Two-Vessel Branched Stent Graft for Severely Angulated Aortic Arch Aneurysm in a Jehovah’s Witness

Lim, Chung Sim; Dhutia, Amrita; Riga, Celia; Dharmadasa, A.; Gibbs, Richard; Hamady, Mohamad

doi:10.1177/1538574417747426

Cited by 1 publication

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References 17 publications

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“…This study did not detect 30-day mortality and in-hospital deaths, which were reported by some other studies. [30][31][32][33] In this study, our midterm results were satisfactory because there were no cases of retrograde type A dissection, type 1a endoleak, and the aorta-related death-free rate at 5 years was 95.8%. However, the postoperative stroke rate reported in our study was 14% (4 out of 28), which was higher than that reported in previous studies (5% to 11.4%) with zone 0 landing TEVAR.…”

Section: Discussionmentioning

confidence: 55%

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Early and midterm results of thoracic endovascular aortic repair using a branched endograft for aortic arch pathologies: A retrospective single-center study

et al. 2020

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Background: Zone 0 landing hybrid thoracic endovascular aortic repair (TEVAR) includes a few moderately invasive surgical procedures. To reduce invasiveness, TE-VAR with a branched aortic arch stent-graft can be considered. This study aimed to elucidate the effectiveness of performing TEVAR using a Bolton (Bolton Medical, Inc, Sunrise, Fla) branched endograft by analyzing early and midterm results.Methods: We enrolled 28 patients (mean age, 78.4 years) who underwent TEVAR with the Bolton branched endograft in Osaka University Hospital between October 2012 and June 2018 with a mean follow-up period of 4.0 years. Double-side and single-side branched devices were used in 24 (85.7%) and 4 (14.3%) patients, respectively.Results: All procedures were successful; no cases of endoleak or conversion to open repair were noted during the 30-day postoperative period. The perioperative stroke rate was 14.3% (4 out of 28); midterm stroke was not detected. All patients with perioperative stroke had atheroma grade !2 in the brachiocephalic artery. No type 1a endoleak was reported during the early or midterm results. The cumulative survival rate, aorta-related death-free rate, and aortic event-free survival rate at 5 years were 80.8%, 95.8%, and 81.6%, respectively. Conclusions:We achieved satisfactory early and midterm results by using a Bolton branched endograft for high-risk patients with arch pathologies except for high postoperative stroke. Although this treatment method is associated with postoperative stroke, performing strict evaluation of atheroma may prevent such complication. By preventing intraoperative stroke, TEVAR with this custom-made Bolton branched endograft may be considered a less-invasive treatment. (JTCVS Techniques 2020;4:17-25) Schematic of thoracic endovascular repair using the Bolton branched endograft. CENTRAL MESSAGEEarly and midterm results of thoracic endovascular aortic repair using a Bolton branched endograft show that preoperative strict atheroma evaluation is important for preventing postoperative stroke. PERSPECTIVEWhen using a custom-made Bolton branched endograft, it is essential to prevent perioperative stroke. The development of perioperative stroke may be prevented by performing a strict preoperative evaluation of atheroma. By preventing perioperative stroke, thoracic endovascular aortic repair using a custom-made Bolton branched endograft may become a less-invasive treatment.

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Section: Discussionmentioning

confidence: 55%

“…This study did not detect 30-day mortality and in-hospital deaths, which were reported by some other studies. 30 , 31 , 32 , 33 …”

Section: Discussionmentioning

confidence: 99%

Early and midterm results of thoracic endovascular aortic repair using a branched endograft for aortic arch pathologies: A retrospective single-center study

et al. 2020

View full text Add to dashboard Cite

show abstract

Two-Vessel Branched Stent Graft for Severely Angulated Aortic Arch Aneurysm in a Jehovah’s Witness

Cited by 1 publication

References 17 publications

Early and midterm results of thoracic endovascular aortic repair using a branched endograft for aortic arch pathologies: A retrospective single-center study

Early and midterm results of thoracic endovascular aortic repair using a branched endograft for aortic arch pathologies: A retrospective single-center study

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