Early and Midterm Results of Hybrid Endovascular Repair for Thoracic Aortic Disease / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 490-498, 2010.
Article
Dans Coréen
| WPRIM
| ID: wpr-196952
ABSTRACT
BACKGROUND:
A hybrid procedure using an open surgical extra-anatomic bypass of aortic arch vessels and thoracic endovascular aortic repair (TEVAR) is less invasive than open surgery, and provides a suitable proximal landing zone. Here we report our experience with a hybrid TEVAR procedure at a single center. MATERIAL ANDMETHOD:
We retrospectively reviewed consecutive patients with thoracic aortic disease who received a hybrid TEVAR procedure between August 2008 and January 2010. Patients' data were prospectively collected and mean follow-up was 10.8+/-5.5 months (range 3~20).RESULT:
Nine patients (7 males and 2 females) with a mean age of 63.8+/-15.8 years (range 38~84) underwent a hybrid procedure. Five patients had an arch or a proximal descending aortic aneurysm, two had a dissecting aneurysm of the descending aorta, and two had an aneurysm of the ascending arch and descending aorta. Mean expected mortality calculated by logistic EuroSCORE was 21%. Six patients underwent debranching and rerouting from ascending aorta to arch vessels, 2 had carotid-carotid bypass grafting, and 1 underwent carotid-axillary bypass grafting. Mean operation time was 221.4+/-84.0 min (range 94~364). Deployment success of endovascular stent grafting was 100% with no endoleak on completion angiography. There was no mortality, and a small embolism in the branch of the right opthalmic artery in one patient. During follow-up, one intervention was required for the endoleak. Actuarial survival at 20 months was 100%.CONCLUSION:
Early and mid-term results are encouraging and suggest that hybrid TEVAR procedures are less invasive and safer and represent an effective technique for treating thoracic aortic disease.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Aorte
/
Aorte thoracique
/
Anévrysme de l'aorte
/
Maladies de l'aorte
/
Artères
/
Angiographie
/
Endoprothèses
/
Chimère
/
Études prospectives
/
Études rétrospectives
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2010
Type:
Article
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