Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/1677-5449.200230 http://hdl.handle.net/11449/233610 |
Resumo: | Background: Surgical management of patients with abdominal aortic diseases associated with distal narrowing is a challenging situation. Objectives: To evaluate outcomes of unibody bifurcated endovascular stent graft repair. Methods: This is a retrospective, observational, multi-institutional database study of a cohort of consecutive cases, approved by the local Ethics Committee. Records were reviewed of patients diagnosed from 2010 to 2020 with “shaggy” aorta, saccular aneurysm, penetrating aortic ulcer, and isolated aortic dissection located in the infrarenal abdominal aorta. All patients were treated with a unibody bifurcated stent graft. Main outcomes were technical success, procedure complications, long-term patency, and mortality in the follow-up period up to 5 years. Data on demographics, comorbidities, surgical management, and outcomes were analyzed. Results: Twenty-three patients were treated with unibody bifurcated stent graft repair, including 7 cases of “shaggy” aorta, 3 isolated dissections of the abdominal aorta, 4 penetrating aortic ulcers, and 9 saccular aneurysms. Immediate technical success was achieved in 100% of cases. At follow-up, all stent grafts remained patent and there were no limb occlusions. The patients were symptom-free and reported no complications related to the procedure. There were 5 deaths during the follow-up period (median= 4 years), but none were related to the procedure and there were no aorta-related deaths. Conclusions: The present study shows that unibody bifurcated stent grafting is safe and effective in this group of patients with narrow distal abdominal aorta and complex aortic pathology. The results were similar for both infrarenal aortic aneurysms and aorto-iliac atherosclerotic disease. |
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Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for successDesign unimodular para doença da aorta com bifurcação aórtica estreita: Dicas para o sucessoAbdominal aortaAneurysmAortic diseasesEndovascular proceduresSaccular aneurysmBackground: Surgical management of patients with abdominal aortic diseases associated with distal narrowing is a challenging situation. Objectives: To evaluate outcomes of unibody bifurcated endovascular stent graft repair. Methods: This is a retrospective, observational, multi-institutional database study of a cohort of consecutive cases, approved by the local Ethics Committee. Records were reviewed of patients diagnosed from 2010 to 2020 with “shaggy” aorta, saccular aneurysm, penetrating aortic ulcer, and isolated aortic dissection located in the infrarenal abdominal aorta. All patients were treated with a unibody bifurcated stent graft. Main outcomes were technical success, procedure complications, long-term patency, and mortality in the follow-up period up to 5 years. Data on demographics, comorbidities, surgical management, and outcomes were analyzed. Results: Twenty-three patients were treated with unibody bifurcated stent graft repair, including 7 cases of “shaggy” aorta, 3 isolated dissections of the abdominal aorta, 4 penetrating aortic ulcers, and 9 saccular aneurysms. Immediate technical success was achieved in 100% of cases. At follow-up, all stent grafts remained patent and there were no limb occlusions. The patients were symptom-free and reported no complications related to the procedure. There were 5 deaths during the follow-up period (median= 4 years), but none were related to the procedure and there were no aorta-related deaths. Conclusions: The present study shows that unibody bifurcated stent grafting is safe and effective in this group of patients with narrow distal abdominal aorta and complex aortic pathology. The results were similar for both infrarenal aortic aneurysms and aorto-iliac atherosclerotic disease.Universidade Estadual Paulista “Júlio de Mesquita Filho” – UNESP Faculdade de Medicina de BotucatuSociedade Brasileira de Angiologia e de Cirurgia Vascular – SBACVUniversidade Estadual Paulista “Júlio de Mesquita Filho” – UNESP Faculdade de Medicina de BotucatuUniversidade Estadual Paulista (UNESP)Sociedade Brasileira de Angiologia e de Cirurgia Vascular – SBACVYoshida, Ricardo de Alvarenga [UNESP]Costa, Renato FanchiottiCunha, Débora OrtigosaPalhares, Rafael MendesJaldin, Rodrigo Gibin [UNESP]Sobreira, Marcone Lima [UNESP]Pimenta, Rafael Elias Farres [UNESP]Yoshida, Winston Bonetti [UNESP]2022-05-01T09:30:57Z2022-05-01T09:30:57Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1590/1677-5449.200230Jornal Vascular Brasileiro, v. 20.1677-73011677-5449http://hdl.handle.net/11449/23361010.1590/1677-5449.2002302-s2.0-85116132606Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal Vascular Brasileiroinfo:eu-repo/semantics/openAccess2024-08-14T14:18:53Zoai:repositorio.unesp.br:11449/233610Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T14:18:53Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success Design unimodular para doença da aorta com bifurcação aórtica estreita: Dicas para o sucesso |
