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Your search keyword '"Chamseddin, Khalil"' showing total 38 results
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38 results on '"Chamseddin, Khalil"'

2. Early Results and Feasibility of Total Endovascular Aortic Arch Repair Using 3-Vessel Company-Manufactured and Physician-Modified Stent-Grafts.

Author

Lee, K. Benjamin, Porras-Colon, Jesus, Scott, Carla K., Chamseddin, Khalil, Baig, Mirza S., and Timaran, Carlos H.

Abstract

Objective: Total endovascular repair of aortic arch aneurysms is feasible in select patients. This study aims to evaluate the feasibility and early outcomes of total endovascular arch repair using 3-vessel company-manufactured devices (CMDs) and physician-modified endo grafts (PMEGs). Methods: Patients unfit for open repair who underwent 3-vessel total arch repair at a single institution from 2018 to 2021 were reviewed. Patients received either 3-vessel inner-branch CMDs or PMEGs. Three-vessel designs were used to incorporate the innominate, left common carotid, and left subclavian arteries. The antegrade inner branches in both devices were accessed via right brachial or carotid approach. The left carotid was accessed via carotid cutdown or femoral approach. The left subclavian artery was accessed via transfemoral approach. The study endpoints included procedural technical success, patient survival, neurologic events, cardiac complications, reinterventions, and target artery patency. Results: Nine patients underwent treatment. Four patients were treated with PMEGs, and 5 with CMDs. Procedural technical success was 100%. There were no in-hospital deaths. There were no strokes, transient ischemic attacks, myocardial infarction, or spinal ischemia in the perioperative period. Major adverse events occurred in 3 patients (33%). Two (22%) vascular access complications and one (11%) acute kidney injury occurred. One (11%) patient required early reintervention for an access complication. The median follow-up period was 358 days (CMD, 392 days; PMEG, 198 days). There was a late reintervention and conversion to open repair at 142 days of follow-up in a patient with a PMEG that developed an aortic infection, leading to death on postoperative day 239. The mean length of stay was 7±4 days. Computed tomography imaging obtained during the immediate postoperative period revealed endoleak in 6 (66%) patients, out of which 5 resolved spontaneously and 1 required reintervention via left subclavian artery stenting. Target artery patency was 100% at the end of the follow-up period. Conclusions: Three-vessel total endovascular aortic arch repair using a CMD or PMEG is feasible with optimal early outcomes. Physician-modified stent-grafts are a feasible option for patients who do not meet anatomic criteria for CMDs. Clinical Impact: Management of aortic arch disease remains a significant challenge in vascular surgery. This study showcases the feasibility and safety of using a total endovascular approach to repair the aortic arch, which could potentially reduce morbidity and mortality associated with traditional surgical approaches. The results suggest that this minimally invasive technique could be an alternative treatment option for high-risk patients and could significantly improve outcomes for those requiring aortic arch repair. Overall, this study represents a promising development in the field of endovascular surgery and highlights the potential to improve patient outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Trends for Inferior Vena Cava Filter Placement During Pregnancy

Author

Solano, Antonio, primary, Pizano, Alejandro, additional, Siah, Michael, additional, Gonzalez-Guardiola, Gerardo, additional, Chamseddin, Khalil, additional, Shih, Michael, additional, Prakash, Vivek, additional, Baig, Shadman, additional, Timaran, Carlos, additional, and Kirkwood, Melissa, additional

Published
2024
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12. The Addition of a Leaded Arm Sleeve to Leaded Aprons Further Decreases Operator Upper Outer Quadrant Chest Wall Dose During Fluoroscopically Guided Interventions

Author

Ramanan, Bala, primary, Solano, Antonio, additional, Pizano, Alejandro, additional, Gonugunta, Amrit, additional, Timaran, Carlos H., additional, Siah, Michael, additional, Baig, Mirza S., additional, Gonzalez-Guardiola, Gerardo, additional, Chamseddin, Khalil, additional, Shih, Michael, additional, Guild, Jeffrey, additional, and Kirkwood, Melissa L., additional

Published
2023
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14. 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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16. Kommerell's Diverticulum in a Right-Sided Aortic Arch With an Aberrant Left Subclavian Artery Hybrid Repair.

Author

Solano, Antonio, Pizano, Alejandro, Azam, Jawaher, Gonzalez-Guardiola, Gerardo, Siah, Michael, Chamseddin, Khalil, Prakash, Vivek, Kirkwood, Melissa L., and Shih, Michael

Subjects
SUBCLAVIAN artery surgery, SUBCLAVIAN artery, CARDIOVASCULAR system abnormalities, OPERATIVE surgery, THORACIC aorta, TREATMENT effectiveness, DYSPNEA, DIVERTICULUM, COMPUTED tomography, ANGIOGRAPHY, DISEASE complications
Abstract

Background: Kommerell's diverticulum (KD) with a right aortic arch (RAA) and aberrant left subclavian artery (aLSCA) is a rare congenital anomaly of the aortic arch. Treatment is not well defined due to its uncommon presentation, with rupture and dissection risk rates of up to 53%. Case summary: A 54-year-old male with a history of chronic obstructive pulmonary disease (COPD) and hypertension presented with difficulty breathing during exercise without dysphagia. Follow-up computerized tomography angiogram (CTA) revealed the presence of a RAA and aLSCA arising from the descending thoracic aorta with an adjacent 58 × 41-mm KD and tracheal and esophageal displacement. Due to the size of the KD, risk of rupture, unsuitable anatomy for total endovascular aortic repair (EVAR), and high COPD burden, the patient was planned to undergo a hybrid surgical repair. Left common carotid (LCCA) artery to LSCA bypass, full aortic debranching, LSCA embolization and percutaneous thoracic endovascular aortic repair (TEVAR) were performed. Successful device position and exclusion of the diverticulum and aneurysmal aorta were observed after completion thoracic aortogram. 18-month follow-up CTA demonstrated patency of the LSCA to LCCA bypass graft and arch vessel branches, as well as stable exclusion of the KD. Persistence of a type II endoleak originated at the right first posterior intercostal artery has been noted and is being followed conservatively since no sac growth has occurred. Conclusion: We highlight the presence of a KD with RAA and aberrant subclavian artery, a rare congenital anatomic variation of the aortic arch with complex anatomy. Surgical planning must be individualized according to comorbidities and anatomical variations identified on imaging and 3D reconstructions. [ABSTRACT FROM AUTHOR]

Published
2023
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38. Abstract P77

Author

Nagarkar, Purushottam, primary, Ramanadham, Smita, additional, Chamseddin, Khalil, additional, and Rozen, Shai, additional

Published
2015
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