Evidence map›Paper›PMID 39478927›Full record

ArticleJTCVS techniques2024

Transcatheter electrosurgical aortic septostomy optimizes distal landing zone in chronic dissection.

Alexander P Nissen, Yazan M Duwayri, William D Jordan, Vasilis C Babaliaros, Robert J Lederman, Bradley G Leshnower

Abstract read
In one paragraph

Article in JTCVS techniques, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. DEVELOPMENT AND PRELIMINARY BENCHTOP EVALUATION OF A NOVEL ATHERMAL SEPTOSTOMY CATHETER.Proceedings of the ... Design of Medical Devices Conference. Design of Medical Devices Conference · 2026
    Article
  2. A BENCHTOP PLATFORM FOR EVALUATING SEPTOSTOMY IN AORTIC DISSECTION.Proceedings of the ... Design of Medical Devices Conference. Design of Medical Devices Conference · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexander P NissenDivision of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga.
Yazan M DuwayriDivision of Vascular Surgery, Emory University School of Medicine, Atlanta, Ga.
William D JordanDivision of Vascular Surgery, Emory University School of Medicine, Atlanta, Ga.
Vasilis C BabaliarosDivision of Cardiology, Emory University School of Medicine, Atlanta, Ga.
Robert J LedermanDivision of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Md.
Bradley G LeshnowerDivision of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Efficacy of thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection (CTBAD) is dependent on eliminating retrograde false lumen perfusion and remodeling the aorta. We describe the efficacy of a novel transcatheter electrosurgical technique to fenestrate the dissection flap and create a distal seal zone for TEVAR in CTBAD. Methods: A retrospective review of the Emory Aortic Database from 2016 to 2023 identified 33 patients who underwent TEVAR with intentional endovascular rupture of the dissection flap (Knickerbocker; KNICK) for CTBAD. In 11 patients, we performed transcatheter electrosurgical aortic septostomy (TECSAS) before KNICK. The technical aspects of TECSAS + KNICK are described and results compared with TEVAR + KNICK alone. Results: Dissection chronicity, aortic size, and preoperative demographics were similar between groups. Technical success was 100%, with zero stroke or paraplegia in both groups. Thirty-day mortality for TECSAS versus KNICK was 0% versus 13.6% ( Conclusions: The addition of TECSAS to intentional endovascular rupture of the dissection flap in CTBAD improves distal seal, eliminating retrograde false lumen perfusion. This technique is a safe and precise method to fenestrate a dissection flap and optimize TEVAR in CTBAD.

Indexed as

aortic dissectionaortic septostomychronic type B aortic dissection (CTBAD)electrosurgicalthoracic endovascular aortic repair (TEVAR)

Identifiers

PMID39478927
PMCPMC11518863

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.