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Acute Type A Aortic Dissection Treated Using a Tubular Stent-Graft in the Ascending Aorta and a Multibranched Stent-Graft in the Aortic Arch

Standard

Acute Type A Aortic Dissection Treated Using a Tubular Stent-Graft in the Ascending Aorta and a Multibranched Stent-Graft in the Aortic Arch. / Kölbel, Tilo; Detter, Christian; Carpenter, Sebastian W; Rohlffs, Fiona; von Kodolitsch, Yskert; Wipper, Sabine; Reichenspurner, Herrmann; Debus, E Sebastian; Tsilimparis, Nikolaos.

In: J ENDOVASC THER, Vol. 24, No. 1, 02.2017, p. 75-80.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Kölbel, T, Detter, C, Carpenter, SW, Rohlffs, F, von Kodolitsch, Y, Wipper, S, Reichenspurner, H, Debus, ES & Tsilimparis, N 2017, 'Acute Type A Aortic Dissection Treated Using a Tubular Stent-Graft in the Ascending Aorta and a Multibranched Stent-Graft in the Aortic Arch', J ENDOVASC THER, vol. 24, no. 1, pp. 75-80. https://doi.org/10.1177/1526602816680089

APA

Kölbel, T., Detter, C., Carpenter, S. W., Rohlffs, F., von Kodolitsch, Y., Wipper, S., Reichenspurner, H., Debus, E. S., & Tsilimparis, N. (2017). Acute Type A Aortic Dissection Treated Using a Tubular Stent-Graft in the Ascending Aorta and a Multibranched Stent-Graft in the Aortic Arch. J ENDOVASC THER, 24(1), 75-80. https://doi.org/10.1177/1526602816680089

Vancouver

Kölbel T, Detter C, Carpenter SW, Rohlffs F, von Kodolitsch Y, Wipper S et al. Acute Type A Aortic Dissection Treated Using a Tubular Stent-Graft in the Ascending Aorta and a Multibranched Stent-Graft in the Aortic Arch. J ENDOVASC THER. 2017 Feb;24(1):75-80. https://doi.org/10.1177/1526602816680089

Bibtex

@article{3818bb5ebbd54cd588882033eadc879d,
title = "Acute Type A Aortic Dissection Treated Using a Tubular Stent-Graft in the Ascending Aorta and a Multibranched Stent-Graft in the Aortic Arch",
abstract = "PURPOSE: To describe the combined use of a tubular stent-graft for the ascending aorta and an inner-branched arch stent-graft for patients with acute type A aortic dissection.TECHNIQUE: The technique to deploy these modular, custom-made stent-grafts is demonstrated in 2 patients with acute DeBakey type I aortic dissections and significant comorbidities precluding open surgery. Both emergent procedures were made possible by the availability of suitable devices manufactured for elective repair in other patients. After preliminary carotid-subclavian bypass, a long Lunderquist guidewire was introduced from the right femoral artery to the left ventricle for delivery of the Zenith Ascend and Zenith Branched Arch Endovascular Grafts under inflow occlusion. Bridging stent-grafts were delivered to the innominate and left common carotid arteries to connect to the 2 inner branches; the left subclavian artery was occluded. Both cases were technically successful and resulted in exclusion of the false lumen in the ascending aorta. The operating and fluoroscopy times did not exceed those of comparable elective procedures. The patients were rapidly extubated shortly after the procedure and without serious immediate complications. One patient survived 11 months with a satisfactory repair; the other succumbed to complications of recurrent pneumonia after 23 days.CONCLUSION: Endovascular treatment of patients with acute type A aortic dissection using a combination of tubular and branched stent-grafts in the ascending aorta is feasible and offers an alternative strategy to open surgery.",
keywords = "Acute Disease, Aged, Aneurysm, Dissecting/diagnostic imaging, Aortic Aneurysm, Abdominal/diagnostic imaging, Aortic Aneurysm, Thoracic/diagnostic imaging, Aortography/methods, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/adverse effects, Computed Tomography Angiography, Endovascular Procedures/adverse effects, Fatal Outcome, Female, Humans, Male, Prosthesis Design, Stents, Treatment Outcome",
author = "Tilo K{\"o}lbel and Christian Detter and Carpenter, {Sebastian W} and Fiona Rohlffs and {von Kodolitsch}, Yskert and Sabine Wipper and Herrmann Reichenspurner and Debus, {E Sebastian} and Nikolaos Tsilimparis",
year = "2017",
month = feb,
doi = "10.1177/1526602816680089",
language = "English",
volume = "24",
pages = "75--80",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "1",

