Banding technique for endovascular repair of arch aneurysm with unsuitable proximal landing zone

I. Ming Chen, Fei Yi Wu, Chun Che Shih

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Endovascular repair of thoracic aortic aneurysms is an attractive alternative to surgical graft replacement, but many patients are excluded because of unsuitable proximal landing zones wider than 38 mm in diameter. Arch aneurysms can be repaired with less invasive hybrid surgery, combining endovascular stent grafting with banding of the proximal landing aorta. Methods and Results: Since November 2006, 6 of 88 patients underwent hybrid aortic arch repair with presumptive zone 0 as the proximal landing site where the median maximal diameter was 42.5 mm (from 39 to 44 mm). After partial sternotomy, relocation of the supra-aortic branches, the ascending aorta was banded with a 2-layer Dacron strip and reduced to 36±1 mm in diameter where the stent graft was inserted and incorporated securely. All patients were uncomplicated, with complete exclusion of the arch lesion and without endoleaks or migration during an average 9 months' follow-up. Conclusions: Secure fixation of an unsuitable ascending aorta can be solved via aortic banding and will not only improve the short-term stability of the endovascular intervention, but may become the preferred therapeutic modality in patients with multiple comorbidities.

Original languageEnglish
Pages (from-to)1981-1985
Number of pages5
JournalCirculation Journal
Volume72
Issue number12
DOIs
Publication statusPublished - Dec 4 2008
Externally publishedYes

Fingerprint

Endovascular Procedures
Aneurysm
Aorta
Stents
Transplants
Endoleak
Thoracic Aortic Aneurysm
Polyethylene Terephthalates
Sternotomy
Thoracic Aorta
Comorbidity
Therapeutics

Keywords

  • Aneurysm
  • Aortic arch
  • Aortic operation
  • Endovascular procedure
  • Stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Banding technique for endovascular repair of arch aneurysm with unsuitable proximal landing zone. / Chen, I. Ming; Wu, Fei Yi; Shih, Chun Che.

In: Circulation Journal, Vol. 72, No. 12, 04.12.2008, p. 1981-1985.

Research output: Contribution to journalArticle

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