Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years
INTRODUCTION: The descending thoracic aorta (DTA) has been used as inflow mostly as a secondary option for revascularization after either graft failure/infection or other intra-abdominal pathologies contraindicating a standard abdominal aortic approach. The objective of this review is to summarize...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Sociedade Portuguesa de Angiologia e Cirurgia Vascular
2023-11-01
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| Series: | Angiologia e Cirurgia Vascular |
| Subjects: | |
| Online Access: | https://acvjournal.com/index.php/acv/article/view/551 |
| _version_ | 1797454170096140288 |
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| author | Celso Nunes Ricardo V. Pereira João O'neil Pedrosa Vânia Oliveira Eduardo Silva Leonor Baldaia Miguel Silva Gabriel Anacleto |
| author_facet | Celso Nunes Ricardo V. Pereira João O'neil Pedrosa Vânia Oliveira Eduardo Silva Leonor Baldaia Miguel Silva Gabriel Anacleto |
| author_sort | Celso Nunes |
| collection | DOAJ |
| description |
INTRODUCTION: The descending thoracic aorta (DTA) has been used as inflow mostly as a secondary option for revascularization after either graft failure/infection or other intra-abdominal pathologies contraindicating a standard abdominal aortic approach. The objective of this review is to summarize current evidence on the use of this inflow site for revascularization procedures.
METHODS: A comprehensive electronic literature search was performed, using PubMed and Embase databases. All literature published in English in the last 30 years was considered. The main goal was to assess the feasibility and practicality of implementing this approach in cases of severe and complex aortoiliac lesions.
RESULTS: Our review comprised 11 articles. DTA has been used predominately as a secondary option. The 30-day mortality rate was 4% (9/222). Secondary graft patency at 5-years was generally high across all studies. The use of DTA as inflow has been shown to be a safe and effective option for aorto-iliac reconstruction.
CONCLUSION: DTA can be used safely as an inflow for lower-limb revascularization and it remains an important tool in the vascular surgeon's armamentarium.
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| first_indexed | 2024-03-09T15:34:16Z |
| format | Article |
| id | doaj.art-a9e9d1bd666945be802666df34b99ccb |
| institution | Directory Open Access Journal |
| issn | 1646-706X 2183-0096 |
| language | Portuguese |
| last_indexed | 2024-03-09T15:34:16Z |
| publishDate | 2023-11-01 |
| publisher | Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
| record_format | Article |
| series | Angiologia e Cirurgia Vascular |
| spelling | doaj.art-a9e9d1bd666945be802666df34b99ccb2023-11-26T10:48:17ZporSociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular1646-706X2183-00962023-11-0119310.48750/acv.551Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 yearsCelso Nunes0Ricardo V. Pereira1João O'neil Pedrosa2Vânia Oliveira3Eduardo Silva4Leonor Baldaia5Miguel Silva6Gabriel Anacleto7Vascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, PortugalVascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, PortugalVascular and Cardiothoracic Surgery Department, Hospital da Luz, Lisboa, PortugalVascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, PortugalVascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, PortugalVascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, PortugalVascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, PortugalVascular Surgery Department, Centro Hospitalar e Universitário de Coimbra, Portugal INTRODUCTION: The descending thoracic aorta (DTA) has been used as inflow mostly as a secondary option for revascularization after either graft failure/infection or other intra-abdominal pathologies contraindicating a standard abdominal aortic approach. The objective of this review is to summarize current evidence on the use of this inflow site for revascularization procedures. METHODS: A comprehensive electronic literature search was performed, using PubMed and Embase databases. All literature published in English in the last 30 years was considered. The main goal was to assess the feasibility and practicality of implementing this approach in cases of severe and complex aortoiliac lesions. RESULTS: Our review comprised 11 articles. DTA has been used predominately as a secondary option. The 30-day mortality rate was 4% (9/222). Secondary graft patency at 5-years was generally high across all studies. The use of DTA as inflow has been shown to be a safe and effective option for aorto-iliac reconstruction. CONCLUSION: DTA can be used safely as an inflow for lower-limb revascularization and it remains an important tool in the vascular surgeon's armamentarium. https://acvjournal.com/index.php/acv/article/view/551Descending thoracic aorta bypassdescending Thoracic Aortavisceral aortacoral reef aortaopen surgerychronic limb ischemia |
| spellingShingle | Celso Nunes Ricardo V. Pereira João O'neil Pedrosa Vânia Oliveira Eduardo Silva Leonor Baldaia Miguel Silva Gabriel Anacleto Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years Angiologia e Cirurgia Vascular Descending thoracic aorta bypass descending Thoracic Aorta visceral aorta coral reef aorta open surgery chronic limb ischemia |
| title | Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
| title_full | Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
| title_fullStr | Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
| title_full_unstemmed | Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
| title_short | Descending Thoracic Aorta as inflow for primary revascularization of aorto-iliac occlusive disease – review of the last 30 years |
| title_sort | descending thoracic aorta as inflow for primary revascularization of aorto iliac occlusive disease review of the last 30 years |
| topic | Descending thoracic aorta bypass descending Thoracic Aorta visceral aorta coral reef aorta open surgery chronic limb ischemia |
| url | https://acvjournal.com/index.php/acv/article/view/551 |
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