Two-Year Single Center Experience of Thoracic Endovascular Aortic Repair using the EndoFit Thoracic Stent Graft

Qu, Lujiang; Raithel, Dieter

doi:10.1007/978-3-642-11719-0_18

Cited by 5 publications

(7 citation statements)

References 15 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Qu [19] reported his experience with different debranching procedures performed in 55/87 patients (63.2%) to extend the proximal or distal landing zone. Neurological complications occurred in eight patients (9.2%): five strokes and three paraplegia.…”

Section: Discussionmentioning

confidence: 98%

“…The reported incidence of left upper extremity symptoms, such as claudication, weakness, coolness, or paresthesia attributable to LSA coverage, is variable and ranges from 0 to 35% [6]. In cases where symptomatic subclavian steal syndrome or left arm ischemia occur, subsequent LSA revascularization can be easily performed with very low mortality and morbidity rate [18,19]. Peterson [14] described a pre-endograft carotid-subclavian bypass complication rate of 8%, mostly related to leftsided vocal cord palsies secondary to traction on the vagus and/or recurrent laryngeal nerve during the revascularization procedure.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management strategies for thoracic stent-graft repair of distal aortic arch lesions: is intentional subclavian artery occlusion a safe procedure?

et al. 2009

View full text Add to dashboard Buy / Rent full text

The aim of this retrospective analysis was to assess the clinical consequences after intentional left subclavian artery (LSA) occlusion. Thirty-seven patients, 27 type B dissection and 10 thoracic aneurysm, with short proximal neck (less than 2 cm) underwent endovascular treatment with intentional exclusion of LSA origin. No immediate complications occurred. Mean arterial pressure gradient, between right and left arms, ranged from 15 to 45 mmHg. After a mean follow-up of 43.70 + or - 24.01 months, mild left arm symptoms secondary to flow reduction occurred in eight cases (21.6%) but only one required LSA transposition, after 8 months, for visual impairment. Type II endoleaks from excluded LSA occurred in 10 cases (27.0%): in seven patients, leaks were treated with coils and/or glue embolization; in one case, leak sealed spontaneously; one patient died before leak embolization could occur; one patient refused any further treatment. Intentional exclusion of the LSA may be justified when a longer proximal landing zone in the aortic arch is required.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Management strategies for thoracic stent-graft repair of distal aortic arch lesions: is intentional subclavian artery occlusion a safe procedure?

et al. 2009

View full text Add to dashboard Buy / Rent full text

show abstract

“…Some authors believe that a transposition or subclavian-carotid by-pass are necessary only when symptoms of steal syndrome occur (15). Other authors attempt to restore blood flow using non-anatomical by-passes on large arteries originating from the aortic arch (16). In our case this would require repeated vascular operation in scarred tissues and temporary blockade of blood flow in the left common carotid artery.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Operation of Posttraumatic Dissecting Aneurysm of Descending Aorta - Case Report

Szopiński¹,

Stryga²,

Terlecki³

2010

Polish Journal of Surgery

View full text Add to dashboard Buy / Rent full text

. The patient underwent successful hybrid treatment for a dissecting aneurysm of the descending aorta. The dissection was repaired using a bimodular stent-graft Zenith TX-2 Zenith, Cook, covering origins of the left subclavian artery and left common carotid artery. Blood flow in the neck was restored using non-anatomical anastomoses: the left common carotid artery was connected with the right common carotid artery and left subclavian artery.

show abstract

“…With the adjunction of different debranching techniques that have already been summarized and reported, we are treating more and more complex thoracic lesions with TEVAR procedures. 4 This technique proved helpful for precise thoracic endograft placement in TEVAR owing to the extended landing zone. During the TEVAR procedure, several techniques are adopted to achieve the precise endograft placement: (1) Full exposition and accurate view of the pathologic lesion and its related or involved local anatomy are the prerequisite for the ensuing procedures.…”

Section: Methodsmentioning

confidence: 99%

Techniques for precise thoracic endograft placement

Raithel²

2009

Journal of Vascular Surgery

View full text Add to dashboard Buy / Rent full text

Precise endograft placement in the thoracic aorta is challenging due to the special local anatomy and unique hemodynamic blood flow. We are employing many techniques together to launch the endograft precisely to the target location: various debranching techniques to extend the proximal landing zone, magnified imaging with full exposition of the supra-arch branches and the proximal landing area to achieve a clear and accurate view, screen markers of the landing target for guidance of deployment, 1-2 cm proximally to the cranial landing marker before launching in case of any displacement, steady deployment of the endograft in hypotensive status or within the temporary heart asystole period induced by intravenous adenosine administration. If a balloon angioplasty or a proximal cuff is inevitable, the abovementioned techniques should be repeated. Our single center results have proved the combined techniques for precise thoracic endograft placement reliable, effective, simple and practical.

show abstract

Two-Year Single Center Experience of Thoracic Endovascular Aortic Repair using the EndoFit Thoracic Stent Graft

Cited by 5 publications

References 15 publications

Management strategies for thoracic stent-graft repair of distal aortic arch lesions: is intentional subclavian artery occlusion a safe procedure?

Management strategies for thoracic stent-graft repair of distal aortic arch lesions: is intentional subclavian artery occlusion a safe procedure?

Hybrid Operation of Posttraumatic Dissecting Aneurysm of Descending Aorta - Case Report

Techniques for precise thoracic endograft placement

Contact Info

Product

Resources

About