Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study
The aim. To evaluate the immediate outcomes after complete single-stage or step-by-step reconstruction of the primary and secondary distal aortic dissection using implantation of bare metal stents in the thoracoabdominal aorta.Materials and methods. A prospective study was performed involving 21 pat...
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| Format: | Article |
| Language: | Russian |
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Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
2021-09-01
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| Series: | Сеченовский вестник |
| Subjects: | |
| Online Access: | https://www.sechenovmedj.com/jour/article/view/228 |
| _version_ | 1797873638905479168 |
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| author | M. A. Soborov O. V. Kanadashvili E. N. Belykh K. S. Baranov |
| author_facet | M. A. Soborov O. V. Kanadashvili E. N. Belykh K. S. Baranov |
| author_sort | M. A. Soborov |
| collection | DOAJ |
| description | The aim. To evaluate the immediate outcomes after complete single-stage or step-by-step reconstruction of the primary and secondary distal aortic dissection using implantation of bare metal stents in the thoracoabdominal aorta.Materials and methods. A prospective study was performed involving 21 patients (19 male) with aortic dissection: 8 had secondary distal dissection (group 1) and 13 had primary distal dissection (group 2). In all patients, indications for intervention were signs of malperfusion in one or more vascular regions. The following factors were evaluated: 30-day survival after surgery, causes of fatal outcomes, frequency and characteristics of non-fatal complications.Results. The average age in group 1 was 43.0 ± 3.1 years, in group 2: 56.0 ± 3.9 years (p < 0.05). The most common cause of dissection in group 1 was connective tissue dysplasia, in group 2 – atherosclerosis in combination with arterial hypertension (p < 0.05). In group 1, 1 (13%) lethal outcome was registered, in group 2 – 4 (31%), the difference between the groups was not significant. Lethal complications were: multiple organ failure, stent implantation in the false aortic canal, aortic rupture, and thrombosis of the superior mesenteric artery. Non-fatal complications developed in group 1 in 3 (38%), in group 2 – in 3 (23%) patients, the difference between the groups is not significant. Among the non-lethal complications, malperfusion of the upper and lower extremities was diagnosed, requiring stent placement, prosthetics or bypass surgery; cerebrospinal circulation disorder, acute cerebrovascular accident, multiple organ failure, conservatively treated.Conclusion. The survival rate for 30 days after a complete single-stage or step-by-step reconstruction of the primary and secondary distal aortic dissection using implantation of bare metal stents in the thoracoabdominal aorta is 76%, the frequency of non – fatal complications is 28%. |
| first_indexed | 2024-04-10T01:19:30Z |
| format | Article |
| id | doaj.art-49a33e433a754d23b7609c7d1c226058 |
| institution | Directory Open Access Journal |
| issn | 2218-7332 2658-3348 |
| language | Russian |
| last_indexed | 2024-04-10T01:19:30Z |
| publishDate | 2021-09-01 |
| publisher | Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) |
| record_format | Article |
| series | Сеченовский вестник |
| spelling | doaj.art-49a33e433a754d23b7609c7d1c2260582023-03-13T09:51:34ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482021-09-01121182910.47093/2218-7332.2021.12.1.18-29175Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center studyM. A. Soborov0O. V. Kanadashvili1E. N. Belykh2K. S. Baranov3Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)The aim. To evaluate the immediate outcomes after complete single-stage or step-by-step reconstruction of the primary and secondary distal aortic dissection using implantation of bare metal stents in the thoracoabdominal aorta.Materials and methods. A prospective study was performed involving 21 patients (19 male) with aortic dissection: 8 had secondary distal dissection (group 1) and 13 had primary distal dissection (group 2). In all patients, indications for intervention were signs of malperfusion in one or more vascular regions. The following factors were evaluated: 30-day survival after surgery, causes of fatal outcomes, frequency and characteristics of non-fatal complications.Results. The average age in group 1 was 43.0 ± 3.1 years, in group 2: 56.0 ± 3.9 years (p < 0.05). The most common cause of dissection in group 1 was connective tissue dysplasia, in group 2 – atherosclerosis in combination with arterial hypertension (p < 0.05). In group 1, 1 (13%) lethal outcome was registered, in group 2 – 4 (31%), the difference between the groups was not significant. Lethal complications were: multiple organ failure, stent implantation in the false aortic canal, aortic rupture, and thrombosis of the superior mesenteric artery. Non-fatal complications developed in group 1 in 3 (38%), in group 2 – in 3 (23%) patients, the difference between the groups is not significant. Among the non-lethal complications, malperfusion of the upper and lower extremities was diagnosed, requiring stent placement, prosthetics or bypass surgery; cerebrospinal circulation disorder, acute cerebrovascular accident, multiple organ failure, conservatively treated.Conclusion. The survival rate for 30 days after a complete single-stage or step-by-step reconstruction of the primary and secondary distal aortic dissection using implantation of bare metal stents in the thoracoabdominal aorta is 76%, the frequency of non – fatal complications is 28%.https://www.sechenovmedj.com/jour/article/view/228aortic dissectionprosthetics of the ascending aorta and aortic archprosthetics of the descending thoracic aortastent graftbare metal stentsurvival ratecomplications |
| spellingShingle | M. A. Soborov O. V. Kanadashvili E. N. Belykh K. S. Baranov Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study Сеченовский вестник aortic dissection prosthetics of the ascending aorta and aortic arch prosthetics of the descending thoracic aorta stent graft bare metal stent survival rate complications |
| title | Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study |
| title_full | Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study |
| title_fullStr | Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study |
| title_full_unstemmed | Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study |
| title_short | Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study |
| title_sort | immediate outcomes of simultaneous and step by step reconstruction of aortic dissection a single center study |
| topic | aortic dissection prosthetics of the ascending aorta and aortic arch prosthetics of the descending thoracic aorta stent graft bare metal stent survival rate complications |
| url | https://www.sechenovmedj.com/jour/article/view/228 |
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