Long-Term Results of Open Stent-Grafting Using a Matsui-Kitamura Stent to Treat Thoracic Aortic Aneurysm

Midorikawa, Hirofumi; Kanno, Megumu; Takano, Takashi; Watanabe, Kouyu; Ueno, Kyohei; Ono, Takashi; Satou, Kouichi

doi:10.5761/atcs.oa.14-00104

“…Reports have emerged on the use of branched OSGs with one to three self-expanding stented side branches in an attempt to facilitate distal anastomosis and arch reconstruction [78,79]. Favorable long-term outcomes have also been achieved with the Matsui-Kitamura stent graft [80].…”

Section: Commentsmentioning

confidence: 99%

Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Ma¹,

Zheng²,

Sun³

et al. 2015

aorta

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With growing experience in patients with aneurysms and dissections in the arch and proximal descending aorta, the frozen elephant trunk (FET) technique has been shown to be safe and effective, and has achieved favorable short to mid-term outcomes. As the FET technique is gaining wider acceptance, there is a growing need for versatile, technically simple, and highly durable open stented grafts involving less complicated deployment mechanisms enabling use in various indications. This paper gives a brief review on the technical aspects and clinical outcomes of currently available open stented grafts used in the FET technique, including the E-vita Open Plus, Thoraflex Hybrid, Cronus, and J Graft. While none of these grafts can claim to be an ideal device, technology continues to improve towards this goal. As newer devices and systems are developed, more widespread use of the FET technique can be expected; such progress promises to improve the clinical outcomes and quality of life for patients with complex aortic diseases. With growing experience in patients with aneurysms and dissections of the arch and proximal descending aorta, the FET technique has been shown to be safe and effective, with favorable early and long-term outcomes [16][17][18][19][20][21][22][23][24]. Accordingly, the FET technique is gaining wider acceptance among the cardiovascular surgical community, resulting

show abstract

Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Ma

¹

,

Zheng

²

,

Sun

³

et al. 2015

Aorta

View full text Add to dashboard Cite

With growing experience in patients with aneurysms and dissections in the arch and proximal descending aorta, the frozen elephant trunk (FET) technique has been shown to be safe and effective, and has achieved favorable short to mid-term outcomes. As the FET technique is gaining wider acceptance, there is a growing need for versatile, technically simple, and highly durable open stented grafts involving less complicated deployment mechanisms enabling use in various indications. This paper gives a brief review on the technical aspects and clinical outcomes of currently available open stented grafts used in the FET technique, including the E-vita Open Plus, Thoraflex Hybrid, Cronus, and J Graft. While none of these grafts can claim to be an ideal device, technology continues to improve towards this goal. As newer devices and systems are developed, more widespread use of the FET technique can be expected; such progress promises to improve the clinical outcomes and quality of life for patients with complex aortic diseases. With growing experience in patients with aneurysms and dissections of the arch and proximal descending aorta, the FET technique has been shown to be safe and effective, with favorable early and long-term outcomes [16][17][18][19][20][21][22][23][24]. Accordingly, the FET technique is gaining wider acceptance among the cardiovascular surgical community, resulting

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Distal Perfusion in Open Stent-Grafting

Midorikawa

¹

,

Kanno

²

,

Suzuki

³

et al. 2016

J. J. C. V. S.

2

0

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We examined the utility of distal perfusion DP in open stent grafting OSG for the treatment of thoracic aortic aneurysm. : Fifty patients who underwent OSG were categorized into two groups the Non-DP group and the DP group based on the presence or absence of distal perfusion in OSG. There was no statistically significant difference between the two groups with regard to patient characteristics. : There was no statistically significant difference between the two groups with regard to operation time, but, cardiopulmonary bypass time 178 22 min vs. 193 18 min ; p 0.01 and aortic cross clamp time 84 23 min vs. 106 19 min ; p 0.01 were significantly longer in the DP group. Lower-body circulatory arrest time 46 11 min vs. 20 5 min ; p 0.001 was significantly longer in the Non-DP group. Postoperative paraplegia and paraparesis occurred in one case each in the Non-DP group, whereas permanent spinal cord ischemia did not occur in the DP group. Postoperative intubation time 72.6 40.1 h vs. 40.1 34.7 h ; p 0.05 was significantly longer in the Non-DP group. There were two in-hospital deaths due to stroke and respiratory failure in the Non-DP group, and one in-hospital death due to respiratory failure in the DP group. The postoperative maximum value of BUN 38.

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Long-Term Results of Open Stent-Grafting Using a Matsui-Kitamura Stent to Treat Thoracic Aortic Aneurysm

Cited by 6 publications

References 15 publications

Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Distal Perfusion in Open Stent-Grafting

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