TEVAR for aortic arch lesions combining physician-modified endograft and in-situ fenestration.

IF 1.5 4区医学 Q3 PERIPHERAL VASCULAR DISEASE International Angiology Pub Date : 2023-10-01 Epub Date: 2023-11-14 DOI:10.23736/S0392-9590.23.05063-0

Yuxi Zhao, Zhaoxiang Zeng, Xianhao Bao, Mingwei Wu, Jiaxuan Feng, Zaiping Jing, Rui Feng

{"title":"TEVAR for aortic arch lesions combining physician-modified endograft and in-situ fenestration.","authors":"Yuxi Zhao, Zhaoxiang Zeng, Xianhao Bao, Mingwei Wu, Jiaxuan Feng, Zaiping Jing, Rui Feng","doi":"10.23736/S0392-9590.23.05063-0","DOIUrl":null,"url":null,"abstract":"Background: The aim of this retrospective study was to investigate the outcomes of combining physician-modified endograft (PMEG) and in-situ fenestration (ISF) for aortic arch repair.Methods: A retrospective analysis was performed in 12 patients with aortic arch pathologies who underwent thoracic endovascular aortic repair with PMEG and ISF between June 2019 and February 2020.Results: Revascularizations of supra-aortic arteries were successfully performed in 91.7% patients (11/12). One patient with aberrant right subclavian artery was unsuccessful because of tortuosity and sharp angle. One patient received endovascular exclusion by Viabahn due to artery injury of the femoral access. During the follow-up (mean 22.7 months), one patient underwent Bentall surgery because of retrograde type A aortic dissection, and one patient received coils embolization due to occurrence of a type I endoleak. In addition, one patient died of myocardial infarction 13 months after surgery. Results obtained after computed tomography angiography conﬁrmed patency of all the supra-aortic arteries.Conclusions: Combining PMEG and ISF could be a feasible option for aortic arch lesions in selected patients. Long-term durability concerns require further evaluation.","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":" ","pages":"412-419"},"PeriodicalIF":1.5000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Angiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23736/S0392-9590.23.05063-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The aim of this retrospective study was to investigate the outcomes of combining physician-modified endograft (PMEG) and in-situ fenestration (ISF) for aortic arch repair.

Methods: A retrospective analysis was performed in 12 patients with aortic arch pathologies who underwent thoracic endovascular aortic repair with PMEG and ISF between June 2019 and February 2020.

Results: Revascularizations of supra-aortic arteries were successfully performed in 91.7% patients (11/12). One patient with aberrant right subclavian artery was unsuccessful because of tortuosity and sharp angle. One patient received endovascular exclusion by Viabahn due to artery injury of the femoral access. During the follow-up (mean 22.7 months), one patient underwent Bentall surgery because of retrograde type A aortic dissection, and one patient received coils embolization due to occurrence of a type I endoleak. In addition, one patient died of myocardial infarction 13 months after surgery. Results obtained after computed tomography angiography conﬁrmed patency of all the supra-aortic arteries.

Conclusions: Combining PMEG and ISF could be a feasible option for aortic arch lesions in selected patients. Long-term durability concerns require further evaluation.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

主动脉弓病变TEVAR联合医师改良的内移植物和原位开窗。

背景:本回顾性研究的目的是探讨医师改良内移植物(PMEG)和原位开窗(ISF)联合用于主动脉弓修复的结果。方法:回顾性分析2019年6月至2020年2月期间接受PMEG和ISF胸腔血管内主动脉修复术的12例主动脉弓病变患者。结果:91.7%(11/12)患者成功行主动脉上动脉血运重建。1例右锁骨下动脉异常，因其弯曲和尖角，手术失败。1例患者因股动脉通路损伤接受维阿巴血管内排除术。在随访期间(平均22.7个月)，1例患者因逆行A型主动脉夹层行本特尔手术，1例患者因发生I型内漏行线圈栓塞。此外，1例患者术后13个月死于心肌梗死。计算机断层血管造影结果证实所有主动脉上动脉均通畅。结论:结合PMEG和ISF是治疗主动脉弓病变的可行选择。长期耐久性问题需要进一步评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

International Angiology 医学-外周血管病

CiteScore

2.80

自引率

28.60%

发文量

审稿时长

6-12 weeks

期刊介绍： International Angiology publishes scientific papers on angiology. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (ICMJE).