| Hybrid-procedures for the treatment of thoracoabdominal aortic aneurysms and dissections. | |
| | |
MedLine Citation:
|
PMID: 17056286 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: The conventional open repair of thoracoabdominal aneurysms and dissections remains complex and demanding and is associated with significant morbidity and mortality. We present our experience of hybrid open and endovascular treatment of thoracoabdominal aneurysms and dissections. METHODS: Within an experience of 226 aortic stent-grafts between 1998 and April 2006, 6 of the patients (median age 60 years, range 35 to 68 years) with thoracoabdominal aneurysms (Crawford type I, II, III, and V) were treated with a combined endovascular and open surgical approach. Five men and one woman, with median aneurysm diameter of 75 mm (range 70-100 mm), received revascularization of the renal arteries, the superior mesenteric artery, and the coeliac trunk accomplished via transperitoneal bypass grafting. Aneurysmal exclusion was then performed by stent-graft deployment. RESULTS: The entire procedure was technically successful in all patients. The patients were discharged a median of 9 days after the operation, while the postoperative studies revealed the patency of the vessels and no evidence of type I endoleak or secondary rupture of the aneurysm. During follow up (1 to 22 months) spiral-CT scanning revealed distinct shrinkage of the aneurysm, no graft migration or endoleak and patency of all revascularised vessels, except one renal artery in two patients. No patient experienced any temporary or permanent neurological deficit, and no dialysis was necessary. CONCLUSION: The combined endovascular and open surgical approach is feasible, without cross clamping of the aorta and with minimized ischemia time for renal and visceral arteries, and seems to be an appropriate strategy for patients with a thoraco-abdominal aortic aneurysm or dissection. |
| | |
Authors:
|
M Gawenda; M Aleksic; J Heckenkamp; V Reichert; A Gossmann; J Brunkwall |
Related Documents
:
|
18639416 - Basic fibroblast growth factor slow release stent graft for endovascular aortic aneurys... 12546576 - Aortomonoiliac stent-grafts for abdominal aortic aneurysm repair: association with ilio... 8800226 - Deployment technique and histopathological evaluation of an endoluminal vascular prosth... 18572356 - Colonic ischemia complicating open vs endovascular abdominal aortic aneurysm repair. 1554976 - The surgical anatomy of ventricular septal defect. 8456706 - Treatment of a spontaneous carotid cavernous fistula using an electrodetachable microcoil. |
Publication Detail:
|
Type: Journal Article Date: 2006-10-23 |
Journal Detail:
|
Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: 33 ISSN: 1078-5884 ISO Abbreviation: Eur J Vasc Endovasc Surg Publication Date: 2007 Jan |
Date Detail:
|
Created Date: 2006-12-12 Completed Date: 2007-02-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: England |
Other Details:
|
Languages: eng Pagination: 71-7 Citation Subset: IM |
Affiliation:
|
Division of Vascular Surgery, Medical Centre, University of Cologne, Cologne, Germany. michael.gawenda@medizin.uni-koeln.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aneurysm, Dissecting / physiopathology, radiography, surgery* Angioplasty* Aortic Aneurysm, Abdominal / physiopathology, radiography, surgery* Aortic Aneurysm, Thoracic / physiopathology, radiography, surgery* Celiac Artery / surgery Female Follow-Up Studies Humans Male Mesenteric Artery, Superior / surgery Middle Aged Radiography, Interventional Renal Artery / surgery Severity of Illness Index Time Factors Tomography, Spiral Computed Treatment Outcome Vascular Patency Vascular Surgical Procedures / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Spontaneously hypertensive, Wistar Kyoto and Sprague-Dawley rats differ in their use of place and re...
Next Document: Rapid genetic mapping in Neurospora crassa.