Thoracic endovascular aortic repair with aortic arch vessel revascularization

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

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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 1

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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