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  1. Article ; Online: Management of a Compromised Frozen Elephant Trunk Due to Acute Type B Aortic Dissection.

    Harky, Amer / Fisher, Robert K / Field, Mark L

    Vascular and endovascular surgery

    2020  Volume 54, Issue 8, Page(s) 756–759

    Abstract: Purpose: To report a case who required a thoracic endovascular stenting (TEVAR) following the deployment of frozen elephant trunk due to false lumen expansion.: Case report: A 47 years old male patient undergone emergency repair of acute type A ... ...

    Abstract Purpose: To report a case who required a thoracic endovascular stenting (TEVAR) following the deployment of frozen elephant trunk due to false lumen expansion.
    Case report: A 47 years old male patient undergone emergency repair of acute type A aortic dissection in 2011 with bioprosthetic aortic root conduit. Seven years later he presented with moderate aortic valve disease and expanding chronic dissection of the aortic arch, therefore a redo operation with replacement of the prosthetic aortic valve, ascending aorta, total arch and deployment of frozen elephant trunk and he was discharged in good health. Several days post discharge he presented with new onset of chest pain and a new dissection involved the thoracoabdominal aorta was noted pressing on the true lumen and the frozen elephant trunk. Following a multi-disciplinary team meeting, TEVAR was deemed as a most appropriate approach and this was achieved successfully, and patient was discharged. At 1 year of follow up, he remains well and asymptomatic.
    Conclusion: Close imaging follow-up following deployment of a FET is mandatory. A new acute Type B aortic dissection distal to the FET, that causes false lumen propagation parallel to the stented portion, is a surgical emergency and further intervention mandated.
    MeSH term(s) Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Humans ; Male ; Middle Aged ; Prosthesis Failure ; Stents ; Treatment Outcome
    Language English
    Publishing date 2020-08-13
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2076272-0
    ISSN 1938-9116 ; 1538-5744
    ISSN (online) 1938-9116
    ISSN 1538-5744
    DOI 10.1177/1538574420949313
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  2. Article ; Online: Commentary: the fascia suture technique: this late bloomer could become a winner.

    Fisher, Robert K

    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

    2012  Volume 19, Issue 3, Page(s) 397–399

    MeSH term(s) Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis Implantation/adverse effects ; Endovascular Procedures/adverse effects ; Fasciotomy ; Female ; Femoral Artery/surgery ; Humans ; Male ; Postoperative Complications/etiology ; Suture Techniques/adverse effects
    Language English
    Publishing date 2012-06
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2006618-1
    ISSN 1545-1550 ; 1526-6028
    ISSN (online) 1545-1550
    ISSN 1526-6028
    DOI 10.1583/11-3702C.1
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  3. Article ; Online: Frozen elephant trunk repair of aortic aneurysms: How to reduce the incidence of endoleak and reintervention.

    Kandola, Sandhir / Abdulsalam, Ahmed / Field, Mark / Fisher, Robert K

    JTCVS techniques

    2020  Volume 3, Page(s) 13–20

    Abstract: Background: Frozen elephant trunk (FET) enables treatment of arch and proximal descending thoracic aorta aneurysms. In treating patients with single-stage FET, the relationship of distal stent size to endoleak and reintervention has remained unexamined.! ...

    Abstract Background: Frozen elephant trunk (FET) enables treatment of arch and proximal descending thoracic aorta aneurysms. In treating patients with single-stage FET, the relationship of distal stent size to endoleak and reintervention has remained unexamined.
    Methods: In this retrospective analysis of 63 cases in which FET was used to repair aneurysms between 2008 and 2019, 36 were intended as single-stage procedures. Effective sizing and sealing of distal stents were analyzed by preoperative and postoperative computed tomography angiography (CTA).
    Results: During a mean of 25.8 ± 5.7 months of CTA follow-up, 10 of 36 (28%) experienced endoleak, and 3 of 36 (8%) had sac expansion. Ultimately, 5 of 13 (38%) underwent thoracic endovascular aneurysm repair. Patients without endoleak or sac expansion were more likely to have stents with >10% oversize and a >30-mm seal in healthy aorta compared with those experiencing these complications (11 of 23 vs 0 of 13;
    Conclusions: We recommend >10% distal stent oversize and >30-mm sealing length to minimize endoleak and reintervention. Increasing multidisciplinary collaboration with endovascular surgeons will improve distal stent planning.
    Language English
    Publishing date 2020-06-20
    Publishing country United States
    Document type Journal Article
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2020.06.015
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  4. Article ; Online: Commentary: Endovascular Sealing of Abdominal Aortic Aneurysms: Do Current Data Justify Wider Use?

    Torella, Francesco / McWilliams, Richard G / Fisher, Robert K

    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

    2018  Volume 25, Issue 3, Page(s) 282–283

    MeSH term(s) Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation ; Endovascular Procedures ; Humans ; Treatment Outcome
    Language English
    Publishing date 2018-04-12
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2006618-1
    ISSN 1545-1550 ; 1526-6028
    ISSN (online) 1545-1550
    ISSN 1526-6028
    DOI 10.1177/1526602818767627
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  5. Article ; Online: Reply: To PMID 25656591.

    Antoniou, George A / Fisher, Robert K

    Journal of vascular surgery

    2015  Volume 62, Issue 3, Page(s) 838

    MeSH term(s) Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis Implantation ; Embolization, Therapeutic ; Endoleak/surgery ; Endovascular Procedures ; Female ; Humans ; Intraoperative Complications/surgery ; Male ; Stents
    Language English
    Publishing date 2015-09
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2015.04.388
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  6. Article ; Online: Commentary: Relining Failing Abdominal Aortic Stent-Grafts With the Nellix Endoprosthesis: A New Technique in the Endovasular Armamentarium.

