Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
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Sociedade Brasileira de Cirurgia Cardiovascular
2022
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| author | Didem Melis Oztas |
| author_facet | Didem Melis Oztas |
| contents | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching Didem Melis Oztas Murat Ugurlucan Omer Ali Sayin Feza Ekiz Yilmaz Onal Metin Onur Beyaz Muzaffer Umutlu Mert Meric Bulent Acunas Ufuk Alpagut Medicina Renal Artery Saphenous Vein Dissecting Aneurysm Coronary Artery Bypass Polytetrafluoroethylene 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. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398973636014 https://www.redalyc.org/journal/3989/398973636014/ https://www.redalyc.org/journal/3989/398973636014/html/ https://www.redalyc.org/journal/3989/398973636014/398973636014.epub https://www.redalyc.org/journal/3989/398973636014/movil 10.21470/1678-9741-2020-0705 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.6 Vol.37 |
| format | Artículo científico |
| id | redalyc_398973636014 |
| institution | Redalyc |
| language | en |
| publishDate | 2022 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching Didem Melis Oztas Medicina Renal Artery Saphenous Vein Dissecting Aneurysm Coronary Artery Bypass Polytetrafluoroethylene Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching Didem Melis Oztas Murat Ugurlucan Omer Ali Sayin Feza Ekiz Yilmaz Onal Metin Onur Beyaz Muzaffer Umutlu Mert Meric Bulent Acunas Ufuk Alpagut Medicina Renal Artery Saphenous Vein Dissecting Aneurysm Coronary Artery Bypass Polytetrafluoroethylene 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. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398973636014 https://www.redalyc.org/journal/3989/398973636014/ https://www.redalyc.org/journal/3989/398973636014/html/ https://www.redalyc.org/journal/3989/398973636014/398973636014.epub https://www.redalyc.org/journal/3989/398973636014/movil 10.21470/1678-9741-2020-0705 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.6 Vol.37 |
| title | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
| topic | Medicina Renal Artery Saphenous Vein Dissecting Aneurysm Coronary Artery Bypass Polytetrafluoroethylene |
| url | https://www.redalyc.org/articulo.oa?id=398973636014 https://www.redalyc.org/journal/3989/398973636014/ https://www.redalyc.org/journal/3989/398973636014/html/ https://www.redalyc.org/journal/3989/398973636014/398973636014.epub https://www.redalyc.org/journal/3989/398973636014/movil |