Effect of extended cross-clamp time during thoracoabdominal aortic aneurysm repair Hazim J Safi, MD, Anders Winnerkvist, MD, Charles C Miller, PhD, Dimitrios.

Slides:

Advertisements

Similar presentations

SURGERY of AORTIC ANEURYSMS

Advertisements

Ravi K. Ghanta, MD, John A. Kern, MD

Thoracoabdominal Aneurysm Repair: A 20-Year Perspective

Drawings illustrating an extent II repair of a thoracoabdominal aortic aneurysm (A) that extends from the left subclavian artery to the aortoiliac bifurcation.

Predictors of early and late mortality following open extent IV thoracoabdominal aortic aneurysm repair in a large contemporary single-center experience

Use of custom Dacron branch grafts for “hybrid” aortic debranching during endovascular repair of thoracic and thoracoabdominal aortic aneurysms G. Chad.

Rana O. Afifi, MD, Harleen K. Sandhu, MD, MPH, Amy. E

Ravi K. Ghanta, MD, John A. Kern, MD

Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery Roberto Chiesa, MD, Yamume Tshomba, MD, Germano Melissano,

Does Cross-Clamping the Arch Increase the Risk of Descending Thoracic and Thoracoabdominal Aneurysm Repair? Leonard N. Girardi, MD, Karl H. Krieger,

“Cobrahead” graft for intercostal artery implantation during descending aortic replacement John A Elefteriades, MD, Michael A Coady, MD, Dimitri J Nikas,

Jacob T. Gutsche, MD, Albert T. Cheung, MD, Michael L

Open Surgical Repair of 2286 Thoracoabdominal Aortic Aneurysms

Surgical management of primary aortoesophageal fistula secondary to thoracic aneurysm Michael J Reardon, MD, Robert J Brewer, MD, Scott A LeMaire, MD,

Graft reconstruction to treat disease of the abdominal aorta in patients with colostomies, ileostomies, and abdominal wall urinary stomata Ralph W. DeNatale,

Bashi V. Velayudhan, MBBS, MS, MCh, A

Glomerular filtration rate is superior to serum creatinine for prediction of mortality after thoracoabdominal aortic surgery Tam T.T. Huynh, MD, Randolph.

Descending thoracic aortic aneurysm: surgical approach and treatment using the adjuncts cerebrospinal fluid drainage and distal aortic perfusion Anthony.

Joseph S. Coselli, MD, Peter Oberwalder, MD

Acute retrograde aortic dissection during endovascular repair of a thoracic aortic aneurysm Noëlla Bethuyne, MD, Thierry Bove, MD, Pierre Van den Brande,

“Peninsula-Style” Transverse Aortic Arch Replacement in Patients With Bicuspid Aortic Valve Akinobu Itoh, MD, Michael Fischbein, MD, PhD, Koji Arata,

Entire Stent Grafting of the Thoracoabdominal Aorta in a Renal Transplant Recipient Subsequent to Extra-Anatomical Bypasses of the Main Abdominal Vessels

Hybrid Endovascular Repair of a Right-Sided Thoracoabdominal Aortic Aneurysm Mamoru Hamuro, MD, Tomoyuki Yamada, MD, PhD, Kenji Yamamoto, MD, PhD, Sakae.

Hazim J. Safi, MD, Charles C

Surgical management after stent-graft failure during the frozen elephant trunk technique for acute type A aortic dissection Maximilian Luehr, MD, Christian.

Thoracoabdominal aortic aneurysms associated with celiac, superior mesenteric, and renal artery occlusive disease: Methods and analysis of results in.

Staged total abdominal debranching and thoracic endovascular aortic repair for thoracoabdominal aneurysm G. Chad Hughes, MD, Michael E. Barfield, MD,

Paraplegia prevention branches: A new adjunct for preventing or treating spinal cord injury after endovascular repair of thoracoabdominal aneurysms Christos.

Marfan syndrome: The variability and outcome of operative management

Impact of distal aortic and visceral perfusion on liver function during thoracoabdominal and descending thoracic aortic repair Hazim J. Safi, MD, Charles.

