Cargando…

Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching

INTRODUCTION: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. METHODS: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral d...

Descripción completa

Detalles Bibliográficos
Autores principales: Oztas, Didem Melis, Ugurlucan, Murat, Sayin, Omer Ali, Ekiz, Feza, Onal, Yilmaz, Beyaz, Metin Onur, Umutlu, Muzaffer, Meric, Mert, Acunas, Bulent, Alpagut, Ufuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713665/
https://www.ncbi.nlm.nih.gov/pubmed/35436072
http://dx.doi.org/10.21470/1678-9741-2020-0705
_version_ 1784842062472937472
author Oztas, Didem Melis
Ugurlucan, Murat
Sayin, Omer Ali
Ekiz, Feza
Onal, Yilmaz
Beyaz, Metin Onur
Umutlu, Muzaffer
Meric, Mert
Acunas, Bulent
Alpagut, Ufuk
author_facet Oztas, Didem Melis
Ugurlucan, Murat
Sayin, Omer Ali
Ekiz, Feza
Onal, Yilmaz
Beyaz, Metin Onur
Umutlu, Muzaffer
Meric, Mert
Acunas, Bulent
Alpagut, Ufuk
author_sort Oztas, Didem Melis
collection PubMed
description INTRODUCTION: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. METHODS: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. RESULTS: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. CONCLUSION: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care.
format Online
Article
Text
id pubmed-9713665
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Sociedade Brasileira de Cirurgia Cardiovascular
record_format MEDLINE/PubMed
spelling pubmed-97136652022-12-06 Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching Oztas, Didem Melis Ugurlucan, Murat Sayin, Omer Ali Ekiz, Feza Onal, Yilmaz Beyaz, Metin Onur Umutlu, Muzaffer Meric, Mert Acunas, Bulent Alpagut, Ufuk Braz J Cardiovasc Surg Original Article INTRODUCTION: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. METHODS: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. RESULTS: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. CONCLUSION: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care. Sociedade Brasileira de Cirurgia Cardiovascular 2022 /pmc/articles/PMC9713665/ /pubmed/35436072 http://dx.doi.org/10.21470/1678-9741-2020-0705 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Oztas, Didem Melis
Ugurlucan, Murat
Sayin, Omer Ali
Ekiz, Feza
Onal, Yilmaz
Beyaz, Metin Onur
Umutlu, Muzaffer
Meric, Mert
Acunas, Bulent
Alpagut, Ufuk
Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
title Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
title_full Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
title_fullStr Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
title_full_unstemmed Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
title_short Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
title_sort follow-up results of endovascular aneurysm repair following abdominal visceral debranching
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713665/
https://www.ncbi.nlm.nih.gov/pubmed/35436072
http://dx.doi.org/10.21470/1678-9741-2020-0705
work_keys_str_mv AT oztasdidemmelis followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT ugurlucanmurat followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT sayinomerali followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT ekizfeza followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT onalyilmaz followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT beyazmetinonur followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT umutlumuzaffer followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT mericmert followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT acunasbulent followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching
AT alpagutufuk followupresultsofendovascularaneurysmrepairfollowingabdominalvisceraldebranching