Single-center experience with an inner branched arch endograft

Tsilimparis, Nikolaos; Detter, Christian; Law, Yuk; Rohlffs, Fiona; Heidemann, Franziska; Brickwedel, J.; Kodolitsch, Yskert Von; Debus, Eike Sebastian; Kölbel, Tilo

doi:10.1016/j.jvs.2018.07.076

Cited by 88 publications

(76 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In recent years, arch branched endografts have been developed as a new technique for revascularization of supra-aortic branches. Despite encouraging initial results, further studies are required to standardize this technique [19,20,21]. Chimney technique to extend the proximal landing zone in TEVAR is feasible in the majority of vascular centers, with satisfied midterm outcomes, but not without a risk of major complications [22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

A case report of a hybrid procedure (visceral and partial aortic arch debranching) in the treatment of a challenging aneurysm of the thoracoabdominal aorta in the endovascular era

et al. 2020

View full text Add to dashboard Cite

Introduction This paper aimed to present a hybrid approach as a less invasive and acceptable treatment. Case outline Because of respiratory failure, the patient was deemed at high risk for open repair. Standard thoracic endovascular aortic repair (TEVAR) was unfeasible, so the patient underwent the hybrid procedure-partial aortic arch debranching at the first stage, followed by visceral debranching and endovascular exclusion of thoracic aortic aneurysm as a final procedure. The postoperative course was uneventful and the patient was discharged 10 days after TEVAR and visceral debranching. Conclusion Staged hybrid procedure with combined debranching of the aortic arch and visceral arteries is feasible and should be considered as an alternative treatment option in patients with high-risk for open repair.

show abstract

Section: Discussionmentioning

confidence: 99%

A case report of a hybrid procedure (visceral and partial aortic arch debranching) in the treatment of a challenging aneurysm of the thoracoabdominal aorta in the endovascular era

et al. 2020

View full text Add to dashboard Cite

show abstract

“…These results showed improved outcomes when compared with a previous multicentre study of 38 patients that reported 13% mortality and a stroke rates of 16% (Please see Table 1) [21]. Recently, a single centre experience of custom-made inner branched arch endograft with two internal branches (Cook Medical, Bloomington, IN, USA) and left-sided carotid to SCA bypass of 54 consecutive patients has reported a technical success rate of 98% and a 30-day mortality and major stroke incidence of 5.5% and 5.5%, respectively [22]. No retrograde type A dissections or cardiac injuries were observed.…”

Section: Arch Branched Graftsmentioning

confidence: 99%

Various Endoluminal Approaches Available for Treating Pathologies of the Aortic Arch

Anwar

Hamady

2020

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

Open surgical repair of the aortic arch for degenerative aortic disease in an unfit patient is associated with significant morbidity and mortality. Endoluminal techniques have advanced over the last decade. Contemporary endovascular options including a hybrid approach (supra-aortic debranching and aortic stent graft), inner branched endograft, chimney stents, and scallop or fenestrated endografts are being used frequently as an alternative to open surgical arch repair. Understanding of the available endoluminal technology along with careful planning and effective teamwork is required to minimise complications associated with the endoluminal techniques, particularly neurological ones. Custom made techniques are superior to chimney or parallel technology in terms of their complications and durability. Integration of the protective devices such as embolic protection filters into stent design may reduce the risk of poor neurological sequelae. Long-term data are needed to assess the durability of these devices.

show abstract

“…1,2 Endovascular repair of aortic arch pathologies is a feasible treatment option, with good early and reasonable midterm outcomes. [3][4][5] Hybrid procedures, in situ fenestrations, parallel endograft techniques, fenestrated thoracic endovascular aortic repair (TEVAR), and branched TEVAR have been used to treat aortic arch diseases. [5][6][7][8][9][10] Use of a branched arch endograft for emergent treatment of a contained rupture of the ascending aorta may present challenges and require new maneuvers to successfully complete the implantation.…”

Section: Introductionmentioning

confidence: 99%

Emergent Use of a Branched Arch Device to Treat an Ascending Aortic Rupture: A Branch-to-Branch Through-and-Through Wire Technique to Compensate for Rotation Error

et al. 2019

Self Cite

View full text Add to dashboard Cite

Purpose: To present a novel means of overcoming a rotation error when treating a ruptured ascending aorta with a branched arch endograft. Technique: The technique is demonstrated in an 83-year-old patient with cardiac and respiratory comorbidities and a contained rupture of the ascending aorta who was referred for endovascular therapy. Computed tomography angiography (CTA) showed progressive pseudoaneurysm and mediastinal hematoma, but the limited landing zone required the use of an inner branched arch endograft that was designed for another patient. The device became malrotated clockwise during deployment, so cannulation of the first inner branch was done using a branch-to-branch through-and-through wire from the second inner branch. The final angiogram showed a good result, with patency of the supra-aortic vessels and exclusion of the rupture. The patient was discharged 2 weeks later without complications. The 1-month CTA was free from endoleak. The patient returned to his normal activity 3 months later. Conclusion: The use of a branched arch stent-graft for emergent repair of a ruptured ascending aorta is feasible.

show abstract

Single-center experience with an inner branched arch endograft

Cited by 88 publications

References 25 publications

A case report of a hybrid procedure (visceral and partial aortic arch debranching) in the treatment of a challenging aneurysm of the thoracoabdominal aorta in the endovascular era

A case report of a hybrid procedure (visceral and partial aortic arch debranching) in the treatment of a challenging aneurysm of the thoracoabdominal aorta in the endovascular era

Various Endoluminal Approaches Available for Treating Pathologies of the Aortic Arch

Emergent Use of a Branched Arch Device to Treat an Ascending Aortic Rupture: A Branch-to-Branch Through-and-Through Wire Technique to Compensate for Rotation Error

Contact Info

Product

Resources

About