Hybrid Procedures for Thoracoabdominal Aortic Aneurysms

Ford, Peter F.

doi:10.1053/j.semvascsurg.2009.07.004

Cited by 16 publications

(6 citation statements)

References 26 publications

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“…Short-term to medium-term graft patency reported for debranched visceral/renal vessels are salutary, ranging from 89% to 100% over a mean follow-up of 4 to 46 months. 30 Our 3-year primary patency of 95% is in line with previously published reports, with an important observation in our series that late graft occlusion is uncommon. This suggests that one can expect durable graft patency assuming a technically proficient debranching procedure.…”

Section: Discussionsupporting

confidence: 93%

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Arch and visceral/renal debranching combined with endovascular repair for thoracic and thoracoabdominal aortic aneurysms

Ham

Chong

Moos

et al. 2011

Journal of Vascular Surgery

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Section: Discussionsupporting

confidence: 93%

“…,[5][6][7][8]17,21,[26][27][28][29][30] Reported operative mortality and neurologic complications (paraplegia and stroke) have been acceptable and in some reports are superior to traditional open repair. Zhou et al29 reported a recent experience using hybrid techniques in 31 patients, where approximately half had arch and half with varying extent TAAA.…”

mentioning

confidence: 99%

Arch and visceral/renal debranching combined with endovascular repair for thoracic and thoracoabdominal aortic aneurysms

Ham

Chong

Moos

et al. 2011

Journal of Vascular Surgery

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“…Recently, aortic debranching with bypass grafting of renal and visceral arteries has been successfully used during endovascular repair of juxtarenal or throacoabdominal aortic aneurysms. 18,19 In our case report, we used a similar hybrid technique. This exemplifies the expanding role of advanced endovascular therapies in conjunction with open surgical techniques.…”

Section: Discussionmentioning

confidence: 92%

A Novel Approach to the Management of an Inflammatory Abdominal Aortic Aneurysm Associated With Crossed-Fused Renal Ectopia

Tadros

Malik

Ellozy

et al. 2011

Annals of Vascular Surgery

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“…In debranching TEVAR for TAAA, various modifications of the bypass procedure to the abdominal splanchnic artery have been devised at many facilities. [22][23] Our method for bypass surgery is a combination of conventional open iliac artery-SMA bypass surgery for SMA occlusion and aneurysmectomy by the retroperitoneal approach. Since the procedure allows the avoidance of tissue detachment around the aneurysm or the pancreas except for Kocher mobilization as an advantage but…”

Section: Resultsmentioning

confidence: 99%

Innovative Application of Available Stent Grafts in Japan in Aortic Aneurysm Treatment—Significance of Innovative Debranching and Chimney Method and Coil Embolization Procedure

Fukui

Wada

Komatsu

et al. 2013

Annals of Vascular Diseases

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Objective: We here describe our experience with innovative uses of these devices. Patients and Methods: We reviewed treatment outcomes of 310 endovascular abdominal aortic repair (EVAR) and 83 thoracic endovascular aortic repair (TEVAR) cases performed between August 2007 and February 2012. We separately assessed results in elderly and high-risk patients who had a novel procedure. This group included 94 patients who underwent EVAR with IIA embolization, 10 patients who had EVAR and a renal artery chimney procedure for a short aortic neck, 20 patients who had two de-branching TEVAR or Chimney method for thoracic aortic aneurysms (TAA) and 3 patients who had debranching TEVAR for thoracic abdominal aortic aneurysms (TAAA). Results: Of the 393 patients given stent grafts (SGs), 3 (0.8%) died in the hospital, including 1 patient with pneumonia who underwent EVAR and IIA embolization and 1 patient with a cerebral infarction who had TEVAR. Four patients (4.3%) who were treated with EVAR with internal iliac artery (IIA) embolization presented with residual buttock claudication 6 months postoperatively, and 3 patients (3.2%) had onset of ischemic enteritis; however, in all 7 patients, the condition resolved without additional intervention. In the 10 patients who had EVAR and a renal artery chimney method, the landing zone (LZ) was ≤10 mm, but neither endoleak nor renal artery occlusion was observed perioperatively or during midterm follow-up. Of the 20 patients who had a 2-debranching TEVAR, including 9 in whom the chimney method was used with the LZ in zone 0, 1 (5%) had a residual endoleak. In 3 patients with TAAA, we used SGs to cover 4 abdominal branches and bypassed the visceral artery; the outcomes were good, with all patients being ambulatory at hospital discharge. Conclusion: Among innovative SGs treatments, the debranching procedure and the chimney method using catheterization and the coil-embolization technique provided good outcomes, as used in addition to surgical procedures. Aortic aneurysm treatment will become increasingly noninvasive with the continuing development of more innovative ways to use the SGs currently available in Japan. (*English Translation of Jpn J Vasc Surg 2012; 21: 165-173)

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Hybrid Procedures for Thoracoabdominal Aortic Aneurysms

Cited by 16 publications

References 26 publications

Arch and visceral/renal debranching combined with endovascular repair for thoracic and thoracoabdominal aortic aneurysms

Arch and visceral/renal debranching combined with endovascular repair for thoracic and thoracoabdominal aortic aneurysms

A Novel Approach to the Management of an Inflammatory Abdominal Aortic Aneurysm Associated With Crossed-Fused Renal Ectopia

Innovative Application of Available Stent Grafts in Japan in Aortic Aneurysm Treatment—Significance of Innovative Debranching and Chimney Method and Coil Embolization Procedure

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