Cerebral Infarction after Hybrid Arch TEVAR
10.4326/jjcvs.42.255
- VernacularTitle:Hybrid arch TEVAR 術後に合併した脳梗塞症例の検討
- Author:
Toshiki Fujiyoshi
;
Hitoshi Matsuda
;
Keitaro Domae
;
Yutaka Iba
;
Hiroshi Tanaka
;
Hiroaki Sasaki
;
Kenji Minatoya
;
Junjiro Kobayashi
- Publication Type:Journal Article
- Keywords:
TEVAR;
supra-aortic bypass;
cerebral infarction
- From:Japanese Journal of Cardiovascular Surgery
2013;42(4):255-259
- CountryJapan
- Language:Japanese
-
Abstract:
Among 62 patients who underwent hybrid arch TEVAR, which is a combination of supra-aortic bypass and TEVAR to treat arch aneurysm, 5 patients encountered postoperative cerebral infarction. In 2 patients, whose thoracic aorta were extremely shaggy, cerebral infarction were multiple and fatal. Other 3 patients, whose aorta were not shaggy, developed visual disturbance after TEVAR and minor cerebral infarction were detected in the area of vertebral artery. To prevent cerebral infarction after hybrid arch TEVAR, the blood flow from the left subclavian to vertebral artery is considered to be significant.
