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  1. AU="Watkins, A Claire"
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  1. Article ; Online: Shaggy Aorta: How Much Thrombus Is Too Much?

    Watkins, A Claire

    The Annals of thoracic surgery

    2023  Volume 116, Issue 3, Page(s) 457–458

    MeSH term(s) Humans ; Aorta ; Thrombosis/etiology
    Language English
    Publishing date 2023-04-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2023.04.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Successful type A aortic dissection repair in the setting of severe immune thrombocytopenia.

    Yasin, Aleena / Medina, Melissa G / Dunn, Tamara J / Watkins, A Claire

    JTCVS open

    2022  Volume 13, Page(s) 49–50

    Language English
    Publishing date 2022-10-12
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2666-2736
    ISSN (online) 2666-2736
    DOI 10.1016/j.xjon.2022.08.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Poorly sized TEVAR: implications and lessons learned.

    Dalal, Alex R / Dossabhoy, Shernaz S / Watkins, A Claire

    Annals of cardiothoracic surgery

    2021  Volume 10, Issue 6, Page(s) 804–806

    Language English
    Publishing date 2021-12-13
    Publishing country China
    Document type Editorial
    ZDB-ID 2713627-9
    ISSN 2304-1021 ; 2225-319X
    ISSN (online) 2304-1021
    ISSN 2225-319X
    DOI 10.21037/acs-2021-taes-87
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Reply.

    Watkins, A Claire / Gammie, James S

    The Annals of thoracic surgery

    2019  Volume 108, Issue 2, Page(s) 646

    MeSH term(s) Extracorporeal Membrane Oxygenation ; Heart Diseases ; Humans
    Language English
    Publishing date 2019-03-01
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2019.01.049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Controlled balloon false lumen obliteration for the endovascular management of chronic dissection in the descending thoracic aorta.

    Watkins, A Claire / Dossabhoy, Shernaz / Dalal, Alex R / Yasin, Aleena / Leipzig, Matthew / Colvard, Benjamin / Lee, Jason T / Dake, Michael D

    JTCVS techniques

    2023  Volume 19, Page(s) 1–9

    Abstract: Objective: Retrograde false lumen perfusion has limited the utility of aortic stent grafting for chronic aortic dissection. It is unknown whether balloon septal rupture can improve the outcomes for endovascular management of chronic aortic dissection.!## ...

    Abstract Objective: Retrograde false lumen perfusion has limited the utility of aortic stent grafting for chronic aortic dissection. It is unknown whether balloon septal rupture can improve the outcomes for endovascular management of chronic aortic dissection.
    Methods: Included patients underwent false lumen obliteration and creation of a single-lumen aortic landing zone using balloon aortoplasty during thoracic endovascular aortic repair. The distal thoracic stent graft was sized to the total aortic lumen diameter, and septal rupture was performed within the stent graft with a compliant balloon in the region 5 cm proximal to the distal fabric edge. Clinical and radiographic outcomes are reported.
    Results: Forty patients, with an average age 56 years, underwent thoracic endovascular aortic repair with septal rupture. Seventeen patients (43%) had chronic type B dissections, 17 of 40 patients (43%) had residual type A dissections, and 6 of 40 patients (15%) had acute type B dissections. Nine cases were emergency, complicated by rupture or malperfusion. Perioperative complications included 1 death (2.5%) due to rupture of the descending thoracic aorta and 2 (5%) instances each of stroke (neither permanent) and spinal cord ischemia (1 permanent). Two (5%) stent graft-induced new injuries were seen. Average postoperative computed tomography follow-up was 1.4 years. Thirteen patients (33%) had a decrease in aortic size, 25 of 39 patients (64%) were stable, and 1 of 39 patients (2.6%) had an increased aortic size. Partial and complete false lumen thrombosis were achieved in 10 of 39 patients (26%) and 29 of 39 patients (74%), respectively. Midterm aortic-related survival was 97.5% at an average of 1.6 years.
    Conclusions: Controlled balloon septal rupture offers an effective endovascular method to treat aortic dissection in the distal thoracic aorta.
    Language English
    Publishing date 2023-01-23
    Publishing country United States
    Document type Journal Article
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2023.01.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Current Status of Endoluminal Treatment of Descending Thoracic Aortic Aneurysms.

