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Article: Supra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results

TitleSupra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results
Authors
Issue Date2008
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jvs
Citation
Journal Of Vascular Surgery, 2008, v. 48 n. 3, p. 571-579 How to Cite?
Abstract
Background: 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.
Persistent Identifierhttp://hdl.handle.net/10722/59910
ISSN
2013 Impact Factor: 2.980
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, YCen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorTing, ACen_HK
dc.contributor.authorHo, Pen_HK
dc.date.accessioned2010-05-31T03:59:56Z-
dc.date.available2010-05-31T03:59:56Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Vascular Surgery, 2008, v. 48 n. 3, p. 571-579en_HK
dc.identifier.issn0741-5214en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59910-
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.en_HK
dc.languageengen_HK
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/jvsen_HK
dc.relation.ispartofJournal of Vascular Surgeryen_HK
dc.rightsJournal of Vascular Surgery. Copyright © Mosby, Inc.en_HK
dc.subject.meshAgeden_HK
dc.subject.meshAneurysm, Dissecting - radiography - surgeryen_HK
dc.subject.meshAortic Aneurysm, Thoracic - radiography - surgeryen_HK
dc.subject.meshAortography - methodsen_HK
dc.subject.meshBlood Vessel Prosthesisen_HK
dc.subject.meshBlood Vessel Prosthesis Implantation - adverse effects - instrumentationen_HK
dc.subject.meshBrachiocephalic Trunk - surgeryen_HK
dc.subject.meshCarotid Arteries - surgeryen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshProsthesis Designen_HK
dc.subject.meshReoperationen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshStentsen_HK
dc.subject.meshSubclavian Artery - surgeryen_HK
dc.subject.meshTime Factorsen_HK
dc.subject.meshTomography, X-Ray Computeden_HK
dc.subject.meshTreatment Outcomeen_HK
dc.titleSupra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm resultsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0741-5214&volume=48&issue=3&spage=571&epage=579&date=2008&atitle=Supra-aortic+hybrid+endovascular+procedures+for+complex+thoracic+aortic+disease:+single+center+early+to+midterm+resultsen_HK
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hken_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityChan, YC=rp00530en_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jvs.2008.04.047en_HK
dc.identifier.pmid18639423en_HK
dc.identifier.scopuseid_2-s2.0-49749142615en_HK
dc.identifier.hkuros151672en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-49749142615&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume48en_HK
dc.identifier.issue3en_HK
dc.identifier.spage571en_HK
dc.identifier.epage579en_HK
dc.identifier.isiWOS:000258837500008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, YC=27170769400en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridTing, AC=7102858552en_HK
dc.identifier.scopusauthoridHo, P=24469553100en_HK

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