scholarly journals Long-term Results of Innominate Artery Reimplantation for Tracheal Compression

2009 ◽  
Vol 135 (1) ◽  
pp. 80 ◽  
Author(s):  
J. Fredrik Grimmer ◽  
Seth Herway ◽  
John A. Hawkins ◽  
Albert H. Park ◽  
Peter C. Kouretas
2021 ◽  
Vol 8 ◽  
Author(s):  
Juntao Qiu ◽  
Xinjin Luo ◽  
Jinlin Wu ◽  
Wei Pan ◽  
Qian Chang ◽  
...  

Aims: We describe a new aortic arch dissection (AcD) classification, which we have called the Fuwai classification. We then compare the clinical characteristics and long-term prognoses of different classifications.Methods: All AcD patients who underwent surgical procedures at Fuwai Hospital from 2010 to 2015 were included in the study. AcD procedures are divided into three types: Fuwai type Cp, Ct, and Cd. Type Cp is defined as the innominate artery or combined with the left carotid artery involved. Type Cd is defined as the left subclavian artery or combined with the left carotid artery involved. All other AcD surgeries are defined as type Ct. The Chi-square test was adopted for the pairwise comparison among the three types. Kaplan-Meier was used for the analysis of long-term survival and survival free of reoperation.Results: In total, 1,063 AcD patients were enrolled from 2010 to 2015: 54 patients were type Cp, 832 were type Ct, and 177 were type Cd. The highest operation proportion of Cp, Ct and Cd were partial arch replacement, total arch replacement, and TEVAR. The surgical mortality in type Ct was higher compared to type Cd (Ct vs. Cd = 9.38 vs. 1.69%, p < 0.01) and type Cp (Ct vs. Cp = 9.38 vs. 1.85%, p = 0.06). There was no difference in surgical mortality of type Cp and Cd (p = 0.93). There were no significant differences in the long-term survival rates (p = 0.38) and free of aorta-related re-operations (p = 0.19).Conclusion: The Fuwai classification is used to distinguish different AcDs. Different AcDs have different surgical mortality and use different operation methods, but they have similar long-term results.


1991 ◽  
Vol 14 (3) ◽  
pp. 405-412 ◽  
Author(s):  
Gordon L. Hyde ◽  
George J. Reul ◽  
Michael J. H. M. Jacobs ◽  
Igor D. Gregoric ◽  
Moises D. Calderon ◽  
...  

2006 ◽  
Vol 67 (4) ◽  
pp. 519-526 ◽  
Author(s):  
Tadeusz Przewlocki ◽  
Anna Kablak-Ziembicka ◽  
Piotr Pieniazek ◽  
Piotr Musialek ◽  
Andrzej Kadzielski ◽  
...  

Vascular ◽  
2013 ◽  
Vol 22 (3) ◽  
pp. 198-201 ◽  
Author(s):  
Vicente Orozco ◽  
Paul Impellizzeri ◽  
Rotem Naftalovich ◽  
Herbert Dardik

Percutaneous transluminal angioplasty and stenting is being employed with increasing frequency for stenosis involving the brachiocephalic circulation. However, the efficacy of these procedures is limited by intimal hyperplasia and subsequent re-stenosis. Long-term results for treating lesions of the subclavian or innominate artery have shown significant re-stenotic rate. Accordingly, carotid–subclavian bypass remains as an important procedure. Alternative methods may still be required, particularly after failure of open re-vascularization and percutaneous techniques. This report describes an underused technique that enables upper extremity revascularization following prior attempts at endovascular and standard open techniques.


1995 ◽  
Vol 21 (2) ◽  
pp. 326-337 ◽  
Author(s):  
Edouard Kieffer ◽  
Jean Sabatier ◽  
Fabien Koskas ◽  
Amine Bahnini

2016 ◽  
Vol 95 (3) ◽  
pp. E39-E43
Author(s):  
Petros V. Vlastarakos ◽  
Aaron Trinidade ◽  
Marie-Claire Jaberoo ◽  
George Mochloulis

In this article we describe the surgical management of retrosternal goiters via a limited thoracocervical approach, and we explore how the respective surgical know-how can be used in the management of the carotid blowout syndrome. Four cases involving patients who had undergone thyroidectomy via a limited thoracocervical approach are retrospectively reviewed. An acute blowout of the innominate artery managed with the same principal surgical technique is also reviewed. Tree patients had a total thyroidectomy and one had a hemithyroidectomy. No malignancy was found. There was no mortality or unexpected morbidity from the limited thoracocervical approach. The median length of the inpatient stay was 3 days. The blowout survivor lived for 9 months, with no rebleeding and with an acceptable quality of life. We conclude that a limited thoracocervical approach can be safely performed by head and neck surgeons for accessing the anterior mediastinum in retrosternal goiters, and the respective surgical know-how can be used in the immediate management of an acute carotid blowout syndrome with satisfying long-term results and provision of quality end-of-life care.


1991 ◽  
Vol 14 (3) ◽  
pp. 405-412 ◽  
Author(s):  
George J. Reul ◽  
Michael J.H.M. Jacobs ◽  
Igor D. Gregoric ◽  
Moises Calderon ◽  
J.Michael Duncan ◽  
...  

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