Stent graft repair in the aortic arch and descending thoracic aorta: A 4-year experience

Criado, Frank J.; Clark, Nancy S.; Barnatan, Marcos F.

doi:10.1067/mva.2002.129649

Cited by 286 publications

(223 citation statements)

References 11 publications

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“…The percentages reported in the literature range from 0% to 44%. [14][15][16] In this study population, the rate of primary leaks was 23%. An inlet less than 2 cm from the left subclavian artery and located in the lesser curvature of the aortic arch is one of the factors predisposing to stent kinking and leaks during control angiography, as well as previous aortic surgical or endovascular manipulation.…”

Section: Discussionmentioning

confidence: 99%

Tratamento endovascular da dissecção crônica de aorta tipo B complicada

Metzger¹,

Fontes²,

Novero³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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Background: Endovascular repair of aortic diseases is a well-established therapeutic alternative for patients with the appropriate anatomy and/or high surgical risk, as it provides lower morbidity and mortality rates. This study aimed to analyse the outcomes of asymptomatic patients undergoing endovascular treatment of thoracic aortic dissections with an aortic diameter > 5.5 cm or endoleaks. Technical success, therapeutic success, morbidity, mortality, and perioperative complication and reintervention rates were assessed. Methods: The present retrospective study, which was performed at a reference centre from January, 2010 to July, 2011, analysed consecutive patients undergoing endovascular repair of chronic complicated type B aortic dissections based on the Stanford classification. Results: Twenty-six patients were treated. The mean age was 56.4 ± 7 years, and 61.5% were males. Technical and therapeutic success rates were 100% and 74%, respectively. The perioperative mortality was 7.6%, and the mortality rate in the first year of follow-up was 19.3%. The reintervention rate was 15.3%. Conclusions: In the present study, endovascular treatment of chronic type B aortic dissections proved to be a feasible method associated with acceptable perioperative complication rates. The therapeutic success and reintervention rates indicated the

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Section: Discussionmentioning

confidence: 99%

Tratamento endovascular da dissecção crônica de aorta tipo B complicada

Metzger¹,

Fontes²,

Novero³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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“…The effectiveness of endovascular repair has been shown by several investigators; [1][2][3][4][5][6] however, aneurysms located at the aortic arch, which is one of the most common locations of thoracic aortic aneurysms, have often been excluded from stent-graft repair because of the frequently encountered size mismatch and insufficient length of the proximal landing zone. A larger sized endoprothesis with higher profile and rigidity of introducer has to be compromised with a smaller vascular conduit, especially for Asian patients.…”

Section: Discussionmentioning

confidence: 99%

Banding Technique for Endovascular Repair of Arch Aneurysm With Unsuitable Proximal Landing Zone

Chen

Wu²,

Shih

2008

Circ J

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lthough endovascular repair of thoracic aortic aneurysms is now an attractive alternative to surgical graft replacement, 1-6 many patients are excluded because of unfavorable anatomy, particularly an inadequate proximal landing zone. The outcome of endovascular stent grafting for thoracic aortic disease is largely dependent on the anatomical factors of the aneurysm or dissection, 7,8 not only the presence of suitable landing zones, but also because the dilated landing aorta is much wider than 38 mm in diameter, which is beyond the upper limit for most current commercial devices. We describe how we successfully extended the application of endovascular stent grafting to treat arch aneurysms using less invasive hybrid surgery without extracorporeal support. These procedures are combined with banding the proximal landing aorta after debranching of the aortic arch and relocation of the supra-aortic branches. MethodsSince October 2005, 196 patients have undergone endovascular repair of aortic aneurysm (108 abdominal and 88 thoracic aortic aneurysms). Of them, 6 (4 arch aneurysms, one intramural hematoma with pseudoaneurysm and 1 Type B dissecting aortic aneurysms) who were discovered to have arch involvement, but inadequate proximal ascending

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“…[3][4][5][6][7][8][9][10][11] Furthermore, the development of devices, expansion of indications, and improved clinical results with regard to EVR are anticipated. Particularly in the case of thoracic aortic diseases, EVR offers the theoretical advantage of being minimally invasive compared with conventional open surgery under cardiopulmonary bypass.…”

Section: Discussionmentioning

confidence: 99%