First experience with the double chimney technique in the treatment of aortic arch diseases

Journal of Vascular Surgery
Tun WangJian Qiu

Abstract

The objective of this study was to summarize our initial experience using the double chimney technique to treat aortic arch diseases. From December 2009 to October 2016, 23 patients with aortic arch diseases, including 20 acute aortic dissections, 2 aortic arch aneurysms, and 1 type I endoleak after thoracic endovascular aortic repair (TEVAR), were treated using a double chimney technique. An emergent operation was performed in only one patient with an acute aortic dissection for severe left lower extremity ischemia. All patients were observed after TEVAR with computed tomography scans at 2 weeks, at 3 and 6 months, and annually thereafter. In all patients, aortic arch lesions were covered, and supra-aortic branches were patent without morbidity. In 22 patients, the innominate artery (IA) and left common carotid artery were reconstructed with the proximal landing zone in zone 0; in 1 patient, the left common carotid artery and left subclavian artery were reconstructed. During the procedure, there were three (13.0%) type I endoleaks. Chimney stent graft migration occurred in one (4.3%) patient perioperatively; compression of a chimney stent graft occurred in one (4.3%) patient 4 days after TEVAR. There were no type II endoleaks ...Continue Reading

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Citations

Sep 2, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mingyao LuoChang Shu
May 24, 2019·BioMed Research International·Jiasheng XuWeimin Zhou
Jun 1, 2021·Interactive Cardiovascular and Thoracic Surgery·Changtian WangEnrico Ferrari
Sep 16, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Chang ShuMo Wang

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