2025
Multicenter Experience With the Unitary Stent Graft System for Endovascular Debranched Aortic Repair of Various Thoracoabdominal Aortopathies
Pupovac S, Restrepo-Espinosa V, Chen J, Zaky M, Answini G, Kelly P, Vallabhajosyula P, Nassiri N. Multicenter Experience With the Unitary Stent Graft System for Endovascular Debranched Aortic Repair of Various Thoracoabdominal Aortopathies. The Annals Of Thoracic Surgery 2025, 120: 442-449. PMID: 40484210, DOI: 10.1016/j.athoracsur.2025.05.026.Peer-Reviewed Original ResearchThoracoabdominal aortic aneurysmsAortic repairOpen surgeryTechnical successAortic aneurysmPatency ratesShort-neck infrarenal aneurysmsTarget vessel patency rateMedian hospital stayThirty-day mortalityClinical follow-upMajor adverse eventsStent Graft SystemMulti-center experienceMulti-center studyMedian followChronic dissectionInfrarenal aneurysmsReintervention rateEndoluminal bypassInfrarenal EVARThirty-dayStent graftHospital stayAdverse eventsSpinal Cord Protection for Open Descending Thoracic and Thoracoabdominal Aorta Surgery: Analysis of The Society of Thoracic Surgeons Adult Cardiac Surgery Database
Amabile A, Bonnell L, Del Vecchio A, Basciano A, Antonios J, Kaneko T, Habib R, Di Luozzo G. Spinal Cord Protection for Open Descending Thoracic and Thoracoabdominal Aorta Surgery: Analysis of The Society of Thoracic Surgeons Adult Cardiac Surgery Database. The Annals Of Thoracic Surgery 2025, 120: 302-310. PMID: 40389192, DOI: 10.1016/j.athoracsur.2025.05.002.Peer-Reviewed Original ResearchThoracoabdominal aortic aneurysmsThoracoabdominal aortic aneurysm repairSpinal cord injuryDrain placementDTAA/TAAA repairDrain useThe Society of Thoracic Surgeons Adult Cardiac Surgery DatabaseSociety of Thoracic Surgeons Adult Cardiac Surgery DatabaseAdult Cardiac Surgery DatabaseOpen descending thoracicCardiac Surgery DatabaseSpinal cord protectionMultivariate logistic regression modelRate of spinal cord injuryArch involvementDescending ThoracicPreoperative paralysisSurgery DatabaseSpinal drainAdult patientsAortic rootAortic aneurysmLogistic regression modelsSpinal injuryStudy population
2024
Comparison of EndoSuture vs fenestrated aortic aneurysm repair in treatment of abdominal aortic aneurysms with unfavorable neck anatomy
Fereydooni A, Satam K, Dossabhoy S, Trogolo-Franco C, Sorondo S, Arya S, Ullery B, Lee J. Comparison of EndoSuture vs fenestrated aortic aneurysm repair in treatment of abdominal aortic aneurysms with unfavorable neck anatomy. Journal Of Vascular Surgery 2024, 81: 856-865.e1. PMID: 39603282, PMCID: PMC11967903, DOI: 10.1016/j.jvs.2024.11.020.Peer-Reviewed Original ResearchFenestrated endovascular aortic repairSac regressionInfrarenal angulationAneurysm repairNeck anatomyAortic aneurysmHostile aortic neck anatomyLong-term renal functionTreatment of abdominal aortic aneurysmsAneurysm-related reinterventionsAortic neck anatomyUnfavorable neck anatomyThoracoabdominal aortic aneurysmsAneurysm-related mortalityShorter neck lengthType Ia endoleakEndovascular aortic repairAortic aneurysm repairPre-operative eGFRKaplan-Meier analysisTreatment of AAARandomized prospective trialAssociated with reduced freedomBranch vessel patencyPropensity-matched cohort
2023
Safety of cerebrospinal fluid drainage in descending and thoracoabdominal aortic replacement surgery
Nasir A, Zafar M, Abdelbaky M, Papanikolaou D, Ellauzi H, Shaikh M, Ziganshin B, Elefteriades J. Safety of cerebrospinal fluid drainage in descending and thoracoabdominal aortic replacement surgery. Annals Of Cardiothoracic Surgery 2023, 12: 47683-47483. PMID: 37817851, PMCID: PMC10561341, DOI: 10.21037/acs-2023-scp-0121.Peer-Reviewed Original ResearchCerebrospinal fluid drainageThoracoabdominal aortic aneurysmsSpinal cord injuryOpen surgical repairSurgical repairElectronic health recordsAortic aneurysmFluid drainagePersistent cerebrospinal fluid leakageAortic replacement surgeryMean hospital lengthSpinal cord protectionRetrospective chart reviewThoracic aortic aneurysmThoracoabdominal aortic diseaseCerebrospinal fluid leakageLong-term survivalHospital mortalityHospital lengthPermanent paraplegiaChart reviewMinor complicationsPatient agePostoperative courseCutaneous fistula
