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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Cirurgia Cardiovascular
2022
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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 |
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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 |
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