A total laparoscopic technique for endovascular thoracic stent graft deployment
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.jvs.2009.06.060 http://hdl.handle.net/11449/11213 |
Resumo: | Background: Limitations of endovascular thoracic aneurym treatment include small, tortuous, or severely calcified iliac Back, arteries. We present our experience with a total laparoscopic access to deploy thoracic endografts.Methods. A total laparoscopic left retrocolic approach was used in all cases. A Dacron conduit was laparoscopically sutured to either the iliac artery or to the aorta directly. The endograft was inserted through this conduit. After graft deployment, the Dacron prosthesis was tunneled to the groin and anastomosed with the femoral artery.Results. The laparoscopic procedure could successfully be performed in 11 patients. In six cases, the aorta was used as all access and in five patients, the iliac arteries were preferred. In one of these cases, the right iliac artery, was used for deployment of the endograft. After successful aorto- or ileo-femoral bypass grafting, all patients had an improvement of their ankle brachial index postoperatively. The mean operative time was almost four hours, including laparoscopy, laparoscopic anastomosis, endograft deployment, and femoral artery anastomosis or profundaplasty.Conclusion: Totally laparoscopic assisted graft implantation in aorta or iliac arteries provides a safe and effective access for the endovascular delivery system. However, further evaluation and long follow-up are necessary to ensure the potential advantages of this technique. It is a less invasive option to overcome access-related problems with thoracic endograft deployment, giving the patient the advantage of a totally minimal invasive procedure. (J Vasc Surg 2010;51:504-8.) |
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Repositório Institucional da UNESP |
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spelling |
A total laparoscopic technique for endovascular thoracic stent graft deploymentBackground: Limitations of endovascular thoracic aneurym treatment include small, tortuous, or severely calcified iliac Back, arteries. We present our experience with a total laparoscopic access to deploy thoracic endografts.Methods. A total laparoscopic left retrocolic approach was used in all cases. A Dacron conduit was laparoscopically sutured to either the iliac artery or to the aorta directly. The endograft was inserted through this conduit. After graft deployment, the Dacron prosthesis was tunneled to the groin and anastomosed with the femoral artery.Results. The laparoscopic procedure could successfully be performed in 11 patients. In six cases, the aorta was used as all access and in five patients, the iliac arteries were preferred. In one of these cases, the right iliac artery, was used for deployment of the endograft. After successful aorto- or ileo-femoral bypass grafting, all patients had an improvement of their ankle brachial index postoperatively. The mean operative time was almost four hours, including laparoscopy, laparoscopic anastomosis, endograft deployment, and femoral artery anastomosis or profundaplasty.Conclusion: Totally laparoscopic assisted graft implantation in aorta or iliac arteries provides a safe and effective access for the endovascular delivery system. However, further evaluation and long follow-up are necessary to ensure the potential advantages of this technique. It is a less invasive option to overcome access-related problems with thoracic endograft deployment, giving the patient the advantage of a totally minimal invasive procedure. (J Vasc Surg 2010;51:504-8.)São Paulo State Univ, Botucatu Sch Med, Dept Surg & Orthoped, São Paulo, BrazilAugusta Hosp, Dept Vasc Surg & Endovasc Therapy, D-40472 Dusseldorf, GermanySão Paulo State Univ, Botucatu Sch Med, Dept Surg & Orthoped, São Paulo, BrazilMosby-elsevierUniversidade Estadual Paulista (Unesp)Augusta HospYoshida, Ricardo [UNESP]Kolvenbach, Ralf R.Ye, ZhidongYoshida, Winston Bonetti [UNESP]2014-05-20T13:32:50Z2014-05-20T13:32:50Z2010-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article504-508application/pdfhttp://dx.doi.org/10.1016/j.jvs.2009.06.060Journal of Vascular Surgery. New York: Mosby-elsevier, v. 51, n. 2, p. 504-508, 2010.0741-5214http://hdl.handle.net/11449/1121310.1016/j.jvs.2009.06.060WOS:000274602800034WOS000274602800034.pdf3613835231654932Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Vascular Surgery3.2942,308info:eu-repo/semantics/openAccess2024-01-12T06:23:14Zoai:repositorio.unesp.br:11449/11213Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-01-12T06:23:14Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
