Partial debranching hybrid stent graft for distal aortic arch aneurysms View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-08

AUTHORS

Hiroyuki Ishibashi, Tsuneo Ishiguchi, Takashi Ohta, Ikuo Sugimoto, Hirohide Iwata, Tetsuya Yamada, Masao Tadakoshi, Noriyuki Hida, Yuki Orimoto

ABSTRACT

PURPOSE: To evaluate the early outcomes of treating distal aortic arch aneurysms (DAAAs) with a partial debranching hybrid stent graft, and to analyze the morphology of distances among the supra-aortic branches. METHODS: We used this stent graft to treat DAAA in 12 patients, by debranching the left common carotid artery (LCCA) and the left subclavian artery (LSA). With computed tomography (CT) data on the collective total 28 thoracic aortic aneurysms, the distances from the LSA to the LCCA and those from the LSA to the brachiocephalic artery (BA) were measured using multiplanar reconstruction (MPR) and centerline of flow (CLF) methods. RESULTS: All procedures were done in two stages and all stent grafts were deployed in zone-1. The devices used were the TALENT in seven patients and the TAG in five patients. There were no operative deaths, paraplegia, or type-1 or -3 endoleaks. One patient suffered minor cerebral infarction. The distance from the LSA to the BA was longer than that from the LSA to the LCCA by 10 mm in the CLF method and by 13 mm in the MPR method. CONCLUSIONS: It was possible to achieve a longer proximal landing zone by debranching two supra-aortic branches, the LCCA and the LSA. The partial debranching hybrid stent graft was less invasive and more effective for DAAAs. More... »

PAGES

765-769

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-012-0139-3

DOI

http://dx.doi.org/10.1007/s00595-012-0139-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1018543872

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22318637


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43 schema:description PURPOSE: To evaluate the early outcomes of treating distal aortic arch aneurysms (DAAAs) with a partial debranching hybrid stent graft, and to analyze the morphology of distances among the supra-aortic branches. METHODS: We used this stent graft to treat DAAA in 12 patients, by debranching the left common carotid artery (LCCA) and the left subclavian artery (LSA). With computed tomography (CT) data on the collective total 28 thoracic aortic aneurysms, the distances from the LSA to the LCCA and those from the LSA to the brachiocephalic artery (BA) were measured using multiplanar reconstruction (MPR) and centerline of flow (CLF) methods. RESULTS: All procedures were done in two stages and all stent grafts were deployed in zone-1. The devices used were the TALENT in seven patients and the TAG in five patients. There were no operative deaths, paraplegia, or type-1 or -3 endoleaks. One patient suffered minor cerebral infarction. The distance from the LSA to the BA was longer than that from the LSA to the LCCA by 10 mm in the CLF method and by 13 mm in the MPR method. CONCLUSIONS: It was possible to achieve a longer proximal landing zone by debranching two supra-aortic branches, the LCCA and the LSA. The partial debranching hybrid stent graft was less invasive and more effective for DAAAs.
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