Mechanisms of Failure and Outcome of Secondary Surgical Interventions After Thoracic Endovascular Aortic Repair (TEVAR) Julia Dumfarth, MD, Marc Michel,

Slides:

Advertisements

Similar presentations

Bradley G. Leshnower, MD, Ravi K. Veeraswamy, MD, Yazan M

Advertisements

Bloodless Surgery of Acute Type A Aortic Dissection in a Jehovah’s Witness Patient Miralem Pasic, MD, PhD, Wolfgang Ruisz, MD, Andreas Koster, MD, PhD,

Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes Muhammad Aftab, MD, Jay J. Idrees, MD,

The challenge of associated intramural hematoma with endovascular repair for penetrating ulcers of the descending thoracic aorta Himanshu J. Patel, 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

Endovascular Treatment of an Acute Subdiaphragmatic Aortic Rupture

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

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

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft Blaine J. Ruby, MD, Thomas H. Cogbill,

Antegrade Thoracic Stent Grafting During Repair of Acute DeBakey I Dissection Prevents Development of Thoracoabdominal Aortic Aneurysms Alberto Pochettino,

Leon M. Ptaszek, MD, PhD, Kibeom Kim, BA, Amy E. Spooner, MD, Thomas E

The “Lantern” Procedure to Simplify Treatment of Retrograde Type A Dissection After Thoracic Endograft Stenting Chung-Lin Tsai, MD The Annals of Thoracic.

Stented Elephant Trunk Technique for Retrograde Type A Aortic Dissection After Endovascular Stent Graft Repair Bin Li, MD, Xu-Dong Pan, MD, Wei-Guo Ma,

Treating Aortic Dissection and Penetrating Aortic Ulcer with Stent Graft: Thirty Cases Shang Dong Xu, MD, Zhi Zhong Li, MD, Fang Jiong Huang, MD, Jin.

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

Bruce A. Perler, MD, MBA Journal of Vascular Surgery

Distal aortic arch aneurysm after endovascular stent graft repair for type B chronic aortic dissection Claudio F. Russo, MD, Andrea Garatti, MD, Maurizio.

Endovascular Repair of the Descending Aorta and the Aortic Arch With the Relay Stent Graft Martin Funovics, MD, Melanie Blum, MD, Herbert Langenberger,

Surgical Repair of a Chronic Traumatic Sternal Fracture

Aortic Wrapping for Stanford Type A Acute Aortic Dissection: Short and Midterm Outcome Pierre Demondion, MD, Ramzi Ramadan, MD, Alexandre Azmoun, MD,

Delayed Repair of Acute Type A Aortic Dissection in a Patient with Gastrointestinal Bleeding and Pulse Deficit Gabriele Di Luozzo, MD, Henry J. Tannous,

Thoracic Stent Grafting for Acute Aortic Pathology

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

Kourosh C Ghalili, MD, Jamal H Khan, MD The Annals of Thoracic Surgery

Random Finding of a Ruptured Kommerell Aneurysm After Stroke

Distal Landing Zone Open Fenestration Facilitates Endovascular Elephant Trunk Completion and False Lumen Thrombosis Eric E. Roselli, MD, Edgardo Sepulveda,

Late conversion after endovascular abdominal aortic aneurysm repair in a patient with Ehlers-Danlos syndrome Georgios Karaolanis, MD, MSc, PhD, Özgun.

The results of stent graft versus medication therapy for chronic type B dissection Xin Jia, MD, Wei Guo, MD, Tian-xiao Li, MD, Sheng Guan, MD, Rui-min.

Ruptured Aneurysm Caused by an Endoleak 29 Months After Transluminal Endovascular Grafting for a Dissecting Aortic Aneurysm S. Suzuki, K. Imoto, K. Uchida,

Efficacy and durability of the chimney graft technique in urgent and complex thoracic endovascular aortic repair Adel Bin Jabr, MD, Bengt Lindblad, MD,

Complications at the Proximal Landing Zone of Endovascular Stent Grafts Deployed in Surgically Replaced Ascending Aorta Vamshi K. Kotha, MD, Eric J.

Wrapping Procedure for Stanford Type A Acute Aortic Dissection: Is There an Indication for Surgery Without a Cardiopulmonary Bypass? Stéphane Lopez,

Antegrade Deployment of a Thoracic Endograft Using a Minithoracotomy

Distal Stent Graft-Induced New Entry: An Emerging Complication of Endovascular Treatment in Aortic Dissection Antonio Pantaleo, MD, Giuliano Jafrancesco,

Anatomic factors associated with acute endograft collapse after Gore TAG treatment of thoracic aortic dissection or traumatic rupture Bart E. Muhs, MD,

Comparison of outcomes following endovascular repair of abdominal aortic aneurysms based on size threshold Charles J. Keith, BA, Marc A. Passman, MD,

Successful Repair of Iatrogenic Acute Aortic Dissection With Cerebral Malperfusion Rıza Türköz, MD, Oner Gulcan, MD, Levent Oguzkurt, MD, Esra Calıskan,

Gerald G.R. Sng, Cameron D. Wright, MD The Annals of Thoracic Surgery

Endovascular Thoracic Aortic Aneurysm Repair With Concomitant Myocardial and Carotid Revascularization Keshava Rajagopal, MD, PhD, Brian Lima, MD, J.

Surgical versus endovascular treatment of traumatic thoracic aortic rupture Philippe Amabile, MD, Frédéric Collart, MD, Vlad Gariboldi, MD, Gilles Rollet,

The Annals of Thoracic Surgery

Endovascular Treatment of a Thoracic Aortic Pseudoaneurysm After Previous Open Repair Derek R. Brinster, MD, Desirae M. McKee, MD, Dawn M. Olsen, PA,

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

Endovascular Total Arch Repair Using In Situ Fenestration for Arch Aneurysm and Chronic Type A Dissection Yoshiaki Katada, MD, PhD, Shunichi Kondo, MD,

The Frozen Elephant Trunk for the Treatment of Chronic Dissection of the Thoracic Aorta: A Multicenter Experience Davide Pacini, MD, Konstantinos Tsagakis,

Coil embolization of persistent false lumen after stent graft repair of type B aortic dissection Enrique María San Norberto, MD, Vicente Manuel Gutiérrez,

A Modified and Less Invasive Procedure in Aortic Arch Replacement

Scott A. LeMaire, MD, Susan Y

Aortic remodeling after endovascular repair with stainless steel-based stent graft in acute and chronic type B aortic dissection Chih-Pei Ou Yang, MD,

Fabio Ramponi, MD The Annals of Thoracic Surgery

The frozen elephant trunk: An interesting hybrid endovascular-surgical technique to treat complex pathologies of the thoracic aorta Florian S. Schoenhoff,

Repair of Acute Type A Aortic Dissections Using Open Replacement With Triple- Branched Stent Grafts Jun Pan, MD, Qing-Guo Li, MD, Qing Zhou, MD, Qiang.

Double-Barreled Cannon Stent Grafts: Possible Solution for Extremely Dilated Landing Zone of Aorta Yi-Hsuan Wu, MD, Cheng-Che Tseng, MD, Tzong-Nan Kuo,

Emergency endovascular stent grafting in acute complicated type B dissection Dominik Wiedemann, MD, Marek Ehrlich, MD, Philippe Amabile, MD, Luigi Lovato,

Successful Management of Esophageal Necrosis After Endovascular Repair of Chronic Type B Aortic Dissection Alexander Tobisch, MD, Harald Ittrich, MD,

Thoracic aortic emergencies: impact of endovascular surgery

Bradley G. Leshnower, MD, Ravi K. Veeraswamy, MD, Yazan M

G. Chad Hughes, MD, Asvin M. Ganapathi, MD, Jeffrey E

Surgery for Acute Type A Dissection With the Tear in the Descending Aorta Using a Stented Elephant Trunk Procedure LiZhong Sun, MD, RuiDong Qi, MD, Qian.

