Debranching Thoracic Endovascular Aortic Repair Combined with Ascending Aortic Banding: Analysis of a New Surgical Procedure.

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-06-25 DOI:10.1532/hsf.5389
Hui-Qiang Gao, Shang-Dong Xu, Jun Zheng
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Abstract

Background: To analyze the clinical effect of debranching thoracic endovascular aortic repair combined with ascending aortic banding.

Methods: The clinical data of patients who underwent a debranching thoracic endovascular aortic repair combined with ascending aortic banding at Anzhen Hospital (Beijing, China) between January 2019 and December 2021 were reviewed to evaluate the occurrence and outcomes of postoperative complications.

Results: A total of 30 patients underwent a debranching thoracic endovascular aortic repair combined with ascending aortic banding. There were 28 male patients (93.3%) with an average age of 59.9 ± 11.8 years. Twenty-five patients underwent simultaneous surgery and five patients had staged surgery. Postoperatively, two patients developed complete paraplegia (6.7%), three patients developed incomplete paraplegia (10%), two patients developed cerebral infarction (6.7%), and one patient developed femoral artery thromboembolism (3.3%). No patient died during the perioperative period, and one patient (3.3%) died during the follow-up period. None of the patients underwent retrograde type A aortic dissection during the perioperative and postoperative follow-up periods.

Conclusions: Banding the ascending aorta with a vascular graft to restrict its movement and to serve as the proximal anchoring area of the stent graft can reduce the risk of retrograde type A aortic dissection.

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剥离胸腔内血管主动脉修复术联合升主动脉束带术:一种新手术方法的分析。
背景:分析去支胸腔内主动脉修补术联合升主动脉束扎术的临床效果:目的:分析去支路胸腔内血管主动脉修补术联合升主动脉束扎术的临床效果:回顾性分析2019年1月至2021年12月期间在北京安贞医院接受去支路胸腔内血管主动脉修补术联合升主动脉束扎术患者的临床资料,评估术后并发症的发生情况及效果:共有30名患者接受了去支路胸腔内血管主动脉修补术联合升主动脉束扎术。其中男性患者 28 例(93.3%),平均年龄(59.9±11.8)岁。25名患者接受了同期手术,5名患者接受了分期手术。术后,两名患者出现完全性截瘫(6.7%),三名患者出现不完全性截瘫(10%),两名患者出现脑梗塞(6.7%),一名患者出现股动脉血栓栓塞(3.3%)。没有患者在围手术期死亡,一名患者(3.3%)在随访期间死亡。在围手术期和术后随访期间,没有一名患者发生逆行A型主动脉夹层:结论:用血管移植带捆绑升主动脉以限制其移动并作为支架移植的近端固定区域,可以降低发生逆行A型主动脉夹层的风险。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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