Staged hybrid repair using telescoped stent graft fixation for aortic arch and descending aortic aneurysms
| Autor: | Naozumi Saiki, Nobusato Koizumi, Yasunori Iida, Satoshi Kawaguchi, Yukio Obitsu, Hiroshi Shigematsu |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Aortic arch medicine.medical_specialty medicine.medical_treatment Dissection (medical) Prosthesis Design Aortography Blood Vessel Prosthesis Implantation medicine.artery medicine Humans cardiovascular diseases Staged repair Graft fixation Aged Surgical repair Aortic Aneurysm Thoracic business.industry Endovascular Procedures Stent Aortic arch aneurysm medicine.disease Blood Vessel Prosthesis Surgery Treatment Outcome cardiovascular system Open repair Stents Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Vascular Surgery. 54:507-510 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2010.12.040 |
| Popis: | Staged repair of extensive thoracic aortic aneurysms is complicated, with a high incidence of interval rupture between stages. We describe the systematic staged hybrid procedure of a previous endovascular repair of a descending aortic aneurysm and open surgical repair of an aortic arch aneurysm. In the second-stage arch repair, the stent graft was easily retracted and fixed, without dissection, around the aortic arch aneurysm distal side. Extensive thoracic aortic aneurysms were managed without interim rupture or neurologic deficits. This approach avoided the potential for interim rupture because recovery from the first-stage endovascular repair was shorter than that from open repair. |
| Databáze: | OpenAIRE |
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