Advertisement

Topics

Hybrid repair of aortic arch aneurysm in high-risk patients.

06:00 EDT 6th August 2010 | BioPortfolio

Summary of "Hybrid repair of aortic arch aneurysm in high-risk patients."


OBJECTIVES:
Morbidity and mortality after conventional surgery of aortic arch aneurysms remain high. Alternative techniques are the subject of this report. METHODS AND
RESULTS:
Open surgery requires cardiopulmonary bypass and hypothermic circulatory arrest. Thoracic endovascular aneurysm repair has a less invasive therapeutic alternative. The number of high-risk patients has considerably increased over the past decade. The proximity of the aneurysm to the supraaortic vessels makes it difficult to achieve a satisfactory proximal landing zone for endovascular stenting. Two methods have been proposed to address this issue: branched stent grafts and extraanatomic bypass, defined as a hybrid approach, which combines aortic debranching and endovascular procedures. Experience with hybrid repair is limited. Today there are no formal guidelines for the management of aortic arch aneurysm in high-risk patients.
CONCLUSION:
Hybrid repair of aortic arch aneurysm in high-risk patients is a feasible and safer option.

Affiliation

aDepartment of Cardiothoracic Surgery, Division of Cardiac Surgery, Italy bDivison of Vascular Surgery, Italy cDivision of Radiology, San Giovanni Battista Hospital, University of Turin, Turin, Italy.

Journal Details

This article was published in the following journal.

Name: Journal of cardiovascular medicine (Hagerstown, Md.)
ISSN: 1558-2035
Pages:

Links

DeepDyve research library

PubMed Articles [53100 Associated PubMed Articles listed on BioPortfolio]

Endovascular treatment of an early arch aneurysm rupture after open thoracoabdominal aortic repair.

Optimal treatment for synchronous aortic aneurysms is still debated. Staged repair is advocated as the standard of care. Its disadvantage however is the consistent risk of rupture of the untreated aor...

Sternum-sparing hybrid repair of a symptomatic innominate artery aneurysm in a frail patient with bovine aortic arch.

We present the case of a 65-year-old man with a bovine aortic arch variation, who presented a symptomatic aneurysm of the innominate artery. Standard open repair was contra-indicated and an hybride ap...

Open Surgical Repair Remains the Gold Standard for Treating Aortic Arch Pathology.

Endovascular arch repair technology is driven in large part by the assumption that open arch operations are high-risk. We wanted to evaluate the clinical results of open arch reconstruction in the mod...

Redo Thoracoabdominal Aortic Aneurysm Repair: A Single-Center Experience Over 25 Years.

Aortic disease is a lifelong, progressive illness that may require repeated intervention over time. We reviewed our 25-year experience with open redo thoracoabdominal aortic aneurysm (TAAA) and descen...

Incidence of and risk factors for bowel ischemia after abdominal aortic aneurysm repair.

Bowel ischemia is a rare but devastating complication after abdominal aortic aneurysm (AAA) repair. Its rarity has prohibited extensive risk-factor analysis, particularly since the widespread adoption...

Clinical Trials [7604 Associated Clinical Trials listed on BioPortfolio]

Thoraflex™ Hybrid IDE Study

The study will assess the effectiveness and safety of the Thoraflex™ Hybrid Device in the treatment of aortic disease affecting the aortic arch and the descending aorta, with or without ...

Dutch Randomised Endovascular Aneurysm Management (DREAM-) Trial

The purpose of this trial is to assess whether the new endovascular repair technique of the abdominal aortic aneurysm (AAA) is an adequate substitute of the conventional AAA repair.

Endovascular Exclusion of Abdominal Aortic Aneurysms in High Risk Patients

The purpose of this study is to assess the role of abdominal aneurysm and iliac aneurysm exclusion using an endovascular prosthesis.

Elective Abdominal Aortic Aneurism - Open Versus Endovascular Repair

Abdominal aortic aneurysm (AAA) is a life threatening disease. There is a consensus to propose surgical repair in patients with a reasonable operative risk when the AAA exceeds 5 cm in dia...

Evaluation of the Endovascular Repair for Aortic Aneurysm (EVAR) Program at LHSC

The purpose of this study is to compare the cost effectiveness, quality of life and outcomes of the endovascular stent graft repair with the open surgical repair of abdominal aortic aneury...

Medical and Biotech [MESH] Definitions

Small clusters of chemoreceptive and supporting cells located near the ARCH OF THE AORTA; the PULMONARY ARTERIES; and the coronary arteries. The aortic bodies sense PH; CARBON DIOXIDE; and oxygen concentrations in the BLOOD and participate in the control of RESPIRATION. The aortic bodies should not be confused with the PARA-AORTIC BODIES in the abdomen (which are sometimes also called aortic bodies).

Postoperative hemorrhage from an endovascular AORTIC ANEURYSM repaired with endoluminal placement of stent grafts (BLOOD VESSEL PROSTHESIS IMPLANTATION). It is associated with pressurization, expansion, and eventual rupture of the aneurysm.

Cardiovascular manifestations of SYPHILIS, an infection of TREPONEMA PALLIDUM. In the late stage of syphilis, sometimes 20-30 years after the initial infection, damages are often seen in the blood vessels including the AORTA and the AORTIC VALVE. Clinical signs include syphilitic aortitis, aortic insufficiency, or aortic ANEURYSM.

An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.

Solitary lesions of bone that typically cause a bulging of the overlying cortex bearing some resemblance to the saccular protrusion of the aortic wall in aortic aneurysm, hence the name. (Dorland, 27th ed)

Quick Search
Advertisement
 


DeepDyve research library

Relevant Topics

Stent
A stent is a small mesh tube that's used to treat narrow or weak arteries. Arteries are blood vessels that carry blood away from your heart to other parts of your body.  A stent is placed in an artery as part of a procedure called angioplasty. &...

Blood
Blood is a specialized bodily fluid that delivers necessary substances to the body's cells (in animals) – such as nutrients and oxygen – and transports waste products away from those same cells.  In vertebrates, it is composed of blo...


Searches Linking to this Article