A total laparoscopic technique for endovascular thoracic stent graft deployment |
title |
A total laparoscopic technique for endovascular thoracic stent graft deployment |
spellingShingle |
A total laparoscopic technique for endovascular thoracic stent graft deployment Yoshida, Ricardo [UNESP] |
title_short |
A total laparoscopic technique for endovascular thoracic stent graft deployment |
title_full |
A total laparoscopic technique for endovascular thoracic stent graft deployment |
title_fullStr |
A total laparoscopic technique for endovascular thoracic stent graft deployment |
title_full_unstemmed |
A total laparoscopic technique for endovascular thoracic stent graft deployment |
title_sort |
A total laparoscopic technique for endovascular thoracic stent graft deployment |
author |
Yoshida, Ricardo [UNESP] |
author_facet |
Yoshida, Ricardo [UNESP] Kolvenbach, Ralf R. Ye, Zhidong Yoshida, Winston Bonetti [UNESP] |
author_role |
author |
author2 |
Kolvenbach, Ralf R. Ye, Zhidong Yoshida, Winston Bonetti [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Augusta Hosp |
dc.contributor.author.fl_str_mv |
Yoshida, Ricardo [UNESP] Kolvenbach, Ralf R. Ye, Zhidong Yoshida, Winston Bonetti [UNESP] |
description |
Background: Limitations of endovascular thoracic aneurym treatment include small, tortuous, or severely calcified iliac Back, arteries. We present our experience with a total laparoscopic access to deploy thoracic endografts.Methods. A total laparoscopic left retrocolic approach was used in all cases. A Dacron conduit was laparoscopically sutured to either the iliac artery or to the aorta directly. The endograft was inserted through this conduit. After graft deployment, the Dacron prosthesis was tunneled to the groin and anastomosed with the femoral artery.Results. The laparoscopic procedure could successfully be performed in 11 patients. In six cases, the aorta was used as all access and in five patients, the iliac arteries were preferred. In one of these cases, the right iliac artery, was used for deployment of the endograft. After successful aorto- or ileo-femoral bypass grafting, all patients had an improvement of their ankle brachial index postoperatively. The mean operative time was almost four hours, including laparoscopy, laparoscopic anastomosis, endograft deployment, and femoral artery anastomosis or profundaplasty.Conclusion: Totally laparoscopic assisted graft implantation in aorta or iliac arteries provides a safe and effective access for the endovascular delivery system. However, further evaluation and long follow-up are necessary to ensure the potential advantages of this technique. It is a less invasive option to overcome access-related problems with thoracic endograft deployment, giving the patient the advantage of a totally minimal invasive procedure. (J Vasc Surg 2010;51:504-8.) |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-02-01 2014-05-20T13:32:50Z 2014-05-20T13:32:50Z |
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 |
http://dx.doi.org/10.1016/j.jvs.2009.06.060 Journal of Vascular Surgery. New York: Mosby-elsevier, v. 51, n. 2, p. 504-508, 2010. 0741-5214 http://hdl.handle.net/11449/11213 10.1016/j.jvs.2009.06.060 WOS:000274602800034 WOS000274602800034.pdf 3613835231654932 |
url |
http://dx.doi.org/10.1016/j.jvs.2009.06.060 http://hdl.handle.net/11449/11213 |
identifier_str_mv |
Journal of Vascular Surgery. New York: Mosby-elsevier, v. 51, n. 2, p. 504-508, 2010. 0741-5214 10.1016/j.jvs.2009.06.060 WOS:000274602800034 WOS000274602800034.pdf 3613835231654932 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Vascular Surgery 3.294 2,308 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
504-508 application/pdf |
dc.publisher.none.fl_str_mv |
Mosby-elsevier |
publisher.none.fl_str_mv |
Mosby-elsevier |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965592711593984 |