scholarly journals Paraplegia after open surgical repair vs thoracic endovascular aortic repair for thoracic aortic disease: a retrospective analysis of Japanese administrative data

2021 ◽  
Author(s):  
Takeshi Umegaki ◽  
Susumu Kunisawa ◽  
Kota Nishimoto ◽  
Yasufumi Nakajima ◽  
Takahiko Kamibayashi ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Administrative Data ◽  
Surgical Repair ◽  
Aortic Disease ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Open Surgical Repair ◽  
Thoracic Aortic Disease ◽  
Aortic Repair

scholarly journals Endovascular Aortic Repair Versus Open Surgical Repair for Descending Thoracic Aortic Disease

2010 ◽  
Vol 55 (10) ◽  
pp. 986-1001 ◽  
Author(s):  
Davy Cheng ◽  
Janet Martin ◽  
Hani Shennib ◽  
Joel Dunning ◽  
Claudio Muneretto ◽  
...  
Keyword(s):  
Surgical Repair ◽  
Aortic Disease ◽  
Endovascular Aortic Repair ◽  
Open Surgical Repair ◽  
Thoracic Aortic Disease ◽  
Aortic Repair

scholarly journals Current options and recommendations for the use of thoracic endovascular aortic repair in acute and chronic thoracic aortic disease: an expert consensus document of the European Society for Cardiology (ESC) Working Group of Cardiovascular Surgery, the ESC Working Group on Aorta and Peripheral Vascular Diseases, the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC and the European Association for Cardio-Thoracic Surgery (EACTS)

2020 ◽  
Vol 59 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Martin Czerny ◽  
Davide Pacini ◽  
Victor Aboyans ◽  
Nawwar Al-Attar ◽  
Holger Eggebrecht ◽  
...  
Keyword(s):  
Working Group ◽  
European Association ◽  
Aortic Disease ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Current Evidence ◽  
Heart Team ◽  
Acute Type ◽  
Thoracic Aortic Disease ◽  
Aortic Repair

Abstract Since its clinical implementation in the late nineties, thoracic endovascular aortic repair (TEVAR) has become the standard treatment of several acute and chronic diseases of the thoracic aorta. While TEVAR has been embraced by many, this disruptive technology has also stimulated the continuing evolution of open surgery, which became even more important as late TEVAR failures do need open surgical correction justifying the need to unite both treatment options under one umbrella. This fact shows the importance of—in analogy to the heart team—aortic centre formation and centralization of care, which stimulates continuing development and improves outcome . The next frontier to be explored is the most proximal component of the aorta—the aortic root, in particular in acute type A aortic dissection—which remains the main challenge for the years to come. The aim of this document is to provide the reader with a synopsis of current evidence regarding the use or non-use of TEVAR in acute and chronic thoracic aortic disease, to share latest recommendations for a modified terminology and for reporting standards and finally to provide a glimpse into future developments.

scholarly journals Extra-anatomical ascending-thoraco-abdominal bypass for aortic fistula after thoracic endovascular aortic repair

2019 ◽  
Vol 56 (6) ◽  
pp. 1199-1201
Author(s):  
Zain Al Rstum ◽  
Akiko Tanaka ◽  
Hazim J Safi ◽  
Anthony L Estrera
Keyword(s):  
Abdominal Aorta ◽  
Surgical Repair ◽  
Aortic Injury ◽  
Ascending Aorta ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Open Surgical Repair ◽  
Aortic Repair ◽  
Aortic Injuries ◽  
Fatal Complications

Abstract Aortobronchial and aorto-oesophageal fistulae after thoracic endovascular aortic repair (TEVAR) for traumatic aortic injuries are rare but serious. Potentially fatal complications may occur years after the stent graft deployment. Surgical management is challenging. We report on a 33-year-old male with aorto-oesophageal fistula and a 25-year-old male with aortobronchial fistula—both of whom received TEVAR for traumatic aortic injury. Each underwent successful staged open surgical repair with extra-anatomical bypass from the ascending aorta to the thoraco-abdominal aorta, along with arch vessel reconstructions and debridement of infected lesions. They remained alive after 18 months.

