scholarly journals Eight-Year Follow-Up of a High-Risk Patient Treated for Crawford Type II Thoracoabdominal Aortic Aneurysm (TAAA) with a Multistage Hybrid Open-Endovascular Repair

2013 ◽  
Vol 19 (2) ◽  
pp. 166-169
Author(s):  
Dariusz Janczak ◽  
Jerzy Garcarek ◽  
Robert Bogdanik ◽  
Tomasz Szydelko ◽  
Mariusz Chabowski ◽  
...  
Keyword(s):  
High Risk ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
High Risk Patient ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Risk Patient ◽  
Type Ii

Staged hybrid open and endovascular exclusion of a symptomatic thoracoabdominal aortic aneurysm in a high-risk patient

Vascular ◽  
2013 ◽  
Vol 22 (4) ◽  
pp. 280-285 ◽  
Author(s):  
Christine Chung ◽  
Rajesh Malik ◽  
Michael Marin ◽  
Peter Faries ◽  
Sharif Ellozy
Keyword(s):  
High Risk ◽  
Aortic Aneurysm ◽  
Hybrid Approach ◽  
High Risk Patient ◽  
Thoracoabdominal Aortic Aneurysm ◽  
The Elderly ◽  
Aortic Aneurysms ◽  
Risk Patient ◽  
Abdominal Aortic ◽  
Thoracic Aneurysms

Thoracoabdominal aortic aneurysms have a higher prevalence in the elderly, who are often poor surgical candidates. These extensive aneurysms may be lethal if left untreated. Conventional open repair has proven to be a major task, involving cardiopulmonary bypass, aortic cross-clamping and expeditious repair of an inaccessible structure involving two body cavities. Endovascular repair has become a viable option to treat isolated descending thoracic aneurysms and infrarenal abdominal aortic aneurysms. However, endovascular techniques alone have been less applicable for treating complex aortic aneurysms, including those involving visceral vessels. Therefore, a hybrid open and endovascular approach with visceral debranching has become an increasingly favorable alternative for patients with these complex conditions. We report a case in which a staged hybrid approach was used for successful exclusion of an extensive thoracoabdominal aortic aneurysm in a symptomatic, high-risk patient who would not have been an appropriate candidate for open surgical repair.

Combined stent-graft and surgical treatment for a thoracoabdominal aortic aneurysm in a high risk patient

2005 ◽  
Vol 53 (8) ◽  
pp. 448-451 ◽  
Author(s):  
Hiroya Minami ◽  
Nobuhiko Mukohara ◽  
Hidefumi Obo ◽  
Masato Yoshida ◽  
Tetsuya Fukuda ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
High Risk ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
High Risk Patient ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Risk Patient

Endovascular Repair of an Aortoenteric Fistula in a High-Risk Patient

1999 ◽  
Vol 6 (4) ◽  
pp. 379-384 ◽  
Author(s):  
Arvind Deshpande ◽  
Mark Lovelock ◽  
Peter Mossop ◽  
Michael Denton ◽  
John Vidovich ◽  
...  
Keyword(s):  
High Risk ◽  
Endovascular Repair ◽  
High Risk Patient ◽  
Aortoenteric Fistula ◽  
Risk Patient

scholarly journals One-year follow-up after total endovascular repair of a contained-ruptured thoracoabdominal aortic aneurysm with the sandwich technique

2013 ◽  
Vol 58 (2) ◽  
pp. 482-485 ◽  
Author(s):  
Theodosios Bisdas ◽  
Konstantinos P. Donas ◽  
Michel Bosiers ◽  
Giovanni Torsello ◽  
Martin Austermann
Keyword(s):  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Sandwich Technique ◽  
One Year

Total Endovascular Repair With Parallel Stent-Grafts for Postdissection Thoracoabdominal Aneurysm After Prior Proximal Repair

2019 ◽  
Vol 26 (5) ◽  
pp. 668-675 ◽  
Author(s):  
Junjun Liu ◽  
Zhenjiang Li ◽  
Jiaxuan Feng ◽  
Jian Zhou ◽  
Zhiqing Zhao ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Endovascular Therapy ◽  
Endovascular Repair ◽  
Spinal Cord Ischemia ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Type I ◽  
Type Ii ◽  
Technical Success ◽  
Stent Grafts

Purpose: To evaluate the safety and efficacy of total endovascular repair with parallel stent-grafts for postoperative residual dissection thoracoabdominal aortic aneurysm (TAAA). Materials and Methods: A retrospective study was undertaken of 21 patients (mean age 64.0±12.5 years; 17 men) undergoing total endovascular therapy with parallel stent-grafts for postdissection TAAA after prior proximal repair between 2014 and 2016. The preoperative minimum true lumen diameter was 12.3±4.8 mm and the mean extent of dissection was 248.1±48.2 mm. Pre-, intra-, and postoperative medical records were reviewed to assess technical success, spinal cord ischemia, patency of target branch arteries, endoleak, and short-term outcomes of this approach. Results: Technical success was achieved in 17 of 21 patients owing to 4 type I endoleaks at the end of the procedures. A total of 70 branch arteries were revascularized and 14 celiac trunks were covered intentionally without reconstruction. Of 7 intraoperative endoleaks, 2 were managed intraoperatively and 5 (4 type I and 1 type II) disappeared spontaneously within 1 month. No spinal cord or abdominal organ or limb ischemia was observed. Mean follow-up was 16.2±6.1 months. No death or type I or III endoleak occurred during the follow-up; 2 type II endoleaks were observed. Nineteen of the 21 false lumens thrombosed, and the total aortic diameter decreased (57.3±8.4 to 55.3±7.4 mm, p<0.01). Three (4.3%) of 70 target branch arteries occluded during follow-up. The cumulative patency of retrogradely and antegradely revascularized branch arteries was 97.3% vs 100% at 12 months and 91.2% vs 100% at 18 months. Conclusion: Total endovascular therapy with parallel stent-grafts could be an effective alternative in treating postdissection TAAA. Further studies with long-term follow-up and larger sample size are recommended to evaluate the technique.

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