کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2887048 | 1574233 | 2011 | 4 صفحه PDF | دانلود رایگان |
BackgroundRevascularization of aortic arch vessels was performed with thoracic endovascular aortic repair (TEVAR) to preserve the endoprosthesis landing zone in 19 high-risk patients.MethodsThe operative procedure used was a bypass or transposition involving the common carotid and subclavian arteries. Homemade fenestrated stent-grafts, deployed in landing zone 0, were used for TEVAR.ResultsAll lesions resolved without endoleaks. No perioperative deaths occurred; seven patients had postoperative complications. One patient with acute respiratory distress syndrome required reoperation to change the bypass route and permit tracheostomy. One patient died of pneumonia 2 months after treatment, after an anastomotic pseudoaneurysm and cerebral infarction developed and an operation was performed to obtain hemostasis. The procedure-related mortality was 5.3%.ConclusionAortic arch vessel revascularization before TEVAR may permit less invasive surgery, although careful patient selection is essential.
Journal: Annals of Vascular Surgery - Volume 25, Issue 6, August 2011, Pages 748–751