Major complications following endovascular surgery of descending thoracic aorta.

Abstract:

:We evaluated the impact of major complications on clinical outcome in a series of patients undergoing endovascular repair (EVAR) of descending thoracic aorta. From March 2001 to June 2005, 51 patients underwent EVAR for descending aortic diseases. Thirty-five were treated in emergency (60.7%) and 41 (80.4%) were in III-IV ASA class. There were no deaths, surgical conversion or paraplegia. A neurologic complication occurred in one patient (1.9%). Eleven major systemic complications occurred in 5 patients. One patient showed a primary type I endoleak at discharge, resolved spontaneously after 9 months. Three (5.9%) vascular injuries occurred during the endovascular procedure, requiring an emergency rescue iliac-femoral artery bypass. At follow-up (29+/-14 months), there was an overall mortality rate of 5.1% (3/51); 2 deaths (3.9%) were procedure related. Two secondary EVARs (3.9%) were successfully performed, one for a late type I endoleak six months after EVAR in a traumatic patient, and a second for a late rupture distally to the stent-graft implanted 36 months before in an acute type-B dissected patient. EVAR for descending aortic diseases is associated with decreased mortality and complications, however, long-term follow-up and additional studies are mandatory to detect late failure and to confirm clinical safety of this procedure.

authors

Di Tommaso L,Monaco M,Mottola M,Piscione F,Pantaleo A,Pinna GB,Stassano P,Iannelli G

doi

10.1510/icvts.2006.136481

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

705-8

issue

6

eissn

1569-9293

issn

1569-9285

pii

icvts.2006.136481

journal_volume

5

pub_type

杂志文章
  • Early and late results of combined carotid endarterectomy and coronary artery bypass versus isolated coronary artery bypass.

    abstract:OBJECTIVE:Optimal management of patients with combined coronary and carotid artery disease remains controversial. This study analyzed the outcomes between simultaneous carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) vs. isolated CABG. METHODS:We reviewed the early and late follow-up data of 412...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.114678

    authors: Nwakanma L,Poonyagariyagorn HK,Bello R,Khoynezhad A,Smego D,Plestis KA

    更新日期:2006-04-01 00:00:00

  • Can the left subclavian artery revascularization during aortic arch surgery be managed using the in situ left internal mammary artery?

    abstract::The management of the left subclavian artery (LSA) revascularization during aortic arch surgery is controversial and often challenging, especially during an emergency life-saving procedure. We report on a case of a 64-year old man, admitted to our institution with a Type A acute aortic dissection who underwent a froze...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw098

    authors: Magagna P,Cresce GD,Auriemma S,Salvador L

    更新日期:2016-07-01 00:00:00

  • Endovascular stent grafting of a complicated type B aortic dissection with approach through the innominate artery using a side-branch graft.

    abstract::Endovascular stent grafting has emerged as an effective method for the treatment of complicated acute type B aortic dissections. In cases where access to the aorta cannot be established through the ileofemoral trunks, the axillary arteries are used as an alternative route. Often, however, these arteries are too small ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.268748

    authors: Calcaterra D,Hashimi S,Brown TC,Sharma K

    更新日期:2011-08-01 00:00:00

  • Mitral valve replacement using a handmade construct in an infant.

    abstract::We recently reported the feasibility of a handmade left atrioventricular valve using decellularized extracellular matrix for 3 months in a failed repair of AV canal defect. We present the use of an extracellular matrix mitral valve for 9 months in an infant with an un-repairable congenitally malformed valve. The valve...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw406

    authors: Bibevski S,Levy A,Scholl FG

    更新日期:2017-04-01 00:00:00

  • What's new in heart failure therapy 2018?

    abstract::Even though significant progress has been made over the past 3 decades, heart failure remains one of the leading causes of mortality and morbidity in developed countries and contributes significantly to the economic burden of modern health care systems. Especially in patients with preserved ejection fraction, valid th...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivy282

    authors: Westphal JG,Bekfani T,Schulze PC

    更新日期:2018-12-01 00:00:00

  • The effect of acute mechanical left ventricular unloading on ovine tricuspid annular size and geometry.

    abstract:OBJECTIVES:Left ventricular assist device (LVAD) implantation may alter right ventricular shape and function and lead to tricuspid regurgitation. This in turn has been reported to be a determinant of right ventricular (RV) failure after LVAD implantation, but the effect of mechanical left ventricular (LV) unloading on ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw138

    authors: Malinowski M,Wilton P,Khaghani A,Brown M,Langholz D,Hooker V,Eberhart L,Hooker RL,Timek TA

