Hybrid Treatment of Aortic Arch Disease.

Metzger, Patrick Bastos; Rossi, Fábio Henrique; Moreira, Samuel Martins; Issa, Mário; Izukawa, Nilo Mitsuru; Dinkhuysen, Jarbas J; Neto, Domingos Spina; Kambara, Antônio Massamitsu

doi:10.5935/1678-9741.20140056

Cited by 7 publications

(3 citation statements)

References 24 publications

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“… 1 Re-intervention rates of up to 25% have been described, predominantly to treat type I endoleaks. 2 , 4 , 5 There is little in the literature concerning HAR in the treatment of ABF as this is a rare clinical condition and a relative novel technique.…”

Section: Discussionmentioning

confidence: 99%

Salvage Procedure Using a Chimney Endograft for Early Cerebral Ischaemia after Hybrid Aortic Arch Repair of a Primary Aorto-bronchial Fistula

Cappelle

Coppin

Thieren

et al. 2018

EJVES Short Reports

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IntroductionHybrid aortic arch repair for the treatment of aorto-bronchial fistulas has been suggested as a safe alternative to open repair. However, surgical morbidity and mortality are still significant and re-intervention is sometimes inevitable.ReportSuccessful rescue by a hybrid approach is reported in a 76 year old woman who was transferred from another centre with recurrent episodes of left hemiplegia shortly after debranching of the supra-aortic vessels and thoracic aortic stent grafting for an aorto-bronchial fistula associated with a true aneurysm at the level of origin of the left subclavian artery. Investigation revealed partial coverage of the ostium of the brachiocephalic artery and Type Ib and II endoleaks. In the first stage a chimney graft was put into the brachiocephalic trunk, and in the second stage the left subclavian artery was plugged and the thoracic stent graft was extended distally. Completion angiography showed restoration of the supra-aortic blood flow and no residual endoleaks. After 1 year follow up the patient was doing well with no recurrent neurological events and no signs of infection.DiscussionProcedure related problems should be suspected first when early post-operative complications occur after a hybrid aortic arch repair. The chimney graft technique is a valuable option for unintentional covering of a critical supra-aortic branch. Nevertheless, the importance of precise positioning during initial thoracic stent graft placement should be emphasised.

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Section: Discussionmentioning

confidence: 99%

Salvage Procedure Using a Chimney Endograft for Early Cerebral Ischaemia after Hybrid Aortic Arch Repair of a Primary Aorto-bronchial Fistula

Cappelle

Coppin

Thieren

et al. 2018

EJVES Short Reports

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“…TEVAR is a safe and effective procedure to treat both aneurysms and dissections involving the descending aorta with relative low risk [ 12 , 13 ] . The landing zone was soon extended proximally in order to treat more extensive segments of the aorta, reducing the morbimortality when compared with conventional techniques [ 14 - 16 ] .…”

Section: Discussionmentioning

confidence: 99%

Hybrid Approach of Aortic Diseases: Zone 1 Delivery and Volumetric Analysis on the Descending Aorta

Duncan¹,

Dias²,

Dinato³

et al. 2017

Braz J Cardiovasc Surg

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IntroductionConventional techniques of surgical correction of arch and descending aortic diseases remains as high-risk procedures. Endovascular treatments of abdominal and descending thoracic aorta have lower surgical risk. Evolution of both techniques - open debranching of the arch and endovascular approach of the descending aorta - may extend a less invasive endovascular treatment for a more extensive disease with necessity of proximal landing zone in the arch.ObjectiveTo evaluate descending thoracic aortic remodeling by means of volumetric analysis after hybrid approach of aortic arch debranching and stenting the descending aorta.MethodsRetrospective review of seven consecutive patients treated between September 2014 and August 2016 for diseases of proximal descending aorta (aneurysms and dissections) by hybrid approach to deliver the endograft at zone 1. Computed tomography angiography were analyzed using a specific software to calculate descending thoracic aorta volumes pre- and postoperatively.ResultsFollow-up was done in 100% of patients with a median time of 321 days (range, 41-625 days). No deaths or permanent neurological complications were observed. There were no endoleaks or stent migrations. Freedom from reintervention was 100% at 300 days and 66% at 600 days. Median volume reduction was of 45.5 cm3, representing a median volume shrinkage by 9.3%.ConclusionHybrid approach of arch and descending thoracic aorta diseases is feasible and leads to a favorable aortic remodeling with significant volume reduction.

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“…5 16 Em estudo realizado com pacientes com doenças da aorta torácica e tratamento híbrido, a prevalência da HA foi identificada em 100% da amostra. 17 A hipertensão também é apontada como fator predeterminante para ocorrência de AA e também para a ruptura do aneurisma. 3,9 Em relação à DM, apenas sete (10,8%) indivíduos neste estudo eram acometidos por esta comorbidade.…”

Section: Discussionunclassified

Diagnósticos de enfermagem ao paciente hospitalizado para correção de aneurisma de aorta

Ribeiro¹,

Nogueira

Poveda

2017

Rev Enferm UFSM

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RESUMO: Objetivo: identificar os Diagnósticos de Enfermagem (DE) mais frequentes dos pacientes hospitalizados para correção de aneurisma de aorta elencados pelos enfermeiros de uma instituição hospitalar especializada em doenças cardiovasculares, e descrever o perfil sociodemográfico e clínico desses pacientes. Método: estudo exploratório, descritivo, retrospectivo e quantitativo. Foram revisados prontuários de 65 pacientes com diagnóstico de aneurisma de aorta. Os dados foram analisados de forma quantitativa empregando-se estatística descritiva. Resultados: a maioria dos indivíduos era do sexo masculino (69,2%), sedentários (83,1%) e hipertensos (56,9%). Os diagnósticos de enfermagem mais prevalentes foram: risco de infecção, risco de constipação, risco de privação do sono, risco para débito cardíaco diminuído, rompimento do vínculo familiar e risco de queda. Considerações finais: para elencar DE fidedignos, o enfermeiro deve usar sua competência, habilidade e conhecimento técnico-científico para fixar prioridades condizentes com o estado presente de saúde do paciente e assim instituir intervenções assertivas e resolutivas. Descritores: Aneurisma; Aneurisma aórtico; Diagnóstico de enfermagem; Enfermagem. ABSTRACT: Aim

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Hybrid Treatment of Aortic Arch Disease.

Cited by 7 publications

References 24 publications

Salvage Procedure Using a Chimney Endograft for Early Cerebral Ischaemia after Hybrid Aortic Arch Repair of a Primary Aorto-bronchial Fistula

Salvage Procedure Using a Chimney Endograft for Early Cerebral Ischaemia after Hybrid Aortic Arch Repair of a Primary Aorto-bronchial Fistula

Hybrid Approach of Aortic Diseases: Zone 1 Delivery and Volumetric Analysis on the Descending Aorta

Diagnósticos de enfermagem ao paciente hospitalizado para correção de aneurisma de aorta

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