[Clinical Results of Thoracic Endovascular Aortic Repair (TEVAR) for the Treatment of Aortic Arch Aneruysm].

Abstract

Thoracic endovascular aortic repair( TEVAR) combined of neck branch reconstruction( debranching TEVAR:dTEVAR) is applied to aortic arch aneurysm for minimally invasive reduction and improvement of treatment results. We report the initial and long-term results of dTEVAR for the treatment of aortic arch aneurysm. TEVAR for zone 0-2 area was applied in 49 cases (Zone 0:1:2;8:5:36 cases). Total dTEVAR was applied in zone 1 cases and 2 dTEVAR was performed in zone 2 cases. One dTEVAR or TEVAR with simple coverage of left subclavian artery was applied in zone 2 cases. Operative mortality within 30 days was 0% and there was 1 case in hospital death due to coronary arterial rupture after percutaneous coronary intervention. Perioperative morbidity included 1 case(2.0%) spinal cord ischemia, 4( 8.2%)arm claudication. In long-term follow-up, 5 cases died during the observation period (stroke in 1 case, heart failure in 1, neoplasma in 2, unknown in 1), but not in aortic rupture. Secondary type1 endoleak occurred in 2 cases(4.1%). Graft occlusion for neck branch reconstruction was complicated with 3 cases(6.1%), however no complications related to the graft occlusion. Our strategy of TEVAR provided durable results in patients treated for aortic arch aneurysm, with few adverse events.

• Authors: Kyohei Ueno, Megumu Kanno, Hirofumi Midorikawa, Takashi Takano, Koyu Watanabe, Gaku Takinami
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 68 Issue 1 Pg. 41-7 (Jan 2015) ISSN: 0021-5252 [Print] Japan
• PMID: 25595160 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Aorta, Thoracic (surgery)
• Aortic Aneurysm, Thoracic (surgery)
• Endovascular Procedures (methods)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures (methods)
• Plastic Surgery Procedures (methods)
• Treatment Outcome