    更新日期:2016-09-01 00:00:00

  • Combination of continuous irrigation and vacuum-assisted closure is effective for mediastinitis after cardiac surgery in small children.

    abstract::There is still no consensus on the optimal management to treat pediatric mediastinitis. We assessed the efficacy of continuous irrigation and vacuum-assisted closure (VAC) for mediastinitis in children. This study retrospectively reviewed 20 patients aged <5 years with mediastinitis from December 2002 to December 2009...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.235903

    authors: Ugaki S,Kasahara S,Arai S,Takagaki M,Sano S

    更新日期:2010-09-01 00:00:00

  • Trileaflet pulmonary valve reconstruction for pulmonary regurgitation in childhood.

    abstract::A 6-year-old boy with pulmonary regurgitation after complete repair of congenital heart disease underwent an alternative surgical repair for pulmonary valve replacement. Trileaflet pulmonary valve reconstruction using expanded polytetrafluoroethylene membrane is a clinically feasible technique for pulmonary regurgitat...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy196

    authors: Ishimaru K,Kanaya T,Sakamoto S,Sawa Y

    更新日期:2018-12-01 00:00:00

  • Short-term outcome following cardiac surgery--a comparison between consultant and trainees' performance.

    abstract::Comparison of the outcome of cardiac operations performed by surgical trainees with those performed by consultant surgeons has been an interesting topic in recent years. We set out to examine the outcome of a high volume-training firm. Cardiac operations performed by surgical trainees and a consultant between January ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.228171

    authors: Hosseini MT,Saeed I,Mandal K,Kourliouros A,Valencia O,Jahangiri M

    更新日期:2010-06-01 00:00:00

  • Late prosthetic graft infection after frozen elephant trunk presenting by haemoptysis and positive ¹⁸F-fluorodeoxyglucose-positron emission tomography/computed tomography.

    abstract::In cardiothoracic surgery, prosthetic graft infection represents a diagnostic and therapeutic challenge. Although clinical assessment, imaging techniques and microbiological investigations are helpful, late graft infection can be difficult to identify using classical diagnostic tools. An aggressive surgical approach i...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu237

    authors: Morjan M,Ali K,Harringer W,El-Essawi A

    更新日期:2014-11-01 00:00:00

  • Aortic root stiffness affects the kinematics of bioprosthetic aortic valves.

    abstract:Objectives:In this study, the influence of aortic root distensibility on the haemodynamic parameters and valve kinematics of a bioprosthetic aortic valve was investigated in a controlled in vitro experiment. Methods:An Edwards INTUITY Elite 21 mm sutureless aortic valve (Edwards Lifesciences, Irvine, CA, USA) was inse...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw284

    authors: Jahren SE,Winkler BM,Heinisch PP,Wirz J,Carrel T,Obrist D

    更新日期:2017-02-01 00:00:00

  • Sarcomatoid carcinoma of the lung: a rare histological subtype of non-small cell lung cancer with a poor prognosis even at earlier tumour stages.

    abstract:Objectives:Pulmonary sarcomatoid carcinoma (PSC) is a rare histological subtype of non-small cell lung cancer and comprises a diagnostically and therapeutically challenging group of tumours. We explored the clinicopathological features and prognostic factors of this tumour. Methods:We conducted a retrospective study o...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw392

    authors: Roesel C,Terjung S,Weinreich G,Hager T,Chalvatzoulis E,Metzenmacher M,Welter S

    更新日期:2017-03-01 00:00:00

  • Late erosion of Amplatzer septal occluder device resulting in cardiac tamponade.

    abstract::Transcatheter device closure of atrial septal defects (ASDs) is a minimally invasive technique that offers an alternative to conventional surgical repair. There are risks imposed by this technique; however, they compare favourably with risks of surgical closure. Here, we present a case of a 59-year old male with late ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu271

    authors: Tchantchaleishvili V,Melvin AL,Ling FS,Knight PA

    更新日期:2014-12-01 00:00:00

  • Decreased biventricular function following thoracic endovascular aortic repair.