title |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success |
spellingShingle |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success Yoshida, Ricardo de Alvarenga [UNESP] Abdominal aorta Aneurysm Aortic diseases Endovascular procedures Saccular aneurysm |
title_short |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success |
title_full |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success |
title_fullStr |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success |
title_full_unstemmed |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success |
title_sort |
Unibody design for aortic disease with a narrow aortic bifurcation: Tips and tricks for success |
author |
Yoshida, Ricardo de Alvarenga [UNESP] |
author_facet |
Yoshida, Ricardo de Alvarenga [UNESP] Costa, Renato Fanchiotti Cunha, Débora Ortigosa Palhares, Rafael Mendes Jaldin, Rodrigo Gibin [UNESP] Sobreira, Marcone Lima [UNESP] Pimenta, Rafael Elias Farres [UNESP] Yoshida, Winston Bonetti [UNESP] |
author_role |
author |
author2 |
Costa, Renato Fanchiotti Cunha, Débora Ortigosa Palhares, Rafael Mendes Jaldin, Rodrigo Gibin [UNESP] Sobreira, Marcone Lima [UNESP] Pimenta, Rafael Elias Farres [UNESP] Yoshida, Winston Bonetti [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Sociedade Brasileira de Angiologia e de Cirurgia Vascular – SBACV |
dc.contributor.author.fl_str_mv |
Yoshida, Ricardo de Alvarenga [UNESP] Costa, Renato Fanchiotti Cunha, Débora Ortigosa Palhares, Rafael Mendes Jaldin, Rodrigo Gibin [UNESP] Sobreira, Marcone Lima [UNESP] Pimenta, Rafael Elias Farres [UNESP] Yoshida, Winston Bonetti [UNESP] |
dc.subject.por.fl_str_mv |
Abdominal aorta Aneurysm Aortic diseases Endovascular procedures Saccular aneurysm |
topic |
Abdominal aorta Aneurysm Aortic diseases Endovascular procedures Saccular aneurysm |
description |
Background: Surgical management of patients with abdominal aortic diseases associated with distal narrowing is a challenging situation. Objectives: To evaluate outcomes of unibody bifurcated endovascular stent graft repair. Methods: This is a retrospective, observational, multi-institutional database study of a cohort of consecutive cases, approved by the local Ethics Committee. Records were reviewed of patients diagnosed from 2010 to 2020 with “shaggy” aorta, saccular aneurysm, penetrating aortic ulcer, and isolated aortic dissection located in the infrarenal abdominal aorta. All patients were treated with a unibody bifurcated stent graft. Main outcomes were technical success, procedure complications, long-term patency, and mortality in the follow-up period up to 5 years. Data on demographics, comorbidities, surgical management, and outcomes were analyzed. Results: Twenty-three patients were treated with unibody bifurcated stent graft repair, including 7 cases of “shaggy” aorta, 3 isolated dissections of the abdominal aorta, 4 penetrating aortic ulcers, and 9 saccular aneurysms. Immediate technical success was achieved in 100% of cases. At follow-up, all stent grafts remained patent and there were no limb occlusions. The patients were symptom-free and reported no complications related to the procedure. There were 5 deaths during the follow-up period (median= 4 years), but none were related to the procedure and there were no aorta-related deaths. Conclusions: The present study shows that unibody bifurcated stent grafting is safe and effective in this group of patients with narrow distal abdominal aorta and complex aortic pathology. The results were similar for both infrarenal aortic aneurysms and aorto-iliac atherosclerotic disease. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 2022-05-01T09:30:57Z 2022-05-01T09:30:57Z |
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/10.1590/1677-5449.200230 Jornal Vascular Brasileiro, v. 20. 1677-7301 1677-5449 http://hdl.handle.net/11449/233610 10.1590/1677-5449.200230 2-s2.0-85116132606 |
url |
http://dx.doi.org/10.1590/1677-5449.200230 http://hdl.handle.net/11449/233610 |
identifier_str_mv |
Jornal Vascular Brasileiro, v. 20. 1677-7301 1677-5449 10.1590/1677-5449.200230 2-s2.0-85116132606 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Jornal Vascular Brasileiro |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus 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_ |
1808128137397010432 |