Endovascular stent-graft repair for Stanford type A aortic dissection with extra-anatomic bypass / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1608-1611, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-338102
ABSTRACT
<p><b>UNLABELLED</b>OBJECTIVE To evaluate the effects of endovascular stent-graft repair for Stanford type A aortic dissection combined with extra-anatomic bypass.</p><p><b>METHODS</b>To perform endovascular repair for Stanford type A aortic dissection, we tried to extend the landing zone by extra-anatomic bypass to reconstruct the innominate artery, the left common carotid artery or the left subclavian artery, and then achieved the process immediately or at a secondary stage via either the carotid or the femoral approach.</p><p><b>RESULTS</b>Thirty-four patients with ascending aortic dissection (n=8) and aortic arch dissection (n=26) were treated with this technique. Thirty three patients were successfully done aortic endovascular repair, only one died during the operation. The thirty-day mortality rate was 8.8% (3/34), endoleak incidence rate was 11.8% (4/34) and incidence rate of cerebral infarction was 5.9% (2/34). Twenty-nine patients were followed-up for 6-70 months (mean, 24. 5 months). Complete (n=16) and partial (n=13) thrombosis of the false lumen were showed with CT angiography and/or vascular color Doppler ultrasound scanning.</p><p><b>CONCLUSIONS</b>Endovascular stent-graft repair combined with extra-anatomic bypass can be a novel option for Stanford type A aortic dissection; it is safe, less invasive, and with fewer complications. Nevertheless, indications need further consideration.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aortic Aneurysm
/
General Surgery
/
Stents
/
Follow-Up Studies
/
Treatment Outcome
/
Blood Vessel Prosthesis Implantation
/
Aortic Dissection
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article
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