Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection

Feng, Jiaxuan; Lu, Qingsheng; Zhao, Zhi‐Qing; Bao, Junmin; Xiao, Feng; Qu, Lefeng; Zhou, Jian; Jing, Zaiping

doi:10.1016/j.jvs.2012.06.117

Cited by 51 publications

(56 citation statements)

References 34 publications

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“…16,17 We would consider using bare stents to prevent rupture induced by the proximal stent-graft only when the true lumen is compressed extensively, as others have recommended. 18,19 Although successful treatment of the distal tear at the CA by the combined use of a bare stent and coils has been reported, 20 we still worry about the dislocation of coils and also the effectiveness against large intimal tears. Thus, we think its application is limited.…”

Section: Discussionmentioning

confidence: 99%

Midterm Results of Intentional Celiac Artery Coverage During TEVAR for Type B Aortic Dissection

Shu²,

Li³

et al. 2013

Journal of Endovascular Therapy

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Section: Discussionmentioning

confidence: 99%

Midterm Results of Intentional Celiac Artery Coverage During TEVAR for Type B Aortic Dissection

Shu²,

Li³

et al. 2013

Journal of Endovascular Therapy

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“…45,50,51,[109][110][111] Distal SINE typically occurs as a late complication and is associated with aortic expansion. 51 Its incidence varies from 6.3% to 27%.…”

Section: Stent-graft-induced New Entry Tearmentioning

confidence: 99%

“…Restrictive bare stenting as an adjunctive technique to TEVAR has been shown to reduce distal SINE in dissected aortas. 111 Notably, there is ongoing debate on this topic, as it is challenging to accurately identify the stent-graft as a cause of new entry tears. 112 …”

Section: Stent-graft-induced New Entry Tearmentioning

confidence: 99%

Biomechanical Changes After Thoracic Endovascular Aortic Repair in Type B Dissection

et al. 2015

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Thoracic endovascular aortic repair (TEVAR) has evolved into an established treatment option for type B aortic dissection (TBAD) since it was first introduced 2 decades ago. Morbidity and mortality have decreased due to the minimally invasive character of TEVAR, with adequate stabilization of the dissection, restoration of true lumen perfusion, and subsequent positive aortic remodeling. However, several studies have reported severe setbacks of this technique. Indeed, little is known about the biomechanical behavior of implanted thoracic stent-grafts and the impact on the vascular system. This study sought to systematically review the performance and behavior of implanted thoracic stent-grafts and related biomechanical aortic changes in TBAD patients in order to update current knowledge and future perspectives.

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“…Our previous study indicated that excessive oversizing was potential risk factor of reintervention . It was conceivable that too big oversizing would affect the vascular remodeling of postoperative aorta, resulting in more adverse events such as retrograde type A dissection, stent graft‐induced new entry and distal redissection . Therefore, the oversizing of stent graft for AAD should be recommended and restricted less than 10%, even nearly zero.…”

Section: Discussionmentioning

confidence: 99%

“…21 It was conceivable that too big oversizing would affect the vascular remodeling of postoperative aorta, resulting in more adverse events such as retrograde type A dissection, 22,23 stent graft-induced new entry and distal redissection. 24,25 Therefore, the oversizing of stent graft for AAD should be recommended and restricted less than 10%, even nearly zero. But the reason why the female patients had more adverse events was still obscure.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of endovascular repair of ascending aortic dissection

Zhang

et al. 2019

Cathet Cardio Intervent

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Background Endovascular repair has been used in selected ascending aortic dissection patients judged unfit for direct open surgery. However, the selective criteria and the results of endovascular repair of ascending aortic dissection, and the potential risk factors of adverse events were still obscure. The aim of this study was to summarize the published data linking endovascular therapy for ascending aortic dissection. Methods Studies reporting endovascular repair of ascending aortic dissections were identified by searching PubMed and Embase databases in accordance with preferred reporting items for systematic reviews and meta‐analyses guidelines, and by reviewing the reference lists of retrieved articles. All available data were pooled and the subgroup analyses were conducted. Results A total of nine studies were identified according to the inclusion criteria. The overall technical success was 91.7%. The mean period of follow‐up was 34.7 months. The early mortality within 30 days and late mortality during the follow‐up were 10.3% and 19.0%, respectively. The incidence of endoleak was 14.3%. In the subgroup analysis, we found that female and oversizing >10% were risk factors of adverse events. Conclusions The pooled results suggested that endovascular repair of ascending aortic dissection was feasible, promising, and inspiring. The selection of endovascular therapy should be cautious based on preoperative evaluation. Application of different strategies for different ascending lesions should be considered. The dedicated endograft for ascending aorta is desperately needed before broader application of endovascular repair for ascending aortic pathologies can be achieved.

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Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection

Cited by 51 publications

References 34 publications

Midterm Results of Intentional Celiac Artery Coverage During TEVAR for Type B Aortic Dissection

Midterm Results of Intentional Celiac Artery Coverage During TEVAR for Type B Aortic Dissection

Biomechanical Changes After Thoracic Endovascular Aortic Repair in Type B Dissection

Systematic review of endovascular repair of ascending aortic dissection

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