2022
Spinal cord protection in open and endovascular approaches to thoracoabdominal aortic aneurysms
Amabile A, Lewis E, Costa V, Tadros RO, Han DK, Di Luozzo G. Spinal cord protection in open and endovascular approaches to thoracoabdominal aortic aneurysms. Vascular 2022, 31: 874-883. PMID: 35507464, DOI: 10.1177/17085381221094411.Peer-Reviewed Original ResearchConceptsSpinal cord injuryCord injuryAortic aneurysmSpinal cordDistal aortic perfusionSubclavian artery revascularizationSpinal cord protectionThoracoabdominal aortic aneurysmsCerebrospinal fluid drainageThoracic aortic aneurysmArtery revascularizationAortic repairEndovascular repairAortic perfusionAortic proceduresEndovascular approachSystemic hypothermiaPostoperative managementExtracorporeal circulationLocal edemaPersistent complicationsFluid drainageCurrent evidenceInjuryAdjunctA machine learning approach for predicting complications in descending and thoracoabdominal aortic aneurysms
Ostberg NP, Zafar MA, Mukherjee SK, Ziganshin BA, Elefteriades JA. A machine learning approach for predicting complications in descending and thoracoabdominal aortic aneurysms. Journal Of Thoracic And Cardiovascular Surgery 2022, 166: 1011-1020.e3. PMID: 35120761, DOI: 10.1016/j.jtcvs.2021.12.045.Peer-Reviewed Original ResearchConceptsType B dissectionThoracoabdominal aortic aneurysmsB dissectionCause mortalityAortic aneurysmReceiver operator curveAortic diameterOperator curveInitial patient encounterOccurrence of dissectionSurgical intervention criteriaMean followPatient sexMyocardial infarctionPatient encountersRetrospective dataEnd pointPatientsAneurysmsDissectionMortalityRisk predictionComplicationsIntervention criteriaRupture
2021
Safety of perioperative cerebrospinal fluid drain as a protective strategy during descending and thoracoabdominal open aortic repair
Abdelbaky M, Papanikolaou D, Zafar MA, Ellauzi H, Shaikh M, Ziganshin BA, Elefteriades JA. Safety of perioperative cerebrospinal fluid drain as a protective strategy during descending and thoracoabdominal open aortic repair. JTCVS Techniques 2021, 6: 1-8. PMID: 34318127, PMCID: PMC8300913, DOI: 10.1016/j.xjtc.2020.12.039.Peer-Reviewed Original ResearchCerebrospinal fluid drainsThoracoabdominal aortic aneurysmsOpen aortic repairAortic repairAortic aneurysmFluid drainsPersistent CSF leakageMean hospital lengthMean patient ageLate clinical resultsThoracic aortic aneurysmLong-term survivalHospital mortalityPostoperative paraplegiaHospital lengthPermanent paraplegiaPatient ageCutaneous fistulaOpen repairTransient paresisSurgical managementIntracranial hemorrhageClinical resultsLumbar pressureIntracranial pressure
2020
Increased Virulence of Descending Thoracic and Thoracoabdominal Aortic Aneurysms in Women
Chen JF, Zafar MA, Wu J, Li Y, Rizzo JA, Papanikolaou D, Kalogerakos P, Abdelbaky M, Ellauzi H, Rohde S, Vinholo TF, Charilaou P, Buntin J, Mukherjee SK, Ziganshin BA, Elefteriades JA. Increased Virulence of Descending Thoracic and Thoracoabdominal Aortic Aneurysms in Women. The Annals Of Thoracic Surgery 2020, 112: 45-52. PMID: 33075319, DOI: 10.1016/j.athoracsur.2020.08.026.Peer-Reviewed Original ResearchConceptsThoracoabdominal aortic aneurysmsAortic deathFatal complicationAortic sizeAortic aneurysmFaster aneurysm growthMean aortic diameterComplication rateComposite endpointAortic diameterSurgical interventionCurrent guidelinesAneurysm sizeSex considerationsNatural historyAneurysm growthThoracicWomenDissectionYearly rateComplicationsDeathAneurysmsHigh rateSex differencesOpen Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms: A Meta-Analysis