    Watkins, A Claire / Dalal, Alex / Lee, Jason T / Dake, Michael D

    Cardiovascular and interventional radiology

    2020  Volume 43, Issue 12, Page(s) 1770–1778

    Abstract: Thoracic endovascular aortic repair (TEVAR) was proved to be effective in thoracic descending aortic aneurysm (TDAA) repair in 1994 and approved by the FDA in 2005. Since then, TEVAR has become the first-line, recommended treatment for intact or ruptured ...

    Abstract Thoracic endovascular aortic repair (TEVAR) was proved to be effective in thoracic descending aortic aneurysm (TDAA) repair in 1994 and approved by the FDA in 2005. Since then, TEVAR has become the first-line, recommended treatment for intact or ruptured DTAA or as a bridge to definitive open surgical repair in connective tissue disease. TEVAR has decreased perioperative morbidity and mortality compared to open surgery due to the lack of thoracotomy, aortic cross-clamping and left heart bypass. Improvement in materials, manufacturing and device delivery systems have allowed for the expansion of indications. Thoughtful and accurate pre-procedure planning is the hallmark of successful TEVAR. Familiarization and adherence to the instructions for use for an aortic device will give the best possible chance of success.
    MeSH term(s) Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis Implantation/methods ; Endovascular Procedures/methods ; Humans ; Reoperation ; Time Factors
    Language English
    Publishing date 2020-05-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-020-02526-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Endovascular Aortic Repair After Proximal Stent Graft Migration of a Modified Frozen Elephant Trunk.

    Dalal, Alex R / Pedroza, Albert J / Iwakoshi, Shinichi / Lee, Jason T / Fleischmann, Dominik / Watkins, A Claire

    Innovations (Philadelphia, Pa.)

    2020  Volume 15, Issue 2, Page(s) 169–172

    Abstract: We describe the endovascular repair for a proximal endograft migration following a modified frozen elephant trunk (mFET) repair for a retrograde type A dissection (retro-A AD). A 40-year-old man presented with a type B aortic dissection that progressed ... ...

    Abstract We describe the endovascular repair for a proximal endograft migration following a modified frozen elephant trunk (mFET) repair for a retrograde type A dissection (retro-A AD). A 40-year-old man presented with a type B aortic dissection that progressed to a retro-A AD. He was emergently taken to the operating room for an mFET repair. Computed tomography (CT) angiogram on the day of discharge revealed that the proximal end of the endograft migrated through the primary intimal tear resulting in obstruction of true lumen flow. The patient returned to the catheterization lab for endovascular repair utilizing a through-and-through wire to extend the endograft proximally and a left carotid-subclavian artery bypass. This complication highlights the importance of postoperative CT surveillance and the endovascular technique utilized to restore aortic true lumen flow.
    MeSH term(s) Adult ; Aneurysm, Dissecting/surgery ; Angioplasty/instrumentation ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis Implantation/methods ; Carotid Arteries/surgery ; Catheterization/methods ; Computed Tomography Angiography/methods ; Endovascular Procedures/methods ; Humans ; Male ; Prosthesis Failure/adverse effects ; Septal Occluder Device/adverse effects ; Stents/adverse effects ; Subclavian Artery/surgery ; Treatment Outcome
    Language English
    Publishing date 2020-04-27
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 1559-0879
    ISSN (online) 1559-0879
    DOI 10.1177/1556984520902839
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Percutaneous Pulmonary Vein Stenting to Treat Severe Pulmonary Vein Stenosis After Surgical Reconstruction.

    Dalal, Alex R / Markham, Ryan / Haeffele, Christiane / Sharma, Rahul / Watkins, A Claire

    Innovations (Philadelphia, Pa.)

    2020  Volume 15, Issue 4, Page(s) 382–385

    Abstract: A 36-year-old female underwent left lower lobectomy with left atrial and left upper pulmonary vein (LUPV) reconstruction with a bovine pericardial patch for an intrathoracic pheochromocytoma. Postoperatively, she developed shortness of breath and ... ...

