scholarly journals Feasibility of the Inoue single-branched stent-graft implantation for thoracic aortic aneurysm or dissection involving the left subclavian artery: Short- to medium-term results in 17 patients

2005 ◽  
Vol 41 (2) ◽  
pp. 206-212 ◽  
Author(s):  
Naritatsu Saito ◽  
Takeshi Kimura ◽  
Keita Odashiro ◽  
Masanao Toma ◽  
Masakiyo Nobuyoshi ◽  
...  
2002 ◽  
Vol 9 (6) ◽  
pp. 822-828 ◽  
Author(s):  
Reinhard S. Pamler ◽  
Thomas Kotsis ◽  
Johannes Görich ◽  
Xaver Kapfer ◽  
Karl-Heinz Orend ◽  
...  

Purpose: To outline the complications encountered after endoluminal treatment in patients with type B aortic dissection. Methods: Between 1999 and 2001, 14 patients (12 men; mean age 60.3 years, range 39–79) with isolated type B aortic dissection (13 chronic, 1 acute) underwent aortic stent-grafting. Three patients with chronic dissection presented an acute clinical picture and were managed emergently. The left subclavian artery was intentionally covered by the prosthesis in 9 patients. Follow-up studies were performed at 6-month intervals. Results: Stent-graft implantation was technically successful in all patients, but incomplete sealing (endoleak) of the entry site required additional proximal stent-graft implantation in 4. The left subclavian artery remained patent in 5 patients. Secondary conversion was required in 3 patients: 2 for acute type A dissection resulting from injury to the aortic arch by Talent endografts and a sustained hemorrhage (left hemothorax). In another patient, a secondary intramural hematoma subsided spontaneously. Anterior spinal artery syndrome in 1 patient persisted at 1 month. No bypass was necessary for the 9 patients with the covered left subclavian arteries. Mean follow-up was 14 months (range 1–23). Conclusions: Stent-grafting is feasible in patients with type B aortic dissection, although it is associated with a considerable rate of complications. Frank reporting of these sequelae for a variety of stent-grafts is of paramount importance to clarifying the limitations of the method.


2007 ◽  
Vol 73 (1) ◽  
pp. 32-36
Author(s):  
Chandra Cherukupalli ◽  
Amit J. Dwivedi ◽  
Rajeev Dayal ◽  
Khambapatty V. Krishnasastry

Endovascular repair of a descending thoracic aortic aneurysm may result in covering the ostia of the left carotid or left subclavian artery for proper proximal landing zones, and the celiac artery or superior mesenteric artery ostia in the abdomen for distal landing zones. To prevent possible complications of occluding the ostia of these vessels, the authors performed an innominate to left common carotid and left subclavian artery bypass as the first procedure in one patient. In the second patient they performed an aortoceliac and aortomesenteric bypass before stent graft placement. The stent graft repair of the descending thoracic aortic aneurysm was performed subsequently in both patients. This aortic debranching provides subsequent proper placement of thoracic stent grafts.


2004 ◽  
Vol 11 (6) ◽  
pp. 659-666 ◽  
Author(s):  
Tim C. Rehders ◽  
Michael Petzsch ◽  
Hüseyin Ince ◽  
Stephan Kische; ◽  
Thomas Körber ◽  
...  

Shock ◽  
2001 ◽  
Vol 15 (Supplement) ◽  
pp. 53
Author(s):  
E. Bölke ◽  
P. M. Jehle ◽  
S. Schams ◽  
M. Storck ◽  
G. Steinbach ◽  
...  

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