Stent-Grafting of the Thoracic Aorta by the Cardiothoracic Surgeon

Zipfel, Burkhart; Hammerschmidt, R; Krabatsch, Thomas; Buz, Semih; Weng, Yuguo; Hetzer, Roland

doi:10.1016/j.athoracsur.2006.09.036

Cited by 54 publications

(30 citation statements)

References 18 publications

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“…In this study, new neurological symptoms were noted in 6.2% of patients, which is comparable to other smallnumbered emergency stent graft reports [15][16][17][18][19][20]. A vast majority, however, resolved completely during hospital stay.…”

Section: Discussionsupporting

confidence: 88%

“…This less-invasive approach may have its impact on the observed high mortality rate, associated with emergent surgical repair of the descending thoracic aorta [1][2][3][4][5][6]. So far, results of emergent stent grafting for acute descending aortic pathology have been reported in case reports or smallnumbered studies [15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Emergency treatment of the thoracic aorta: results in 113 consecutive acute patients (the Talent Thoracic Retrospective Registry)☆

Kaya

Heijmen

Rousseau³

et al. 2009

European Journal of Cardio-Thoracic Surgery

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 95%

Emergency treatment of the thoracic aorta: results in 113 consecutive acute patients (the Talent Thoracic Retrospective Registry)☆

Kaya

Heijmen

Rousseau³

et al. 2009

European Journal of Cardio-Thoracic Surgery

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“…The recent development of endovascular stent-graft prostheses for the treatment of thoracic aortic disease offers a potentially less invasive and safer alternative to open chest surgery in acute, high-risk surgical patients [20]. Endovascular stent grafting can be performed without aortic clamping and therefore may be applied in a larger number of patients, including hemodynamically unstable cases.…”

Section: Discussionmentioning

confidence: 99%

Conventional surgical repair and endovascular treatment of acute traumatic aortic rupture☆

Buz¹,

Zipfel²,

Mulahasanovic³

et al. 2008

European Journal of Cardio-Thoracic Surgery

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106

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Objective: Endoluminal aortic stent grafting offers a potentially less invasive alternative to open chest surgery, especially in patients with polytrauma. We compare the results of conventional surgical repair and endovascular treatment of traumatic aortic rupture. Methods: Retrospectively, 74 patients with acute traumatic aortic rupture were analyzed. Most of the patients had a rupture limited to the isthmus, and severe associated injuries. Thirty-five patients (6 female, 29 male, mean age 36 years) underwent surgical repair. Two patients were operated upon without cardiopulmonary bypass. In 39 patients (5 female, 34 male, mean age 36 years) thoracic endografts were implanted. The delay between trauma and treatment was comparable in the two groups. Results: Hospital mortality was 20% (7 of 35 patients) in the surgical group and 7.7% (3 of 39 patients) in the endovascular group. The most common cause of death in the surgical group was brain death in severe traumatic patients. Ten surgical complications occurred in 5 patients: respiratory insufficiency (n = 3), pulmonary infection (n = 2), recurrent nerve palsy (n = 2), repeat thoracotomy (n = 2), and compartment syndrome (n = 1). No patient in this group had paraplegia. Except for one case, which required conversion to conventional surgery, stent-graft implantation was successful in all cases, without peri-interventional complications or procedure-induced paraplegia. In 9 patients the left subclavian artery was covered with the device. Two patients underwent surgical repair 15 days and 4 months after endografting because of injury of the aortic wall by the stent and development of a spurious aneurysm, respectively. Conclusions: In the treatment of traumatic thoracic aortic rupture, the early outcome of patients treated with endovascular stent grafts appears to be better than that with conventional surgical repair. The new technique allows safe and successful repair of this life-threatening injury in the early phase of trauma management. How far this potential benefit is sustained in the long term remains unclear at present. #

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“…10) In general, commercially available stent graft repair requires a 20-to 24-F system, but the MKSG with < 36 mm diameter were deployed through an 18-F sheath. Because 18-F system was induced via the femoral artery without arterial cross-clumping, we could set the active coagulation time at a maximum of 180 to 200 s and prevent hemorrhage as much as possible.…”

Section: Discussionmentioning

confidence: 99%

Emergent Thoracic Endovascular Aortic Repair forAcute Type-B Aortic Dissection with Malperfusionby Matsui-Kitamura Stent Graft

Nishida

Ohtake

Kiuchi

et al. 2011

Annals of Vascular Diseases

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Acute type-B aortic dissection with malperfusion is a serious cardiovascular condition associated with high morbidity and mortality. Recent studies have investigated the efficacy of thoracic endovascular aortic repair (TEVAR) as treatment for acute aortic dissection. In this report, we present a case of acute type-B aortic dissection complicated with malperfusion, which was successfully treated with emergent TEVAR for entry closure by a Matsui-Kitamura stent graft (MKSG). MKSG is a flexible custom-made curved stent graft. The main advantages of MKSG for emergent TEVAR include flexibility, shape, and small profile when compressed.

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Stent-Grafting of the Thoracic Aorta by the Cardiothoracic Surgeon

Cited by 54 publications

References 18 publications

Emergency treatment of the thoracic aorta: results in 113 consecutive acute patients (the Talent Thoracic Retrospective Registry)☆

Emergency treatment of the thoracic aorta: results in 113 consecutive acute patients (the Talent Thoracic Retrospective Registry)☆

Conventional surgical repair and endovascular treatment of acute traumatic aortic rupture☆

Emergent Thoracic Endovascular Aortic Repair forAcute Type-B Aortic Dissection with Malperfusionby Matsui-Kitamura Stent Graft

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