Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective study
ObjectiveTo evaluate the outcomes of thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD) with aberrant right subclavian artery (ARSA).MethodsA retrospective analysis was conducted on patients with TBAD and ARSA who underwent TEVAR between the period of January 2017 and De...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1277286/full |
| _version_ | 1797401573797658624 |
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| author | Yanzhang Zeng Ping Yuan Qiang He |
| author_facet | Yanzhang Zeng Ping Yuan Qiang He |
| author_sort | Yanzhang Zeng |
| collection | DOAJ |
| description | ObjectiveTo evaluate the outcomes of thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD) with aberrant right subclavian artery (ARSA).MethodsA retrospective analysis was conducted on patients with TBAD and ARSA who underwent TEVAR between the period of January 2017 and December 2022. Patient demographics, computed tomography angiography (CTA) measurements, surgical procedures, and postoperative outcomes were reviewed.ResultsA total of 9 patients (6 males and 3 females) were included in the study. 4 ARSA were reconstructed, 3 by periscope technique and 1 by in vitro fenestration technique. 3 left subclavian arteries (LSA) were reconstructed, 1 by the chimney technique and 2 by the single-branched stent technique. 2 patients underwent reconstruction of both ARSA and LSA. The overall technical success rate was 100%, with no occurrences of stroke, paraplegia, or mortality within 30 days. 1 patient experienced immediate type Ia endoleak, which resolved after 3 months. 1 patient developed weakness in the right upper limb, while 1 patient presented mild subclavian steal syndrome (SSS); both cases showed recovery during follow-up. The average follow-up duration was 35.6 ± 11.1 months, during which no reinterventions, deaths, or strokes were observed.ConclusionOur limited experience involving 9 patients demonstrates that early and mid-term outcomes of TEVAR for the treatment of TBAD with ARSA are satisfactory. |
| first_indexed | 2024-03-09T02:12:03Z |
| format | Article |
| id | doaj.art-c379060def3849ae8f237f2ead5098cd |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-09T02:12:03Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-c379060def3849ae8f237f2ead5098cd2023-12-07T09:46:02ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-12-011010.3389/fcvm.2023.12772861277286Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective studyYanzhang Zeng0Ping Yuan1Qiang He2Department of Vascular and Thyroid Surgery, Guizhou Provincial People’s Hospital, Guiyang, ChinaDepartment of Vascular and Thyroid Surgery, Guizhou Provincial People’s Hospital, Guiyang, ChinaDepartment of Intervention, Guizhou Provincial People’s Hospital, Guiyang, ChinaObjectiveTo evaluate the outcomes of thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD) with aberrant right subclavian artery (ARSA).MethodsA retrospective analysis was conducted on patients with TBAD and ARSA who underwent TEVAR between the period of January 2017 and December 2022. Patient demographics, computed tomography angiography (CTA) measurements, surgical procedures, and postoperative outcomes were reviewed.ResultsA total of 9 patients (6 males and 3 females) were included in the study. 4 ARSA were reconstructed, 3 by periscope technique and 1 by in vitro fenestration technique. 3 left subclavian arteries (LSA) were reconstructed, 1 by the chimney technique and 2 by the single-branched stent technique. 2 patients underwent reconstruction of both ARSA and LSA. The overall technical success rate was 100%, with no occurrences of stroke, paraplegia, or mortality within 30 days. 1 patient experienced immediate type Ia endoleak, which resolved after 3 months. 1 patient developed weakness in the right upper limb, while 1 patient presented mild subclavian steal syndrome (SSS); both cases showed recovery during follow-up. The average follow-up duration was 35.6 ± 11.1 months, during which no reinterventions, deaths, or strokes were observed.ConclusionOur limited experience involving 9 patients demonstrates that early and mid-term outcomes of TEVAR for the treatment of TBAD with ARSA are satisfactory.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1277286/fulltype B aortic dissectionaberrant right subclavian arterythoracic aortic endovascular aortic repairretrospective studyoutcome analysis |
| spellingShingle | Yanzhang Zeng Ping Yuan Qiang He Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective study Frontiers in Cardiovascular Medicine type B aortic dissection aberrant right subclavian artery thoracic aortic endovascular aortic repair retrospective study outcome analysis |
| title | Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective study |
| title_full | Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective study |
| title_fullStr | Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective study |
| title_full_unstemmed | Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective study |
| title_short | Thoracic endovascular aortic repair for type B aortic dissection with aberrant right subclavian artery: a single-center retrospective study |
| title_sort | thoracic endovascular aortic repair for type b aortic dissection with aberrant right subclavian artery a single center retrospective study |
| topic | type B aortic dissection aberrant right subclavian artery thoracic aortic endovascular aortic repair retrospective study outcome analysis |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1277286/full |
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