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

Slides:

Advertisements

Similar presentations

Bilateral renal artery occlusion due to intraoperative retrograde migration of an abdominal aortic aneurysm endograft Kaan Inan, MD, Alper Ucak, MD,

Advertisements

A new staged hybrid total arch repair procedure using a branched proximal elephant trunk technique with implantation of stent grafts to the ascending.

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

Joyce J. Lu, MD, Jason D. Slaikeu, MD, MBA, Peter Y. Wong, MD

Technique for treating complex aneurysms with Hercules stent graft modified by the surgeon Márcio Fernando Costa Medeiros, MD, Ângelo Mário de Sá Bomfim.

Hemodynamic evaluation using four-dimensional flow magnetic resonance imaging for a patient with multichanneled aortic dissection Baolei Guo, MD, PhD,

Joyce J. Lu, MD, Jason D. Slaikeu, MD, MBA, Peter Y. Wong, MD

Hybrid repair of complex thoracoabdominal aortic aneurysms using applied endovascular strategies combined with visceral and renal revascularization Lukla.

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

The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture Felix J.V. Schlösser, MD, PhD, John E. Aruny,

Elisabeth Schwierz, MD, Ralf R

Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks Zoran Rancic, MD, PhD, Thomas Pfammatter,

Combined proximal stent grafting plus distal bare metal stenting for management of aortic dissection: Superior to standard endovascular repair? Sophie.

An optimized retroperitoneal approach for open aortic repair by partially removing the tenth rib without incising the pleura and diaphragm Yuewei Wang,

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

Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm Giuseppe Baldino, MD, Paolo Mortola,

Novel endovascular procedures and new developments in aortic surgery

Endovascular repair of Stanford B aortic dissection using two stent grafts with different sizes Xiaoyong Huang, MD, Lianjun Huang, MD, Lizhong Sun, MD,

Covered endovascular repair of the paravisceral aorta

Covered endovascular repair of the paravisceral aorta

Seminars in Thoracic and Cardiovascular Surgery

Midterm Change of Descending Aortic False Lumen After Repair of Acute Type I Dissection Kay-Hyun Park, MD, PhD, Cheong Lim, MD, PhD, Jin Ho Choi, MD,

Endovascular rescue of long-term vascular graft implants and need for continuous surveillance Brian M. Leoce, BS, Herbert Dardik, MD, FACS, Phillip Bahramipour,

Joseph S. Coselli, MD, Peter Oberwalder, MD

George Matalanis, BSc, MB, MS, FRACS, Shoane Ip, MBBS, BMedSc, FRACS

Mark F. Conrad, MD, Robert S. Crawford, MD, Christopher J

Bilateral renal artery occlusion due to intraoperative retrograde migration of an abdominal aortic aneurysm endograft Kaan Inan, MD, Alper Ucak, MD,

Chronic type B aortic dissection in a pregnant patient managed by simultaneous thoracic endovascular aortic repair and cesarean section in the hybrid.

A new staged hybrid total arch repair procedure using a branched proximal elephant trunk technique with implantation of stent grafts to the ascending.

Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation Ivan Matia, MD, PhD, Jan Pirk, MD, PhD, Květoslav Lipar,

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

Staged hybrid approach using proximal thoracic endovascular aneurysm repair and distal open repair for the treatment of extensive thoracoabdominal aortic.

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

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

Elisabeth Schwierz, MD, Ralf R

Successful treatment of disseminated intravascular coagulation associated with aortic dissection Masahiko Fujii, MD, Hiroyuki Watanabe, MD, Masayoshi.

Anatomical repair of a congenital aneurysm of the distal abdominal aorta in a newborn Sergueï Malikov, MD, PhD, Arnauld Delarue, MD, PhD, Pierre-Olivier.

Customized endovascular repair of common iliac artery aneurysms

Endovascular management of an acute type B aortic dissection in a patient with fibromuscular dysplasia Jeanette H. Man, BS, Abby Rothstein, MD, Parag.

Placement of a branched stent graft into the false lumen of a chronic type B aortic dissection Dominic Simring, FRACS (Vasc), Jowad Raja, MRCS, FRCR,

Complications after endovascular repair of acute symptomatic and chronic expanding Stanford type B aortic dissections Dittmar Böckler, MD, Hardy Schumacher,

Explantation of infected aortic aneurysm and endograft with ascending aorta to mesenteric bypass for mesenteric ischemia Lindsay Gates, MD, Jason A.

Successful treatment of disseminated intravascular coagulation associated with aortic dissection Masahiko Fujii, MD, Hiroyuki Watanabe, MD, Masayoshi.