    Torella, Francesco / McWilliams, Richard G / Fisher, Robert K

    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

    2017  Volume 24, Issue 1, Page(s) 121–123

    MeSH term(s) Aortic Aneurysm, Abdominal/surgery ; Aortography ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation ; Endovascular Procedures ; Humans ; Prosthesis Design ; Stents ; Tomography, X-Ray Computed ; Treatment Outcome
    Language English
    Publishing date 2017
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2006618-1
    ISSN 1545-1550 ; 1526-6028
    ISSN (online) 1545-1550
    ISSN 1526-6028
    DOI 10.1177/1526602816675791
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  7. Article ; Online: Endovascular Preservation of Segmental Arteries during Treatment of Thoracoabdominal Aortic Aneurysms with Fenestrated/Branched Stent Grafts: Feasibility and Outcomes.

    Eleshra, Ahmed / Oderich, Gustavo S / McWilliams, Richard G / Panuccio, Giuseppe / Katsargyris, Athanasios / Tsilimparis, Nikolaos / Tenorio, Emanuel R / Fisher, Robert K / Verhoeven, Eric / Kölbel, Tilo

    Journal of vascular and interventional radiology : JVIR

    2023  Volume 34, Issue 7, Page(s) 1149–1156

    Abstract: Purpose: To evaluate the technical success, feasibility, and outcomes of endovascular preservation of segmental arteries (SAs) during fenestrated/branched endovascular aortic repair (F/B-EVAR).: Materials and methods: A multicenter, retrospective ... ...

    Abstract Purpose: To evaluate the technical success, feasibility, and outcomes of endovascular preservation of segmental arteries (SAs) during fenestrated/branched endovascular aortic repair (F/B-EVAR).
    Materials and methods: A multicenter, retrospective study was conducted in consecutive patients treated with F/B-EVAR and a branch or fenestration for SA preservation. Eleven patients (median age, 57 years; range, 45-73 years; 7 men) were included.
    Results: Twelve SAs were preserved. Stent grafts were custom made with fenestrations, branches, or a combination of both in 1, 2, and 5 patients, respectively. A t-Branch stent graft was used in 2 patients, and a physician-modified thoracic stent graft with a branch was used in 1 patient. Eight branches and 4 fenestrations were used for the preservation of 12 SAs. Four fenestrations and 1 branch for the SAs were not bridged and were left for perfusion of the corresponding SAs. Technical success was achieved in 10 of 11 (91%) patients. No early mortality occurred. Early morbidities included renal insufficiency without dialysis in 1 patient and partially delayed paraplegia in 1 patient. Before discharge, computed tomography angiography (CTA) showed patency of all the SAs. The median follow-up duration was 30 months (range, 10-88 months). Late death occurred in 1 patient. Two SAs were occluded in 1 patient with 2 unstented fenestrations, as determined using 1-year follow-up CTA. This patient did not develop spinal cord ischemia (SCI). Other SAs remained patent during follow-up. One patient with a type IIIc endoleak was treated by relining of bridging stents.
    Conclusions: Endovascular preservation of SAs with F/B-EVAR for thoracoabdominal aortic aneurysm is feasible and safe in select patients and may add to preventive measures for SCI.
    MeSH term(s) Male ; Humans ; Middle Aged ; Blood Vessel Prosthesis ; Aortic Aneurysm, Thoracoabdominal ; Blood Vessel Prosthesis Implantation/adverse effects ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Retrospective Studies ; Feasibility Studies ; Treatment Outcome ; Risk Factors ; Prosthesis Design ; Stents ; Arteries ; Endovascular Procedures/adverse effects
    Language English
    Publishing date 2023-03-06
    Publishing country United States
    Document type Multicenter Study ; Journal Article
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2023.02.027
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    Zs.A 3720: Show issues Location:
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  8. Article ; Online: Bullying, Undermining, and Harassment in Vascular Surgical Training in the UK: How Can it be Confronted?

    Fisher, Robert K / McBride, Olivia / Murray, Anna / Awopetu, Ayoola

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2018  Volume 56, Issue 4, Page(s) 603–604

    MeSH term(s) Bullying/prevention & control ; Bullying/statistics & numerical data ; Education, Medical, Graduate ; Humans ; Internship and Residency ; Prejudice/prevention & control ; Prejudice/statistics & numerical data ; Sexual Harassment/prevention & control ; Sexual Harassment/statistics & numerical data ; Surveys and Questionnaires ; United Kingdom ; Vascular Surgical Procedures/education
    Language English
    Publishing date 2018-07-29
    Publishing country England
    Document type Editorial
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2018.06.041
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  9. Article ; Online: Introduction: The endovascular aneurysm sealing revolution.

    Torella, Francesco / Fisher, Robert K / McWilliams, Richard G

    Seminars in vascular surgery

    2016  Volume 29, Issue 3, Page(s) 91–92

    MeSH term(s) Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Aortography/methods ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Computed Tomography Angiography ; Endoleak/etiology ; Endoleak/prevention & control ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Humans ; Prosthesis Design ; Risk Factors ; Stents ; Treatment Outcome
    Language English
    Publishing date 2016-09
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 645131-7
    ISSN 1558-4518 ; 0895-7967
    ISSN (online) 1558-4518
    ISSN 0895-7967
    DOI 10.1053/j.semvascsurg.2016.09.001
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  10. Article ; Online: Re: "Lesson Learned with the Use of Iliac Branch Devices: Single Centre 10 Year Experience in 157 Consecutive Procedures".

    Roy, Iain N / McWilliams, Richard G / Fisher, Robert K

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2017  

    Language English
    Publishing date 2017-10-07
    Publishing country England
    Document type Letter
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2017.07.030
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