scholarly journals Endovascular treatment of the ascending aorta: new frontiers for thoracic endovascular aneurysm repair?

2016 ◽  
Vol 8 (4) ◽  
pp. 1901-1903 ◽  
Author(s):  
Chris Klonaris ◽  
Sotirios Georgopoulos ◽  
Athanasios Katsargyris
Keyword(s):  
Endovascular Treatment ◽  
Endovascular Aneurysm Repair ◽  
Ascending Aorta ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Aneurysm Repair

Antegrade thoracic endovascular aneurysm repair via the ascending aorta

2019 ◽  
Vol 27 (3) ◽  
pp. 163-171 ◽  
Author(s):  
Kosuke Fujii ◽  
Toshihiko Saga ◽  
Masahiko Onoe ◽  
Susumu Nakamoto ◽  
Toshio Kaneda ◽  
...  
Keyword(s):  
Aortic Surgery ◽  
Endovascular Aneurysm Repair ◽  
Multiple Organ ◽  
Ascending Aorta ◽  
Antegrade Approach ◽  
Abdominal Aortic ◽  
Risk Patients ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Aneurysm Repair

Purpose We performed antegrade thoracic endovascular aneurysm repair via the ascending aorta in selected high-risk patients scheduled for open surgery, in whom an iliofemoral or abdominal aortic approach was not feasible. We present our initial experience with this approach. Methods Of 16 consecutive patients who underwent antegrade endovascular aneurysm repair via the ascending aorta at our institution, 3 had an emergency intervention for rupture and 3 had an urgent intervention for impending rupture or complicated aortic dissection. The procedure was scheduled in 10 patients. The median patient age was 77 years. In 13 patients, one or more concomitant procedures were performed. In 6 patients, vascular access for endovascular aneurysm repair was obtained via a branch of the replacement graft. In 10 patients, direct cannulation of the ascending aorta was carried out using 2 pursestring sutures. Results The initial success rate was 100%. Early mortality occurred in 2 (12.5%) patients because of multiple organ failure in one and heart failure in the other. No patient required a second intervention during follow-up. The mean duration of follow-up was 19 months. Conclusion The antegrade approach is a useful alternative in patients with no access suitable for endovascular aneurysm repair and who are not appropriate candidates for open conventional thoracic aortic surgery. This approach is applicable to selected patients.

scholarly journals A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Takahiro Tokuda ◽  
Mototsugu Tamaki ◽  
Hideki Kitamura ◽  
Yutaka Koyama ◽  
Koshi Sawada ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Antibiotic Therapy ◽  
Laboratory Data ◽  
Endovascular Aneurysm Repair ◽  
Severe Infection ◽  
Intravenous Antibiotic ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Descending Aortic Aneurysm ◽  
Aneurysm Repair ◽  
Mycotic Aortic Aneurysm

Abstract An 88-year-old man was admitted with general fatigue. Computed tomography (CT) showed a descending aortic aneurysm. The laboratory data indicated severe infection. Despite negative blood cultures, broad-spectrum intravenous antibiotic therapy was started. Though antibiotic therapy was continued for about 2 weeks, the aneurysm extended 20 mm. Thoracic endovascular aortic repair was performed, and antibiotic therapy was continued for 4 weeks after the procedure, followed by oral antibiotics for 1 year. CT showed regression of the aneurysm 15 months after reconstruction. Antibiotic therapy, preoperatively and postoperatively, is important for a mycotic aortic aneurysm.

Incomplete Expansion of Chimney Stent Graft during Chimney-Thoracic Endovascular Aneurysm Repair

2017 ◽  
Vol 39 ◽  
pp. 293.e1-293.e5 ◽  
Author(s):  
Athanasios Katsargyris ◽  
Domenico Spinelli ◽  
Kyriakos Oikonomou ◽  
Hozan Mufty ◽  
Eric LG. Verhoeven
Keyword(s):  
Stent Graft ◽  
Endovascular Aneurysm Repair ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Aneurysm Repair
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