Combined Ascending Aortic Stent-Graft and Inner Branched Arch Device for Type A Aortic Dissection.

Law, Yuk; Tsilimparis, Nikolaos; Rohlffs, Fiona; Makaloski, Vladimir; Debus, E Sebastian; Kölbel, Tilo (2018). Combined Ascending Aortic Stent-Graft and Inner Branched Arch Device for Type A Aortic Dissection. Journal of endovascular therapy, 25(5), pp. 561-565. International Society of Endovascular Specialists 10.1177/1526602818790568

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PURPOSE

To report the use of the Zenith Ascend stent-graft in conjunction with the Zenith inner branched arch device to treat type A aortic dissection.

CASE REPORT

Five patients (mean age 66 years, range 52-78; 4 men) with type A aortic dissection (2 acute) and insufficient distal landing zones were treated with the Zenith Ascend stent-graft and inner branched arch devices to extend the distal landing zone. Left carotid-subclavian bypass was performed in a staged or simultaneous setting depending on the urgency of the condition. Technical success (no type I or III endoleak and successful revascularization of all supra-aortic vessels) was achieved in all patients. Median intensive care unit stay was 5 days (range 4-23) and the median hospital stay was 16 days (range 8-25). The 2 patients with acute dissection died in hospital and at 5 months, respectively. The 3 elective patients were followed for 7, 13, and 19 months, respectively. All had false lumen thrombosis with either a reduced or stable aneurysm diameter.

CONCLUSION

This limited experience demonstrated the feasibility and safety of the combined use of the Ascend stent-graft and inner branched arch devices. This strategy may sometimes be more beneficial than either stent-graft used alone.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Heart Surgery
UniBE Contributor:	Makaloski, Vladimir
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1526-6028
Publisher:	International Society of Endovascular Specialists
Language:	English
Submitter:	Daniela Huber
Date Deposited:	09 Jan 2019 10:17
Last Modified:	27 Feb 2024 14:28
Publisher DOI:	10.1177/1526602818790568
PubMed ID:	30068255
Uncontrolled Keywords:	aortic arch aortic arch aneurysm branched arch stent-graft endograft inner branched stent-graft thoracic endovascular aortic repair type A aortic dissection
URI:	https://boris.unibe.ch/id/eprint/123104