Follow-up results of endovascular aneurysm repair following abdominal visceral debranching

dc.authorid0000-0001-6643-9364
dc.contributor.authorÖztaş, Didem Melis
dc.contributor.authorUğurlucan, Murat
dc.contributor.authorSayın, Ömer Ali
dc.contributor.authorEkiz, Feza
dc.contributor.authorÖnal, Yılmaz
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorUmutlu, Muzaffer
dc.contributor.authorMeriç, Mert
dc.contributor.authorAcunaş, Bülent
dc.contributor.authorAlpagut, Ufuk
dc.date.accessioned2022-11-30T07:15:44Z
dc.date.available2022-11-30T07:15:44Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractIntroduction: The aim of this study is to present a series of six cases with thoracoabdominal aneurysm treated with hybrid technique in our center. Methods: Between May 2015 and December 2018, the data of six patients with thoracoabdominal aneurysms and various comorbidities who underwent visceral debranching followed by endovascular aortic aneurysm repair were reviewed retrospectively. Results: Patients’ mean age was 65.3±19.6 years. All of them were male. Comorbidities were old age, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease, previous surgical interventions, and/or esophageal hemangioma. Except for one patient who underwent coronary artery bypass grafting (inflow was taken from ascending aorta), debranching was performed from the right iliac artery. Debranching of four visceral arteries (superior mesenteric artery, celiac trunk, and bilateral renal right arteries) was performed in three patients, of three visceral arteries (superior mesenteric artery, celiac trunk, right renal artery) was performed in one, and of two visceral arteries (superior mesenteric artery, celiac trunk) was performed in two patients. Great saphenous vein and 6-mm polytetrafluoroethylene grafts were used in one and five patients, respectively, for debranching. Endovascular aneurysm repair was performed following debranching procedures as soon as the patients were stabilized. In total, three patients died at the early, mid, and long-term follow-up due to multiorgan failure, pneumonia, and unknown reasons. Conclusion: Hybrid repair of thoracoabdominal aneurysms may be an alternative to fenestrated or branched endovascular stent grafts in patients with increased risk factors for open surgical thoracoabdominal aneurysm repair; however, the procedure requires experience and care.
dc.identifier.citationÖztaş, D. M., Uğurlucan, M., Sayın, Ö. A., Ekiz, F., Önal, Y., Beyaz, M. O. ... Alpagut, U. (2022). Follow-up results of endovascular aneurysm repair following abdominal visceral debranching. Brazilian Journal of Cardiovascular Surgery, 37(6), 883-892. https://doi.org/10.21470/1678-9741-2020-0705
dc.identifier.doi10.21470/1678-9741-2020-0705
dc.identifier.endpage892
dc.identifier.issn0102-7638
dc.identifier.issn1678-9741
dc.identifier.issue6
dc.identifier.pmid35436072
dc.identifier.scopus2-s2.0-85141413664
dc.identifier.scopusqualityQ3
dc.identifier.startpage883
dc.identifier.urihttps://doi.org/10.21470/1678-9741-2020-0705
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10045
dc.identifier.volume37
dc.identifier.wos000886071100014en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorUğurlucan, Murat
dc.language.isoen
dc.publisherSociedade Brasileira de Cirurgia Cardiovascular
dc.relation.ispartofBrazilian Journal of Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectCoronary Artery Bypass
dc.subjectDissecting Aneurysm
dc.subjectPolytetrafluoroethylene
dc.subjectRenal Artery
dc.subjectSaphenous Vein
dc.subjectThoracic Aortic Aneurysm
dc.titleFollow-up results of endovascular aneurysm repair following abdominal visceral debranching
dc.typeArticle

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