scholarly journals A review of endovascular treatment of thoracic aorta disease

2018 ◽  
Vol 100 (8) ◽  
pp. 662-668 ◽  
Author(s):  
GJS Tan ◽  
PLZ Khoo ◽  
KMJ Chan
Keyword(s):  
Thoracic Aorta ◽  
Open Repair ◽  
Aortic Disease ◽  
Thoracic Endovascular Aortic Repair ◽  
Aortic Aneurysms ◽  
Endovascular Aortic Repair ◽  
Aortic Diseases ◽  
Thoracic Aortic Disease ◽  
Thoracic Aortic Aneurysms ◽  
Aortic Repair

Introduction The development of thoracic endovascular aortic repair has altered the approach and reduced the risk of treating the majority of descending thoracic aortic conditions. Primarily developed for the exclusion of thoracic aortic aneurysms, it is now used in place of open repair surgery for most descending thoracic aortic diseases, and has also been used to treat aortic arch diseases in selected cases. Methods A literature search was conducted of Medline and Embase databases from January 2007 to February 2017, using the key words ‘aortic disease’, ‘thoracic aorta’ and ‘endovascular repair’; 205 articles were identified, of which 25 studies were selected for review based on their relevance. Findings The key findings of the indications, techniques, outcomes, complications and comparisons with open surgical repair were extracted from the published studies and are summarised in this review. Thoracic endovascular aortic repair is the preferred choice of intervention for patients with descending thoracic aortic disease. With time, it has improved to be safer and has the potential to expand aortic treatment choices in future.

scholarly journals Perioperative Hemodynamic Management and Pharmacotherapeutics of Patients Undergoing Thoracic Endovascular Aortic Repair

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Anja Muehle ◽  
Isil Uzun ◽  
Ziba Jalali ◽  
Ali Khoynezhad
Keyword(s):  
Blood Pressure ◽  
Aortic Disease ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Long Term Results ◽  
Safe Procedure ◽  
Thoracic Aortic Disease ◽  
Hemodynamic Management ◽  
Aortic Repair ◽  
Alternative Treatment Option

Thoracic endovascular aortic repair (TEVAR) has become an attractive alternative treatment option for many patients with specific thoracic aortic disease. New devices and advanced image-guided procedures are continuously expanding the indications and improve neurological outcomes. Hemodynamic management of these patients is a critical aspect in reducing neurological deficit and it is different compared to patients undergoing open thoracic aortic operations. There are two different phases of blood pressure management for patients with thoracic aortic disease. Before and during the critical steps of TEVAR anti-impulsive therapy facilitates safe positioning and stent deployment. After stent grafts are deployed, controlled hypertensive blood pressure levels are achieved to avoid spinal cord ischemia. This precise blood pressure strategy is essential to ensure a safe procedure and good long-term results.

Hybrid technique for the management of thoracoabdominal aortic thrombosis and symptomatic Trans-Atlantic Inter-Society Consensus “C” aorto-iliac disease

Vascular ◽  
2017 ◽  
Vol 26 (3) ◽  
pp. 331-334
Author(s):  
Aasim Khan ◽  
Thodur Vasudevan
Keyword(s):  
Abdominal Aorta ◽  
Surgical Repair ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Hybrid Technique ◽  
Open Surgical Repair ◽  
Aortic Repair ◽  
Aortic Thrombus ◽  
Viable Approach ◽  
Thoracic And Abdominal

Objective Thrombotic disease of the thoracic and abdominal aorta co-existing with aorto-iliac disease is a rare clinical association, which poses a great therapeutic challenge and adds to the complexity of the open surgical repair. Method We describe a case of 53-year-old woman with symptomatic thrombus in the thoracic and abdominal aorta down to the aortic bifurcation, which was successfully treated by Thoracic EndoVascular Aortic Repair via the left subclavian artery, open thrombectomy and aorto-iliac bypass. Result Completion angiogram performed through the axillary cannula showed good flow in the aorta, visceral vessels and iliac arteries. Conclusion This hybrid technical approach was a safe and effective strategy to tackle diffuse aortic thrombus with minimal morbidity and visceral embolization. Simultaneous aorto bi iliac bypass with thoracic endovascular aortic repair is a viable approach that can be undertaken with lesser morbidity and mortality risk as compared to complex and highly stressful total open surgical repair.

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