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Article: Supra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results
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TitleSupra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results
 
AuthorsChan, YC1
Cheng, SWK1
Ting, AC1
Ho, P1
 
Issue Date2008
 
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jvs
 
CitationJournal Of Vascular Surgery, 2008, v. 48 n. 3, p. 571-579 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jvs.2008.04.047
 
AbstractBackground: Hybrid technique with open surgical supra-aortic extra-anatomical bypasses (to provide a suitable proximal landing zone) and simultaneous or staged thoracic endovascular stent grafting is less invasive than open surgery in the treatment of complex aortic arch pathology. The aim of this study is to report our hybrid experience. Methods: Retrospective review of prospectively collected computerized database. All patients had regular clinical and radiological computed tomography follow-up. Results: Sixteen patients (13 males and 3 females) with mean age of 64.8 (range 51-79) were treated with hybrid techniques between May 2005 and September 2007. There were nine elective, two urgent (within 2 weeks of presentation), and five emergency cases. Thirteen patients had arch or proximal descending thoracic aortic aneurysms, and six patients had aortic dissections. All extra-anatomical bypasses were performed simultaneously with stent grafts, with mean operating time of 331.2 (range 195-540) minutes. Eight patients had right to left carotid-carotid cross-over graft, five had bifurcating grafts from ascending aorta to innominate and left carotid artery, two had left carotid to left subclavian artery, and one had left carotid to aberrant right subclavian bypass graft. All patients had Cook Zenith thoracic stent grafts. Deployment success was 100%, with no endoleak on completion angiogram. There was no mortality. Three patients had postoperative nondebilitating stroke and no paraplegia. The mean follow-up was 14 (range 1-27) months. One reintervention was required, and two patients had type II endoleak treated conservatively. Conclusion: Supra-aortic hybrid procedures in treating aortic arch pathology are safe and effective, and early- to midterm results are encouraging. © 2008 The Society for Vascular Surgery.
 
ISSN0741-5214
2012 Impact Factor: 2.879
2012 SCImago Journal Rankings: 1.715
 
DOIhttp://dx.doi.org/10.1016/j.jvs.2008.04.047
 
ISI Accession Number IDWOS:000258837500008
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorChan, YC
 
dc.contributor.authorCheng, SWK
 
dc.contributor.authorTing, AC
 
dc.contributor.authorHo, P
 
dc.date.accessioned2010-05-31T03:59:56Z
 
dc.date.available2010-05-31T03:59:56Z
 
dc.date.issued2008
 
dc.description.abstractBackground: Hybrid technique with open surgical supra-aortic extra-anatomical bypasses (to provide a suitable proximal landing zone) and simultaneous or staged thoracic endovascular stent grafting is less invasive than open surgery in the treatment of complex aortic arch pathology. The aim of this study is to report our hybrid experience. Methods: Retrospective review of prospectively collected computerized database. All patients had regular clinical and radiological computed tomography follow-up. Results: Sixteen patients (13 males and 3 females) with mean age of 64.8 (range 51-79) were treated with hybrid techniques between May 2005 and September 2007. There were nine elective, two urgent (within 2 weeks of presentation), and five emergency cases. Thirteen patients had arch or proximal descending thoracic aortic aneurysms, and six patients had aortic dissections. All extra-anatomical bypasses were performed simultaneously with stent grafts, with mean operating time of 331.2 (range 195-540) minutes. Eight patients had right to left carotid-carotid cross-over graft, five had bifurcating grafts from ascending aorta to innominate and left carotid artery, two had left carotid to left subclavian artery, and one had left carotid to aberrant right subclavian bypass graft. All patients had Cook Zenith thoracic stent grafts. Deployment success was 100%, with no endoleak on completion angiogram. There was no mortality. Three patients had postoperative nondebilitating stroke and no paraplegia. The mean follow-up was 14 (range 1-27) months. One reintervention was required, and two patients had type II endoleak treated conservatively. Conclusion: Supra-aortic hybrid procedures in treating aortic arch pathology are safe and effective, and early- to midterm results are encouraging. © 2008 The Society for Vascular Surgery.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Vascular Surgery, 2008, v. 48 n. 3, p. 571-579 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jvs.2008.04.047
 
dc.identifier.doihttp://dx.doi.org/10.1016/j.jvs.2008.04.047
 
dc.identifier.epage579
 
dc.identifier.hkuros151672
 
dc.identifier.isiWOS:000258837500008
 
dc.identifier.issn0741-5214
2012 Impact Factor: 2.879
2012 SCImago Journal Rankings: 1.715
 
dc.identifier.issue3
 
dc.identifier.openurl
 
dc.identifier.pmid18639423
 
dc.identifier.scopuseid_2-s2.0-49749142615
 
dc.identifier.spage571
 
dc.identifier.urihttp://hdl.handle.net/10722/59910
 
dc.identifier.volume48
 
dc.languageeng
 
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jvs
 
dc.publisher.placeUnited States
 
dc.relation.ispartofJournal of Vascular Surgery
 
dc.relation.referencesReferences in Scopus
 
dc.rightsJournal of Vascular Surgery. Copyright © Mosby, Inc.
 
dc.subject.meshAged
 
dc.subject.meshAneurysm, Dissecting - radiography - surgery
 
dc.subject.meshAortic Aneurysm, Thoracic - radiography - surgery
 
dc.subject.meshAortography - methods
 
dc.subject.meshBlood Vessel Prosthesis
 
dc.subject.meshBlood Vessel Prosthesis Implantation - adverse effects - instrumentation
 
dc.subject.meshBrachiocephalic Trunk - surgery
 
dc.subject.meshCarotid Arteries - surgery
 
dc.subject.meshFemale
 
dc.subject.meshHumans
 
dc.subject.meshMale
 
dc.subject.meshMiddle Aged
 
dc.subject.meshProsthesis Design
 
dc.subject.meshReoperation
 
dc.subject.meshRetrospective Studies
 
dc.subject.meshStents
 
dc.subject.meshSubclavian Artery - surgery
 
dc.subject.meshTime Factors
 
dc.subject.meshTomography, X-Ray Computed
 
dc.subject.meshTreatment Outcome
 
dc.titleSupra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong