Arch and visceral/renal debranching combined with endovascular repair for thoracic and thoracoabdominal aortic aneurysms Sung Wan Ham, MD, Terry Chong,

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Presentation transcript:

Arch and visceral/renal debranching combined with endovascular repair for thoracic and thoracoabdominal aortic aneurysms Sung Wan Ham, MD, Terry Chong, MD, John Moos, MD, Vincent L. Rowe, MD, Robbin G. Cohen, MD, Mark J. Cunningham, MD, Alison Wilcox, MD, Fred A. Weaver, MD, MMM Journal of Vascular Surgery Volume 54, Issue 1, Pages 30-41 (July 2011) DOI: 10.1016/j.jvs.2010.12.033 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomography image shows a patient with a type V thoracoabdominal aortic aneurysm. Journal of Vascular Surgery 2011 54, 30-41DOI: (10.1016/j.jvs.2010.12.033) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 After four-vessel debranching of the visceral and renal aorta. A, Computed tomography axial image demonstrates four limbs of the bypass grafts. LRA, Left renal artery; RRA, right renal artery; SMA, superior mesenteric artery. B, A 3-dimensional reconstruction displays blood flow through the four-vessel bypass grafts. Journal of Vascular Surgery 2011 54, 30-41DOI: (10.1016/j.jvs.2010.12.033) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 After hybrid repair of a type V thoracoabdominal aortic aneurysm. Three-dimensional reconstruction demonstrates the four-vessel bypasses to the visceral/renal aorta and endovascular exclusion of the thoracoabdominal aneurysm. Journal of Vascular Surgery 2011 54, 30-41DOI: (10.1016/j.jvs.2010.12.033) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Kaplan-Meier estimates for bypass graft patency in all patients at 1 and 3 years. *Standard error is <10% at all data points. Journal of Vascular Surgery 2011 54, 30-41DOI: (10.1016/j.jvs.2010.12.033) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 5 Kaplan-Meier estimates for survival for patients with arch, proximal descending thoracic aneurysm (PDTA), and thoracoabdominal aortic aneurysm (TAAA). †Number of patients remaining. *Standard error >10%. Journal of Vascular Surgery 2011 54, 30-41DOI: (10.1016/j.jvs.2010.12.033) Copyright © 2011 Society for Vascular Surgery Terms and Conditions