Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Aortic arch debranching options in hybrid surgical interventions

Authors: R.S. Akchurin, T.E. Imaev, A.E. Komlev, D.V. Salichkin

Company:
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF, ul. Tret'ya Cherepkovskaya, 15a, Moscow, 121552, Russian Federation

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UDC: 616.132-007.251-06-089

Link: Clinical Physiology of Blood Circulaiton. 2016; 13 (2): 102-107

Quote as: Akchurin R.S., Imaev T.E., Komlev A.E., Salichkin D.V. Aortic arch debranohing options in hybrid surgical interventions. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal) . 2016; 13(2): 102-107 (in Russ.).

Received / Accepted:  26.11.2015/30.01.2016

Full text:  

Abstract

Introduction of thoracic endovascular aortic repair into clinical practice has dramatically changed the perspective on treatment of thoracic aneurysms. At the present time, hybrid surgery of thoracic aorta is the issue of the utmost interest. Comparable results of treatment and fewer complications compared to conventional aortic repair has made this approach the preferred option for high-risk patients. Hybrid aortic surgery involves endovascular aortic repair and aortic arch debranching. In the article different types of supraaortic debranching in hybrid surgery of thoracic aneurysms are discussed.

References

1. Clouse WD„ Hallett J.W Jr, SchaffH.V., GayariM.M., Ilstrup D.M., Melton L.J. 3rd. Improved prognosis of thoracic aortic aneurysms: a population-based study. JAMA. 1998; 280 (22): 1926-9.

2. Crawford E.S., Denatale R.W Thoracoabdominal aor­tic aneurysm: observations regarding the natural course of the disease. J. Vase. Surg. 1986; 3: 578—82.

3. Murphy E.H., Stanley G.A., lives M., Knowles M., Dimaio J.M., Jessen M.E. et al. Thoracic endovascular repair (TEVAR) in the management of aortic arch pathology. Ann. Vase. Surg. 2012; 26 (1): 55—66.

4. Eggebrecht H., Nienaber C.A., Neuhauser M., Baum- gart D., Kische S., Schmermund A. et al. Endovascular stent-graft placement in aortic dissection: A meta­analysis. Eur. Heart J. 2006; 27: 489—98.

5. Акчурин ЕС., Имаев Т.Э., Комлев A.E., Покид- кин И.А. Еибридная сердечно-сосудистая хирур­гия — интеграция специализации в хирургии серд­ца и сосудов на рубеже веков. Кардиологический вестник. 2012; 1: 47—50. [Akchurin R.S., Imaev ТЕ., Komlev А.Е., Pokidkin LA. Hybrid cardio-vascular
surgery — integration of specialization in surgery of the heart and blood vessels at the turn of the cen­turies. Kardiologicheskiy Vestnik. 2012; 1: 47—50 (in Russ.).]

6. Дбугов C.A., Белов Ю.В., Пурецкий M.B., Стру- ценко М.В., Саакян Ю.М., Поляков Р.С. и др. Стен­тирование аневризм грудного отдела аорты при рас­слоении III типа по ДеБейки. Хирургия. Журнал им. Н.И. Пирогова. 2013; 2: 67—72. [Abugov S.A., Be­lov Yu. V, Puretskiy M.V, Stmtsenko M.V, Saakyan Yu.M., Polyakov R. S. et al. The thoracic aorta aneurism stenting. Khirurgiya. Zhumal im. N.I. Pirogova. 2013; 2: 67—72 (in Russ.).]

7. Czerny M., Weigang E., Sodeck G., Schmidli J., Antona C., Gelpi G. et al. Targeting landing zone 0 by total arch rerouting and TEVAR: Midterm results of a transcontinental registry. Ann. Thorac. Surg. 2012; 94: 84-9.

8. Czerny M., Schmidli J., Carrel T, Grimm M. Hybrid aortic arch repair. Ann. Cardiothorac. Surg. 2013; 2 (3): 372-7.

9. Czerny M., Funovics M., Schoder M., Loewe C., Lammer J., Grabenwoger M. et al. Transposition of the supra-aortic vessels before stent grafting the aortic arch and descending aorta. J. Thorac. Cardiovasc. Surg. 2013; 145: S91-7.

10. Ozsvath K.J., Roddy S.P., Darling R.C. 3rd, Byrne J., Kreienberg P.B., Choi D. et al. Carotid-carotid crossover bypass: is it a durable procedure? J. Vase. Surg. 2003; 37 (3): 582-5.

11. Czerny M., Pfannmiiller B., Borger M.A., Schmidt A., Mohr F.W, Grabenwoger M. Hybrid debranching tech­nique for aortic arch replacement. Multimed. Man. Cardiothorac. Surg. 2011; 2011 (824).

12. Norimatsu T, Mitsuoka H., Shintani T, Saito T, Higashi S. Successful endovascular repair with chimney graft technique and carotid artery bypass for ruptured aortic arch aneurysm. Kyobu. Geka. 2012; 65 (9): 795-9.

13. Haulon S., Greenberg R.K., Spear R., Eagleton M., Abraham C., Lioupis C. et al. Global experience with an inner branched arch endograft. J. Thorac. Cardiovasc. Surg. 2014; 148: 1709-16.

About Authors

Akchurin Renat Suleymanovich, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences,
Chief of Department of Cardiovascular Surgery;
Imaev Timur Emvyarovich, MD, PhD, Leading Research Associate;
Komlev Aleksey Evgen'evich, Cardiologist;
Salichkin Dmitriy Vladimirovich, Postgraduate

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