Hybrid repair of aortic arch with zone zero endografting-Case series with review of the literature
| Autor: | Lazar Davidovic, Ivan Tomic, Ranko Trailovic, Stefan Ducic, Aleksandra Vujcic, Petar Zlatanovic, Perica Mutavdzic, Igor Koncar, Milos Sladojevic |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch medicine.medical_specialty medicine.medical_treatment Aorta Thoracic Dissection (medical) 030204 cardiovascular system & hematology 03 medical and health sciences Aortic aneurysm Blood Vessel Prosthesis Implantation 0302 clinical medicine Renal Dialysis Risk Factors medicine.artery Ascending aorta medicine Humans 030212 general & internal medicine Arch Dialysis Retrospective Studies Aortic Aneurysm Thoracic business.industry Endovascular Procedures Retrospective cohort study medicine.disease Confidence interval 3. Good health Surgery Aortic Dissection Treatment Outcome Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of cardiac surgeryREFERENCES. 36(10) |
| ISSN: | 1540-8191 |
| Popis: | Introduction We present single-institution results of types I and II hybrid procedures for aortic arch disease with 30-day and long-term results and review of the literature. Materials and methods This is a retrospective study of all patients that underwent zone 0 endografting and open bypass from ascending aorta to the arch vessels at our institution between January 2013 and 2020. The following data for the systematic review were extracted from eligible studies: 30-day/in-hospital mortality, stroke rate, spinal cord ischemia (SCI) rate, renal failure requiring dialysis, development of retrograde dissection, early ( 30 days) endoleak, and late (>30 days) mortality. Results Twelve patients underwent hybrid aortic arch treatment in our institution. The most common aortic arch pathology was degenerative aortic aneurysm. The rate of retrograde dissection and SCI was 8.33%. Regarding the literature data, a total of 768 patients undergoing types I and II hybrid aortic arch debranching procedure. The pooled rate of 30-day/in-hospital mortality was 10.96% (95% confidence interval [CI], 8.21-14.06), SCI pooled rate was 2.91% (95% CI, 1.76%-4.33%), and retrograde dissection pooled rate was 3.22% (95% CI, 1.99-4.72). Conclusion Hybrid arch techniques provide safe alternative to open repair with acceptable short- and midterm results. |
| Databáze: | OpenAIRE |
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