Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000600883 |
Resumo: | ABSTRACT Introduction: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. Methods: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. Results: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. Conclusion: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral DebranchingDissecting AneurysmThoracic Aortic AneurysmCoronary Artery BypassSaphenous VeinPolytetrafluoroethyleneRenal ArteryABSTRACT Introduction: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. Methods: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. Results: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. Conclusion: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care.Sociedade Brasileira de Cirurgia Cardiovascular2022-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000600883Brazilian Journal of Cardiovascular Surgery v.37 n.6 2022reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2020-0705info:eu-repo/semantics/openAccessOztas,Didem MelisUgurlucan,MuratSayin,Omer AliEkiz,FezaOnal,YilmazBeyaz,Metin OnurUmutlu,MuzafferMeric,MertAcunas,BulentAlpagut,Ufukeng2022-11-22T00:00:00Zoai:scielo:S0102-76382022000600883Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2022-11-22T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
title |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
spellingShingle |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching Oztas,Didem Melis Dissecting Aneurysm Thoracic Aortic Aneurysm Coronary Artery Bypass Saphenous Vein Polytetrafluoroethylene Renal Artery |
title_short |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
title_full |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
title_fullStr |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
title_full_unstemmed |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
title_sort |
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
author |
Oztas,Didem Melis |
author_facet |
Oztas,Didem Melis Ugurlucan,Murat Sayin,Omer Ali Ekiz,Feza Onal,Yilmaz Beyaz,Metin Onur Umutlu,Muzaffer Meric,Mert Acunas,Bulent Alpagut,Ufuk |
author_role |
author |
author2 |
Ugurlucan,Murat Sayin,Omer Ali Ekiz,Feza Onal,Yilmaz Beyaz,Metin Onur Umutlu,Muzaffer Meric,Mert Acunas,Bulent Alpagut,Ufuk |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Oztas,Didem Melis Ugurlucan,Murat Sayin,Omer Ali Ekiz,Feza Onal,Yilmaz Beyaz,Metin Onur Umutlu,Muzaffer Meric,Mert Acunas,Bulent Alpagut,Ufuk |
dc.subject.por.fl_str_mv |
Dissecting Aneurysm Thoracic Aortic Aneurysm Coronary Artery Bypass Saphenous Vein Polytetrafluoroethylene Renal Artery |
topic |
Dissecting Aneurysm Thoracic Aortic Aneurysm Coronary Artery Bypass Saphenous Vein Polytetrafluoroethylene Renal Artery |
description |
ABSTRACT Introduction: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. Methods: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. Results: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. Conclusion: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000600883 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022000600883 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.21470/1678-9741-2020-0705 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.37 n.6 2022 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126603889999872 |