Khan FM, Naik A, Hameed I, Robinson NB, Spadaccio C, Rahouma M, Yongle R, Demetres M, Chen H, Chang M, Girardi LN, Gaudino M. Open Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms: A Meta-Analysis. The Annals Of Thoracic Surgery 2020, 110: 1941-1949. PMID: 32504596, DOI: 10.1016/j.athoracsur.2020.04.069.Peer-Reviewed Original ResearchConceptsThoracoabdominal aortic aneurysmsCerebrospinal fluid drainsOpen repairOperative mortalitySpinal cord injuryAortic aneurysmLate mortalityRespiratory failureRenal failureCord injuryMyocardial infarctionGeneric inverse variance methodFluid drainsHigh operative mortalityLow operative mortalityInverse variance methodThoracic aortic aneurysmSystematic literature searchPostoperative strokeOperative deathsPerioperative complicationsPostoperative outcomesSecondary outcomesPrimary outcomePooled rateSpinal cord injury after open and endovascular repair of descending thoracic and thoracoabdominal aortic aneurysms: A meta-analysis
Gaudino M, Khan FM, Rahouma M, Naik A, Hameed I, Spadaccio C, Robinson NB, Ruan Y, Demetres M, Oakley CT, Gambardella I, Iannacone EM, Lau C, Girardi LN. Spinal cord injury after open and endovascular repair of descending thoracic and thoracoabdominal aortic aneurysms: A meta-analysis. Journal Of Thoracic And Cardiovascular Surgery 2020, 163: 552-564. PMID: 32561196, DOI: 10.1016/j.jtcvs.2020.04.126.Peer-Reviewed Original ResearchConceptsThoracoabdominal aortic aneurysmsPooled rateTAAA repairOperative mortalityEndovascular repairAneurysm repairAortic aneurysmSpinal cord injury ratesGeneric inverse variance methodCrawford extent ILong-term mortalityEndovascular aneurysm repairSpinal cord injuryInverse variance methodDrain-related complicationsSystematic literature searchPostoperative strokeLate mortalitySecondary outcomesOpen repairPrimary outcomeRelated complicationsThoracic aneurysmCord injuryInjury rates
2019
Paraspinous muscle gene expression profiling following simulated staged endovascular repair of thoracoabdominal aortic aneurysm: exploring potential therapeutic pathways
Lewis ER, Geisbüsch S, Chang YJ, Costa V, Husain S, Soteropoulos P, Griepp RB, Di Luozzo G. Paraspinous muscle gene expression profiling following simulated staged endovascular repair of thoracoabdominal aortic aneurysm: exploring potential therapeutic pathways. European Journal Of Cardio-Thoracic Surgery 2019, 57: 30-38. PMID: 31006003, DOI: 10.1093/ejcts/ezz113.Peer-Reviewed Original ResearchConceptsAneurysm repairGene expression profilingCollateral networkThoracoabdominal aortic aneurysm repairSpinal collateral networkSpinal segmental arteriesSuch extensive proceduresThoracoabdominal aortic aneurysmsAortic aneurysm repairSpinal cord perfusionSpinal cord injuryPotential therapeutic pathwayExpression profilingArteriolar remodellingTAAA repairCord perfusionNeurological complicationsEndovascular repairNeuroprotective effectsEndovascular techniquesCord injuryAortic aneurysmCoil embolizationEndovascular coilingEndovascular intervention
2017
Central cannulation strategy for extent I thoracoabdominal aneurysm repair of chronic type B aortic dissection
Hobbs RD, Wallen TJ, Komlo CM, Moeller PJ, Pochettino A, Bavaria JE, Vallabhajosyula P. Central cannulation strategy for extent I thoracoabdominal aneurysm repair of chronic type B aortic dissection. Journal Of Cardiac Surgery 2017, 32: 494-499. PMID: 28691213, DOI: 10.1111/jocs.13171.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAorta, ThoracicAortic Aneurysm, ThoracicAortic DissectionCardiopulmonary BypassCatheterization, Central VenousChronic DiseaseCirculatory Arrest, Deep Hypothermia InducedEchocardiographyFemaleFemoral ArteryHumansMaleMiddle AgedSafetySurgery, Computer-AssistedThoracotomyTreatment OutcomeVascular Surgical ProceduresConceptsChronic type B dissectionThoracoabdominal aortic aneurysmsType B dissectionExtent I thoracoabdominal aortic aneurysmLeft thoracotomy incisionCannulation strategyB dissectionGroup IIGroup IThoracotomy incisionFemoral vesselsChronic type B aortic dissectionDeep hypothermic circulatory arrestType B aortic dissectionAlternative cannulation siteCentral aortic cannulationProximal aortic reconstructionThoracoabdominal aneurysm repairB aortic dissectionCirculatory arrest timeHypothermic circulatory arrestActuarial survivalCPB timeGroin incisionTAAA repairPerioperative Outcomes of Open versus Endovascular Repair for Ruptured Thoracoabdominal Aneurysms