Joseph S Coselli, Luiz F.Poli de Figueiredo, Scott A LeMaire

Repair of recurrent visceral aortic patch aneurysm after thoracoabdominal aortic aneurysm repair with a branched endovascular stent graft Donald J. Adam,

Four-year follow-up after thoracic endovascular aortic repair for symptomatic thoracoabdominal aneurysm through the off-label use of a bifurcated abdominal.

Endovascular repair of thoracoabdominal aortic aneurysms using fenestrated and branched endografts Gustavo S. Oderich, MD, Mauricio Ribeiro, MD, PhD,

The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair Kenneth Ouriel, MD Journal of.

Thoracoabdominal aortic aneurysm associated with umbilical artery catheterization: Case report and review of the literature Chris Cribari, MD, Frederick.

Endovascular repair of extent I thoracoabdominal aneurysms with landing zone extension into the aortic arch and mesenteric portion of the abdominal aorta

Retrograde segmental aortic repair for type II thoracoabdominal aortic aneurysm Teruhisa Kazui, MD, Katsushi Yamashita, MD, Hitoshi Terada, MD, Naoki.

Paraplegia After Thoracoabdominal Aortic Aneurysm Repair: Is Dissection a Risk Factor? Joseph S. Coselli, Scott A. LeMaire, Luiz Poli de Figueiredo,

Ischemic Left Ventricular Free Wall Rupture: Prediction, Diagnosis, and Treatment Michael J. Reardon, MD, Christian L. Carr, Angela Diamond, MD, George.

Simultaneous Repair of Multiple Aortic Aneurysms: Be Courageous in Minimally Invasive Era Yoshiaki Saito, MD, Ikuo Fukuda, MD, PhD, Kozo Fukui, MD, PhD,

Severe visceral ischemia and death after multilayer stent deployment for the treatment of a thoracoabdominal aortic aneurysm Rafael Noronha Cavalcante,

Simple Identification of the Adamkiewicz Artery in Extended Thoracoabdominal Aortic Aneurysm Repair Kyokun Uehara, MD, PhD, Hitoshi Matsuda, MD, PhD,

Technical aspects of branched graft aortic reconstruction in patients with connective tissue disorders Natalia O. Glebova, MD, PhD, Caitlin W. Hicks,

Anthony L. Estrera, MD, Charles C

Aortic dissection coexistent with two saccular aneurysms

Gastrointestinal complications after descending thoracic and thoracoabdominal aortic repairs: A 14-year experience Paul E. Achouh, MD, Ken Madsen, MD,

A new predictive model for adverse outcomes after elective thoracoabdominal aortic aneurysm repair Scott A LeMaire, MD, Charles C Miller, PhD, Lori D.

Repair of Thoracoabdominal Aortic Aneurysms in Octogenarians

Primary aortoesophageal fistula from aortic aneurysm: Successful surgical treatment by use of omental pedicle graft Joseph S. Coselli, MD, E.Stanley.

Hybrid Repair of Thoracoabdominal Aneurysm: A Two-Stage Approach

Endovascular repair of a penetrating thoracic aortic ulcer by way of the carotid artery Michael J Heidenreich, MD, David G Neschis, MD, Michael J Costanza,

Thoracoabdominal Aneurysm Repair: A 20-Year Perspective

Branch graft patency after open repair of thoracoabdominal aortic aneurysms Nicholas T. Kouchoukos, MD, Alexander Kulik, MD, MPH, Catherine Castner, RN,

Hazim J Safi, MD, Charles C Miller, PhD The Annals of Thoracic Surgery

Operative Strategy for Descending and Thoracoabdominal Aneurysm Repair With Preoperative Demonstration of the Adamkiewicz Artery Kojiro Furukawa, MD,

The impact of renal fusion and ectopia on aortic surgery

Newly Developed Aortic Dissection in the Abdominal Aorta After Femoral Arterial Perfusion Kazumasa Orihashi, MD, Taijiro Sueda, MD, Kenji Okada, MD,

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

Retrograde visceral vessel revascularization followed by endovascular aneurysm exclusion as an alternative to open surgical repair of thoracoabdominal.

Combined Endovascular and Surgical Procedure for Recurrent Thoracoabdominal Aortic Aneurysm Masato Yoshida, MD, Nobuhiko Mukohara, MD, Tsutomu Shida,

Neurologic deficit in patients at high risk with thoracoabdominal aortic aneurysms: The role of cerebral spinal fluid drainage and distal aortic perfusion

Descending Thoracic Aortic Aneurysm Repair: 12-Year Experience Using Distal Aortic Perfusion and Cerebrospinal Fluid Drainage Anthony L. Estrera, MD,

Hazim J. Safi, MD, Anthony L. Estrera, MD, Charles C

A staged replacement of the entire aorta from the ascending arch to the hypogastric arteries using a hybrid approach Juan Carlos Jimenez, MD, Wesley.

William J. Quiñones-Baldrich, MD, Thomas F. Panetta, MD, Candace L

Hazim J. Safi, MD, Stuart A. Harlin, MD, Charles C

Staged repair of extensive aortic aneurysms

Faisal G. Bakaeen, MD, Joseph S. Coselli, MD, Scott A

Moderate hypothermia, with partial bypass and segmental sequential repair for thoracoabdominal aortic aneurysm Steven M. Frank, MD, Stephen D. Parker,

Presentation transcript:

Effect of extended cross-clamp time during thoracoabdominal aortic aneurysm repair Hazim J Safi, MD, Anders Winnerkvist, MD, Charles C Miller, PhD, Dimitrios C Iliopoulos, MD, Michael J Reardon, MD, Rafael Espada, MD, John C Baldwin, MD The Annals of Thoracic Surgery Volume 66, Issue 4, Pages 1204-1208 (October 1998) DOI: 10.1016/S0003-4975(98)00781-4

Fig 1 Thoracoabdominal aortic aneurysm classification. Type I: below the left subclavian to above the celiac axis or opposite the superior mesenteric and above the renal arteries. Type II: below the left subclavian and including the infrarenal abdominal aorta to the level of the aortic bifurcation. Type III: the sixth intercostal space, tapering to just above the infrarenal abdominal aorta to the iliac bifurcation. Type IV: the twelfth intercostal space, tapering to above the iliac bifurcation. Type V: the sixth intercostal space, tapering to just above the renal arteries. The Annals of Thoracic Surgery 1998 66, 1204-1208DOI: (10.1016/S0003-4975(98)00781-4)

Fig 2 Illustrations of type II thoracoabdominal aortic aneurysm repair with adjuncts. (A) Computed tomographic scan and aortogram of type II thoracoabdominal aortic aneurysm. (B) Left atrial to femoral bypass with the BioMedicus pump for distal aortic perfusion. Cerebrospinal fluid drainage also was used. (C) Despite aneurysm extent and clamp time greater than 60 minutes, adjuncts permitted ample time for intercostal artery reattachment with graft replacement. The Annals of Thoracic Surgery 1998 66, 1204-1208DOI: (10.1016/S0003-4975(98)00781-4)

Fig 2 Illustrations of type II thoracoabdominal aortic aneurysm repair with adjuncts. (A) Computed tomographic scan and aortogram of type II thoracoabdominal aortic aneurysm. (B) Left atrial to femoral bypass with the BioMedicus pump for distal aortic perfusion. Cerebrospinal fluid drainage also was used. (C) Despite aneurysm extent and clamp time greater than 60 minutes, adjuncts permitted ample time for intercostal artery reattachment with graft replacement. The Annals of Thoracic Surgery 1998 66, 1204-1208DOI: (10.1016/S0003-4975(98)00781-4)

Fig 3 Relationship between cross-clamp and adjunct, type II thoracoabdominal aortic aneurysm (TAAA). (A = current study, patients without adjuncts; B = Crawford experience, cross-clamp and go [5]; C = current study, patients with adjuncts.) The Annals of Thoracic Surgery 1998 66, 1204-1208DOI: (10.1016/S0003-4975(98)00781-4)