Total Endovascular Repair With Parallel Stent-Grafts for Postdissection Thoracoabdominal Aneurysm After Prior Proximal Repair

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Junjun LiuZaiping Jing

Abstract

Purpose: To evaluate the safety and efficacy of total endovascular repair with parallel stent-grafts for postoperative residual dissection thoracoabdominal aortic aneurysm (TAAA). Materials and Methods: A retrospective study was undertaken of 21 patients (mean age 64.0±12.5 years; 17 men) undergoing total endovascular therapy with parallel stent-grafts for postdissection TAAA after prior proximal repair between 2014 and 2016. The preoperative minimum true lumen diameter was 12.3±4.8 mm and the mean extent of dissection was 248.1±48.2 mm. Pre-, intra-, and postoperative medical records were reviewed to assess technical success, spinal cord ischemia, patency of target branch arteries, endoleak, and short-term outcomes of this approach. Results: Technical success was achieved in 17 of 21 patients owing to 4 type I endoleaks at the end of the procedures. A total of 70 branch arteries were revascularized and 14 celiac trunks were covered intentionally without reconstruction. Of 7 intraoperative endoleaks, 2 were managed intraoperatively and 5 (4 type I and 1 type II) disappeared spontaneously within 1 month. No spinal cord or abdominal organ or limb ischemia was observed. Mean follow-up was 16.2±6.1 months. No death or type I or III...Continue Reading

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Citations

Jun 11, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Yuan-Hao TongZhao Liu
Oct 3, 2020·Journal of Cardiothoracic Surgery·Zhaoxiang ZengZaiping Jing
Aug 14, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Lixin WangWeiguo Fu
Feb 23, 2021·Journal of Vascular and Interventional Radiology : JVIR·Zhaoxiang ZengZaiping Jing
Aug 18, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Junjun LiuMingYuan Liu

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Methods Mentioned

BETA
dissection
dissections
SMA

Software Mentioned

SPSS

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