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Karaolanis GI, Antonopoulos CN, Charbonneau P, Georgakarakos E, Moris D, Scali S, Kotelis D, Donas K. A systematic review and meta-analysis of stroke rates in patients undergoing Thoracic Endovascular Aortic Repair for descending thoracic aortic aneurysm and type B dissection. J Vasc Surg 2022; 76:292-301.e3. [DOI: 10.1016/j.jvs.2022.02.031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 02/15/2022] [Indexed: 01/28/2023]
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Total arch replacement versus debranching thoracic endovascular aortic repair for aortic arch aneurysm: what indicates a high-risk patient for arch repair in octogenarians? Gen Thorac Cardiovasc Surg 2018; 66:263-269. [DOI: 10.1007/s11748-018-0894-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Accepted: 01/22/2018] [Indexed: 01/14/2023]
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Overview of current surgical strategies for aortic disease in patients with Marfan syndrome. Surg Today 2015; 46:1006-18. [DOI: 10.1007/s00595-015-1278-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Accepted: 11/02/2015] [Indexed: 01/16/2023]
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Kamada T, Yoshioka K, Tanaka R, Makita S, Abiko A, Mukaida M, Ikai A, Okabayashi H. Strategy for thoracic endovascular aortic repair based on collateral circulation to the artery of Adamkiewicz. Surg Today 2015; 46:1024-30. [DOI: 10.1007/s00595-015-1272-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2015] [Accepted: 10/13/2015] [Indexed: 11/28/2022]
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Anselmi A, Ruggieri VG, Harmouche M, Fouquet O, Kaladji A, Flécher E, Beneux X, Lucas A, Verhoye JP. Combined frozen elephant trunk and endovascular repair for extensive thoracic aortic aneurysms. Ann Vasc Surg 2015; 29:905-12. [PMID: 25728335 DOI: 10.1016/j.avsg.2014.12.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Revised: 12/03/2014] [Accepted: 12/16/2014] [Indexed: 11/25/2022]
Abstract
BACKGROUND We describe a 1-step treatment of extensive arch and descending aortic aneurysm by combination of frozen elephant trunk (FET) (hybrid endoprosthesis) and of conventional endoprosthesis deployment. METHODS In a single-center, prospective, treatment-only study, the clinical data of 4 patients receiving combined FET and distal endoprosthesis deployment in the descending aorta were prospectively collected. Thoracic endoprostheses were deployed either retrogradely (off-pump from the femoral arterial access) or antegradely (from the aortic arch during hypothermic arrest). A distal-first approach was used ("trombone" mechanism). Spinal cord protection was achieved by transposition of the left subclavian artery to the left common carotid artery and selective antegrade cerebral perfusion. Preoperative computed tomography scan was performed to identify the collateral circulation. Preoperative planning was assisted by a sizing software (Endosize, Therenva Inc.). RESULTS The aortic coverage was extended down to the orifice of the celiac trunk in one case and to the T8 level in the remainders. There was no operative mortality, 1 transient paraparesis, and 1 case of renal insufficiency. Follow-up results were satisfying (no device migration, no endoleak, no endotension, and no late neurologic complications). CONCLUSIONS The present strategy may abolish the risks connected with the waiting time between the surgical first step and the later completion (aortic-related adverse events and drop-out) and deserves further investigations to determine its safety and feasibility profile.
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Affiliation(s)
- Amedeo Anselmi
- Division of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France; INSERM 1099 Research Unit, LTSI University of Rennes 1, Rennes, France
| | - Vito Giovanni Ruggieri
- Division of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France; INSERM 1099 Research Unit, LTSI University of Rennes 1, Rennes, France
| | - Majid Harmouche
- Division of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France; INSERM 1099 Research Unit, LTSI University of Rennes 1, Rennes, France
| | - Olivier Fouquet
- Division of Cardiac Surgery, Angers University Hospital, Angers, France
| | - Adrien Kaladji
- Division of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France; INSERM 1099 Research Unit, LTSI University of Rennes 1, Rennes, France
| | - Erwan Flécher
- Division of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France; INSERM 1099 Research Unit, LTSI University of Rennes 1, Rennes, France
| | - Xavier Beneux
- Division of Cardiac Anesthesia, Pontchaillou University Hospital, Rennes, France
| | - Antoine Lucas
- Division of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France; INSERM 1099 Research Unit, LTSI University of Rennes 1, Rennes, France
| | - Jean-Philippe Verhoye
- Division of Cardiovascular and Thoracic Surgery, Pontchaillou University Hospital, Rennes, France; INSERM 1099 Research Unit, LTSI University of Rennes 1, Rennes, France.
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