Charles T. Bakhos, MD, MS, Sidhu P. Gangadharan, MD, Graham M

Novel Insights Into the Mechanisms and Treatment of Intramural Hematoma Affecting the Entire Thoracic Aorta Michael Grimm, MD, Christian Loewe, MD, Roman.

Management of Traumatic Aortic and Splenic Rupture in a Patient With Ascending Aortic Aneurysm Ahmet Can Topcu, MD, Ufuk Ciloglu, MD, Ahmet Bolukcu,

Late conversion after endovascular abdominal aortic aneurysm repair in a patient with Ehlers-Danlos syndrome Georgios Karaolanis, MD, MSc, PhD, Özgun.

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

Surgical Technique of Total Arch Replacement for Failed Thoracic Endovascular Aortic Repair Yasunori Iida, MD, Yukio Obitsu, MD, Nobusato Koizumi, MD,

Bloodless Surgery of Acute Type A Aortic Dissection in a Jehovah’s Witness Patient Miralem Pasic, MD, PhD, Wolfgang Ruisz, MD, Andreas Koster, MD, PhD,

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

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

Wrapping of the Ascending Aorta in Acute Type A Retrograde Aortic Dissection Ramzi Ramadan, MD, Alexandre Azmoun, MD, Nawwar Al-Attar, FRCS, PhD, Remi.

Presentation transcript:

Mechanisms of Failure and Outcome of Secondary Surgical Interventions After Thoracic Endovascular Aortic Repair (TEVAR) Julia Dumfarth, MD, Marc Michel, MD, Jürg Schmidli, MD, Gottfried Sodeck, MD, Marek Ehrlich, MD, Michael Grimm, MD, Thierry Carrel, MD, Martin Czerny, MD The Annals of Thoracic Surgery Volume 91, Issue 4, Pages 1141-1146 (April 2011) DOI: 10.1016/j.athoracsur.2010.12.033 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Freedom from secondary open surgical conversion after thoracic endovascular aortic repair. (IQR = interquartile range; Pts = patients.) The Annals of Thoracic Surgery 2011 91, 1141-1146DOI: (10.1016/j.athoracsur.2010.12.033) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Axial computed tomographic scan of a patient with a newly developed type Ia endoleak in the distal aortic arch due to a short landing zone showing antegrade reperfusion of the aneurysmal sac. The Annals of Thoracic Surgery 2011 91, 1141-1146DOI: (10.1016/j.athoracsur.2010.12.033) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Sagittal computed tomographic scan of a patient after thoracic endovascular aortic repair for a traumatic aortic lesion with classical infolding, as well as a bird's beak formation of the proximal prosthesis due to low radial force and a steep angulated aortic arch. Both factors led to proximal reperfusion of the aortic lesion. The Annals of Thoracic Surgery 2011 91, 1141-1146DOI: (10.1016/j.athoracsur.2010.12.033) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Sagittal computed tomographic scan of a patient after thoracic endovascular aortic repair for aneurysmal formation on the basis of a chronic type B dissection with rupture of the dissecting membrane at the distal end of the stent-graft leading to reperfusion of the false lumen and consecutively rapid expansion of the aneurysmal sac. The Annals of Thoracic Surgery 2011 91, 1141-1146DOI: (10.1016/j.athoracsur.2010.12.033) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Sagittal computed tomographic scan of the patient after thoracic endovascular aortic repair for acute complicated type B dissection revealing an asymptomatic retrograde type A aortic dissection 6 months after initial treatment. The Annals of Thoracic Surgery 2011 91, 1141-1146DOI: (10.1016/j.athoracsur.2010.12.033) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 (A) Sagittal computed tomographic scan of a patient with multi-segmental thoracic aortic disease showing a steep angulation at the thoraco-abdominal transition. (B) The same patient after a twofold frustraneous attempt of distal extension with no effect due to persisting reperfusion of the aneurysmal sac due to the angulated anatomy. (C) The same patient after thoraco-abdominal replacement with incorporation of the proximal parts of the stent-graft into the anastomosis. The Annals of Thoracic Surgery 2011 91, 1141-1146DOI: (10.1016/j.athoracsur.2010.12.033) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions