Document Detail


Hybrid treatment of isolated aortic arch aneurysms.
MedLine Citation:
PMID:  19774446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This study sought to assess the feasibility and effectiveness of hybrid treatment of isolated aortic arch aneurysms. MATERIALS AND METHODS: Between December 2000 and December 2006, we selected 14 patients affected by 14 isolated aortic arch aneurysms. All patients had involvement of the left subclavian artery, four of the innominate artery and four of the left carotid artery. All patients underwent intentional exclusion of the left subclavian artery and placement of a straight graft; four patients underwent supra-aortic vessel transposition and four underwent carotid-carotid bypass in one case combined with carotid-subclavian bypass. The procedures were planned with multislice computed tomography (MSCT), in some cases associated with virtual endoscopy. The follow-up was performed with MSCT angiography at 1, 3, 6 and 12 months and yearly thereafter. RESULTS: Immediate technical success was achieved in 100% of cases. There were four ischaemic attacks (three transient ischaemic attacks and one stroke). During follow-up (range 12-48, average 21 months), we observed two type-I endoleaks that were treated by endograft extension, in one case associated with supra-aortic vessel transposition, and two type-II endoleaks that were treated with embolisation. CONCLUSIONS: Hybrid treatment for aortic arch aneurysms is feasible and provides good short-term results, although it requires accurate planning. Further studies are needed to verify the long-term results.
Authors:
D Lagan?; G Carrafiello; D Lumia; A Ianniello; F Fontana; M Mangini; P Castelli; C Fugazzola
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Publication Detail:
Type:  Journal Article     Date:  2009-09-22
Journal Detail:
Title:  La Radiologia medica     Volume:  114     ISSN:  1826-6983     ISO Abbreviation:  Radiol Med     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-02-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  1130-40     Citation Subset:  IM    
Affiliation:
Vascular and Interventional Radiology, Department of Radiology, University of Insubria, Varese, Italy. donlaga@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Aneurysm, Thoracic / radiography*,  surgery*
Blood Vessel Prosthesis Implantation / methods*
Brachiocephalic Trunk / surgery
Carotid Artery, Common / surgery
Feasibility Studies
Female
Follow-Up Studies
Humans
Male
Middle Aged
Radiography, Interventional
Retrospective Studies
Subclavian Artery / surgery
Tomography, X-Ray Computed*
Vascular Surgical Procedures / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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