thanila A., additional

Published
2022
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98. Optimization of Type II Endoleak Embolization Using Onlay Fusion, Needle Assist Guidance, and Intraoperative Assessment with Contrast-enhanced Ultrasound

Author

Lima, Guilherme B., primary, Oderich, Gustavo S., additional, Marcondes, Giulianna B., additional, Tenorio, Emanuel R., additional, Dias-Neto, Marina, additional, Baghbani-Oskouei, Aidin, additional, Mendes, Bernardo C., additional, Ozbek, Pinar, additional, and Macedo, Thanila A., additional

Published
2022
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99. Editor's Choice – PRINciples of optimal antithrombotiC therapy and coagulation managEment during elective fenestrated and branched EndovaScular aortic repairS (PRINCE2SS): An International Expert Based Delphi Consensus Study

Author

D’Oria, Mario, primary, Bertoglio, Luca, additional, Bignamini, Angelo Antonio, additional, Mani, Kevin, additional, Kölbel, Tilo, additional, Oderich, Gustavo, additional, Chiesa, Roberto, additional, Lepidi, Sandro, additional, Abisi, Said, additional, Adam, Donald, additional, Antonello, Michele, additional, Austermann, Martin, additional, Beck, Adam W., additional, Berard, Xavier, additional, Bisdas, Theodosios, additional, Böckler, Dittmar, additional, Budtz-Lilly, Jacob, additional, Cheng, Stephen W.K., additional, Czerny, Martin, additional, DeMartino, Randall, additional, Dias, Nuno, additional, Donas, Konstantinos P., additional, Eagleton, Matthew J., additional, Farber, Mark A., additional, Fargion, Aaron Thomas, additional, Ferreira, Marcelo, additional, Forbes, Thomas L., additional, Gargiulo, Mauro, additional, Gasper, Warren J., additional, Jakimowicz, Tomasz, additional, Haulon, Stéphan, additional, Hockley, Joseph A., additional, Holden, Andrew, additional, Holt, Peter, additional, Kahlberg, Andrea, additional, Khashram, Manar, additional, Kotelis, Drosos, additional, Lundberg, Göran, additional, Maldonado, Thomas S., additional, Mangialardi, Nicola, additional, Mastracci, Tara M., additional, Maurel, Blandine, additional, Milner, Ross, additional, Modarai, Bijan, additional, Pannuccio, Giuseppe, additional, Parlani, Gianbattista, additional, Pratesi, Giovanni, additional, Pulli, Raffaele, additional, Qasabian, Raffi A., additional, Reijnen, Michel M.P. J., additional, Resh, Timothy, additional, Riambau, Vincente, additional, Settembre, Nicla, additional, Schanzer, Andres, additional, Schmidt, Andrej, additional, Schneider, Darren, additional, Schurink, Geert Willem H., additional, Silingardi, Roberto, additional, Sobocinski, Jonathan, additional, Soler, Raphael, additional, Sweet, Matthew P., additional, Leong Tan, Glenn Wei, additional, Tenorio, Emanuel R., additional, Tielliu, Ignace F.J., additional, Timaran, Carlos H., additional, Tshomba, Yamume, additional, Tsilimparis, Nikolaos, additional, Van den Eynde, Wouter, additional, Vasudevan, Thodur, additional, Veraldi, Gian Franco, additional, Verhagen, Hence JM., additional, Verhoeven, Eric, additional, Verzini, Fabio, additional, Wanhainen, Anders, additional, and Zimmermann, Alexander, additional

Published
2022
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