Publications by authors named "W T Farrington"

Background: Valve preservation in acute type A aortic dissection (ATAAD) can be accomplished with root repair or replacement. Long-term valve durability with root repair has been established, but limited data exist regarding long-term durability of valve-sparing root replacement (VSRR). In this study, long-term results of VSRR were compared with root repair in ATAAD.

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Background: Outcomes after hemiarch repair for acute DeBakey type I aortic dissection (ADTI) remain unfavorable, with high rates of major adverse events and negative aortic remodeling. The PERSEVERE study evaluates the safety and effectiveness of the AMDS Hybrid prosthesis, a novel bare metal stent, in patients presenting with preoperative malperfusion.

Methods: PERSEVERE is a prospective single-arm investigational study conducted at 26 sites in the United States.

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Article Synopsis
  • Thoracic endovascular aortic repair (TEVAR) is an effective treatment for complicated acute type B aortic dissection (aTBAD), but questions remain regarding coverage length and its effects on aortic health.
  • A study reviewed 92 patients who underwent TEVAR, comparing standard coverage (zones 3 and 4) to extended coverage (zones 3 to 5), revealing extended TEVAR required longer coverage and led to better outcomes in terms of false lumen closure and fewer reinterventions.
  • Overall, extended TEVAR was found to be safe and reduced complications, but more long-term follow-up is needed to confirm any potential survival advantages over standard procedures.
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Background: The pathophysiology and behavior of acute type B intramural hematoma (TBIMH) is poorly understood. The purpose of this study is to characterize the pathophysiology, fate, and outcomes of TBIMH in the endovascular era.

Methods: A retrospective analysis of a US Aortic Database identified 70 patients with TBIMH from 2008 to 2022.

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