Thoracic Endovascular Aortic Repair Combined with Assistant Techniques and Devices for the Treatment of Acute Complicated Stanford Type B Aortic Dissections Involving Aortic Arch

2016 ◽  
Vol 32 ◽  
pp. 88-97 ◽  
Author(s):  
Tianhua Zhang ◽  
Weiliang Jiang ◽  
Haitao Lu ◽  
Jianfeng Liu
2020 ◽  
Vol 23 (4) ◽  
pp. E524-E526
Author(s):  
Masato Hayakawa ◽  
Takaaki Nagano ◽  
Isao Nishijima ◽  
Kento Shinzato ◽  
Ryo Ikemura ◽  
...  

Background: A 64-year-old woman presented with dilatation of the distal aortic arch secondary to chronic type B aortic dissection. Case Report: The patient underwent fenestrated thoracic endovascular aortic repair (TEVAR) for closure of the entry site, and reconstruction of the left subclavian artery with a covered stent. On the 40th postoperative day, a retrograde type A aortic dissection (RTAD) was observed on computed tomography and she underwent emergency surgery. The entry tear, related to the proximal bare metal stent, was located in front of the aortic arch. A partial aortic arch replacement was performed. Conclusion: Consideration of the risk factors of RTAD is important when performing TEVAR.


Author(s):  
Jiechang Zhu ◽  
Chao Ma ◽  
Xiangchen Dai ◽  
Zheng Wang ◽  
Hailun Fan ◽  
...  

Abstract OBJECTIVES Our goal was to evaluate the outcomes of fenestrated thoracic endovascular aortic repair of thoracic aortic lesions involving the distal aortic arch using single physician-modified stent grafts. METHODS This single-centre, retrospective study included 58 consecutive patients (mean age, 57 ± 14 years; 11 women) who underwent fenestrated thoracic endovascular aortic repair for thoracic aortic pathologies involving the distal aortic arch using single physician-modified stent grafts between November 2015 and December 2018. Indications included complicated acute type B dissection or intramural haematoma with an unfavourable proximal landing zone (n = 49), type Ia endoleak subsequent to thoracic endovascular aortic repair due to acute type B dissection (n = 1) and distal arch degenerative aneurysms <15 mm from the left subclavian artery (n = 8). RESULTS The technical success rate was 94.8%. The 30-day mortality was 1.7%, and the perioperative ischaemic stroke rate was 1.7%. The incidence of perioperative complications was 10.3%. At a mean follow-up of 26.3 months (range, 7–44), all target vessels were patent. All-cause mortality was 5.2%. Estimated 1-, 2- and 3-year survival was 98.3 ± 1.7%, 96.4 ± 2.5% and 93.2 ± 3.9%, respectively. CONCLUSION The single fenestrated stent graft technique is feasible and effective for endovascular repair of thoracic aortic pathologies involving the distal aortic arch.


2020 ◽  
Vol 72 (3) ◽  
pp. e337-e338
Author(s):  
Johan Bondesson ◽  
Ga-Young Suh ◽  
Michael D. Dake ◽  
Jason T. Lee ◽  
Christopher P. Cheng

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