Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.551 |
Resumo: | INTRODUCTION: The descending thoracic aorta (DTA) has been used as inflow mostly as a secondary option for revascularization after either graft failure/infection or other intra-abdominal pathologies contraindicating a standard abdominal aortic approach. The objective of this review is to summarize current evidence on the use of this inflow site for revascularization procedures. METHODS: A comprehensive electronic literature search was performed, using PubMed and Embase databases. All literature published in English in the last 30 years was considered. The main goal was to assess the feasibility and practicality of implementing this approach in cases of severe and complex aortoiliac lesions. RESULTS: Our review comprised 11 articles. DTA has been used predominately as a secondary option. The 30-day mortality rate was 4% (9/222). Secondary graft patency at 5-years was generally high across all studies. The use of DTA as inflow has been shown to be a safe and effective option for aorto-iliac reconstruction. CONCLUSION: DTA can be used safely as an inflow for lower-limb revascularization and it remains an important tool in the vascular surgeon's armamentarium. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 yearsDescending thoracic aorta bypassdescending Thoracic Aortavisceral aortacoral reef aortaopen surgerychronic limb ischemiaINTRODUCTION: The descending thoracic aorta (DTA) has been used as inflow mostly as a secondary option for revascularization after either graft failure/infection or other intra-abdominal pathologies contraindicating a standard abdominal aortic approach. The objective of this review is to summarize current evidence on the use of this inflow site for revascularization procedures. METHODS: A comprehensive electronic literature search was performed, using PubMed and Embase databases. All literature published in English in the last 30 years was considered. The main goal was to assess the feasibility and practicality of implementing this approach in cases of severe and complex aortoiliac lesions. RESULTS: Our review comprised 11 articles. DTA has been used predominately as a secondary option. The 30-day mortality rate was 4% (9/222). Secondary graft patency at 5-years was generally high across all studies. The use of DTA as inflow has been shown to be a safe and effective option for aorto-iliac reconstruction. CONCLUSION: DTA can be used safely as an inflow for lower-limb revascularization and it remains an important tool in the vascular surgeon's armamentarium.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2023-11-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.551https://doi.org/10.48750/acv.551Angiologia e Cirurgia Vascular; Vol. 19 No. 3 (2023): September; 178-182Angiologia e Cirurgia Vascular; Vol. 19 N.º 3 (2023): Setembro; 178-1822183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/551http://acvjournal.com/index.php/acv/article/view/551/351Copyright (c) 2023 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessNunes, CelsoPereira, Ricardo V.O'neil Pedrosa, JoãoOliveira, VâniaSilva, EduardoBaldaia, LeonorSilva, MiguelAnacleto, Gabriel2023-12-01T10:30:19Zoai:ojs.acvjournal.com:article/551Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:40:28.697733Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
title |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
spellingShingle |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years Nunes, Celso Descending thoracic aorta bypass descending Thoracic Aorta visceral aorta coral reef aorta open surgery chronic limb ischemia |
title_short |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
title_full |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
title_fullStr |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
title_full_unstemmed |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
title_sort |
Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
author |
Nunes, Celso |
author_facet |
Nunes, Celso Pereira, Ricardo V. O'neil Pedrosa, João Oliveira, Vânia Silva, Eduardo Baldaia, Leonor Silva, Miguel Anacleto, Gabriel |
author_role |
author |
author2 |
Pereira, Ricardo V. O'neil Pedrosa, João Oliveira, Vânia Silva, Eduardo Baldaia, Leonor Silva, Miguel Anacleto, Gabriel |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Nunes, Celso Pereira, Ricardo V. O'neil Pedrosa, João Oliveira, Vânia Silva, Eduardo Baldaia, Leonor Silva, Miguel Anacleto, Gabriel |
dc.subject.por.fl_str_mv |
Descending thoracic aorta bypass descending Thoracic Aorta visceral aorta coral reef aorta open surgery chronic limb ischemia |
topic |
Descending thoracic aorta bypass descending Thoracic Aorta visceral aorta coral reef aorta open surgery chronic limb ischemia |
description |
INTRODUCTION: The descending thoracic aorta (DTA) has been used as inflow mostly as a secondary option for revascularization after either graft failure/infection or other intra-abdominal pathologies contraindicating a standard abdominal aortic approach. The objective of this review is to summarize current evidence on the use of this inflow site for revascularization procedures. METHODS: A comprehensive electronic literature search was performed, using PubMed and Embase databases. All literature published in English in the last 30 years was considered. The main goal was to assess the feasibility and practicality of implementing this approach in cases of severe and complex aortoiliac lesions. RESULTS: Our review comprised 11 articles. DTA has been used predominately as a secondary option. The 30-day mortality rate was 4% (9/222). Secondary graft patency at 5-years was generally high across all studies. The use of DTA as inflow has been shown to be a safe and effective option for aorto-iliac reconstruction. CONCLUSION: DTA can be used safely as an inflow for lower-limb revascularization and it remains an important tool in the vascular surgeon's armamentarium. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-11-26 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.551 https://doi.org/10.48750/acv.551 |
url |
https://doi.org/10.48750/acv.551 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/551 http://acvjournal.com/index.php/acv/article/view/551/351 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 19 No. 3 (2023): September; 178-182 Angiologia e Cirurgia Vascular; Vol. 19 N.º 3 (2023): Setembro; 178-182 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799136309796667392 |