Total endovascular arch repair is the procedure of the future

被引:47
作者
Spanos, Konstantinos [1 ]
Tsilimparis, Nikolaos [1 ]
Rohlffs, Fiona [1 ]
Wipper, Sabine [1 ]
Detter, Christian [1 ]
Behrendt, Christian-Alexander [1 ]
Debus, Sebastian E. [1 ]
Koelbel, Tilo [1 ]
机构
[1] German Aort Ctr Hamburg, Univ Heart Ctr, Dept Vasc Med, Hamburg, Germany
关键词
Endovascular procedures; Aortic arch syndromes; Review; AORTIC-ARCH; STENT-GRAFT; FENESTRATED ENDOGRAFTS; CLINICAL-OUTCOMES; CHIMNEY TECHNIQUE; HYBRID PROCEDURES; ANEURYSM REPAIR; EDITORS CHOICE; REPLACEMENT; METAANALYSIS;
D O I
10.23736/S0021-9509.18.10412-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
INTRODIJCTION: This study evaluates the current experience on endovascular repair of the aortic arch pathologies, the feasibility and safety of the procedure. EVIDENCE ACQUISITION: A systematic review was performed. MEDEINE, CENTRAL, and Cochrane databases were searched with PRISMA methodology for published studies reporting on endovascular repair of aortic arch pathologies from 2000 to 2018. EVIDENCE SYNTHESIS: Thirteen non-randomized retrospective studies (either single or multicenter), two multicenter Registries and one multicenter non-randomized interventional study were included in the systematic review. The total number of patients who underwent total endovascular repair of the aortic arch pathology with either fenestrated, branched. or a combination of those devices or chimney technique was 952 patients (73%; 634/872 males, mean age ranging from 51 to 78 years). The technical success rate was 96.7% (921.952), while the 30-day mortality rate was 3.3% (32/952). The most common adverse events were endoleak type I (13.5'N; 35/259), stroke t.5.1'',O; 49/952). spinal cord ischemia (1.4%; 14/952) and retrograde dissection (1cN); 8/952). During the follow-up period (mean ranging: 16.9 to 41.4 months; median ranging: 9 to 44.8 months) the total number of deaths was 31 (4.4%; 31/693). The total loss of supra-aortic vessel patency rate was 1.7% (14/803) and a re-intervention was needed in 50 patients (9%; 50/559; 11 open conversion). CONCLUSIONS: Endovascular repair of aortic arch pathologies is a feasible treatment option with good early and reasonable mid-tenn outcomes. This treatment modality approaches a level of maturity and may be considered as a solid alternative method of treatment.
引用
收藏
页码:559 / 571
页数:13
相关论文
共 50 条
[31]   Endovascular repair of the aortic arch: State of the art [J].
Brown, James A. ;
Arnaoutakis, George J. ;
Szeto, Wilson Y. ;
Serna-Gallegos, Derek ;
Sultan, Ibrahim .
JOURNAL OF CARDIAC SURGERY, 2021, 36 (11) :4292-4300
[32]   Anatomical feasibility of an endovascular aortic arch repair with the NEXUS endograft in patients treated with a frozen elephant trunk procedure for aortic arch pathology [J].
Exelmans, Ward ;
Mufty, Hozan ;
Maleux, Geert ;
Verbrugghe, Peter ;
Fourneau, Inge .
CVIR ENDOVASCULAR, 2023, 6 (01)
[33]   Total endovascular aortic arch repair using the Terumo Aortic triple-branch arch endograft [J].
Negmadjanov, Ulugbek ;
Motta, John C. ;
Lee, W. Anthony .
ANNALS OF VASCULAR SURGERY, 2021, 77 :351.e7-351.e14
[34]   Double homemade fenestrated stent graft for total endovascular aortic arch repair [J].
Canaud, Ludovic ;
Ozdemir, Baris Ata ;
Chassin-Trubert, Lucien ;
Sfeir, Julien ;
Alric, Pierre ;
Gandet, Thomas .
JOURNAL OF VASCULAR SURGERY, 2019, 70 (04) :1031-1038
[35]   Hybrid surgical and endovascular repair for anastomotic pseudoaneurysms after total arch replacement [J].
Yamamoto, Ryuhei ;
Kaminishi, Yuichiro ;
Konishi, Takahiro ;
Nakajima, Tomomi ;
Abe, Tetsuya ;
Hiramatsu, Yuji ;
Mori, Kensaku .
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, 2021, 30 (02) :120-123
[36]   Hybrid aortic arch repair: The ultimate solution or a stop along the way to a total endovascular arch reconstruction? [J].
Arnaoutakis, George J. ;
Szeto, Wilson Y. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2016, 152 (01) :169-170
[37]   Endovascular repair of aortic arch disease with double inner branched thoracic stent graft: the Bolton perspective [J].
Ferrer, Ciro ;
Coscarella, Carlo ;
Cao, Piergiorgio .
JOURNAL OF CARDIOVASCULAR SURGERY, 2018, 59 (04) :547-553
[38]   Custom Fenestration Templates for Endovascular Repair of the Aortic Arch [J].
Canaud, Ludovic ;
Gandet, Thomas ;
Ozdemir, Baris Ata ;
Chassin-Trubert, Lucien ;
Alric, Pierre .
JOURNAL OF ENDOVASCULAR THERAPY, 2018, 25 (05) :559-560
[39]   Transcatheter Aortic Valve Implantation as a Bailout Procedure for Acute Aortic Valve Regurgitation During Endovascular Arch Repair [J].
Hertault, Adrien ;
Clough, Rachel E. ;
Modine, Thomas ;
Auffray, Jean-Luc ;
Koussa, Mohamad ;
Haulon, Stephan .
JOURNAL OF ENDOVASCULAR THERAPY, 2017, 24 (05) :656-660
[40]   Endovascular TAAA repair: current status and future challenges [J].
Tenorio, Emanuel R. ;
Squizzato, Francesco ;
Balachandran, Parvathi ;
Oderich, Gustavo S. .
ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2020, 27 (01) :52-68