Related Experiment Video
Updated: Sep 6, 2025
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
95
Complex Aortic Interventions Can Be Safely Introduced to the Clinical Practice by Physicians Skilled in Basic
Sarolta Borzsák1,2, András Szentiványi1, András Süvegh1
1Department of Interventional Radiology, Semmelweis University, 1122 Budapest, Hungary.
Life (Basel, Switzerland)
|June 24, 2022
Summary
Starting complex aortic repair programs involves risks. This study shows initial outcomes in Eastern Europe are comparable to high-volume centers, suggesting skilled operators can minimize learning curve morbidity.
Area of Science:
- Vascular Surgery
- Endovascular Repair
- Aortic Aneurysm Treatment
Background:
- Establishing complex aortic programs presents a learning curve.
- Eastern European countries face unique challenges in adopting advanced procedures.
Purpose of the Study:
- To evaluate the risks and outcomes of initiating fenestrated/branched endovascular aortic repair (F/BEVAR) in an Eastern European setting.
- To assess the learning curve associated with complex aortic interventions.
Main Methods:
- Retrospective analysis of the first 20 F/BEVAR patients in a single Eastern European center.
- Collection of demographic, anatomical, procedural, and postoperative data.
- Evaluation of technical success, clinical outcomes, and complications.
Main Results:
- 100% per-vessel technical success rate with 71 incorporated branches.
- 5% in-hospital mortality and 20% all-cause mortality at 14 months.
- 45% primary and 75% secondary clinical success rates; 5.6% stent occlusion rate.
Conclusions:
- Outcomes for complex aortic repair in this Eastern European center are comparable to initial results from high-volume centers.
- Operator skill in basic endovascular procedures can mitigate learning curve morbidity.
- F/BEVAR is feasible in Eastern Europe with acceptable early outcomes.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
23
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
23
01:25Aortic Regurgitation III: Medical Management
38
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
38
01:27Peripheral Artery Disease III: Interprofessional Care
29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29
01:22Aneurysm IV: Nursing Management
18
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
18
01:15Aortic Regurgitation I: Introduction
35
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
35
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
21
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
21