Stent-Grafting of the Thoracic Aorta by the Cardiothoracic Surgeon

Slides:

Advertisements

Similar presentations

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

Advertisements

Endovascular Repair of Traumatic Thoracic Aortic Injury: Final Results From the Relay Endovascular Registry for Thoracic Disease Burkhart Zipfel, MD,

Ruoyu Zhang, MD, Theo Kofidis, MD, Stefan Baus, MD, Uwe Klima, MD, PhD

Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease Markus G.M. Steinbauer, MD, Alexander Stehr, MD, Karin.

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

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

Combined Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Using Transapical Access Keith B. Allen, MD, Lesley M. Johnson,

Acute blunt traumatic injury to the descending thoracic aorta

Branched Endovascular Therapy of the Distal Aortic Arch: Preliminary Results of the Feasibility Multicenter Trial of the Gore Thoracic Branch Endoprosthesis

Endovascular Treatment of an Acute Subdiaphragmatic Aortic Rupture

Giampiero Esposito, MD, Antonino G. M. Marullo, MD, PhD, Antonio R

Novel sutureless telescoping anastomosis revascularization technique of supra-aortic vessels to simplify combined open endovascular procedures in the.

Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD

Serkan Burç Deşer, MD, Mustafa Kemal Demirağ, MD

Randall R. De Martino, MD, MS, Jill Johnstone, MD, Elizabeth A

Extent of Aortic Coverage and Incidence of Spinal Cord Ischemia After Thoracic Endovascular Aneurysm Repair Robert J. Feezor, MD, Tomas D. Martin, MD,

Occlusion of the Left Subclavian Artery With Stent Grafts Is Safer With Protective Reconstruction Burkhart Zipfel, MD, Semih Buz, MD, Robert Hammerschmidt,

European Multicenter Registry for the Performance of the Chimney/Snorkel Technique in the Treatment of Aortic Arch Pathologic Conditions Michel J. Bosiers,

Aneurysms After Coarctation Repair Associated With Hypoplastic Aortic Arch: Surgical Management Through Median Sternotomy Davide Pacini, MD, Marcello.

Thoracic Endovascular Aortic Repair Including Total Debranching on Femoral Artery for Arch Rupture Yu Inaba, MD, Tsutomu Ito, MD, PhD, Sachiko Hayashi,

Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta Philipp Fueglistaler, MD, Thomas Wolff, MD, Lorenz Guerke, MD, Peter Stierli,

Risk Factors of Neurologic Deficit After Thoracic Aortic Endografting

Shane S. Parmer, MD, Jeffrey P. Carpenter, MD

Thoracic Stent Grafting for Acute Aortic Pathology

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

Custom-Made E-Vita Graft for Frozen Elephant Trunk With Arch-First Technique Luca Bertoglio, MD, Alessandro Castiglioni, MD, Alessandro Grandi, MD, Tommaso.

Random Finding of a Ruptured Kommerell Aneurysm After Stroke

Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms Mark Edward O’Donnell, DSEM, MRCS, Stephen A. Badger,

Isolated Huge Aneurysm of the Left Main Coronary Artery in a 22-Year-Old Patient With Type 1 Neurofibromatosis Margaux Pontailler, MD, Didier Vilarem,

Simplified hybrid repair with true lumen recycling for retrograde renovisceral perfusion in a complex chronic aortic dissection Ricardo Castro-Ferreira,

Orthotopic Heart Transplantation in Patients With Marfan Syndrome

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

Aortoplasty for Management of the Dilated Distal Ascending Aorta During Proximal Aortic Reconstruction Emmanuel A. Amulraj, MD, William D.T. Kent, MD,

Lars G. Svensson, MD, PhD, Gregory D

A Complex Thoracoabdominal Aneurysm in a Loeys-Dietz Patient: An Open, Hybrid, Anatomic Repair Eugenio Neri, MD, Giulio Tommasino, MD, Enrico Tucci,

Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy

Diseases of the thoracic aorta in women

Antegrade Deployment of a Thoracic Endograft Using a Minithoracotomy

Hybrid management of proximal right subclavian artery aneurysms

Early endovascular grafts at Montefiore Hospital and their effect on vascular surgery Frank J. Veith, MD, Jacob Cynamon, MD, Claudio J. Schonholz, MD,

Combined Surgical and Endovascular Repair of Complex Aortic Pathologies With a New Hybrid Prosthesis Michael Gorlitzer, MD, Gabriel Weiss, MD, Markus.

Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: A 10-year experience William Quinones-Baldrich, MD, Juan Carlos.

Reverse Graft Placement in the Florida Sleeve Procedure for Aortic Root Aneurysm Takeshi Komoda, MD, PhD, Satsuki Komoda, MD, PhD, Petra Gehle, MD, Felix.

Open, Hybrid, and Endovascular Treatment for Aortic Coarctation and Postrepair Aneurysm in Adolescents and Adults Eric E. Roselli, MD, Athar Qureshi,

Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm With a Right-Sided Aortic Arch and Aberrant Left Subclavian Artery Joseph J.

Endovascular Repair of Acute Type B Aortic Dissection: Long-Term Follow-Up of True and False Lumen Diameter Changes Maria Schoder, MD, Martin Czerny,

A Novel Technique of Deployment of a Thoracic Endograft in the Hybrid Treatment of a Patient With Thoracoabdominal Aneurysm Jacques Kpodonu, MD, Hani.

