4
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Estudio ENDOBARC-S: resultados de los dispositivos endovasculares ramificados para la patología del arco aórtico en España Translated title: ENDOBARC-S study: results of branching endovascular devices for aortic arch pathology in Spain

      letter
      ,
      Angiología
      Arán Ediciones S.L.

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Related collections

          Most cited references4

          • Record: found
          • Abstract: not found
          • Article: not found

          NEXUS Arch : A Multicenter Study Evaluating the Initial Experience with a Novel Aortic Arch Stent Graft System

            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Early and midterm results of thoracic endovascular aortic repair using a branched endograft for aortic arch pathologies: A retrospective single-center study

            Background Zone 0 landing hybrid thoracic endovascular aortic repair (TEVAR) includes a few moderately invasive surgical procedures. To reduce invasiveness, TEVAR with a branched aortic arch stent-graft can be considered. This study aimed to elucidate the effectiveness of performing TEVAR using a Bolton (Bolton Medical, Inc, Sunrise, Fla) branched endograft by analyzing early and midterm results. Methods We enrolled 28 patients (mean age, 78.4 years) who underwent TEVAR with the Bolton branched endograft in Osaka University Hospital between October 2012 and June 2018 with a mean follow-up period of 4.0 years. Double-side and single-side branched devices were used in 24 (85.7%) and 4 (14.3%) patients, respectively. Results All procedures were successful; no cases of endoleak or conversion to open repair were noted during the 30-day postoperative period. The perioperative stroke rate was 14.3% (4 out of 28); midterm stroke was not detected. All patients with perioperative stroke had atheroma grade ≥2 in the brachiocephalic artery. No type 1a endoleak was reported during the early or midterm results. The cumulative survival rate, aorta-related death-free rate, and aortic event-free survival rate at 5 years were 80.8%, 95.8%, and 81.6%, respectively. Conclusions We achieved satisfactory early and midterm results by using a Bolton branched endograft for high-risk patients with arch pathologies except for high postoperative stroke. Although this treatment method is associated with postoperative stroke, performing strict evaluation of atheroma may prevent such complication. By preventing intraoperative stroke, TEVAR with this custom-made Bolton branched endograft may be considered a less-invasive treatment.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Endovascular exclusion of the entire aortic arch with branched stent-grafts after surgery for acute type A aortic dissection

              Background The treatment of residual pathology of the aortic arch after surgical repair for type A acute dissection (AAD) represents a therapeutic challenge. Recently, new branched endovascular devices have expanded the possibility of aortic arch stent-grafting (ASG) with proximal landing in zone 0. The aim of this retrospective, single-center study was to evaluate outcomes of patients with a history of surgical repair for AAD undergoing ASG with branched devices. Methods We analyzed patients undergoing ASG after treatment for type AAD with 2 different branched devices: Nexus (dual-module, single branch, off-the-shelf) and RelayBranch (single-module, dual branch, custom-made). Before ASG, surgical bypass of supra-aortic vessels was performed according to patient's anatomy and to the selected device. All patients underwent clinical and computed tomography scan evaluation before hospital discharge, at 6 months, and on a yearly basis thereafter. Results From March 2017 to April 2019, 4 consecutive patients underwent ASG after surgery for AAD at our institution. Mean time from surgery for AAD to ASG was 20 months. Mean age at the time of ASG was 72 years. Nexus and Relay were implanted in 2 patients each. All patients survived and were successfully discharged. Mean intensive care unit stay and hospital stay were 3 and 19 days, respectively. We did not observe any major adverse events. At a mean follow-up of 28 months, all patients are alive and computed tomography scans showed good anatomic results with no endoleaks. Conclusions This preliminary experience shows that ASG after surgery for AAD is feasible and provides encouraging clinical and anatomic early results. Results of aortic arch stent grafting after surgery for type A acute aortic dissection with 2 different branched devices: the custom-made, double branch RelayBranch and the single-branch, bi-modular, off-the-shelf Nexus. Each device was implanted in 2 patients. We observed 100% technical success, no major complications, and all patients were alive and in good clinical conditions after a mean follow-up of 28 months.
                Bookmark

                Author and article information

                Journal
                angiologia
                Angiología
                Angiología
                Arán Ediciones S.L. (Madrid, Madrid, Spain )
                0003-3170
                1695-2987
                April 2023
                : 75
                : 2
                : 120-122
                Affiliations
                [2] Getafe Madrid orgnameHospital Universitario de Getafe orgdiv1Servicio de Angiología, Cirugía Vascular y Endovascular España
                [1] Valladolid orgnameHospital Clínico Universitario de Valladolid orgdiv1Servicio de Angiología, Cirugía Vascular y Endovascular España
                Article
                S0003-31702023000200120 S0003-3170(23)07500200120
                10.20960/angiologia.00465
                819709b9-cfc6-4da5-9290-5e45fa9aacfa

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 4, Pages: 3
                Product

                SciELO Spain

                Categories
                Cartas al Director

                Comments

                Comment on this article