Unlabelled: Open thoracoabdominal aortic aneurysm (TAAA) surgeries are complex and challenging that warrant an experienced multidisciplinary team effort to achieve good results. We present a technical description of the modified branch-first technique (MBFT) of open TAAA repair which helps minimize overall morbidity and mortality associated with the procedure.
Supplementary Information: The online version contains supplementary material available at 10.1007/s12055-023-01563-y.
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http://dx.doi.org/10.1007/s12055-023-01563-y | DOI Listing |
J Cardiothorac Surg
April 2024
Department of Cardiovascular Surgery, The Sixth Medical Center, Chinese People's Liberation Army General Hospital, Beijing, 100048, China.
Background: Cerebral protection strategies have been investigated since the introduction of aortic arch surgery and have been modified over the centuries. However, the cerebral protective effects of unilateral and bilateral antegrade cerebral perfusion are similar, with opportunities for further improvement.
Methods: A total of 30 patients who underwent total arch surgery were enrolled in this study.
JTCVS Tech
December 2023
Department of Cardiac Surgery, Austin Health, Melbourne, Australia.
Background: Branch-first total aortic arch repair is a paradigm shift in the technical approach for uninterrupted neuroprotection during open aortic surgery. This technique is further modified to instigate hazardous sternal reentry in patients with hostile mediastinal anatomy at risk of aortic injury.
Methods: Intraoperative preparation and the illustrated operative technique of the cervical branch-first technique are described.
Indian J Thorac Cardiovasc Surg
December 2023
Cleveland Clinic Foundation, Cleveland, OH USA.
Unlabelled: Open thoracoabdominal aortic aneurysm (TAAA) surgeries are complex and challenging that warrant an experienced multidisciplinary team effort to achieve good results. We present a technical description of the modified branch-first technique (MBFT) of open TAAA repair which helps minimize overall morbidity and mortality associated with the procedure.
Supplementary Information: The online version contains supplementary material available at 10.
Cardiovasc Drugs Ther
December 2024
Department of Neurology, The First Hospital of Shanxi Medical University, Xiaoyuan Niu; 85 Jiefang South Road, Taiyuan, Shanxi, China.
Background And Purpose: The purpose of this study was to evaluate the association between different antiplatelet therapy regimens and the functional outcomes and bleeding complications among mild-to-moderate ischaemic stroke patients based on real-world data.
Methods: We used data from the SEACOAST trial (Safety and efficacy of aspirin-clopidogrel in acute noncardiogenic minor ischaemic stroke) to analyse the data of patients with mild-to-moderate stroke within 72 h after onset who were treated with aspirin or clopidogrel alone or a combination of clopidogrel and aspirin from September 2019 to November 2021. Propensity score matching (PSM) was used to balance the differences between groups.
J Vasc Surg Cases Innov Tech
March 2023
Department of Surgery, Case Western Reserve University, University Hospital, Cleveland, OH.
The hybrid modified branch-first technique has extended the feasibility of open thoracoabdominal aortic aneurysm (TAAA) repair in otherwise hostile aortic anatomy that is not entirely amenable for extent II open TAAA conventional repair or total endovascular repair. The modified branch-first open TAAA technique has been developed successfully at our center and has been used to treat extent III TAAAs with successful outcomes. By combining the modified technique with endovascular thoracic aortic repair, we have been able to successfully extend its use to more extensive extent II TAAAs.
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