Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching
ABSTRACT Introduction: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. Methods: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2022-04-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005003204&lng=en&tlng=en |
| _version_ | 1811249388485345280 |
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| author | Didem Melis Oztas Murat Ugurlucan Omer Ali Sayin Feza Ekiz Yilmaz Onal Metin Onur Beyaz Muzaffer Umutlu Mert Meric Bulent Acunas Ufuk Alpagut |
| author_facet | Didem Melis Oztas Murat Ugurlucan Omer Ali Sayin Feza Ekiz Yilmaz Onal Metin Onur Beyaz Muzaffer Umutlu Mert Meric Bulent Acunas Ufuk Alpagut |
| author_sort | Didem Melis Oztas |
| collection | DOAJ |
| description | ABSTRACT Introduction: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. Methods: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. Results: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. Conclusion: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care. |
| first_indexed | 2024-04-12T15:45:40Z |
| format | Article |
| id | doaj.art-9716b82c200045faba65bdad2a9d8858 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-12T15:45:40Z |
| publishDate | 2022-04-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-9716b82c200045faba65bdad2a9d88582022-12-22T03:26:40ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412022-04-0110.21470/1678-9741-2020-0705Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral DebranchingDidem Melis OztasMurat Ugurlucanhttps://orcid.org/0000-0003-4108-6405Omer Ali SayinFeza EkizYilmaz OnalMetin Onur BeyazMuzaffer UmutluMert MericBulent AcunasUfuk AlpagutABSTRACT Introduction: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. Methods: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. Results: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. Conclusion: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005003204&lng=en&tlng=enDissecting AneurysmThoracic Aortic AneurysmCoronary Artery BypassSaphenous VeinPolytetrafluoroethyleneRenal Artery |
| spellingShingle | Didem Melis Oztas Murat Ugurlucan Omer Ali Sayin Feza Ekiz Yilmaz Onal Metin Onur Beyaz Muzaffer Umutlu Mert Meric Bulent Acunas Ufuk Alpagut Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching Brazilian Journal of Cardiovascular Surgery Dissecting Aneurysm Thoracic Aortic Aneurysm Coronary Artery Bypass Saphenous Vein Polytetrafluoroethylene Renal Artery |
| title | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
| title_full | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
| title_fullStr | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
| title_full_unstemmed | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
| title_short | Follow-up Results of Endovascular Aneurysm Repair Following Abdominal Visceral Debranching |
| title_sort | follow up results of endovascular aneurysm repair following abdominal visceral debranching |
| topic | Dissecting Aneurysm Thoracic Aortic Aneurysm Coronary Artery Bypass Saphenous Vein Polytetrafluoroethylene Renal Artery |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005003204&lng=en&tlng=en |
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