Show simple item record

dc.contributor.authorÖztaş, Didem Melis
dc.contributor.authorUğurlucan, Murat
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorÜnal, Orçun
dc.contributor.authorÖnal, Yılmaz
dc.contributor.authorUmutlu, Muzaffer
dc.contributor.authorAcunaş, Bülent
dc.contributor.authorAlpagut, Ufuk
dc.date.accessioned2020-07-28T12:46:43Z
dc.date.available2020-07-28T12:46:43Z
dc.date.issued2020en_US
dc.identifier.citationÖztaş, D. M., Uğurlucan, M., Beyaz, M. O., Ulukan, M. Ö., Ünal, O., Önal, Y. ... Alpagut, U. (2020). Follow-up results of aortic arch cervical debranching performed with the help of a temporary crossover external carotid artery bypass for cerebral protection followed by endovascular thoracic aortic aneurysm repair. Interactive Cardiovascular and Thoracic Surgery, 30(5), 724-731. https://dx.doi.org/10.1093/icvts/ivaa004en_US
dc.identifier.issn1569-9293
dc.identifier.issn1569-9285
dc.identifier.urihttps://dx.doi.org/10.1093/icvts/ivaa004
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5631
dc.description.abstractOBJECTIVES: Treating aortic arch aneurysms with conventional open surgical and endovascular stent graft procedures is challenging due to the complex anatomy of the arch and the arteries arising from it that nourish the brain. Cerebral protection is of the utmost importance during the treatment of thoracic aneurysms involving the aortic arch.METHODS: Between May 2014 and November 2018, 7 patients with thoracic aortic aneurysms involving the aortic arch who underwent aortic arch cervical debranching with our technique were reviewed retrospectively. Because all the patients being considered for conventional surgical aortic arch replacement had serious comorbidities, they were selected to receive hybrid therapy. The mean age of the patients was 71.2 +/- 9.4 years. One patient was a woman and 6 patients were men. One patient was given general anaesthesia; the remaining 6 patients had a regional block. A crossover temporary bypass was performed between the external carotid arteries with a 6-mm polytetrafluoroethylene graft for cerebral protection in all patients. Thoracic endovascular aortic repair (TEVAR) was successfully performed in all patients except 1 following debranching.RESULTS: Neurological complications did not occur during the procedures. Patients were followed for a mean of 18.3 +/- 4.9 months. One female patient died of exacerbating chronic obstructive pulmonary disease within the first follow-up year. Three other patients died: 1 died of natural causes; 1 died of pneumonia followed by multiorgan failure; and 1 died of myocardial infarction during the mid-term follow-up period. The remaining patients are still being followed and are event free.CONCLUSIONS: Endovascular treatment of thoracic aortic diseases involving the aortic arch is facilitated when the aortic arch is debranched. Our cerebral protection method with a temporary crossover bypass between the external carotid arteries provides continuous pulsatile blood flow to the brain; hence, neurologically, it is a reliable procedure. The follow-up results of the patients who underwent aortic arch cervical debranching followed by TEVAR depended on their comorbidities.en_US
dc.language.isoengen_US
dc.publisherOxford University Pressen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectThoracic Aortic Arch Aneurysmen_US
dc.subjectEndovascular Stent Graft Repairen_US
dc.subjectDebranchingen_US
dc.subjectHybrid Procedureen_US
dc.subjectCerebral Protectionen_US
dc.titleFollow-up results of aortic arch cervical debranching performed with the help of a temporary crossover external carotid artery bypass for cerebral protection followed by endovascular thoracic aortic aneurysm repairen_US
dc.typearticleen_US
dc.relation.journalInteractive Cardiovascular and Thoracic Surgeryen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalıen_US
dc.authorid0000-0001-6643-9364en_US
dc.authorid0000-0001-9338-8152en_US
dc.identifier.volume30en_US
dc.identifier.issue5en_US
dc.identifier.startpage724en_US
dc.identifier.endpage731en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1093/icvts/ivaa004en_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record