H. Pan, G. Luo, Luo Yudong, H. Fan, F. Zhou, Jiechang Zhu, Zhang Yiwei, F. Hu, X. Dai
{"title":"左锁骨下动脉重建加分支胸主动脉腔内修复术治疗复杂主动脉弓病变的近期疗效","authors":"H. Pan, G. Luo, Luo Yudong, H. Fan, F. Zhou, Jiechang Zhu, Zhang Yiwei, F. Hu, X. Dai","doi":"10.3760/CMA.J.ISSN.1007-631X.2019.10.015","DOIUrl":null,"url":null,"abstract":"Objective \nTo evaluate the short-term efficacy of branched TEVAR in the treatment of complex aortic arch lesions. \n \n \nMethods \nThe clinical data of 18 patients with aortic lesions requiring reconstruction of the left subclavian artery who were treated with branch TEVAR technology in Tianjin Medical University General Hospital from Apr 2016 to Dec 2018 were analyzed retrospectively. \n \n \nResults \nThere were 16 cases using Castor external branch stent implantation and 2 cases of self-made internal branch stent. The success rate of device release was 100%, the success rate of operation was 100%, and there were no intraoperative deaths. Postoperative complications occurred in 2 cases: one proximal stent tear dissection required open surgery, one died of massive myocardial infarction.Seventeen patients were followed up for 1-8 months. CTA examination in 16 patients 30 days after surgery, found 1 patient with type Ⅲ endoleak. CTA examination done in 8 patients 6 months after surgery found distal occlusion of left subclavian artery stent in 1 patient necess itating distal stent implantation. \n \n \nConclusion \nThe branch TEVAR technique is effective method to reconstruct the arch branched artery. \n \n \nKey words: \nAortic diseases; Subclavian artery; Thoracic endovascular aortic repair; Branched stent","PeriodicalId":66425,"journal":{"name":"中华普通外科杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Short-term results of left subclavian artery reconstruction with branched thoracic endovascular aortic repair in the treatment of complex aortic arch lesions\",\"authors\":\"H. Pan, G. Luo, Luo Yudong, H. Fan, F. Zhou, Jiechang Zhu, Zhang Yiwei, F. Hu, X. Dai\",\"doi\":\"10.3760/CMA.J.ISSN.1007-631X.2019.10.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo evaluate the short-term efficacy of branched TEVAR in the treatment of complex aortic arch lesions. \\n \\n \\nMethods \\nThe clinical data of 18 patients with aortic lesions requiring reconstruction of the left subclavian artery who were treated with branch TEVAR technology in Tianjin Medical University General Hospital from Apr 2016 to Dec 2018 were analyzed retrospectively. \\n \\n \\nResults \\nThere were 16 cases using Castor external branch stent implantation and 2 cases of self-made internal branch stent. The success rate of device release was 100%, the success rate of operation was 100%, and there were no intraoperative deaths. Postoperative complications occurred in 2 cases: one proximal stent tear dissection required open surgery, one died of massive myocardial infarction.Seventeen patients were followed up for 1-8 months. CTA examination in 16 patients 30 days after surgery, found 1 patient with type Ⅲ endoleak. CTA examination done in 8 patients 6 months after surgery found distal occlusion of left subclavian artery stent in 1 patient necess itating distal stent implantation. \\n \\n \\nConclusion \\nThe branch TEVAR technique is effective method to reconstruct the arch branched artery. \\n \\n \\nKey words: \\nAortic diseases; Subclavian artery; Thoracic endovascular aortic repair; Branched stent\",\"PeriodicalId\":66425,\"journal\":{\"name\":\"中华普通外科杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-10-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华普通外科杂志\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.10.015\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华普通外科杂志","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-631X.2019.10.015","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Short-term results of left subclavian artery reconstruction with branched thoracic endovascular aortic repair in the treatment of complex aortic arch lesions
Objective
To evaluate the short-term efficacy of branched TEVAR in the treatment of complex aortic arch lesions.
Methods
The clinical data of 18 patients with aortic lesions requiring reconstruction of the left subclavian artery who were treated with branch TEVAR technology in Tianjin Medical University General Hospital from Apr 2016 to Dec 2018 were analyzed retrospectively.
Results
There were 16 cases using Castor external branch stent implantation and 2 cases of self-made internal branch stent. The success rate of device release was 100%, the success rate of operation was 100%, and there were no intraoperative deaths. Postoperative complications occurred in 2 cases: one proximal stent tear dissection required open surgery, one died of massive myocardial infarction.Seventeen patients were followed up for 1-8 months. CTA examination in 16 patients 30 days after surgery, found 1 patient with type Ⅲ endoleak. CTA examination done in 8 patients 6 months after surgery found distal occlusion of left subclavian artery stent in 1 patient necess itating distal stent implantation.
Conclusion
The branch TEVAR technique is effective method to reconstruct the arch branched artery.
Key words:
Aortic diseases; Subclavian artery; Thoracic endovascular aortic repair; Branched stent