Adventitial inversion technique without the aid of biologic glue or Teflon buttress for acute type A aortic dissection

Tanaka, Kuniyoshi; Morioka, Kouichi; Li, Wei; Yamada, Narihisa; Takamori, Atsushi; Handa, Mitsuteru; Tanabe, Sawaka; Ihaya, Akio

doi:10.1016/j.ejcts.2005.08.029

Cited by 35 publications

(40 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since this method's initial introduction by Floten et al, 1) a few clinical studies have confirmed that it is a feasible and safe technique providing successful exclusion of the false lumen from antegrade flow at the anastomotic level. 2,3) However, there are some experimental reports suggesting that, due to the extrinsic coagulation pathway via exposed adventitial collagen and tissue factor, inverted adventitia may elicit thrombus formation with subsequent embolization, 4) although the thrombogenicity of inverted adventitia has not been tested clinically to our knowledge. Wishing to address this technique's advantages and its potential complications, we integrated this method with our method of telescopic graft insertion.…”

Section: Discussionmentioning

confidence: 99%

“…One current method is the adventitial inversion technique, firstly reported by Floten et al 1) Recent studies confirmed this technique's feasibility and safeness, demonstrating that it facilitates thrombotic closure of the false lumen more effectively than other methods. 2,3) However, the intraluminal adventitia supposedly carries the risk of thrombus formation with subsequent embolization, which has been shown in experimental studies in small-caliber anastomoses. 4) To prevent this serious complication and improve hemostasis at the anastomotic site, we have developed a novel technique involving adventitial inversion employing, previously described by us, graft telescopic insertion.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adventitial Inversion with Graft Telescopic Insertion for Distal Anastomosis in Acute Type A Aortic Dissection

Rylski

Siepe

Blanke

et al. 2012

ATCS

View full text Add to dashboard Cite

Purpose: One current method of anastomosis in aortic dissection type A is the adventitial inversion technique. To improve hemostasis at the anastomotic site, we have developed a novel technique for distal anastomosis involving adventitial inversion employing graft telescopic insertion. Methods: The adventitia was inverted into the aortic lumen and the anastomosis with a Dacron tube-graft was made in a telescopic method, covering the inverted adventitia. Results: Five patients have undergone emergency ascending aortic replacement for aortic dissection by one surgeon using this technique. There have been no reoperations for bleeding or false aneurysm. Conclusion: Complete coverage of the inverted adventitia eliminated the potential risk of thrombus formation. Graft telescopic insertion lead to complete hemostasis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adventitial Inversion with Graft Telescopic Insertion for Distal Anastomosis in Acute Type A Aortic Dissection

Rylski

Siepe

Blanke

et al. 2012

ATCS

View full text Add to dashboard Cite

show abstract

“…The anastomosis of the aorta and vascular graft are generally performed using the adventitial inversion technique. 8,9) …”

Section: )mentioning

confidence: 99%

Direct and Transapical Central Cannulation for Acute Type A Aortic Dissection

Wada

Matsumura

Minematsu

et al. 2014

Annals of Vascular Diseases

View full text Add to dashboard Cite

Objective: The choice of cannulation site for the treatment of acute Stanford type A aortic dissection is much debated. We believe that central cannulation is quick to perform, easy to use, and safe to manage acute type A aortic dissection. Materials and Methods: We retrospectively investigated 26 cases of acute aortic dissection performed using two different central cannulation methods between April 2011 and March 2012. Direct ascending aortic cannulation was performed using the Seldinger technique in 20 patients, and transapical ascending aortic cannulation was performed in six patients in whom puncture was difficult. Results: Patients were 21-86 years old (mean age, 67 years). The surgical techniques used to treat aortic dissection were hemiarch repair in 21 patients and total arch replacement in 5 patients. The mean length of surgery was 393 min. One death (3.8%) was attributed to intestinal ischemia. Conclusion: During surgery for acute aortic dissection, central cannulation using either transapical or direct puncture can be performed quickly and safely, and satisfactory short-term outcomes can be obtained. Because acute aortic dissection can present with various conditions, there is no single perfect surgical or cannulation method; therefore, the choice of surgical procedure should be individualized for each patient.

show abstract

“…The ascending aorta was replaced in the usual manner. 3 The two saphenous vein grafts were relocated on the Dacron graft by the button technique using 5-0 polypropylene sutures (Fig. 3).…”

Section: Casementioning

confidence: 99%

Retrograde coronary sinus cardioplegia cannula placement under short-time circulatory arrest in surgery for a ruptured type A dissection with a previous coronary artery bypass

Abe

Nonaka

Terada

et al. 2011

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

A 79-year-old woman was referred to undergo surgery for a type A dissection. The patient had a history of previous coronary artery bypass. She was in shock and had a hematoma surrounding the ascending aorta and the heart. In this case, a coronary sinus cardioplegia cannula was placed under a short period of circulatory arrest via a small atriotomy, and the atriotomy was closed immediately to establish selective cerebral perfusion.

show abstract

Adventitial inversion technique without the aid of biologic glue or Teflon buttress for acute type A aortic dissection

Abstract: The adventitial inversion technique provides an excellent immediate hemostasis and facilitates thrombotic closure of the proximal and the distal false lumen in the treatment for acute type A aortic dissection.

Cited by 35 publications

References 24 publications

Adventitial Inversion with Graft Telescopic Insertion for Distal Anastomosis in Acute Type A Aortic Dissection

Adventitial Inversion with Graft Telescopic Insertion for Distal Anastomosis in Acute Type A Aortic Dissection

Direct and Transapical Central Cannulation for Acute Type A Aortic Dissection

Retrograde coronary sinus cardioplegia cannula placement under short-time circulatory arrest in surgery for a ruptured type A dissection with a previous coronary artery bypass

Contact Info

Product

Resources

About