Thoracic endovascular repair for acute type A aortic dissection: operative technique

Shah, Aamir S.; Khoynezhad, Ali

doi:10.21037/acs.2016.07.08

Cited by 42 publications

(35 citation statements)

References 33 publications

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“…Our group has obtained the first physician-sponsored investigational device exemption (PS-IDE) for using a dedicated stent graft for ascending aortic pathologies in the United States (1,2). We studied eleven patients within this PS-IDE and thirty-two other patients using commercially available stent grafts.…”

Section: Clinical Resultsmentioning

confidence: 99%

Percutaneous endovascular repair of acute type A intramural hematoma of the ascending aorta

Khoynezhad¹

2019

Ann. Cardiothorac. Surg.

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Section: Clinical Resultsmentioning

confidence: 99%

Percutaneous endovascular repair of acute type A intramural hematoma of the ascending aorta

Khoynezhad¹

2019

Ann. Cardiothorac. Surg.

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“…On the other hand three dimensional reconstitution and virtual endoluminal imaging has been useful to assess the size and location of the intimal tear and to determine the precise length and diameter of the stent graft for successful repair of the dissection. [6] Transesophageal echocardiography should be also performed in all cases to assess cardiac and aortic valve function as well as an angiography to confirm patency of the supraaortic branches and coronary arteries.…”

Section: Discussionmentioning

confidence: 99%

Arteria Lusoria Facilitates Hybrid Management of Aortic Arch Pseudoaneurysm

Bejjani¹

2018

IJCTS

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Classic open ascending aortic replacement is an effective treatment for Stanford type A aortic dissection However it is associated with a mortality ranging between 15 to 60%. This incidence is even higher in recurrent cases. In these patients, hybrid procedures which combine thoracic endovascular aortic repair (TEVAR) with aortic arch vessel bypasses are successfully adopted. This paper reports a successful hybrid management of aortic arch pseudoaneurysm in a 66 year old female patient known to be hypertensive, diabetic,smoker dyslipidemic on dialysis and who underwent one year previously a surgical ascending aortic repair. Aortic arch vessel bypasses-necessary in this case-were facilitated by the presence of an aberrant right subclavian artery known as Arteria Lusoria-This variant, a rare embryologic anomaly of the aortic arch vessels, described by Hunauld in 1735, was used as an inflow artery to the right common carotid allowing the surgeons to avoid a left to right common carotid artery bypass known to be associated with many complications. Although the hybrid management seems a feasible and safe option especially in high risk patients not eligible for open surgical repair, furher clinical studies and development of new devices dedicated to treat ascending aortic diseases are fundamental to improve outcomes.

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“…The choice of OR or TEVAR in patients presenting with rDTAA remains debatable at present. In many centers internationally TEVAR is offered as the first line treatment for these patients unless contraindicated, such as patients with connective tissue disorders, except as a temporizing solution until definitive surgery can be performed [24] . The choice of TEVAR also depends largely on the available expertise and the anatomic limitations of the DTA, as discussed above.…”

Section: Open or Endovascular Repair For Rdtaa?mentioning

confidence: 99%

Ruptured isolated descending thoracic aortic aneurysm: open or endovascular repair?

Harky¹,

Manu²,

Nasiri³

et al. 2018

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Descending thoracic aortic aneurysm management has gained momentum and became a topic of many debates at international levels since the evolution of endovascular repair. Ruptured descending thoracic aortic aneurysm is a clinical emergency which is associated with high mortality and morbidity rates if not managed properly. Prior to thoracic endovascular aortic repair (TEVAR), open repair (OR) was the gold standard management, however since the evolution of TEVAR, this has changed. Several centers have reported many of their experiences and published that TEVAR can provide equal or even better perioperative outcomes when compared to OR, although the evidences can be of only short term and could be biased at different levels at the time of publication. This review article is aimed to examine current literature evidences behind the use of TEVAR vs. OR and the reported comparative clinical outcomes.

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Thoracic endovascular repair for acute type A aortic dissection: operative technique

Abstract: Acute type A aortic dissection is a potentially lethal condition which requires immediate diagnostic and

Cited by 42 publications

References 33 publications

Percutaneous endovascular repair of acute type A intramural hematoma of the ascending aorta

Percutaneous endovascular repair of acute type A intramural hematoma of the ascending aorta

Arteria Lusoria Facilitates Hybrid Management of Aortic Arch Pseudoaneurysm

Ruptured isolated descending thoracic aortic aneurysm: open or endovascular repair?

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