Abstract:
:Background Endovascular repair has become a viable alternative for aortic pathological features, including those located within the aortic arch. We investigated the anatomic suitability for branched thoracic endovascular repair in patients previously treated with conventional open surgery for aortic arch pathological features. Methods and Results Patients who underwent open surgery for aortic arch pathological features at our institution between 2000 and 2018 were included. Anatomic suitability was determined by strict compliance with the anatomic criteria within manufacturers' instructions for use for each of the following branched thoracic stent grafts: Relay Plus Double-Branched (Terumo-Aortic), TAG Thoracic Branch Endoprosthesis (W.L. Gore & Associates), Zenith Arch Branched Device (Cook-Medical), and Nexus Stent Graft System (Endospan Ltd/Jotec GmbH). Computed tomography angiography images were analyzed with outer luminal line measurements. A total of 377 patients (mean age, 64±14 years; 64% men) were identified, 153 of whom had suitable computed tomography angiography images for measurements. In total, 59 patients (15.6% of the total cohort and 38.6% of the measured cohort) were eligible for endovascular repair using at least one of the devices. Device suitability was 30.9% for thoracic aneurysms, 4.6% for type A dissections, 62.5% for type B dissections, and 28.6% for other pathological features. Conclusions The anatomic suitability for endovascular repair of all aortic arch pathological features was modest. The highest suitability rates were observed for thoracic aneurysms and for type B dissections, of which repair included part of the aortic arch. We suggest endovascular repair of arch pathological features should be reserved for high-volume centers with experience in endovascular arch repair.
journal_name
J Am Heart Assocjournal_title
Journal of the American Heart Associationauthors
Smorenburg SPM,Montesano M,Hoogteijling TJ,Truijers M,Symersky P,Jansen EK,Zandbergen HR,Wisselink W,van Schaik TG,Yeung KKdoi
10.1161/JAHA.120.016695subject
Has Abstractpub_date
2020-10-20 00:00:00pages
e016695issue
20issn
2047-9980journal_volume
9pub_type
杂志文章abstract:BACKGROUND:Epinephrine administered during cardiopulmonary resuscitation (CPR) is associated with severe post-resuscitation myocardial dysfunction. We previously demonstrated that therapeutic hypothermia reduced the severity of post-resuscitation myocardial dysfunction caused by epinephrine; however, the relationship b...
journal_title:Journal of the American Heart Association
pub_type: 杂志文章
doi:10.1161/JAHA.117.006573
更新日期:2018-03-23 00:00:00
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doi:10.1161/JAHA.119.013041
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journal_title:Journal of the American Heart Association
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doi:10.1161/JAHA.120.017835
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更新日期:2017-02-20 00:00:00
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journal_title:Journal of the American Heart Association
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更新日期:2019-10-01 00:00:00
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更新日期:2012-08-01 00:00:00
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更新日期:2017-08-16 00:00:00
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更新日期:2016-02-19 00:00:00