Aortic Aneurysmal Repair With Surtureless Visceral Revascularization Using Novel Hybrid Vascular Graft and a Gradual Funneling Technique

Bornak, Arash; Goldstein, Lee J.; Rey, Jorge; Medina, Andres; Yang, Junyuan; Velázquez, Omaida C.; Karmacharya, Jagajan

doi:10.1177/1538574412442252

Cited by 16 publications

(15 citation statements)

References 5 publications

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“…There are data suggesting a shortening of renal ischemia and total operative time in open and hybrid repair of TAAA with this graft. 3,26,27 Neither of the 2 patients treated with a 2-staged procedure in the current cohort required postoperative dialysis.…”

Section: Discussionmentioning

confidence: 98%

Hybrid Repair of Thoracoabdominal Aortic Aneurysms Is a Durable Option for High-Risk Patients in the Endovascular Era

Väärämäki

Suominen

Pimenoff

et al. 2016

Vasc Endovascular Surg

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Section: Discussionmentioning

confidence: 98%

Hybrid Repair of Thoracoabdominal Aortic Aneurysms Is a Durable Option for High-Risk Patients in the Endovascular Era

Väärämäki

Suominen

Pimenoff

et al. 2016

Vasc Endovascular Surg

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“…The device was released in the European market by Gore in 2012 and approved for hemodyalisis access, lower-limb bypass grafting, aortic arch debranching, and visceral revascularization. 15 Bornak et al 16 already report a modified use in a visceral debranching procedure with satisfying early patency.…”

Section: Discussionmentioning

confidence: 99%

Use of the Gore Hybrid Vascular Graft in a challenging high-lying extracranial carotid artery aneurysm

Nigro

Gatta

Pagliariccio

et al. 2014

Journal of Vascular Surgery

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Extracranial carotid artery aneurysm is a rare condition with relatively significant morbidity and mortality. When surgery is not indicated, endovascular techniques are emerging as the preferred treatment. However, even this approach may be contraindicated due to anatomic factors. We present a case of a high-lying extracranial carotid artery aneurysm with challenging anatomy unsuitable for conventional or endovascular repair. After resecting the aneurysm, the carotid artery was revascularized using the new Gore Hybrid Vascular Graft (W. L. Gore & Associates, Flagstaff, Ariz). This straightforward procedure turned out to be safe and further reduced the cerebral ischemic time.

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“…The device was released by Gore in 2012 in the European market and approved for hemodialysis access, lower limb bypass grafting, aortic arch debranching, and visceral revascularization. 22 Bornak et al 23 reported the first case of sutureless visceral artery revascularization using the GHVG in 2012. They described the treatment of a symptomatic TAAA involving the visceral segment and an infrarenal AAA.…”

Section: Discussionmentioning

confidence: 99%

The Gore Hybrid Vascular Graft in renovisceral debranching for complex aortic aneurysm repair

Setacci

Pecoraro

Chaykovska

et al. 2016

Journal of Vascular Surgery

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we analyzed outcomes of 13 patients who underwent open surgical debranching of renovisceral vessels for thoracoabdominal aortic aneurysm and PAAAs. All patients were considered at high risk for conventional surgery. Inclusion criterion was treatment by open surgical debranching of at least one visceral artery (renal artery, superior mesenteric artery [SMA], or celiac trunk [CT]) using the GHVG. In a second step, the aortic stent graft was implanted to exclude the aneurysm. If required, parallel grafts to the remaining visceral arteries were deployed in the same procedure. One patient had a symptomatic descending thoracic aortic aneurysm and another had a ruptured PAAA. Perioperative measured outcomes were immediate technical success rate, mortality, and morbidity. Median follow-up was 24.8 months (range, 0-15; mean, 8.2; standard deviation, 4 months).Results: All open surgical debranching of renovisceral vessels were completed as intended. GHVG was used to revascularize 20 visceral vessels in 13 patients with a mean of 1.54 vessels per patient. Six renal arteries (30%; 2 right and 4 left), 9 SMAs (45%), and 5 CTs (25%) were debranched. In nine of 13 (66%) patients, other renovisceral arteries were addressed with chimney/periscope, Viabahn Open Revascularization Technique, and end-to-side anastomosis. Two of 13 patients (15%) died of bowel ischemia. Neither patient had GHVG revascularization to the SMA or CT. Perioperative complications occurred in three patients (23%; 1 renal hematoma, 1 respiratory insufficiency, and 1 small-bowel ischemia related to a SMA GHVG thrombosis). At 24 months, estimated survival was 85%, and estimated primary and secondary patency were 94% and 100%, respectively. Conclusions: This limited series extracted from a more consistent hybrid procedure experience showed a mortality rate similar to most recent reports. Technical feasibility and the short-term patency rate of the GHVG for renovisceral debranching during staged hybrid open and endovascular procedures were satisfactory. Use of GHVGs may represent a useful revascularization adjunct to minimize visceral ischemia in these challenging patients. (J Vasc Surg 2016;64:33-8.)

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Aortic Aneurysmal Repair With Surtureless Visceral Revascularization Using Novel Hybrid Vascular Graft and a Gradual Funneling Technique

Cited by 16 publications

References 5 publications

Hybrid Repair of Thoracoabdominal Aortic Aneurysms Is a Durable Option for High-Risk Patients in the Endovascular Era

Hybrid Repair of Thoracoabdominal Aortic Aneurysms Is a Durable Option for High-Risk Patients in the Endovascular Era

Use of the Gore Hybrid Vascular Graft in a challenging high-lying extracranial carotid artery aneurysm

The Gore Hybrid Vascular Graft in renovisceral debranching for complex aortic aneurysm repair

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