Combined Open and Endovascular Repair for Aortic Arch Pathology
Korean Circulation Journal
;
: 399-404, 2010.
Artigo
em Inglês
| WPRIM
| ID: wpr-9274
ABSTRACT
BACKGROUND AND OBJECTIVES:
We describe our experience with combined open and endovascular repair in patients who have aortic arch pathology. SUBJECTS ANDMETHODS:
This study is a retrospective analysis of 7 patients who underwent combined open and endovascular repair for aortic arch pathology. Medical records and radiographic information were reviewed.RESULTS:
A total of 7 consecutive patients (5 men, 71.4%) underwent thoracic stent graft implantation. The mean age was 59.9+/-16.7 years. The indication for endovascular repair was aneurysmal degeneration in 5 patients, and rupture or impending rupture in 2 patients. In all 7 cases, supra-aortic transposition of the great vessels was performed successfully. Stent graft implantation was achieved in all cases. Surgical exposure of the access vessel was necessary in 2 patients. A total of 9 stent grafts were implanted (3 stent grafts in one patient). The Seal thoracic and the Valiant endovascular stent graft were implanted in 6 patients and 1 patient, respectively. There were no post-procedure deaths or neurologic complications. In 2 patients, bleeding and injury of access vessel were noted after the procedure. Postoperative endoleak was noted in 1 patient. One patient died at 10 months after the procedure due to a newly developed ascending aortic dissection. No patients required secondary intervention during the follow-up period. The aortic diameter decreased in 4 patients. In 3 patients, including 1 patient with endoleak, there was no change in aortic diameter.CONCLUSION:
Our experience suggests that combined open and endovascular repair for aortic arch pathology is safe and effective, with few complications.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aorta Torácica
/
Aneurisma Aórtico
/
Doenças da Aorta
/
Próteses e Implantes
/
Ruptura
/
Stents
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Seguimentos
/
Transplantes
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Circulation Journal
Ano de publicação:
2010
Tipo de documento:
Artigo
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