Thoracic endovascular aortic repair with aortic arch vessel revascularization

Yasunori Iida, Satoshi Kawaguchi, Nobusato Koizumi, Hiroyoshi Komai, Yukio Obitsu, Hiroshi Shigematsu

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Revascularization of aortic arch vessels was performed with thoracic endovascular aortic repair (TEVAR) to preserve the endoprosthesis landing zone in 19 high-risk patients. Methods: The 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. Results: All 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%. Conclusion: Aortic arch vessel revascularization before TEVAR may permit less invasive surgery, although careful patient selection is essential.

Original languageEnglish
Pages (from-to)748-751
Number of pages4
JournalAnnals of Vascular Surgery
Volume25
Issue number6
DOIs
Publication statusPublished - 2011 Aug
Externally publishedYes

Fingerprint

Thoracic Aorta
Thorax
Endoleak
Subclavian Artery
Tracheostomy
Common Carotid Artery
False Aneurysm
Cerebral Infarction
Adult Respiratory Distress Syndrome
Operative Surgical Procedures
Hemostasis
Reoperation
Patient Selection
Stents
Pneumonia
Transplants
Mortality
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Iida, Y., Kawaguchi, S., Koizumi, N., Komai, H., Obitsu, Y., & Shigematsu, H. (2011). Thoracic endovascular aortic repair with aortic arch vessel revascularization. Annals of Vascular Surgery, 25(6), 748-751. https://doi.org/10.1016/j.avsg.2010.12.018

Thoracic endovascular aortic repair with aortic arch vessel revascularization. / Iida, Yasunori; Kawaguchi, Satoshi; Koizumi, Nobusato; Komai, Hiroyoshi; Obitsu, Yukio; Shigematsu, Hiroshi.

In: Annals of Vascular Surgery, Vol. 25, No. 6, 08.2011, p. 748-751.

Research output: Contribution to journalArticle

Iida, Y, Kawaguchi, S, Koizumi, N, Komai, H, Obitsu, Y & Shigematsu, H 2011, 'Thoracic endovascular aortic repair with aortic arch vessel revascularization', Annals of Vascular Surgery, vol. 25, no. 6, pp. 748-751. https://doi.org/10.1016/j.avsg.2010.12.018
Iida, Yasunori ; Kawaguchi, Satoshi ; Koizumi, Nobusato ; Komai, Hiroyoshi ; Obitsu, Yukio ; Shigematsu, Hiroshi. / Thoracic endovascular aortic repair with aortic arch vessel revascularization. In: Annals of Vascular Surgery. 2011 ; Vol. 25, No. 6. pp. 748-751.
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