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North Shore University Hospital first on Long Island to use technology for thoracoabdominal aortic aneurysm
Endovascular stent graft offers enhanced treatment options for high-risk patients with complex aortic conditions
Northwell Health’s North Shore University Hospital in Manhasset is the first on Long Island to use cutting-edge technology for complex thoracoabdominal aortic aneurysms, which are untreatable with traditional stents.
These aneurysms, which involve a bulge or weakening in the aorta where it passes through the chest and abdomen, can be deadly.
“We are so grateful to be able to help the patients with thoracoabdominal aortic aneurysms who otherwise might not survive,” said Mohsen Bannazadeh, MD, director of the aortic surgery, division of vascular surgery, department of surgery at North Shore University Hospital. “This device aligns with Northwell’s goal of staying at the forefront of innovative, evidence-based interventions in vascular surgery.”
Recently FDA-approved, the GORE Thoracic Multibranched Endoprosthesis (GORE TMBE) is a specialized endovascular stent graft offering enhanced treatment options for high risk-patients with complex aortic conditions. Because the surgery is minimally invasive, there are less complications and patients experience shorter hospital stays and faster recovery times compared to open aortic surgery.
Stevan Pupovac, MD, a cardiovascular surgeon at NSUH who leads the department’s effort in aortic surgery, noted that the Gore TMBE, which allows for the use of endovascular therapy (the use of wires and catheters) versus the standard open surgical thoracoabdominal aortic replacement, reduces the mortality of these complex pathologies to less than 1 percent.
“This collaborative effort between vascular surgery and cardiovascular surgery extends the use of the device from Northwell’s Lenox Hill Hospital to Long Island,” said Derek Brinster, MD, director of aortic surgery across Northwell Health. “Additionally, the device will soon be utilized at our Staten Island and South Shore University hospitals.”
The use of this and other advanced open and endovascular approaches to complex aortic disease allows Northwell’s internationally recognized Center of Aortic Disease to continue to offer the highest level of aortic care to the patients we serve.
The collaborative efforts between Dr. Bannazadeh from vascular surgery and Dr. Pupovac from cardiovascular surgery made possible the first thoracoabdominal aortic aneurysm repair on Long Island using the new GORE TMBE procedure at Petrocelli Surgical Pavilion on December 6.
Located inside NSUH, the Petrocelli Surgical Pavilion is equipped for highly complex, advanced surgical procedures. Of its 18 operating rooms, three are hybrid, combining a traditional operating room with an image-guided interventional suite. The hybrid endovascular suite, equipped with advanced 3D fusion imaging technology, is ideal for managing complex endovascular aortic cases.
“Our hospital has long been a leader in advanced aortic care,” said Dr. Bannazadeh. “The new technology’s multibranched design allows for more precise vessel targeting, particularly in cases where major branch vessels such as the renal, celiac, and superior mesenteric arteries are involved. We can now improve our clinical outcomes and reinforce North Shore University Hospital’s reputation as a center of excellence for complex aortic interventions.”
NSUH, a Level I trauma center and quaternary care teaching hospital, treats more than 90,000 patients each year. It is home to the Sandra Atlas Bass Heart Hospital, the Katz Women’s Hospital, neurosurgery, multi-organ transplant services and is one of the busiest emergency departments in the region. Additionally, NSUH is a Magnet-recognized hospital by the American Nurses Credentialing Center, which spotlights excellence in nursing.
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