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 Cardiovascular 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:

09 Jan 2019 10:17

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

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