A Brief History of Aortic Pathology and Surgery

Stanger, Olaf

doi:10.1007/978-3-7091-4874-7_1

Cited by 3 publications

(8 citation statements)

References 153 publications

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“…The left subclavian artery (LSA) coverage is usually required to acquire an adequate landing zone [38]. Our findings demonstrate that a notable proportion of patients undergoing TEVAR for BTAI required subclavian artery coverage.…”

Section: Discussionmentioning

confidence: 79%

Endovascular Repair in Blunt Thoracic Aortic Injury: A 10-Year Single Center Experience

AlQurashi,

Alzahrani,

Bafaraj

et al. 2024

Cureus

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Background: Life-threatening blunt thoracic aortic injury (BTAI) typically occurs alongside multiple other traumatic injuries. Symptoms of BTAI can range from being asymptomatic in the case of intimal tears to becoming catastrophic in the case of uncontained aortic ruptures. The aim of this research was to examine the clinical outcomes for those who underwent thoracic endovascular aortic repair (TEVAR) in hospital settings. Methods: A cross-sectional retrospective study was conducted using patient data that were extracted from Al-Noor Specialist Hospital, Makkah, Saudi Arabia, for the duration between January 2011 and December 2021. This study included data from all patients aged 18 and up who had been diagnosed with BTAI and had undergone TEVAR. The BTAI diagnoses were confirmed using CT scans. Logistic regression was utilized to identify predictors of patients’ health status improvement and length of stay. Results: A total of 80 patients were involved. Around 50.0% (n=40) of the patients had grade 3 thoracic aortic injuries. The median duration of stay was 14.00 days (Interquartile range 21.00). Only one patient developed post-procedure complications (1.3%). Almost one-third (31.3%; n=25) of the patients required subclavian coverage. One patient developed intraoperative endoleak (1.3%). One patient developed an access site complication (1.3%). The mortality rate within 30 days of the operation was 1.3%. The vast majority of the patients (92.5%; n=74) showed improvement upon discharge from the hospital. The baseline patient characteristics and length of hospitalization had no effect on the improvement of patient status upon discharge or their length of stay (p>0.05). Conclusion: Patients with BTAI have shown an excellent success rate with TEVAR and a low complication rate. Predictors of procedure success and length of stay need to be identified; however, this can't be done without larger-scale investigations. This can aid in the development of preventative measures that improve clinical outcomes for the patients.

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Section: Discussionmentioning

confidence: 79%

Endovascular Repair in Blunt Thoracic Aortic Injury: A 10-Year Single Center Experience

AlQurashi,

Alzahrani,

Bafaraj

et al. 2024

Cureus

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“…Furthermore, since the constructed patch-based tensors are fourth-order tensors, we cannot visualize them. To show the low rankness of the patches, we selected a tensor at the ascending aorta region from the constructed patch-based tensors and visualized its 4 unfoldings [T (1) , T (2) , T (3) , T (4) ]. The corresponding singular values demonstrated the low rankness of the unfoldings.…”

Section: Image Analysismentioning

confidence: 99%

“…Diseases of the thoracic aorta are some of the most common causes of cardiovascular morbidity and mortality and can result in potentially catastrophic consequences (1)(2)(3). Thoracic aortic imaging can be used to diagnose aortic diseases and may help predict cardiovascular risk (4).…”

Section: Introductionmentioning

confidence: 99%

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High-efficiency 3D black-blood thoracic aorta imaging with patch-based low-rank tensor reconstruction

