Endovascular Treatment of Thoracoabdominal Aneurysm

Mastracci, Tara M.

doi:10.1007/s11936-010-0070-0

Cited by 2 publications

(1 citation statement)

References 46 publications

(38 reference statements)

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“…However, for the complex aortic pathologies which affect visceral arteries, particularly for those TAAAs that are related to several important visceral branches such as celiac, superior mesenteric and RAs, a complete endovascular treatment needs specially designed fenestrated or branched stent grafts to reconstruct visceral arteries. 5 Currently, this endovascular procedure cannot be widely promoted. One reason is that making such special stent graft components is difficult, because the size, shape and location of aneurysms are different according to the individual cases; another reason is that the operation is extremely difficult and risky.…”

Section: Discussionmentioning

confidence: 99%

Hybrid procedures for thoracoabdominal aortic pathologies

et al. 2013

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We report our three-year experience with the visceral hybrid procedure for patients with thoracoabdominal aortic aneurysms, dissections and Takayasu's arteritis. We also evaluate and discuss the outcomes of hybrid procedures. Hybrid procedures include debranching of the visceral or renal arteries followed by endovascular repair of the disease. The surgical strategy was designed individually to reduce trauma and minimize stent coverage area. A series of 11 patients (9 men, mean age 52 years) were treated between June 2008 and September 2011. The pathologies were aneurysmal disease (thoracoabdominal aortic aneurysms) (5, 45.5%), aortic dissection (thoracoabdominal aortic dissection) (4, 36.4%) or true/false aneurysm formation after Takayasu's arteritis (2, 18.2%). Simultaneous approach (9, 81.8%) and staged approach (2, 18.2%) were performed. The mean follow-up was 13.5 months (range 1–36). The technical success was 100%. Stent grafts were implanted in the entire or part of the thoracoabdominal aorta. The overall mortality rate was 9.1% (1/11) with no aneurysm-related death. The permanent paraplegia and bypass graft occlusion rate was 0%. The overall morbidity was 36.4% with two endoleaks (2/11, 18.2%). In conclusion, hybrid procedures can minimize surgical invasiveness in treatments of thoracoabdominal aortic pathologies, and it is a safe method with acceptable morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%