Clinical effect of ascending aorta banding combined with typeⅠ hybrid aortic arch repair on aortic arch diseases
- VernacularTitle:升主动脉包裹联合Ⅰ型杂交全主动脉弓修复术治疗主动脉弓部病变的临床疗效分析
- Author:
Jinhui MA
1
,
2
,
3
,
4
;
Lanlin ZHANG
5
;
Sheng YANG
5
;
Songbo DONG
5
;
Yu CHEN
5
;
Xudong PAN
5
;
Shangdong XU
5
;
Jun ZHENG
5
Author Information
1. Department of Vascular Surgery, Henan Provincial People&rsquo
2. s Hospital, People&rsquo
3. s Hospital of Zhengzhou University, People&rsquo
4. s Hospital of Henan University, Zhengzhou, 450003, P. R. China
5. Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Aortic Disease Centre, Beijing, 100029, P. R. China
- Publication Type:Journal Article
- Keywords:
Hybrid procedure;
ascending aorta banding;
thoracic endovascular aortic repair;
aortic arch diseases
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(09):1313-1318
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy and safety of ascending aorta banding technique combined with typeⅠhybrid aortic arch repair for the aortic arch diseases. Methods The clinical data of patients undergoing ascending aorta banding technique combined with type Ⅰ hybrid arch repair for aortic arch diseases from March 2019 to March 2022 in Beijing Anzhen Hospital were retrospectively analyzed. The technical success, perioperative complications and follow-up results were evaluated. Results A total of 44 patients were collected, including 35 males and 9 females, with a median age of 63.0 (57.5, 64.6) years. The average EuroSCORE Ⅱ score was 8.4%±0.7%. The technical success rate was 100.0%. All patients did not have retrograde type A aortic dissection and endoleaks. One patient died of multiple organ failure 5 days after operation, the in-hospital mortality rate was 2.3%, and the remaining 43 patients survived and were discharged from hospital. The median follow-up period was 14.5 (6-42) months with a follow-up rate of 100.0%. One patient with spinal cord injury died 2 years after hospital discharge. One patient underwent thoracic endovascular aortic repair at postoperative 3 months due to new entry tears near to the distal end of the stent. Conclusion Ascending aorta banding combined with typeⅠhybrid arch repair for the aortic arch diseases does not need cardio-pulmonary bypass. Ascending aorta banding technique strengthens the proximal anchoring area of the stent to avoid risks such as retrograde type A dissection, endoleak and migration. The operation owns small trauma, rapid recovery, low mortality and a low rate of reintervention, which may be considered as a safe and effective choice in the treatment of the elderly, high-risk patients with complex complications.