Shi¹,

Liu²,

Cheng³

et al. 2023

Quant Imaging Med Surg

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Background: Three-dimensional (3D) black-blood (BB) vessel wall imaging is a promising noninvasive imaging technique for assessing thoracic aortic diseases. We aimed to develop and evaluate a fast thoracic aorta vessel wall imaging method with patch-based low-rank tensor (Pt-LRT) reconstruction using the 3D-modulated variable flip angle fast-spin echo (vFA-FSE) sequence. Methods:The Pt-LRT technique adopts a low-rank tensor image model with regularization to explore the local low-rankness and nonlocal redundancies of the images to assess the thoracic aorta vessel wall. It uses high-order tensors to capture correlations between data in multiple dimensions and reconstructs images from highly undersampled data. For this study, 12 healthy participants and 2 patients with thoracic aortic diseases were evaluated at 3T magnetic resonance (MR). The reconstruction results were compared to the traditional generalized autocalibrating partially parallel acquisitions (GRAPPA) and ℓ 1 -SPIRiT reconstruction to assess the feasibility of the proposed framework. Quantitative analyses of the vessel wall thickness (VWT), internal diameter (ID), lumen area (LA), and contrast-to-noise ratio (CNR) between the lumen and vessel wall were performed on all healthy participants.Results: Results demonstrated no significant differences between the GRAPPA and the proposed Pt-LRT in VWT, ID, or LA of the aorta (P<0.05). A higher mean CNR was attained with 3D patch-based low-rank tensor reconstruction than with ℓ 1 -SPIRiT reconstruction (49.4±10.8 vs. 38.9±8.2). Conclusions:The proposed 3D BB thoracic aorta vessel wall imaging method can reduce the scan time and produce an image quality that is in good agreement with the conventional GRAPPA acquisition, which takes approximately more than 8 min. This study also shows that the proposed Pt-LRT method substantially improves the visualization and sharpness of the vessel wall and the definition of the tissue boundary compared to the imaging obtained with ℓ 1 -SPIRiT.

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“…Since their identification in antiquity, when also christened with names originating in the ancient Greek language [2], the terms "artery", "aorta", and "aneurysm" have been associated with countless attempts to find treatments for more or less recognizable vascular pathological conditions. Nevertheless, historic unfolding shows that it was more progress achieved in the course of the 20th century alone than in the preceding two millennia [3][4][5][6][7][8][9][10][11]. The present level of advancement of vascular surgery in general, and aortic surgery in particular, is the result of the efforts and dedication of brilliant minds and ingenuity, such as Halsted, Carrel, Jeger, Matas, Leriche, De Bakey, Blalok, Cooley, Diethrich, Dubost, Blakemore, and other equally prominent surgeons.…”

Section: Introductionmentioning

confidence: 99%

Reinforcing the aneurysmal aorta by additional layering: old and new strategies to prevent rupture

Chirila

2024

Explor Cardiol

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Adventitial crosslinking is a method in current investigational stage for preventing the rupture of aortic aneurysms. It is based on the photochemical crosslinking of adventitial collagen by exposure to ultraviolet A radiation. Essentially, an adventitial top layer is generated that displays enhanced mechanical properties and imparts additional strength and stiffness to the aneurysmal wall. Looking back upon the history of aortic surgery during 1940s, the aortic film wrapping, then dubbed “cellophane wrapping”, also was a procedure employed for delaying the aneurysmal rupture. In principle, the two procedures are similar in that both result in laminar composites, although the top layers differ fundamentally from each other. This review discussed in some detail the use and clinical outcomes of the aortic wrapping with artificial films, also mentioning the contemporary procedures still grouped under this umbrella term. The focus of the review was a comparative view on two procedures, the aortic film wrapping and adventitial crosslinking. It was concluded that the methods are different in many aspects, including the mechanisms of action. In fact, the promoters of adventitial crosslinking were not aware of the prior existence of aortic film wrapping. However, the achievements of the classical wrapping, by now regarded as merely historical episodes, did not discard prior knowledge, but repurposed it in a process that led to innovative strategies.

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A Brief History of Aortic Pathology and Surgery

Cited by 3 publications

References 153 publications

Endovascular Repair in Blunt Thoracic Aortic Injury: A 10-Year Single Center Experience

Endovascular Repair in Blunt Thoracic Aortic Injury: A 10-Year Single Center Experience

High-efficiency 3D black-blood thoracic aorta imaging with patch-based low-rank tensor reconstruction

Reinforcing the aneurysmal aorta by additional layering: old and new strategies to prevent rupture

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