Trends and outcomes of thoracic endovascular aortic repair with open concomitant cervical debranching

Bellamkonda, Kirthi S.; Yousef, Sameh; Nassiri, Naiem; Dardik, Alan; Guzman, Raul J.; Geirsson, Arnar

doi:10.1016/j.jvs.2020.07.103

Cited by 19 publications

(9 citation statements)

References 33 publications

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“…It will be even more useful because these conditions have been increasingly managed as hybrid procedures that can extend up to and sometimes into zone 0 of the aortic arch. 2 , 5 CCS bypass has been described by a number of groups who used both Dacron and PTFE grafts. However, these configurations will typically require separate grafts that will be anastomosed intraoperatively, unlike the prebifurcated graft used in our patient.…”

Section: Discussionmentioning

confidence: 99%

“… 1 However, extension into zone 1 of the proximal aorta will require cervical debranching to preserve perfusion of both the left carotid artery and the subclavian arteries. 2 , 3 Debranching with a right carotid–left carotid–left subclavian (CCS) bypass will generally be performed without carotid shunting; thus, expeditious completion of the anastomoses presents some obvious advantages to the patient. 4 In the present report, we have described the use of a prebifurcated axillobifemoral polytetrafluoroethylene (PTFE) bypass graft to expedite completion of the aortic debranching.…”

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confidence: 99%

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A prebifurcated axillobifemoral polytetrafluoroethylene graft simplifies carotid to carotid to subclavian bypass

Perry¹,

Sarac²,

Orion³

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

A prebifurcated axillobifemoral polytetrafluoroethylene graft simplifies carotid to carotid to subclavian bypass

Perry¹,

Sarac²,

Orion³

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…14 More extensive debranching involving more than one bypass is associated with higher mortality and stroke rates. 15 A landing zone proximal to the LSA significantly increases the stroke risk 16 (Figure 3).…”

Section: Endovascular Optionsmentioning

confidence: 99%

Expert opinion: How to treat type IA endoleakage

Peterß

Stana

Rantner

et al. 2023

Asian Cardiovasc Thorac Ann

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Type Ia endoleaks due to failed sealing or loss of landing zone and the adequate management thereof remain crucial for long-term therapeutic success following TEVAR. This expert opinion summarizes our institutional experience with endovascular, open surgical, and hybrid techniques in the context of recent scientific publications. The rapid turnover of technical innovations, but most importantly outcome data demonstrate the requirement for increasingly patient-tailored treatment strategies and the need for specialized aortic centers. The latter should offer a complete range of treatment options, an adequate perioperative management, and the highest level of multidisciplinary expertise.

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“…1 Debranching TEVAR is one of the treatment options for thoracic aortic aneurysms (TAAs) in which the landing zone is insufficient. 2 Although debranching TEVAR has gained popularity as a less invasive therapy, it is associated with higher morbidity than simple TEVAR. 2 Similarly, debranching TEVAR implies a longer operating time and hospital stay compared to simple TEVAR.…”

Section: Introductionmentioning

confidence: 99%

“…2 Although debranching TEVAR has gained popularity as a less invasive therapy, it is associated with higher morbidity than simple TEVAR. 2 Similarly, debranching TEVAR implies a longer operating time and hospital stay compared to simple TEVAR. Chylothorax is a rare but important complication of debranching TEVAR.…”

Section: Introductionmentioning

confidence: 99%

Right-Sided Chylothorax: A Case Report of an Uncommon Manifestation After Cervical Debranching Thoracic Endovascular Aneurysm Repair

Sasaki

Kowatari

Kondo

et al. 2022

Vasc Endovascular Surg

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A 70-year-old man was admitted to our hospital with a thoracic aortic aneurysm. He underwent elective thoracic endovascular aneurysm repair with left common carotid artery-left subclavian artery bypass via the left supraclavicular approach. During the bypass, the thoracic duct was injured and ligated. On postoperative day 3, the patient complained of dyspnea. Chest radiography revealed a massive right-sided pleural effusion. On postoperative day 5, he was diagnosed with right-sided chylothorax and underwent chest tube insertion. The next day, a left-sided chylothorax was noted, and chest tube drainage was performed. Conservative management, including nil per os and subcutaneous octreotide (300 μg/day) injection, was carried out for 2 weeks; subsequently, the chylothorax improved. This report highlights the diagnostic challenge of right-sided chylothorax after debranching thoracic endovascular aneurysm repair.

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Trends and outcomes of thoracic endovascular aortic repair with open concomitant cervical debranching

Cited by 19 publications

References 33 publications

A prebifurcated axillobifemoral polytetrafluoroethylene graft simplifies carotid to carotid to subclavian bypass

A prebifurcated axillobifemoral polytetrafluoroethylene graft simplifies carotid to carotid to subclavian bypass

Expert opinion: How to treat type IA endoleakage

Right-Sided Chylothorax: A Case Report of an Uncommon Manifestation After Cervical Debranching Thoracic Endovascular Aneurysm Repair

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