Academic Journal
Endovascular Treatment of Post Type A Chronic Aortic Arch Dissection With a Branched Endograft ; Early Results From a Retrospective International Multicenter Study
| العنوان: | Endovascular Treatment of Post Type A Chronic Aortic Arch Dissection With a Branched Endograft ; Early Results From a Retrospective International Multicenter Study |
|---|---|
| المؤلفون: | Verscheure, Dorian, Haulon, Stéphan, Tsilimparis, Nikolaos, Resch, Timothy, Wanhainen, Anders, Mani, Kevin, Dias, Nuno, Sobocinski, Jonathan, Eagleton, Matthew, Ferreira, Marcelo, Schurink, Geert Willem, Modarai, Bijan, Abisi, Said, Kasprzak, Piotr, Adam, Donald, Cheng, Stephen, Maurel, Blandine, Jakimowicz, Thomasz, Watkins, Amelia Claire, Sonesson, Björn, Claridge, Martin, Fabre, Dominique, Kölbel, Tilo |
| المصدر: | Annals of Surgery ; volume 273, issue 5, page 997-1003 ; ISSN 0003-4932 1528-1140 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2019 |
| الوصف: | Objective: The objective of this study was to evaluate the outcome of endovascular aortic arch repair for chronic dissection with a custom-made branched endograft. Background: Acute type A aortic dissections are often treated with prosthetic replacement of the ascending aorta. During follow-up, repair of an aneurysmal evolution of the false lumen distal to the ascending prosthesis can be a challenge both for the surgeon and the patient. Methods: We conducted a multicenter, retrospective study of consecutive patients from 14 vascular units treated with a custom-made, inner-branched device (Cook Medical, Bloomington, IN) for chronic aortic arch dissection. Rates of in-hospital mortality and stroke, technical success, early and late complications, reinterventions, and mortality during follow-up were evaluated. Results: Seventy consecutive patients were treated between 2011 and 2018. All patients were considered unfit for conventional surgery. In-hospital combined mortality and stroke rate was 4% (n = 3), including 1 minor stroke, 1 major stroke causing death, and 1 death following multiorgan failure. Technical success rate was 94.3%. Twelve (17.1%) patients required early reinterventions: 8 for vascular access complication, 2 for endoleak correction, and 2 for pericardial effusion drainage. Median follow-up was 301 (138–642) days. During follow-up, 20 (29%) patients underwent secondary interventions: 9 endoleak corrections, 1 open repair for prosthetic kink, and 10 distal extensions of the graft to the thoracic or thoracoabdominal aorta. Eight patients (11%) died during follow-up because of nonaortic-related cause in 7 cases. Conclusions: Endovascular treatment of aortic arch chronic dissections with a branched endograft is associated with low mortality and stroke rates but has a high reintervention rate. Further follow-up is required to confirm the benefits of this novel approach. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/sla.0000000000003310 |
| DOI: | 10.1097/SLA.0000000000003310 |
| الاتاحة: | http://dx.doi.org/10.1097/sla.0000000000003310 https://journals.lww.com/10.1097/SLA.0000000000003310 |
| رقم الانضمام: | edsbas.66451229 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/sla.0000000000003310 |
|---|