Complications after endovascular repair of acute symptomatic and chronic expanding Stanford type B aortic dissections

Böckler, Dittmar; Schumacher, H.; Ganten, Maria-Katharina; Tengg-Kobligk, Hendrik von; Schwarzbach, Matthias; Fink, Christian; Kauczor, Hans‐Ulrich; Bardenheuer, Hubert J.; Allenberg, Jens-Rainer

doi:10.1016/j.jtcvs.2006.02.056

Cited by 125 publications

(85 citation statements)

References 22 publications

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“…105 Stroke is reported to occur in 3e10% of patients undergoing TEVAR because of manipulation of catheters in the arch and ascending aorta, and occurs more commonly in patients with severe arch atherosclerosis. 44 Although rare in ATBAD patients, SCI is related to the extent of aortic coverage, history of previous aortic surgery and the presence of hypotension at initial presentation.…”

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confidence: 99%

Editor's Choice – Management of Descending Thoracic Aorta Diseases

Riambau¹,

Böckler²,

Brunkwall³

et al. 2017

European Journal of Vascular and Endovascular Surgery

906

259

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mentioning

confidence: 99%

Editor's Choice – Management of Descending Thoracic Aorta Diseases

Riambau¹,

Böckler²,

Brunkwall³

et al. 2017

European Journal of Vascular and Endovascular Surgery

906

259

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“…Endovascular techniques, consisting in the implantation of stentgrafts, endovascular fenestration of tunica intima at various levels and stenting of the main arterial trunks, meet with increasing interest (20,21).…”

Section: Discussionmentioning

confidence: 99%

Own Clinical Observations of Treatment Outcome in Acute Type B Aortic Dissection

Janczak¹,

Skóra

Garcarek

et al. 2012

Polish Journal of Surgery

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the aim of the study was to analyse early results of treatment of acute type B aortic dissection. material and methods. 59 patients, treated between 1998 and 2011, were divided into four groups. Group I comprised ten patients in whom hybrid procedures were performed: extra-anatomical by-pass graft from the brachio-cephalic trunk to the left carotid artery in six patients, transposition of the left carotid artery to the right one in two patients, and reversed Y prosthesis from the brachio-cephalic trunk to both carotids in the remaining 2 patients, to facilitate stent-grafting. Group II comprised 13 patientsin whom endovascular procedures were performed (stent-grafting). Group III comprised 21 patients in whom conventional surgery was done. Group IV comprised 15 patients who were treated conservatively. Results. In group I, a very good clinical outcome, without complications, was achieved in six patients (60% of cases). The total mortality rate was 40%. One patient died on the operation table, following stent-grafting, due to the rupture of the aortic arch. Two patients died as a result of brain damage (cerebral aneurysm rupture in one, and ischemic stroke in the other). In one patient, an aorto-oesophageal fistula developed. In group II, one patient died during endovascular procedure. Another patient suffered from type 1 endoleak, requiring repeated endovascular surgery.In group III, 15 patients (72%) died. Moreover, four patients required acorrective cardiac surgery (Bentall procedure)which in three patients resulted in death. Thus, the total mortality rate in this group was as high as 85%. In group IV, the mortality rate was13%. Conclusions. We noticed a clear superiority of endovascular procedures over conventional surgeriesfor acute type B aortic dissection. Hybrid procedures for acute, complicated type B aortic dissection evidently reduce mortality and postoperative morbidity. Uncomplicated acute type B aortic dissections should be treated conservatively at intensivecare units.

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“…Однако при небольшой инвазив-ности TEVAR существует целый ряд ранних и отдаленных ослож-нений, часто требующих повторных вмешательств [5,11].…”

Section: хирургия 5 2015unclassified

Hybrid approach in distal aortic dissection surgery

et al. 2015

Khir. Z. im. N.I. Pirogova

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Complications after endovascular repair of acute symptomatic and chronic expanding Stanford type B aortic dissections

Abstract: Despite the minimally invasive approach, the complication and mortality rates for endovascular therapy of aortic dissections are still high. Frank reporting of these sequelae is if great importance to clarify the recent limitations of the method.

Cited by 125 publications

References 22 publications

Editor's Choice – Management of Descending Thoracic Aorta Diseases

Editor's Choice – Management of Descending Thoracic Aorta Diseases

Own Clinical Observations of Treatment Outcome in Acute Type B Aortic Dissection

Hybrid approach in distal aortic dissection surgery

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