Locham S, Grimm J, Arhuidese I, Nejim B, Obeid T, Black J, Malas M. Perioperative Outcomes of Open versus Endovascular Repair for Ruptured Thoracoabdominal Aneurysms. Annals Of Vascular Surgery 2017, 44: 128-135. PMID: 28501656, DOI: 10.1016/j.avsg.2017.02.015.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAortic Aneurysm, ThoracicAortic RuptureBlood Vessel Prosthesis ImplantationChi-Square DistributionComorbidityDatabases, FactualEndovascular ProceduresFemaleHumansLogistic ModelsMaleMultivariate AnalysisOdds RatioOperative TimePostoperative ComplicationsRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesConceptsOpen aneurysm repairEndovascular repairRenal failureAneurysm repairPostoperative outcomesPulmonary injuryNational Surgical Quality Improvement Program databaseRisk of renal failureQuality Improvement Program databaseRuptured thoracoabdominal aortic aneurysmThoracoabdominal aortic aneurysmsHigh-risk patient characteristicsEndovascular aneurysm repairAssociated with higher ratesTAAA repairPulmonary complicationsPerioperative outcomesCardiopulmonary complicationsEndovascular approachAortic aneurysmProgram databaseIdentified patientsContemporary outcomesPatient characteristicsOperative time
2016
Planned Staged Repair of Thoracoabdominal Aortic Aneurysms to Minimize Spinal Cord Injury: A Proof of Concept
Di Luozzo G, Wilderman M, Pawale A, McCullough J, Griepp R. Planned Staged Repair of Thoracoabdominal Aortic Aneurysms to Minimize Spinal Cord Injury: A Proof of Concept. Aorta 2016, 3: 177-180. DOI: 10.12945/j.aorta.2016.15.003.Peer-Reviewed Original ResearchThoracoabdominal aortic aneurysmsSpinal cord injuryStaged RepairCord injuryAortic aneurysmAneurysmsInjury
2015
LONG-TERM SURVIVAL AND FOLLOW-UP IN PATIENTS WITH CONNECTIVE TISSUE DISORDERS UNDERGOING EXTENSIVE OPEN REPAIRS OF THORACOABDOMINAL AORTIC ANEURYSMS
Di Luozzo G, Lewis E, Geisbuesch S, Nyirenda T, Weiss A, Pawale A, Griepp R, Spielvogel D. LONG-TERM SURVIVAL AND FOLLOW-UP IN PATIENTS WITH CONNECTIVE TISSUE DISORDERS UNDERGOING EXTENSIVE OPEN REPAIRS OF THORACOABDOMINAL AORTIC ANEURYSMS. Journal Of The American College Of Cardiology 2015, 65: a2114. DOI: 10.1016/s0735-1097(15)62114-3.Peer-Reviewed Original ResearchThoracoabdominal aortic aneurysmsLong-term survivalOpen repairAortic aneurysmFollow-upConnective tissuePatientsAneurysms
2013
Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States
Arnaoutakis D, Propper B, Black J, Schneider E, Lum Y, Freischlag J, Perler B, Abularrage C. Racial and ethnic disparities in the treatment of unruptured thoracoabdominal aortic aneurysms in the United States. Journal Of Surgical Research 2013, 184: 651-657. PMID: 23545407, DOI: 10.1016/j.jss.2013.03.018.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicBlack or African AmericanComorbidityEthnicityFemaleHealthcare DisparitiesHispanic or LatinoHospital CostsHumansInsurance, HealthLinear ModelsMaleMiddle AgedMultivariate AnalysisRacial GroupsRisk FactorsUnited StatesVascular Surgical ProceduresWhite PeopleConceptsAortic aneurysm repairThoracoabdominal aortic aneurysm repairHospital operative volumePostoperative complicationsAneurysm repairThoracoabdominal aneurysmsHispanic patientsHispanic ethnicityOperative volumeMultivariate analysisEthnic disparitiesAbdominal aortic aneurysm repairAnnual surgical volumeThoracoabdominal aortic aneurysmsClinical Modification codesNationwide Inpatient SamplePreoperative comorbiditiesIndex hospitalizationSecondary outcomesDiabetes mellitusPrimary outcomeWhite patientsBlack patientsCerebrovascular diseaseNinth RevisionHypothermia for aortic surgery
