Comparison of sacrificed healthy aorta during thoracoabdominal aortic aneurysm repair using off-the-shelf endovascular branched devices and open surgery

Journal of Vascular Surgery
Luca BertoglioYamume Tshomba

Abstract

Off-the-shelf devices for branched endovascular aortic repair of thoracoabdominal aortic aneurysm (TAAA) have been developed to overcome the manufacturing- and logistics-related delays characteristic of device customization. Nonetheless, the structural requirements of branched endovascular aortic repair, together with the need for additional thoracic components to suit different anatomies, might lead to a large sacrifice of healthy aorta. We enrolled 18 consecutive TAAA patients treated between 2010 and 2016 in two centers employing the off-the-shelf t-Branch (Cook Medical, Bloomington, Ind) device (TB group). We matched these 18 patients one-to-one with another 18 patients of the 464 consecutive TAAAs treated in the same period by means of open repair (O group) in one of the two centers. The patients were matched on the basis of t-Branch feasibility, distance from the left subclavian artery to the beginning of the aneurysm, and diameter of proximal landing zone evaluated at preoperative computed tomography angiography. We compared the overall length of sacrificed healthy native aorta (the sealing zone in the TB group) in the two groups according to postoperative computed tomography angiography, and we investigated the number o...Continue Reading

Citations

Jul 6, 2019·Annals of Vascular Diseases·Yuji Kanaoka, Takao Ohki
Oct 14, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Alessandro GrandiLuca Bertoglio
Oct 16, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Victor BilmanLuca Bertoglio
Dec 25, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Luca BertoglioRoberto Chiesa
Sep 28, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Alexander ZimmermannBenedikt Reutersberg

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