    Abstract A 36-year-old female underwent left lower lobectomy with left atrial and left upper pulmonary vein (LUPV) reconstruction with a bovine pericardial patch for an intrathoracic pheochromocytoma. Postoperatively, she developed shortness of breath and transesophageal echocardiography demonstrated LUPV stenosis with increased velocities. Computed tomography angiogram of the chest revealed LUPV stenosis at the left atrium ostium with an area of 39 mm
    MeSH term(s) Adult ; Angiography ; Computed Tomography Angiography ; Female ; Humans ; Pheochromocytoma/surgery ; Postoperative Complications/surgery ; Pulmonary Veins/diagnostic imaging ; Pulmonary Veins/surgery ; Reconstructive Surgical Procedures/adverse effects ; Stenosis, Pulmonary Vein/diagnostic imaging ; Stenosis, Pulmonary Vein/etiology ; Stenosis, Pulmonary Vein/surgery ; Stents ; Thoracic Neoplasms/surgery
    Language English
    Publishing date 2020-07-08
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 1559-0879
    ISSN (online) 1559-0879
    DOI 10.1177/1556984520933962
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Reduced Pulmonary Artery Distensibility Predicts Persistent Pulmonary Hypertension and 2-Year Mortality in Patients with Severe Aortic Stenosis Undergoing TAVR.

    Turner, Valery / Maret, Eva / Kim, Juyong B / Codari, Marina / Hinostroza, Virginia / Mastrodicasa, Domenico / Watkins, A Claire / Fearon, William F / Fischbein, Michael P / Haddad, Francois / Willemink, Martin J / Fleischmann, Dominik

    Academic radiology

    2023  Volume 30, Issue 12, Page(s) 2825–2833

    Abstract: Rationale and objectives: Post-TAVR persistent pulmonary hypertension (PH) is a better predictor of poor outcome than pre-TAVR PH. In this longitudinal study we sought to evaluate whether pulmonary artery (distensibility (D: Materials and methods: ... ...

    Abstract Rationale and objectives: Post-TAVR persistent pulmonary hypertension (PH) is a better predictor of poor outcome than pre-TAVR PH. In this longitudinal study we sought to evaluate whether pulmonary artery (distensibility (D
    Materials and methods: Three hundred and thirty-six patients undergoing TAVR between July 2012 and March 2016 were retrospectively included and followed for all-cause mortality until November 2017. All patients underwent retrospectively ECG-gated CTA prior to TAVR. Main pulmonary artery (MPA) area was measured in systole and in diastole. D
    Results: Median follow-up time was 413 (interquartiles 339-757) days. A total of 183 (54%) had persistent-PH and 68 (20%) patients died within 2-years after TAVR. Patients with D
    Conclusion: D
    MeSH term(s) Humans ; Aortic Valve ; Transcatheter Aortic Valve Replacement ; Pulmonary Artery/diagnostic imaging ; Aortic Valve Stenosis/diagnostic imaging ; Aortic Valve Stenosis/surgery ; Aortic Valve Stenosis/complications ; Hypertension, Pulmonary/diagnostic imaging ; Hypertension, Pulmonary/complications ; Treatment Outcome ; Longitudinal Studies ; Retrospective Studies ; Risk Factors ; Severity of Illness Index
    Language English
    Publishing date 2023-05-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2023.03.014
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  10. Article: Thoracic endovascular aortic repair for type B intramural hematoma.

    Watkins, A Claire / de Biasi, Andreas R / Iwakoshi, Shinichi / Ogawa, Yukihisa / Dake, Michael D

    Annals of cardiothoracic surgery

    2019  Volume 8, Issue 4, Page(s) 509–511

    Language English
    Publishing date 2019-08-08
    Publishing country China
    Document type Editorial
    ZDB-ID 2713627-9
    ISSN 2304-1021 ; 2225-319X
    ISSN (online) 2304-1021
    ISSN 2225-319X
    DOI 10.21037/acs.2019.06.06
    Database MEDical Literature Analysis and Retrieval System OnLINE

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