Publications by authors named "M S Makaroun"
Background: This study reports the 30-day outcomes of the primary arm of the GORE EXCLUDER Thoracoabdominal Branch Endoprosthesis (TAMBE) pivotal trial for complex abdominal aortic aneurysm repair.
Methods: This multicenter, nonrandomized, prospective study of the TAMBE device included patients enrolled in the primary study arm of extent IV thoracoabdominal aortic aneurysms and pararenal aneurysms. Technical success and major adverse events were analyzed per the Society for Vascular Surgery guidelines.
Objectives: Type I and III endoleaks following endovascular aneurysm repair (EVAR) can lead to catastrophic events that require major re-interventions. We reviewed our experience with aortic endograft re-interventions for type I and III endoleaks and other serious failures among different devices.
Methods: We retrospectively reviewed patients with a prior EVAR who underwent open conversion (OC) or major endovascular intervention (MEI) (re-lining, cuff/limb extension, parallel graft) for type I/III endoleaks at our institution from 2002 to 2019.
Article Synopsis
- - The study investigates the 1-year outcomes of endovascular repair for blunt thoracic aortic injury (BTAI) using the GORE® TAG® Thoracic Branch Endoprosthesis, focusing on preserving the left subclavian artery (LSA).
- - Nine patients (8 male, 1 female) with grade 3 BTAI were treated, revealing successful procedures with no serious complications, such as strokes or mortalities, during the 12 months of follow-up.
- - Results indicate that this method is a viable option for treating zone 2 BTAI, potentially reducing the need for sacrificing the LSA and improving patient outcomes in the long term.
Article Synopsis
- This study examined outcomes for patients with primary infected abdominal aortic aneurysms (PIAAAs) across three surgical repair methods: open in-situ repair (OIR), extra-anatomic repair (EAR), and endovascular abdominal aortic aneurysm repair (EVAR).
- Although no significant differences were found in one-year mortality rates, five-year survival was notably better for OIR, with 8% mortality compared to 53% for EAR and 72% for EVAR.
- The findings suggest that while all methods are options, OIR appears to offer better long-term survival for patients with PIAAA compared to both EVAR and EAR.
Objective: Limited data exist for optimal blood pressure (BP) management during transfer of patients with ruptured abdominal aortic aneurysm (rAAA). This study evaluates the effects of hypertension and severe hypotension during interhospital transfers in a cohort of patients with rAAA in hemorrhagic shock.
Methods: We performed a retrospective, single-institution review of patients with rAAA transferred via air ambulance to a quaternary referral center for repair (2003-2019).