Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > Articles online first > The Journal of Cardiovascular Surgery 2017 Jun 16

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti
Per citare questo articolo

THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,179


eTOC

 

The Journal of Cardiovascular Surgery 2017 Jun 16

DOI: 10.23736/S0021-9509.17.10048-0

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endovascular redo aortic surgery

Jacob, BUDTZ-LILLY , Kiattisak HONGKU, Björn SONESSON, Nuno DIAS, Tim RESCH

Vascular Center, Skåne University Hospital, Malmö, Sweden


PDF  


Endovascular redo aortic operations are a challenging undertaking. Techniques for treatment date almost as far back as the original open repair itself. Risk factors for failure following aortic repair include larger AAA necks, severe neck angulation, as well as clinical variables such as age, family history, obesity and chronic obstructive pulmonary disease. The armamentarium of endovascular treatments is vast and increasing. Aside from provisional embolization of endoleaks or deferment to open repair conversion, attention should be directed toward obtaining adequate proximal and distal sealing. This can be achieved with Palmaz stents, endoanchors, and extension with fenestrated or branched endovascular repair. Thoracic aortic coverage may be required, and revascularization of the left subclavian artery should be considered. Technical issues such as these, as well as target vessel cannulation and accommodation of the new graft within the previous implanted graft, require experience and careful planning. Distal extension can likewise resolve a failing repair, and this may require the use of internal iliac artery embolization or iliac-branch devices. Redo aortic operations are technically demanding and are carried out with increased risks. Improving technology, such as fusion imaging, should mitigate some of this risk and are recommended.

inizio pagina

Publication History

Per citare questo articolo

Budtz-Lilly J, Hongku K, Sonesson B, Dias N, Resch T. Endovascular redo aortic surgery. J Cardiovasc Surg 2017 Jun 16. DOI: 10.23736/S0021-9509.17.10048-0

Corresponding author e-mail

jacoblilly@me.com