Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery
| Autor: | Enrico Maria Marone, Roberto Chiesa, Fabio Calliari, Luca Bertoglio, Yamume Tshomba, Germano Melissano, Francesco Setacci |
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| Přispěvatelé: | Chiesa, Roberto, Tshomba, Yamume, Melissano, Germano, Marone, Em, Bertoglio, L, Setacci, F, Calliari, Fm |
| Jazyk: | angličtina |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Time Factors medicine.medical_treatment Prosthesis Design Revascularization Aortography Risk Assessment Asymptomatic Blood Vessel Prosthesis Implantation Aortic aneurysm Aneurysm Recurrence medicine Humans Prospective Studies Vascular Patency Aged Computed tomography angiography Aged 80 and over Aortic Aneurysm Thoracic medicine.diagnostic_test business.industry Patient Selection Stent Perioperative Middle Aged medicine.disease Blood Vessel Prosthesis Surgery Treatment Outcome Respiratory failure Anesthesia Feasibility Studies Female medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | Journal of Vascular Surgery. (6):1128-1135 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2006.10.057 |
| Popis: | Objective: The hybrid approach to the repair of thoracoabdominal aortic aneurysm (TAAA), consisting of visceral aortic debranching with retrograde revascularization of the splanchnic and renal arteries and aneurysm exclusion using stent grafts, has been previously described and may be considered particularly appealing in high-risk patients, especially those who have undergone prior aortic surgery. This study analyzed prospectively recorded data of a series of high-risk patients with prior aortic surgery who underwent hybrid TAAA repair at our institute and contrasted the outcomes with those of a similar group of patients who underwent conventional open TAAA repair. Methods. Between 2001 and 2006, 13 patients (12 men) with a median age of 69.6 years (range, 35 to 82 years) underwent one-stage hybrid repair of TAAA (7 type I, 2 type II, 2 type IV, and 2 aneurysms of the visceral aortic patch). These patients, the hybrid group, had a history of aortic surgery (30.7% ascending, 30.7% descending, 46.1% abdominal aortic repair, and 15.4% redo TAAA) and were at high risk for open repair. The criteria used to define these patients as high risk and to indicate the need for hybrid treatment were American Society of Anesthesiologists (ASA) class 3 or 4 associated with a preoperative forced expiratory volume in I second (FEV,) |
| Databáze: | OpenAIRE |
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