A systematic review and meta-analysis of the occurrence of spinal cord ischemia following endovascular repair of thoraco-abdominal aortic aneurysms

2021 ◽  
Author(s):  
Rodolfo Pini ◽  
Gianluca Faggioli ◽  
Kosmas I. Paraskevas ◽  
Moad Alaidroos ◽  
Sergio Palermo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Endovascular Repair ◽  
Meta Analysis ◽  
Spinal Cord Ischemia ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

scholarly journals Endovascular repair of ruptured abdominal aortic aneurysms: A systematic review and meta-analysis

2008 ◽  
Vol 47 (1) ◽  
pp. 214-221.e14 ◽  
Author(s):  
Tara M. Mastracci ◽  
Luis Garrido-Olivares ◽  
Claudio S. Cinà ◽  
Catherine M. Clase
Keyword(s):  
Systematic Review ◽  
Endovascular Repair ◽  
Meta Analysis ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms

scholarly journals Temporary Perfusion Branches to Decrease Spinal Cord Ischemia in the Endovascular Treatment of Thoraco-Abdominal Aortic Aneurysms

Aorta ◽  
2015 ◽  
Vol 03 (02) ◽  
pp. 56-60 ◽  
Author(s):  
Parveen Jayia ◽  
Jason Constantinou ◽  
Hamish Hamilton ◽  
Krassi Ivancev
Keyword(s):  
Spinal Cord ◽  
New York ◽  
Endovascular Repair ◽  
Spinal Cord Ischemia ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Stent Grafts ◽  
Abdominal Aortic ◽  
Custom Made ◽  
Complete Exclusion

Based on a Presentation at the 2013 VEITH Symposium, November 19–23, 2013 (New York, NY, USA) Background: Spinal cord ischemia (SCI) is one of the most feared complications following the repair of thoraco- abdominal aortic aneurysms (TAAA). Endovascular repair of TAAA is now possible with branched stent grafts, but spinal cord ischaemia rates are still unacceptably high. A number of techniques have been utilized to reduce these levels, however, SCI remains a challenge to endovascular repair of TAAA. The use of sac perfusion branches aims to reduce the incidence of this catastrophic complication. Methods: A retrospective analysis of all patients undergoing branched endovascular aortic repair for all thoraco-abdominal aneurysms (TAAA) using custom made devices during January 2008 to August 2014. We describe a two staged technique in which perfusion of segmental vessels is maintained by a temporary endoleak through an open perfusion branch, incorporated within the branched stent graft, followed by a closure of this branch at a later date to complete exclusion of the aneurysm. Results: Forty-seven patients underwent TAAA repair. Twenty-five (53%) had a two-stage procedure using either a sac perfusion branch or a target vessel to perfuse the sac. Nine patients (19.15%) suffered some form of SCI with eight patients having temporary SCI (lasting less than 72 hours) and one patient having permanent SCI. Of eight patients that had temporary spinal cord ischemia, all had a perfusion strategy. There was one case of permanent SCI (2.13%). Conclusion: Sac perfusion branches provide a safe method for preventing SCI, however this needs to be used in conjunction with controlling MAP and CSF drainage.

Fenestrated Endovascular Repair for Pararenal Abdominal Aortic Aneurysms: A Systematic Review and Meta-Analysis

2013 ◽  
Vol 27 (8) ◽  
pp. 1190-1200 ◽  
Author(s):  
Xiao Di ◽  
Wei Ye ◽  
Chang-Wei Liu ◽  
Jingmei Jiang ◽  
Wei Han ◽  
...  
Keyword(s):  
Systematic Review ◽  
Endovascular Repair ◽  
Meta Analysis ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

Systematic review and meta-analysis of growth rates of small abdominal aortic aneurysms

2011 ◽  
Vol 98 (5) ◽  
pp. 609-618 ◽  
Author(s):  
J. T. Powell ◽  
M. J. Sweeting ◽  
L. C. Brown ◽  
S. M. Gotensparre ◽  
F. G. Fowkes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Growth Rates ◽  
Meta Analysis ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

scholarly journals Endovascular repair of thoraco-abdominal aortic aneurysms by fenestrated and branched endografts†

2019 ◽  
Vol 56 (5) ◽  
pp. 993-1000 ◽  
Author(s):  
Enrico Gallitto ◽  
Gianluca Faggioli ◽  
Rodolfo Pini ◽  
Chiara Mascoli ◽  
Stefano Ancetti ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Hospital Mortality ◽  
Endovascular Repair ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
The Mean ◽  
Aneurysm Repair

Abstract OBJECTIVES Our objective was to report the outcomes of fenestrated/branched endovascular aneurysm repair of thoraco-abdominal aortic aneurysms (TAAAs) with endografts. METHODS Between January 2010 and April 2018, patients with TAAAs, considered at high surgical risk for open surgery and treated by Cook-Zenith fenestrated/branched endovascular aneurysm repair, were prospectively enrolled and retrospectively analysed. The early end points were 30-day/hospital mortality rate, spinal cord ischaemia and 30-day cardiopulmonary and nephrological morbidity. Follow-up end points were survival, patency of target visceral vessels and freedom from reinterventions. RESULTS Eighty-eight patients (male: 77%; mean age: 73 ± 7 years; American Society of Anesthesiologists 3/4: 58/42%) were enrolled. Using Crawford’s classification, 43 (49%) were types I–III and 45 (51%) were type IV TAAAs. The mean aneurysm diameter was 65 ± 15 mm. Custom-made and off-the-shelf endografts were used in 60 (68%) and 28 (32%) cases, respectively. Five (6%) patients had a contained ruptured TAAA. The procedure was performed in multiple steps in 42 (48%) cases. There was 1 (1%) intraoperative death. Five (6%) patients suffered spinal cord ischaemia with permanent paraplegia in 3 (3%) cases. Postoperative cardiac and pulmonary complications occurred in 7 (8%) and 12 (14%) patients, respectively. Worsening of renal function (≥30% of baseline level) was detected in 11 (13%) cases, and 2 (2%) patients required haemodialysis. The 30-day and hospital mortality rates were 5% and 8%, respectively. The mean follow-up was 36 ± 22 months. Survival at 12, 24 and 36 months was 89%, 75% and 70%, respectively. The patency of target visceral vessels at 12, 24 and 36 months was 92%, 92% and 92%, respectively. Freedom from reinterventions at 12, 24 and 36 months was 85%, 85% and 83%, respectively. CONCLUSIONS The endovascular repair of TAAAs with fenestrated/branched endovascular aneurysm repair is feasible and effective with acceptable technical/clinical outcomes at early/midterm follow-up.

Spinal Cord Ischemia following Elective Endovascular Repair of Infrarenal Aortic Aneurysms: A Systematic Review

2018 ◽  
Vol 52 ◽  
pp. 280-291 ◽  
Author(s):  
Konstantinos G. Moulakakis ◽  
Vangelis G. Alexiou ◽  
Georgios Karaolanis ◽  
George S. Sfyroeras ◽  
Georgios N. Theocharopoulos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Endovascular Repair ◽  
Spinal Cord Ischemia ◽  
Aortic Aneurysms
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