Document Detail

Hybrid treatment of isolated aortic arch aneurysms.
MedLine Citation:
PMID:  19774446     Owner:  NLM     Status:  MEDLINE    
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.
D Lagan?; G Carrafiello; D Lumia; A Ianniello; F Fontana; M Mangini; P Castelli; C Fugazzola
Related Documents :
10836236 - Radical aortic replacement employing simultaneous modified bentall and elephant trunk p...
19290546 - Hoxa3 and signaling molecules involved in aortic arch patterning and remodeling.
20396656 - Haemoptysis - a rare presentation of aortic ane urysm.
7475156 - Modified surgical techniques for relief of aortic obstruction in [s,l,l] hearts with ru...
17485016 - The diagnostic value of adenosine stress-contrast echocardiography for diagnosis of cor...
19069356 - Carotid artery restenosis in a hispanic population.
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    
Vascular and Interventional Radiology, Department of Radiology, University of Insubria, Varese, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Aortic Aneurysm, Thoracic / radiography*,  surgery*
Blood Vessel Prosthesis Implantation / methods*
Brachiocephalic Trunk / surgery
Carotid Artery, Common / surgery
Feasibility Studies
Follow-Up Studies
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

Previous Document:  Contrast-enhanced ultrasonography in blunt abdominal trauma: considerations after 5 years of experie...
Next Document:  MR imaging findings of elastofibroma dorsi in correlation with pathological features: our experience...