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

Endovascular rescue of long-term vascular graft implants and need for continuous surveillance Brian M. Leoce, BS, Herbert Dardik, MD, FACS, Phillip Bahramipour,

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

Anthony Carnicelli, BA, Adam Doyle, MD, Michael Singh, MD

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

Volume 42, Pages (January 2019)

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

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

C. Y. Maximilian Png, BA, James W. Cornwall, MD, Peter L

Aortoiliac surgery in renal transplant patients

Long-segment thoracoabdominal aortic coarctation in a child with Down syndrome Vladimir Tonello de Vasconcelos, MD, Ruy Guilherme Rodrigues Cal, MD, Adriano.

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

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

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

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

Type B aortic dissection after endovascular abdominal aortic aneurysm repair causing endograft collapse and severe malperfusion Vikram Iyer, MD, Mark.

Sukgu M. Han, MD, Warren J. Gasper, MD, Timothy A.M. Chuter, MD

The double two-chimney technique for complete renovisceral revascularization in a suprarenal aneurysm Jip L. Tolenaar, MD, Herman J.A. Zandvoort, MD,

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

A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia Sophie Wang, BS, Mahmoud.

Fenestrated endograft for recurrent paravisceral aortic pseudoaneurysm after thoracoabdominal aortic aneurysm open repair Mauro Gargiulo, MD, PhD, Enrico.

Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection Neal R.

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

Mesenteric vascular insufficiency and claudication following acute dissecting thoracic aortic aneurysm Thomas H. Cogbill, M.D., A.Erik Gundersen, M.D.,

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

Retrograde ascending Stanford B aortic dissection complicating a routine infrarenal endovascular aortic reconstruction Apostolos T. Mamopoulos, MD, Thomas.

Repair of superior mesenteric artery bypass pseudoaneurysm with physician-modified fenestrated aortic endograft Tahlia L. Weis Sadoski, MD, PhD, Claudio.

Presentation transcript:

Simplified hybrid repair with true lumen recycling for retrograde renovisceral perfusion in a complex chronic aortic dissection Ricardo Castro-Ferreira, MD, Paulo Gonçalves Dias, MD, Sérgio Moreira Sampaio, MD, José Fernando Teixeira, MD, Mario Lachat, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 3, Pages 226-230 (September 2018) DOI: 10.1016/j.jvscit.2018.03.006 Copyright © 2018 The Author(s) Terms and Conditions

Fig 1 Schematic image of the imaging findings when the patient was referred to the vascular department: type I thoracoabdominal aortic aneurysm, thrombosed right common iliac artery aneurysm (60-mm thoracic aorta and 50-mm abdominal aorta; 40 mm in the right common iliac artery), and thrombosed right renal and left internal iliac arteries. The dissection had an apparent origin in the Dacron-descending thoracic aorta anastomosis. The false lumen (FL) was dominant and compressed the true lumen (TL), which had just 1-cm diameter. All remaining visceral arteries—left renal, superior mesenteric, and celiac—originated in the TL. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 226-230DOI: (10.1016/j.jvscit.2018.03.006) Copyright © 2018 The Author(s) Terms and Conditions

Fig 2 Schematic image of the first step in treatment—open aortoiliac bypass with preservation of both lumens in the infrarenal aorta, with additional reinforcement of the infrarenal aorta and anastomosis with Dacron (wrap technique). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 226-230DOI: (10.1016/j.jvscit.2018.03.006) Copyright © 2018 The Author(s) Terms and Conditions

Fig 3 Intraoperative photograph highlighting both lumens in the infrarenal aorta and the Dacron that will further reinforce the infrarenal aorta and anastomosis (wrap technique). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 226-230DOI: (10.1016/j.jvscit.2018.03.006) Copyright © 2018 The Author(s) Terms and Conditions

Fig 4 Schematic image of the second step in treatment—exclusion of the dissection's origin by endografting of the entire false lumen (FL) with three successive thoracic endoprostheses. The proximal landing zone was just distal to the left subclavian artery. The distal landing zone was in the infrarenal aorta reinforced by the Dacron. True lumen (TL) perfusion was maintained by two periscopes with self-expanding bare-metal nitinol stents. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 226-230DOI: (10.1016/j.jvscit.2018.03.006) Copyright © 2018 The Author(s) Terms and Conditions

Fig 5 Preoperative, postoperative, and 16-month three-dimensional computed tomography angiography reconstructions. Total coverage of the thoracoabdominal aorta can be appreciated. The celiac trunk and superior mesenteric and left renal arteries are all successfully perfused through true limb salvage using two periscopes. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 226-230DOI: (10.1016/j.jvscit.2018.03.006) Copyright © 2018 The Author(s) Terms and Conditions