The revascularization of the left subclavian artery with a cross over axilloaxillary bypass for the hybrid repair of thoracic aortic aneurysms

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dc.authorid0000-0001-9338-8152
dc.authorid0000-0001-6643-9364
dc.contributor.authorÖztaş, Didem Melis
dc.contributor.authorÖnalan, Mehmet Akif
dc.contributor.authorEkiz, Feza
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorÖnal, Yılmaz
dc.contributor.authorErdinç, İbrahim
dc.contributor.authorUğurlucan, Murat
dc.contributor.authorAcunas, Bülent
dc.contributor.authorAlpagut, Ufuk
dc.date.accessioned2022-02-24T11:54:31Z
dc.date.available2022-02-24T11:54:31Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractAim: We present our subclavian artery revascularization experiences in the patients with thoracic aortic aneurysm who underwent hybrid repair. Materail and Methods: Between May 2015-December 2018,4 patients underwent TEVAR procedure following axilloaxillary bypass grafting.The mean age of the patients was 72.5 +/- 3.01 years.One patient was female and 3 patients were male.Patients had thoracic aortic aneurysms including the left subclavian artery or aberrant right subclavian artery. Results: All patients underwent endovascular stent graft repair following axilloaxillary bypass grafting in the same day.Mortality did not occur in the perioperative period.One patient had graft infection at 8th month of the operation and the graft was removed.He was lost due to pneumonia following the operation.The control computed tomographies of the other 3 patients revealed patent grafts together with successful endovascular interventions and they have been following uneventfully a mean of 27 +/- 6.2 months (range:24-32,median:29). Conclusion: The risk of stroke,spinal cord ischemia, and upper extremity ischemia are found higher in the patients who underwent coverage of the left subclavian artery without revascularization.The axilloaxillary bypass grafting may be performed in the patients with high risk to prevent carotid artery manipulation and clamping during carotid-subclavian bypass with long term promising patency rates.
dc.description.abstractObjetivo: Presentamos nuestras experiencias de revascularización de la arteria subclavia en los pacientes con aneurisma de aorta torácica sometidos a reparación híbrida. Material y métodos: entre mayo de 2015 y diciembre de 2018, 4 pacientes fueron sometidos a TEVAR después de un injerto de derivación axiloaxilar. La edad media de los pacientes fue 72,5 ± 3,01 años. Un paciente era mujer y 3 pacientes eran varones. Los pacientes tenían aneurismas de la aorta torácica incluyendo el arteria subclavia izquierda o arteria subclavia derecha aberrante. Resultados: Todos los pacientes fueron sometidos a reparación endovascular con endoprótesis vascular en el mismo día después de un bypass axiloaxilar, no hubo mortalidad en el perioperatorio, un paciente presentó infección del injerto a los 8 meses de la operación y se retiró el injerto, se perdió por neumonía Las tomografías computarizadas de control de los otros 3 pacientes revelaron injertos permeables junto con intervenciones endovasculares exitosas y han estado siguiendo sin incidentes una media de 27 ± 6,2 meses (rango: 24-32, mediana: 29). Conclusión: El riesgo de ictus, isquemia medular e isquemia de la extremidad superior es mayor en los pacientes sometidos a cobertura de la arteria subclavia izquierda sin revascularización; en los pacientes con alto riesgo se puede realizar un bypass axiloaxilar para prevenir la manipulación de la arteria carótida. y pinzamiento durante la derivación carótido-subclavia con tasas de permeabilidad prometedoras a largo plazo.
dc.identifier.citationÖztaş, D. M., Önalan, M. A., Ekiz, F., Beyaz, M. O., Önal, Y., Erdinç, İ. ... Alpagut, U. (2022). The revascularization of the left subclavian artery with a cross over axilloaxillary bypass for the hybrid repair of thoracic aortic aneurysms. Cirugia y Cirujanos, 90(1), 24-28. http://doi.org/10.24875/CIRU.21000013
dc.identifier.doi10.24875/CIRU.21000013
dc.identifier.endpage28
dc.identifier.issn0009-7411
dc.identifier.issue1
dc.identifier.pmid35120094
dc.identifier.scopus2-s2.0-85124174262
dc.identifier.scopusqualityQ4
dc.identifier.startpage24
dc.identifier.urihttp://doi.org/10.24875/CIRU.21000013
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8996
dc.identifier.volume90
dc.identifier.wos000752064400003en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBeyaz, Metin Onur
dc.institutionauthorUğurlucan, Murat
dc.language.isoen
dc.publisherMexican Academy of Surgery
dc.relation.ispartofCirugia y Cirujanosen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectThoracic Aortic Aneurysm
dc.subjectHybrid Therapy
dc.subjectAxilloaxillary Bypass
dc.subjectAneurisma de Aorta Torácica
dc.subjectTerapia Híbrida
dc.subjectBypass Axiloaxilar
dc.titleThe revascularization of the left subclavian artery with a cross over axilloaxillary bypass for the hybrid repair of thoracic aortic aneurysms
dc.title.alternativeLa revascularización de la arteria subclavia izquierda con un bypass axiloaxilar cruzado para la reparación híbrida de aneurismas de la aorta torácica
dc.typeArticle

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