A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery
OBJECTIVES: Aortic dissection with aberrant right subclavian artery (ARSA) is rare but fatal, with its optimal treatment remaining controversial. In this retrospective study, we presented the outcome of endovascular repair for these patients, aiming to evaluate the efficacy and safety of this techni...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Vascular Investigation and Therapy |
| Subjects: | |
| Online Access: | http://www.vitonline.org/article.asp?issn=2589-9686;year=2023;volume=6;issue=3;spage=74;epage=78;aulast=Liu |
| _version_ | 1827295419010383872 |
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| author | Yunchong Liu Weibin Wu Ridong Wu Mian Wang Guangqi Chang Chen Yao Zilun Li |
| author_facet | Yunchong Liu Weibin Wu Ridong Wu Mian Wang Guangqi Chang Chen Yao Zilun Li |
| author_sort | Yunchong Liu |
| collection | DOAJ |
| description | OBJECTIVES: Aortic dissection with aberrant right subclavian artery (ARSA) is rare but fatal, with its optimal treatment remaining controversial. In this retrospective study, we presented the outcome of endovascular repair for these patients, aiming to evaluate the efficacy and safety of this technique.
MATERIALS AND METHODS: From January 2016 to January 2022, seven patients diagnosed with aortic dissection with ARSA in the First Affiliated Hospital of Sun Yat-sen University were enrolled. All these seven patients received thoracic endovascular aortic repair (TEVAR) within 1 week after their admission to our center. The data of baseline characteristics, imaging parameters, perioperative information, and follow-up were collected till March 2023.
RESULTS: The mean age was 48.57 ± 9.41 years. Kommerell diverticulum was found in 2 (28.6%) patients. Among these seven patients, 4 (57.1%) were treated by TEVAR + branched stent graft + chimney technique, 2 (28.6%) were treated by TEVAR + chimney technique, and 1 (14.3%) was treated by TEVAR + chimney and periscope techniques. The mean time of procedures was 196.67 ± 31.18 min. Clinical success was achieved in 6 (85.7%) patients, while 1 (14.3%) patient died of nonaortic related cause. Bird beak configuration was discovered in 4 (57.1%) patients with an average length of 17.87 ± 3.93 mm and angle of 21.9° ±3.70°. One early type I endoleak and one mild cerebral ischemia were discovered, and recovered spontaneously before discharge. The diameter of the aorta remained stable, and no complication was found during the follow-up of the six patients.
CONCLUSION: Endovascular repair of aortic dissection with ARSA was feasible and safe, with a favorable early to mid-term outcome. |
| first_indexed | 2024-04-24T14:20:13Z |
| format | Article |
| id | doaj.art-3616ce45825844a498bfbb748ac315f8 |
| institution | Directory Open Access Journal |
| issn | 2589-9686 2589-9481 |
| language | English |
| last_indexed | 2024-04-24T14:20:13Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Vascular Investigation and Therapy |
| spelling | doaj.art-3616ce45825844a498bfbb748ac315f82024-04-03T06:47:53ZengWolters Kluwer Medknow PublicationsVascular Investigation and Therapy2589-96862589-94812023-01-0163747810.4103/2589-9686.389887A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian arteryYunchong LiuWeibin WuRidong WuMian WangGuangqi ChangChen YaoZilun LiOBJECTIVES: Aortic dissection with aberrant right subclavian artery (ARSA) is rare but fatal, with its optimal treatment remaining controversial. In this retrospective study, we presented the outcome of endovascular repair for these patients, aiming to evaluate the efficacy and safety of this technique. MATERIALS AND METHODS: From January 2016 to January 2022, seven patients diagnosed with aortic dissection with ARSA in the First Affiliated Hospital of Sun Yat-sen University were enrolled. All these seven patients received thoracic endovascular aortic repair (TEVAR) within 1 week after their admission to our center. The data of baseline characteristics, imaging parameters, perioperative information, and follow-up were collected till March 2023. RESULTS: The mean age was 48.57 ± 9.41 years. Kommerell diverticulum was found in 2 (28.6%) patients. Among these seven patients, 4 (57.1%) were treated by TEVAR + branched stent graft + chimney technique, 2 (28.6%) were treated by TEVAR + chimney technique, and 1 (14.3%) was treated by TEVAR + chimney and periscope techniques. The mean time of procedures was 196.67 ± 31.18 min. Clinical success was achieved in 6 (85.7%) patients, while 1 (14.3%) patient died of nonaortic related cause. Bird beak configuration was discovered in 4 (57.1%) patients with an average length of 17.87 ± 3.93 mm and angle of 21.9° ±3.70°. One early type I endoleak and one mild cerebral ischemia were discovered, and recovered spontaneously before discharge. The diameter of the aorta remained stable, and no complication was found during the follow-up of the six patients. CONCLUSION: Endovascular repair of aortic dissection with ARSA was feasible and safe, with a favorable early to mid-term outcome.http://www.vitonline.org/article.asp?issn=2589-9686;year=2023;volume=6;issue=3;spage=74;epage=78;aulast=Liuaberrant right subclavian arteryaortic dissectionthoracic endovascular aortic repair |
| spellingShingle | Yunchong Liu Weibin Wu Ridong Wu Mian Wang Guangqi Chang Chen Yao Zilun Li A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery Vascular Investigation and Therapy aberrant right subclavian artery aortic dissection thoracic endovascular aortic repair |
| title | A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery |
| title_full | A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery |
| title_fullStr | A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery |
| title_full_unstemmed | A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery |
| title_short | A retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery |
| title_sort | retrospective study of endovascular repair of aortic dissection with aberrant right subclavian artery |
| topic | aberrant right subclavian artery aortic dissection thoracic endovascular aortic repair |
| url | http://www.vitonline.org/article.asp?issn=2589-9686;year=2023;volume=6;issue=3;spage=74;epage=78;aulast=Liu |
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