    abstract:OBJECTIVES:Preclinical studies have suggested acute stiffening of the aorta following experimental thoracic endovascular aortic repair (TEVAR), resulting in acute elevated pulse pressure, hypertension and possibly heart failure. The aim of this study was to evaluate cardiac remodelling following TEVAR. METHODS:From 20...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz298

    authors: Kreibich M,Morlock J,Beyersdorf F,Berger T,Allweier S,Kondov S,Pingpoh C,Czerny M,Siepe M,Rylski B

    更新日期:2020-04-01 00:00:00

  • Asymptomatic aortic mural thrombus in a minimally atherosclerotic vessel.

    abstract::Aortic mural thrombi in a normal (non-aneurysmal or minimally atherosclerotic) vessel are an uncommon condition. They are usually located in the descending aorta and, less frequently, in the aortic arch or in the abdominal aorta. The typical clinical presentation is the appearance of symptoms/signs of peripheral arter...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv349

    authors: Maloberti A,Oliva F,De Chiara B,Giannattasio C

    更新日期:2016-03-01 00:00:00

  • Retrograde autologous priming in surgery of thoracic aortic aneurysm.

    abstract:OBJECTIVES:Surgery of thoracic aortic aneurysm (TAA) is associated with blood loss and coagulopathy and a high need for red blood cell (RBC) volume. Retrograde autologous priming (RAP) decreases haemodilution during cardiopulmonary bypass (CPB). The aim of this study was to show the effect of RAP during surgery of TAA ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz014

    authors: Williams HC,Schiller W,Mellert F,Fimmers R,Welz A,Probst C

    更新日期:2019-06-01 00:00:00

  • Video-assisted thoracic lobectomy with bronchoplasty for lung cancer, with special reference to methodology.

    abstract::Few studies have described video-assisted thoracic surgery (VATS) to bronchoplasty with pulmonary resection. Here, we report the successful implementation of VATS bronchoplasty, as determined retrospectively. Between 2005 and 2010, 362 patients underwent elective lung resection for malignant or benign lung tumors. Of ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.258228

    authors: Kamiyoshihara M,Nagashima T,Igai H,Atsumi J,Ibe T,Kakegawa S,Shimizu K

    更新日期:2011-04-01 00:00:00

  • Radiotherapy-related skin ulcer communicating with a left ventricular aneurysm.

    abstract::Although radiation therapy is widely used to treat breast cancer, high doses of radiation may cause various complications. We report a case of a left ventricular aneurysm complicated with an intractable skin ulcer caused by radiation therapy for breast cancer. The communication between the aneurysm and skin ulcer caus...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa014

    authors: Takaki J,Hosoda Y,Okamoto K,Fukui T

    更新日期:2020-05-01 00:00:00

  • Right coronary translocation for anomalous origin of right coronary artery from the left coronary sinus.

    abstract::We describe right coronary translocation as a simplified surgical procedure for right coronary artery arising from the left sinus with an intramural course. At surgery, the right coronary artery was transected, distal to the intramural segment and subsequently anastomosed to the ascending aorta above the right coronar...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.268888

    authors: Goda M,Meuris B,Meyns B

    更新日期:2011-08-01 00:00:00

  • Pure bronchoplastic resections of the bronchus without pulmonary resection for endobronchial carcinoid tumours.

    abstract:OBJECTIVES:Bronchopulmonary carcinoid tumours are relatively uncommon primary lung neoplasms. A small proportion of these lesions are predominantly endobronchial and do not extend beyond the bronchial wall. Endoscopic resection can be performed, but carries around a one in three risk of local recurrence and, therefore,...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt154

    authors: Nowak K,Karenovics W,Nicholson AG,Jordan S,Dusmet M

    更新日期:2013-08-01 00:00:00

  • Repair of isolated aortic coarctation over two decades: impact of surgical approach and associated arch hypoplasia.

    abstract:OBJECTIVES:A variety of surgical approaches and techniques are used for isolated coarctation repair. We have retrospectively reviewed our results of isolated repair of coarctation over the last 20 years, to establish whether the approach affects clinical outcome and the need for re-intervention. METHODS:Two hundred an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs265

    authors: Sakurai T,Stickley J,Stümper O,Khan N,Jones TJ,Barron DJ,Brawn WJ

    更新日期:2012-11-01 00:00:00

  • Mid-term outcomes of the modified Cox-maze procedure for elderly patients: a risk analysis for failure.