Griepp RB, Di Luozzo G. Hypothermia for aortic surgery. Journal Of Thoracic And Cardiovascular Surgery 2013, 145: s56-s58. PMID: 23410782, DOI: 10.1016/j.jtcvs.2012.11.072.Peer-Reviewed Original ResearchConceptsHypothermic circulatory arrestCirculatory arrestAcceptable neurologic outcomesAortic arch repairThoracoabdominal aortic aneurysmsAortic surgeryNeurologic outcomeArch repairSurgical patientsBrain metabolismOrgan protectionAortic aneurysmDeep hypothermiaClinical practicePig modelRoutine useHypothermiaArrestRepairPatientsSurgeryAneurysmsPerfusionRacial and Ethnic Disparities in the Treatment of Unruptured Thoracoabdominal Aortic Aneurysms in the United States
Glebova N, Propper B, Black J, Schneider E, Lum Y, Freischlag J, Perler B, Abularrage C. Racial and Ethnic Disparities in the Treatment of Unruptured Thoracoabdominal Aortic Aneurysms in the United States. Journal Of Surgical Research 2013, 179: 200. DOI: 10.1016/j.jss.2012.10.337.Peer-Reviewed Original Research
2012
Imaging of vascular remodeling after simulated thoracoabdominal aneurysm repair
Geisbüsch S, Schray D, Bischoff MS, Lin HM, Griepp RB, Di Luozzo G. Imaging of vascular remodeling after simulated thoracoabdominal aneurysm repair. Journal Of Thoracic And Cardiovascular Surgery 2012, 144: 1471-1478. PMID: 23010582, PMCID: PMC3496032, DOI: 10.1016/j.jtcvs.2012.08.062.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsAortic Aneurysm, ThoracicArteriesBarium SulfateBehavior, AnimalCollateral CirculationContrast MediaDilatation, PathologicDisease Models, AnimalFemaleLatexLigationMammary ArteriesMultidetector Computed TomographyNeovascularization, PhysiologicParaplegiaReplica TechniquesSpinal CordSpinal Cord IschemiaSwineTime FactorsVascular Surgical ProceduresConceptsAnterior spinal arterySpinal cord blood supplySmall collateral vesselsAneurysm repairCollateral vesselsBlood supplyJuvenile Yorkshire pigsRisk of paraplegiaThoracoabdominal aneurysm repairThoracoabdominal aortic aneurysmsSpinal cord circulationEndovascular repairSpinal arteryArtery sacrificeIntercostal arteriesCord circulationInternal thoracicAortic aneurysmTomographic scanTomographic scanningVascular remodelingGroup 2Group 1Group 3Previous interventionsOpen Repair of Descending and Thoracoabdominal Aortic Aneurysms and Dissections in Patients Aged Younger Than 60 Years: Superior to Endovascular Repair?
Di Luozzo G, Geisbüsch S, Lin HM, Bischoff MS, Schray D, Pawale A, Griepp RB. Open Repair of Descending and Thoracoabdominal Aortic Aneurysms and Dissections in Patients Aged Younger Than 60 Years: Superior to Endovascular Repair? The Annals Of Thoracic Surgery 2012, 95: 12-19. PMID: 22785215, DOI: 10.1016/j.athoracsur.2012.05.071.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAortic Aneurysm, ThoracicAortic DissectionBlood Vessel Prosthesis ImplantationCirculatory Arrest, Deep Hypothermia InducedFemaleFollow-Up StudiesHospital MortalityHumansMaleMiddle AgedNew YorkRetrospective StudiesStentsSurvival RateTime FactorsTreatment OutcomeYoung AdultConceptsThoracoabdominal aortic aneurysmsEndovascular repairOpen repairStent graftingAortic aneurysmDeep hypothermic circulatory arrestPrevious aortic operationHypothermic circulatory arrestOpen surgical repairNeurologic complication rateCerebrospinal fluid drainageModality of choiceChronic dissectionAcute dissectionAortic complicationsAortic operationsDiversity of patientsYounger patientsCirculatory arrestCommon indicationComplication rateNeurologic monitoringSurgical repairEarly mortalityLinearized rate
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