Efficacy of ascending aortic banding technique concomitant with type I hybrid aortic arch repair in high-risk patients

Hung Lung Hsu, Chun Yang Huang, Po Lin Chen, Yin Yin Chen, Chiao Po Hsu, I. Ming Chen, Chun Che Shih

Research output: Contribution to journalArticle

Abstract

Banding of the ascending aorta has been introduced as a less complex procedure to optimize the proximal landing zone of the stent graft in hybrid aortic arch surgery. However, data about the long-term results and effects of this technique are still limited. We aimed to study the efficacy of banding of the ascending aorta in hybrid aortic arch repair. The study included 11 high-risk patients with dilated ascending aorta (wider than 38 mm in diameter) undergoing ascending aortic banding for hybrid arch repair. Clinical outcomes, including technical success, endoleaks, perioperative mortality and morbidity, and sequential remodeling of the ascending aorta were investigated. The average diameter of the ascending aorta had been reduced (p = 0.02) from 42.1 mm (range = 39.0–46.4) to 37.2 mm (range = 35.6–38.6) after banding procedure. The technical success rate was 100.0%. No type I endoleak occurred, but 2 cases of distal stent graft-induced new entry required re-interventions. The 5-year survival and freedom from aortic events rates both were 81.8%. The ascending aortic diameter remained stable and no proximal migration of the stent graft was observed during the study period. The 5-year results validated the durability of this therapeutic modality, especially in high-risk patients.

Original languageEnglish
Pages (from-to)1524-1532
Number of pages9
JournalHeart and Vessels
Volume34
Issue number9
DOIs
Publication statusPublished - Sep 13 2019
Externally publishedYes

Keywords

  • Aortic wrapping
  • Banding technique
  • Hybrid arch repair
  • Thoracic endovascular aortic repair

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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