BACKGROUND: In the light of current evidence, endovascular repair of aortic arch pathologies with custom-made devices should be considered a valid alternative to decrease operative mortality and morbidity associated with open or hybrid repair. Today, two double inner branch devices are available on market. We report our single-center experience with Bolton double branch stent graft in the treatment of aortic arch disease.METHODS: Between 2013 and 2016, 15 high-risk patients with arch pathology were treated in our center with a custom-made branched device. Six of these received a Cook arch branched stent graft. Nine were treated with Bolton device. Among these, 2 with single branch model were excluded leaving a subgroup of 7 patients object of this study.RESULTS: Out of the 7 male patients (mean age 76, range 70-85) included in the study. 2 died in-hospital after stroke and retrograde dissection, respectively. No other death, major complication or secondary intervention was recorded at a mean follow-up of 24 (min-max 6-53) months. neither any aneurysmal diameter evolution nor branch related complications.CONCLUSIONS: Despite the small sample size, our results are in line with the early-published experiences about this technique. Endovascular repair of aortic arch disease with custom-made branched devices should always be considered to give high-risk patients a chance of repair.

Endovascular repair of aortic arch disease with double inner branched thoracic stent graft: the Bolton perspective / Ferrer, Ciro; Coscarella, Carlo; Cao, Piergiorgio. - In: JOURNAL OF CARDIOVASCULAR SURGERY. - ISSN 0021-9509. - 59:4(2018), pp. 547-553-553. [10.23736/S0021-9509.18.10410-1]

Endovascular repair of aortic arch disease with double inner branched thoracic stent graft: the Bolton perspective

Ferrer, Ciro
Primo
;
2018

Abstract

BACKGROUND: In the light of current evidence, endovascular repair of aortic arch pathologies with custom-made devices should be considered a valid alternative to decrease operative mortality and morbidity associated with open or hybrid repair. Today, two double inner branch devices are available on market. We report our single-center experience with Bolton double branch stent graft in the treatment of aortic arch disease.METHODS: Between 2013 and 2016, 15 high-risk patients with arch pathology were treated in our center with a custom-made branched device. Six of these received a Cook arch branched stent graft. Nine were treated with Bolton device. Among these, 2 with single branch model were excluded leaving a subgroup of 7 patients object of this study.RESULTS: Out of the 7 male patients (mean age 76, range 70-85) included in the study. 2 died in-hospital after stroke and retrograde dissection, respectively. No other death, major complication or secondary intervention was recorded at a mean follow-up of 24 (min-max 6-53) months. neither any aneurysmal diameter evolution nor branch related complications.CONCLUSIONS: Despite the small sample size, our results are in line with the early-published experiences about this technique. Endovascular repair of aortic arch disease with custom-made branched devices should always be considered to give high-risk patients a chance of repair.
2018
Aortic arch syndromes; Stents; Endovascular procedures; Aged; Aged, 80 and over; Aneurysm, Dissecting; Aorta, Thoracic; Aortic Aneurysm, Thoracic; Aortography; Endovascular Procedures; Female; Follow-Up Studies; Humans; Incidence; Italy; Male; Postoperative Complications; Prosthesis Design; Retrospective Studies; Survival Rate; Treatment Outcome; Blood Vessel Prosthesis; Stents
01 Pubblicazione su rivista::01a Articolo in rivista
Endovascular repair of aortic arch disease with double inner branched thoracic stent graft: the Bolton perspective / Ferrer, Ciro; Coscarella, Carlo; Cao, Piergiorgio. - In: JOURNAL OF CARDIOVASCULAR SURGERY. - ISSN 0021-9509. - 59:4(2018), pp. 547-553-553. [10.23736/S0021-9509.18.10410-1]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1210891
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