Thoracic Endovascular Aortic Repair in 300 Patients: Long-Term Results

Wiedemann, Dominik; Mahr, Stéphane; Vadehra, Amit; Schoder, Maria; Funovics, Martin; Löwe, Christian; Plank, Christina; Lämmer, Johannes; Laufer, Günther; Stelzmüller, Marie-Elisabeth; Kocher, Alfred; Ehrlich, Marek

doi:10.1016/j.athoracsur.2013.02.043

Cited by 38 publications

(51 citation statements)

References 20 publications

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“…Although TEVAR may avoid a major incision, it has its own set of complications, such as iatrogenic dissection or rupture, paralysis, and need for reintervention for endoleaks. 45,48 However, there may be a role in properly selected patients such as those who are not surgical candidates or have features associated with risk of complications. …”

Section: Type B Imh Management and Outcomesmentioning

confidence: 99%

Current Understandings and Approach to the Management of Aortic Intramural Hematomas

Goldberg

Kim²,

Sundt

2014

Seminars in Thoracic and Cardiovascular Surgery

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Section: Type B Imh Management and Outcomesmentioning

confidence: 99%

Current Understandings and Approach to the Management of Aortic Intramural Hematomas

Goldberg

Kim²,

Sundt

2014

Seminars in Thoracic and Cardiovascular Surgery

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“…Although myiasis is known to occur in wild animals [1,11], not much information is available to describe the clinico-pathology or epidemiology of the infestation [12] especially in African free ranging wildlife [13]. …”

Section: Resultsmentioning

confidence: 99%

“…For instance, the larvae of L. sericata destroyed the cranium and exposed the brain of a woman that had nasopharyngeal myiasis [15]. Screwworms (Figures 1, 2 and 5) and blowflies (Figure 4) both belong to the family Calliphoridae but are morphologically distinct, yet common among the major groups of wound myiasis-causing flies that result in great production losses, morbidity and mortality in diverse species of livestock and wild animals [1,11,12]. In the genus Lucilia , which comprises of 27 species, L. cuprina and L. sericata , whose spatial occurrence overlaps in Africa, are the two species of clinical and economic importance as the primary cause of wound myiasis [9].…”

Section: Resultsmentioning

confidence: 99%

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Traumatic myiasis in free-ranging eland, reported from Kenya

et al. 2013

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BackgroundFor centuries, immature stages of Dipterans have infested humans and animals, resulting in a pathological condition referred to as myiasis. Myiases are globally distributed but they remain neglected diseases in spite of the great medical and veterinary importance. Moreover, there is a paucity of information on the clinical-pathology and/or epidemiology of the infestation, especially in African free ranging wildlife.FindingsIn the present study we report for the first time an outbreak of traumatic cutaneous myiasis (caused by Old World screwworm, Chrysomyia bezziana and blowfly, Lucilia sp.) in free-ranging common elands (Taurotragus oryx). The infestation affected both animal sexes and different age classes, and had a negative impact on individual fitness as well as the overall health. Severely affected individuals were euthanized, while others were clinically treated, and apparently recovered.ConclusionsThis study indicates that myiasis-causing flies still exist in Kenya and are able to cause severe outbreaks of clinical cutaneous myiasis in wild animals. The status of these parasites in Kenya, which are of zoonotic potential, are either unknown or neglected.

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“…Several pathologies aff ect the transition zone from the aortic arch to the descending thoracic aorta and are treated with thoracic aortic stent implantation, also known as thoracic endovascular aortic repair (TEVAR). While initially reserved for patients not deemed appropriate for conventional techniques, endovascular methods have shown clinical success, resulting in the expansion of their use [1]. Coverage of up to 40 % of the left subclavian artery (LSA) during aortic stent implantation is unavoidable [2,3].…”

Section: Introductionmentioning

confidence: 99%

Management of the left subclavian artery during TEVAR – complications and mid-term follow-up

Youssef

Ghazy

Kersting

et al. 2018

Vasa

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Summary:Background: Numerous conditions that affect the boundary between the aortic arch and descending aorta are treated with thoracic endovascular aortic repair (TEVAR). In 40 % of cases, coverage of the left subclavian artery (LSA) cannot be prevented. Subsequently, neurological complications such as stroke or ischemia of the left upper extremity may develop. However, the actual risk of these complications is subject to considerable controversy. The optimal treatment approach, specifi cally the question whether primary revascularization of the LSA should be performed in all cases, is unclear. Patients and methods: The present retrospective study analyzed the short-and mid-term results of patients treated with TEVAR with complete coverage of the LSA. The postoperative protocol consisted of clinical and noninvasive examinations as well as morphological imaging. Survival, complication, and reintervention rates were recorded. Results: A total of 40 patients, undergoing TE-VAR with complete coverage of the LSA between January 2010 and December 2014 were analyzed retrospectively. The 30-day survival rate was 95 %, the survival one year after performed TEVAR was 67.5 %. The average follow-up was 1.5 years. After TEVAR procedure with complete coverage of the LSA, only one patient (2.5 %) developed critical ischemia of the left arm immediately after aortic stent implantation, requiring revascularization by transposition of the LSA. Anterior spinal artery syndrome occurred in another patient (2.5 %) immediately following TEVAR. During follow-up examinations, all patients showed a compensated arterial arm status. None of the patients developed new neurological defi cits during the follow-up period. Conclusions: The study shows that performing TEVAR without primary revascularization of the LSA was justifi able in our cohort. An important risk factor of developing cerebral ischemia seems to be insuffi cient collateralization through the circle of Willis.

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Thoracic Endovascular Aortic Repair in 300 Patients: Long-Term Results

Cited by 38 publications

References 20 publications

Current Understandings and Approach to the Management of Aortic Intramural Hematomas

Current Understandings and Approach to the Management of Aortic Intramural Hematomas

Traumatic myiasis in free-ranging eland, reported from Kenya

Management of the left subclavian artery during TEVAR – complications and mid-term follow-up

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