    abstract::Although the maze procedure is highly effective for most patients with atrial fibrillation (AF), its standardized application to elderly patients is controversial. Between 2004 and 2007, 143 patients with a mean age of 65 years of age or older underwent the modified Cox-maze procedure concomitant with other cardiac pr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.263491

    authors: Nakamura T,Izutani H,Sawa Y

    更新日期:2011-06-01 00:00:00

  • Is aortic valve-sparing operation or replacement with a composite graft the best option for aortic root and ascending aortic aneurysm?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether it is better to preserve the aortic valve in patients with aortic root or ascending aortic aneurysms. Altogether 380 papers were found using the reported search, of which 23 represented the best ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1510/icvts.2008.186544

    authors: Tourmousoglou C,Rokkas C

    更新日期:2009-01-01 00:00:00

  • Is there a role for gabapentin in preventing or treating pain following thoracic surgery?

    abstract::A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was whether gabapentin, a commonly prescribed neuropathic analgesic and anticonvulsant, is safe and beneficial in patients with post-thoracotomy pain following thoracic surgery. Seventeen papers were ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt301

    authors: Zakkar M,Frazer S,Hunt I

    更新日期:2013-10-01 00:00:00

  • Entrapped central venous catheter after mitral valve replacement and its surgical retrieval.

    abstract::Central venous pressure monitoring line insertion is routine prior to the conduct of cardiac surgery, and in rare instances, malposition can contribute to operative complications. We describe here how a central venous line lying in the right atrium became caught in a left atrial (LA) closure suture during a mitral val...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs245

    authors: Nair HC,Banakal S,Parachuri VR,Shetty DP

    更新日期:2012-09-01 00:00:00

  • Successful treatment of an aggressive non-Hodgkin's lymphoma associated with acute respiratory insufficiency using extracorporeal membrane oxygenation.

    abstract::Non-Hodgkin's lymphoma initially presenting as a solid huge mediastinal mass does not frequently occur. Although nowadays many patients with high-grade (aggressive) malignant lymphoma can be cured using a combination of immuno- and chemotherapy, rapid progression and acute complications caused by the tumor mass itself...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.159921

    authors: Aboud A,Marx G,Sayer H,Gummert JF

    更新日期:2008-02-01 00:00:00

  • Does magnesium offer any additional benefit in patients having anti-arrhythmic treatment for atrial fibrillation following cardiac surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether treatment with magnesium in addition to an anti-arrhythmic is beneficial to patients who have gone into atrial fibrillation after cardiac surgery. Altogether 466 papers were identified using the ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.106419

    authors: Patel A,Rao J,Dunning J

    更新日期:2005-06-01 00:00:00

  • Thoraflex hybrid as frozen elephant trunk in chronic, residual type A and chronic type B aortic dissection.

    abstract:OBJECTIVES:The frozen elephant trunk technique is an increasingly common treatment for extensive disease of the thoracic aorta. The objective of the study was to evaluate the outcomes of frozen elephant trunk specifically in chronic (residual) aortic dissections, focusing on downstream aortic remodelling. METHODS:Betw...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa305

    authors: Fiorentino M,de Beaufort HWL,Sonker U,Heijmen RH

    更新日期:2020-12-12 00:00:00

  • Improvements in left ventricular twist mechanics following myectomy for hypertrophic cardiomyopathy with mid-ventricular obstruction.

    abstract::We aimed to evaluate left ventricle twist mechanics in mid-ventricular obstructive and apical type of hypertrophic cardiomyopathy and changes induced by myectomy. We studied 3 consecutive patients by cardiac magnetic resonance preoperatively and 6 weeks after myectomy. We calculated the apical and basal rotations at t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx054

    authors: Adhyapak SM,Menon PG,Rao Parachuri V

    更新日期:2017-07-01 00:00:00

  • Transcervical mediastinoscopy in patients with a permanent tracheostomy: is it feasible?

    abstract:OBJECTIVES:Cervical mediastinoscopy may become essential in patients with pathological lymph nodes at mediastinum after laryngectomy. However, having had a previous tracheostomy has been reported to be a contraindication for cervical mediastinoscopy. METHODS:Between January 2010 and December 2017, cervical mediastinos...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz178

    authors: Cansever L,Seyrek Y,Kutluk AC,Akin H,Kocaturk CI,Bedirhan MA

    更新日期:2019-11-01 00:00:00