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Thoracic endovascular aortic repair with aortic arch vessel revascularization.

Abstract：

BACKGROUND:Revascularization of aortic arch vessels was performed with thoracic endovascular aortic repair (TEVAR) to preserve the endoprosthesis landing zone in 19 high-risk patients. METHODS:The operative procedure used was a bypass or transposition involving the common carotid and subclavian arteries. Homemade fenestrated stent-grafts, deployed in landing zone 0, were used for TEVAR. RESULTS:All lesions resolved without endoleaks. No perioperative deaths occurred; seven patients had postoperative complications. One patient with acute respiratory distress syndrome required reoperation to change the bypass route and permit tracheostomy. One patient died of pneumonia 2 months after treatment, after an anastomotic pseudoaneurysm and cerebral infarction developed and an operation was performed to obtain hemostasis. The procedure-related mortality was 5.3%. CONCLUSION:Aortic arch vessel revascularization before TEVAR may permit less invasive surgery, although careful patient selection is essential.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Iida Y,Kawaguchi S,Koizumi N,Komai H,Obitsu Y,Shigematsu H

doi

10.1016/j.avsg.2010.12.018

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

748-51

issue

6

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(11)00056-2

journal_volume

25

pub_type

杂志文章

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