Total Endovascular Repair of Post-dissection Aortic Arch Aneurysm With Chimney Technique Wei-Tao Liang, MD, Su Wang, MD, Jian Zhou, MD, Chen-Jun Han,

Arch Aneurysm Repair With Long Elephant Trunk: A 10-Year Experience in 111 Patients Koichi Toda, MD, Kazuhiro Taniguchi, MD, Takafumi Masai, MD, Toshiki.

A Modified and Less Invasive Procedure in Aortic Arch Replacement

Ruptured Thoracoabdominal Aneurysm Treatment With Modified Chimney Stent Graft Mario Marino, MD, Holta Kasemi, MD, Costantino Luca Di Angelo, MD, Gian.

Endovascular management of thoracic aortic aneurysms

Hybrid Repair of Subclavian-Axillary Artery Aneurysms and Aortic Arch Aneurysm in a Patient With Marfan Syndrome Akihiro Yoshitake, MD, PhD, Hideyuki.

Fabio Ramponi, MD The Annals of Thoracic Surgery

Emergency Endovascular Deployment of Stent Graft in the Ascending Aorta for Contained Rupture of Innominate Artery Pseudoaneurysm in a Pediatric Patient

Pregnancy-Associated Type B Aortic Dissection Treated With Thoracic Endovascular Aneurysm Repair Chang Shu, MD, PhD, Kun Fang, MD, Alan Dardik, MD, PhD,

G. Chad Hughes, MD, Mani A. Daneshmand, MD, Keki R

Shane S. Parmer, MD, Jeffrey P. Carpenter, MD

Shelby Kutty, MD, Roy K. Greenberg, MD, Scott Fletcher, MD, Lars G

Endovascular repair of stent graft collapse by stent-protected angioplasty using a femoral-brachial guidewire Drosos Kotelis, MD, Ruben Lopez-Benitez,

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

Hybrid Repair of an Aortic Arch Aneurysm Using Double Parallel Grafts Perfused by Retrograde Flow in Endovascular Repair Combined With Left Subclavian.

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

Type B Aortic Dissection After the Use of Tadalafil

Amisha J. Patel, MD, Rahul M. Mehta, Divyakant B

The Impact of New Technology on Cardiothoracic Surgical Practice

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

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

Twelve-year experience with intraluminal sutureless ringed graft replacement of the descending thoracic and thoracoabdominal aorta Mehmet C. Oz, MD *,

Surgical Experience in a Patient With Loeys-Dietz Syndrome Type I

Presentation transcript:

Stent-Grafting of the Thoracic Aorta by the Cardiothoracic Surgeon Burkhart Zipfel, MD, Robert Hammerschmidt, MD, Thomas Krabatsch, MD, PhD, Semih Buz, MD, Yuguo Weng, MD, PhD, Roland Hetzer, MD, PhD The Annals of Thoracic Surgery Volume 83, Issue 2, Pages 441-449 (February 2007) DOI: 10.1016/j.athoracsur.2006.09.036 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Endovascular access. a) Routine angioaccess consists of exposure of the common femoral artery with a small oblique incision. The delivery system of the stent-graft is advanced directly over the puncture site without arteriotomy guided by the ultrastiff guidewire. b) For the access conduit, a 10-mm Dacron graft has been sutured end to side to the distal abdominal aorta (Fig 3). A 24F sheath is passed through this graft into the suprarenal aorta. The Annals of Thoracic Surgery 2007 83, 441-449DOI: (10.1016/j.athoracsur.2006.09.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Hybrid procedure for a thoracoabdominal aneurysm in a 72-year-old woman. The celiac axis ostium was covered by the stent-graft (E-vita). The 10-mm Dacron access graft to the distal abdominal aorta was used as a bypass for iliac artery reconstruction after deployment of the endograft. A second bypass (6-mm expanded polytetrafluoroethylene) to the common hepatic artery was anastomosed on top. The Annals of Thoracic Surgery 2007 83, 441-449DOI: (10.1016/j.athoracsur.2006.09.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Endograft (E-vita in two long segments) of the entire descending thoracic aorta from the left common carotid artery down to the celiac trunk. The left subclavian artery has been transposed to the left common carotid artery preliminarily and is not excluded by the stent-graft. The Annals of Thoracic Surgery 2007 83, 441-449DOI: (10.1016/j.athoracsur.2006.09.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Intraoperative angiograms of a 19-year-old patient with blunt traumatic rupture. (Left) False aneurysm close to the left subclavian artery origin. The endograft delivery catheter is already in park position downstream. (Right) A Talent stent-graft is in place: the Dacron starts immediately downstream of the left common carotid artery; the bare springs are crossing it. The left subclavian artery is occluded. The stent-graft is oversized by 27% and expands to its full diameter at the spot of the rupture. The Annals of Thoracic Surgery 2007 83, 441-449DOI: (10.1016/j.athoracsur.2006.09.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Distribution of proximal endograft attachments (full diameter graft material; bare springs may reach further in proximal direction). Modified from Criado et al [6]: zone C, inside a previously placed conventional surgical graft; zone E, inside a previously placed endograft. The Annals of Thoracic Surgery 2007 83, 441-449DOI: (10.1016/j.athoracsur.2006.09.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Actuarial survival for all patients. The Annals of Thoracic Surgery 2007 83, 441-449DOI: (10.1016/j.athoracsur.2006.09.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Development of endovascular stent-grafting at the Deutsches Herzzentrum Berlin. The Annals of Thoracic Surgery 2007 83, 441-449DOI: (10.1016/j.athoracsur.2006.09.036) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions