Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1478
Título: Reparação Híbrida do Arco Aórtico: Experiência Inicial do Hospital de Santa Marta
Outros títulos: Hybrid repair of the Aortic Arch. Santa Marta Hospital Initial Experience
Autor: Rodrigues, H
Castro, JM
Valentim, H
Laranjeira, A
Ferreira, E
Albuquerque e Castro, J
Fragata, J
Mota Capitão, L
Palavras-chave: HSM CCT
HSM CIR VASC
Falso Aneurisma/patologia
Falso Aneurisma/cirurgia
Aorta Torácica/patologia
Aorta Torácica/cirurgia
Aneurisma da Aorta Torácica/patologia
Aneurisma da Aorta Torácica/cirurgia
Endoleak/patologia
Endoleak/cirurgia
Procedimentos Endovasculares/métodos
Estudos de Follow-Up
Estudos Retrospectivos
Stents
Resultado de Tratamento
Data: 2012
Editora: Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular
Citação: Rev Port Cir Cardiotorac Vasc. 2012 Jul-Sep;19(3):141-7
Resumo: Objectives: To retrospectively review the hybrid treatment of the aortic arch with supra-aortic debranching and endo- vascular stent-graft repair in a single institution. Methods: From 2007 to 2010, all patients submitted to aortic debranching procedures were entered into a prospective database analysis. For the present study, only patients with sealing zones 0 and 1, according to the Ishimaru classification, were included. Procedure-related morbimortality was analysed for the open and endovascular procedures. Results: During the study period, we electively performed 6 total aortic debranching and 4 partial aortic debranching procedures in 10 patients. According to the etiology the indications were: 6 aortic arch aneurysms, 2 post-dissection aneu- rysms, 1 false aneurysm and 1 type I endoleak following TEVAR. The proximal sealing zone was Ishimaru zone 0 in six patients and zone 1 in four patients. The TEVAR procedure was delayed in all patients with a completion success of 80% (1 patient died from ruptured aortic aneurysm; 1 patient denied the second procedure and was lost to follow-up). The 30d mortality rate was 10% (patient mentioned above). The main morbidity was: 1 axillar venous thrombosis, 1 case of subclinical myocardial infarction, 1 case of terminal renal insufficiency and 1 case of prolonged ventilation. No permanent cerebral or peripheral neurologic deficit was noted. Conclusions: The hybrid repair of the aortic arch is a feasible and reproducible procedure, and our results are similar to the previously published series. Medium and long-term results are necessary to confirm whether the technique can be regarded as a safe alternative to open surgery in high-risk patients.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1478
Aparece nas colecções:CIR VASC - Artigos
CCT - Artigos

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