}

RIS

TY - JOUR

T1 - Acute Type A Aortic Dissection Treated Using a Tubular Stent-Graft in the Ascending Aorta and a Multibranched Stent-Graft in the Aortic Arch

AU - Kölbel, Tilo

AU - Detter, Christian

AU - Carpenter, Sebastian W

AU - Rohlffs, Fiona

AU - von Kodolitsch, Yskert

AU - Wipper, Sabine

AU - Reichenspurner, Herrmann

AU - Debus, E Sebastian

AU - Tsilimparis, Nikolaos

PY - 2017/2

Y1 - 2017/2

N2 - PURPOSE: To describe the combined use of a tubular stent-graft for the ascending aorta and an inner-branched arch stent-graft for patients with acute type A aortic dissection.TECHNIQUE: The technique to deploy these modular, custom-made stent-grafts is demonstrated in 2 patients with acute DeBakey type I aortic dissections and significant comorbidities precluding open surgery. Both emergent procedures were made possible by the availability of suitable devices manufactured for elective repair in other patients. After preliminary carotid-subclavian bypass, a long Lunderquist guidewire was introduced from the right femoral artery to the left ventricle for delivery of the Zenith Ascend and Zenith Branched Arch Endovascular Grafts under inflow occlusion. Bridging stent-grafts were delivered to the innominate and left common carotid arteries to connect to the 2 inner branches; the left subclavian artery was occluded. Both cases were technically successful and resulted in exclusion of the false lumen in the ascending aorta. The operating and fluoroscopy times did not exceed those of comparable elective procedures. The patients were rapidly extubated shortly after the procedure and without serious immediate complications. One patient survived 11 months with a satisfactory repair; the other succumbed to complications of recurrent pneumonia after 23 days.CONCLUSION: Endovascular treatment of patients with acute type A aortic dissection using a combination of tubular and branched stent-grafts in the ascending aorta is feasible and offers an alternative strategy to open surgery.

AB - PURPOSE: To describe the combined use of a tubular stent-graft for the ascending aorta and an inner-branched arch stent-graft for patients with acute type A aortic dissection.TECHNIQUE: The technique to deploy these modular, custom-made stent-grafts is demonstrated in 2 patients with acute DeBakey type I aortic dissections and significant comorbidities precluding open surgery. Both emergent procedures were made possible by the availability of suitable devices manufactured for elective repair in other patients. After preliminary carotid-subclavian bypass, a long Lunderquist guidewire was introduced from the right femoral artery to the left ventricle for delivery of the Zenith Ascend and Zenith Branched Arch Endovascular Grafts under inflow occlusion. Bridging stent-grafts were delivered to the innominate and left common carotid arteries to connect to the 2 inner branches; the left subclavian artery was occluded. Both cases were technically successful and resulted in exclusion of the false lumen in the ascending aorta. The operating and fluoroscopy times did not exceed those of comparable elective procedures. The patients were rapidly extubated shortly after the procedure and without serious immediate complications. One patient survived 11 months with a satisfactory repair; the other succumbed to complications of recurrent pneumonia after 23 days.CONCLUSION: Endovascular treatment of patients with acute type A aortic dissection using a combination of tubular and branched stent-grafts in the ascending aorta is feasible and offers an alternative strategy to open surgery.

KW - Acute Disease

KW - Aged

KW - Aneurysm, Dissecting/diagnostic imaging

KW - Aortic Aneurysm, Abdominal/diagnostic imaging

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Aortography/methods

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/adverse effects

KW - Computed Tomography Angiography

KW - Endovascular Procedures/adverse effects

KW - Fatal Outcome

KW - Female

KW - Humans

KW - Male

KW - Prosthesis Design

KW - Stents

KW - Treatment Outcome

U2 - 10.1177/1526602816680089

DO - 10.1177/1526602816680089

M3 - SCORING: Journal article

C2 - 27881689

VL - 24

SP - 75

EP - 80

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 1

ER -