Extended thoracic endovascular aortic repair for residual aortic dissection after type A aortic dissection repair
| Autor: | Susumu Fujii, Shinya Inoue, Ryota Asano, Shigeharu Sawa, Yasunori Iida, Hideyuki Shimizu, Takashi Hachiya |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors 030204 cardiovascular system & hematology Aortic repair 03 medical and health sciences Blood Vessel Prosthesis Implantation 0302 clinical medicine medicine.artery medicine Thoracic aorta Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aortic dissection Aortic Aneurysm Thoracic Type B aortic dissection business.industry Endovascular Procedures Spinal cord ischemia General Medicine Middle Aged medicine.disease Surgery Blood Vessel Prosthesis Aortic Dissection Treatment Outcome 030228 respiratory system Chronic Disease Female Stents Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular. 29(6) |
| ISSN: | 1708-539X |
| Popis: | Objective We investigated the outcomes of extended coverage of the descending thoracic aorta by thoracic endovascular aortic repair (TEVAR) for residual chronic type B aortic dissection after type A aortic dissection (TAAD) repair. Methods From November 2015 to August 2020, 36 patients underwent extended TEVAR for residual intimal tear after TAAD repair. We specifically investigated the methods and outcomes of this procedure. Results TEVAR consisted of isolated TEVARs ( n = 29), single-vessel debranching TEVAR (6), and two-vessel debranching TEVAR (1). The mean time from TAAD repair to TEVAR was 27 ± 33 months (2–86 months). The TEVAR devices used were Valiant (28 cases), GORETAG (4), Relay plus (2), and TX2 (2). Technical success of TEVAR was 100%. The distal ends of the stent grafts were T 8 (1 case), T 9 (5), T 10 (6), T 11 (9), and T 12 (15), with an average of T 11 ± 1. The average length of hospital stay after TEVAR was 9 ± 3 days (5–17 days). There were no surgical/hospital deaths or complications. The average postoperative follow-up period was 21 ± 15 months without death or reintervention. Conclusions The short-term outcomes of extended TEVAR for residual chronic type B aortic dissection after TAAD repair were acceptable without perioperative SCI. Aggressive descending thoracic aorta coverage may prevent aortic events, and extended TEVAR may be a preemptive treatment for the downstream aorta. Mid- to long-term results should be clarified. |
| Databáze: | OpenAIRE |
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