Document Detail


Treatment of aortic arch aneurysms with a modular transfemoral multibranched stent-graft: initial experience.
MedLine Citation:
PMID:  23410767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present an initial experience with a new modular transfemoral multibranched stent-graft for treating aortic arch aneurysms.
METHODS: Six patients, considered high risk for open surgery, were treated with a custom-made branched stent-graft. Two patients had aortic arch aneurysms, three had descending thoracic aortic aneurysms involving the distal arch, and one had a saccular aneurysm of the arch adjacent to the origin of the innominate artery. All patients had undergone a staged left carotid subclavian bypass before the endovascular procedure. Each branched graft had a 12-mm side branch for the innominate artery and an 8-mm side branch for the left common carotid artery. The branches were extended into their respective target arteries with covered self-expanding stents.
RESULTS: Aneurysm exclusion without endoleak was successful in 5 of the 6 patients, and 11 of the 12 target vessels were successfully cannulated and preserved. Patient 1 developed a type I endoleak that was managed successfully with coiling and gluing of the aneurysm sac. Patients 2, 3, 5, and 6 had uneventful placement of the prostheses, with successful exclusion of the aneurysm sac. In patient 4, cannulation of the innominate branch was unsuccessful, and an extra-anatomic bypass was necessary to perfuse the right carotid and vertebral arteries.
CONCLUSIONS: We have demonstrated the technical feasibility of a modular transfemoral branched stent-graft for treatment of aortic arch aneurysms. Our initial experience has shown that the method is relatively safe. Long-term follow-up is necessary to evaluate the efficacy and safety of this new device.
Authors:
Cherrie Z Abraham; Christos Lioupis
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Publication Detail:
Type:  Journal Article; Retracted Publication    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  145     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-15     Completed Date:  2013-04-25     Revised Date:  2013-10-22    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S110-7     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013. Published by Mosby, Inc.
Affiliation:
Division of Vascular Surgery, Department of Surgery, McGill University, Jewish General Hospital, Montreal, Quebec, Canada. cherriezack@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aorta, Thoracic / radiography,  surgery*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Aortography / methods
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects,  instrumentation*
Endoleak / etiology,  therapy
Endovascular Procedures / adverse effects,  instrumentation*
Humans
Male
Middle Aged
Prosthesis Design
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Comments/Corrections
Retraction In:
J Thorac Cardiovasc Surg. 2013 Sep;146(3):737   [PMID:  24137649 ]

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


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