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| http://dx.doi.org/10.4103/1995-705X.132145 | DOI Listing |
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Objectives: The thoracic branch endoprosthesis (TBE®, WL Gore, Flagstaff AZ) offers an off-the-shelf single option for thoracic endovascular aortic repair (TEVAR) of aortic arch pathology with sealing in zones 0-2. This study reports the early outcomes of TBE®-TEVAR for acute indications.
Methods: Clinical data, imaging, and outcomes of patients treated with TBE®-TEVAR at seven institutions were retrospectively reviewed (March 2017- March 2024).
Experience with Zone 2 Arch Replacement Followed by Thoracic Endovascular Aortic Repair.
Aorta (Stamford)
November 2024
Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington.
Background: Transverse open aortic arch replacement remains a complex operation. A simplified arch replacement into zone 2, with debranching the head vessels proximally, creates a suitable landing zone for future endovascular repair and is increasing in popularity as of late. Still, limited data exist to assess contemporary rates of morbidity and mortality.
View Article and Find Full Text PDFManagement and follow-up of patient with circumferential type B aortic dissection using GORE thoracic-branch endograft.
Radiol Case Rep
January 2025
The Division of Vascular Surgery, Department of Surgery, Kaiser Permanente Fontana Medical Center, 9961 Sierra Ave., Fontana, CA 92335, USA.
Article Synopsis
- Type B aortic dissection with serious complications, like a large entry tear and circumferential dissection, poses a higher risk of progression and rupture without surgery.
- Traditional treatment involves complicated procedures to prevent stroke when placing a stent, but new endovascular graft technology has improved treatment options.
- A case study of a 53-year-old man with a severe type B dissection demonstrates a two-step treatment approach using carotid bypass followed by endovascular repair with a GORE TAG device.
Coil Embolization for a New Ulcer-Like Projection Near the Distal Anastomosis After a Hemiaortic Arch Replacement.
Cureus
October 2024
Division of Cardiovascular Surgery, Department of Surgery, Kurume University School of Medicine, Kurume, JPN.
Ulcer-like projections (ULPs) with a tendency to enlarge are at risk of aortic events such as new dissection, aneurysmal formation, or rupture and require therapeutic intervention. However, what should be done after open chest surgery when standard thoracic endovascular aortic repair (TEVAR) cannot be performed is debatable. Here, we present a case of coil embolization of a newly enlarged ULP that was not amenable to TEVAR following a hemiarch aortic arch repair.
View Article and Find Full Text PDFStent-induced new entry and device migration associated with hemodynamic stress after thoracic endovascular aortic repair for type B chronic aortic dissection using computational fluid dynamics analysis: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of Cardiovascular surgery, Sunagawa City Medical Center, Nishi 4-jo Kita 3-chome 1-1, Sunagawa-shi, Hokkaido, Japan.
Background: Stent graft-induced new entry (SINE) after thoracic endovascular aortic repair (TEVAR) is a serious adverse event which leads to stent graft migration and rupture. SINE is known to be more frequent in cases of chronic dissection and oversizing. However, few studies have evaluated the influence of hemodynamic stress on SINE in patients with chronic dissection.
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