The reconstruction of left subclavian artery in thoracic endovascular aortic repair for aortic arch disease
10.3760/cma.j.issn.1001-4497.2017.10.004
- VernacularTitle:主动脉弓降部病变患者胸主动脉腔内治疗同期左锁骨下动脉血流重建的近中期效果
- Author:
Wei GAO
1
;
Shen LIU
;
Juntao QIU
;
Jinlin WU
;
Liang ZHANG
;
Wenxiang JIANG
;
Cuntao YU
Author Information
1. 100037,中国医学科学院 北京协和医学院 国家心血管病中心阜外医院心外科
- Keywords:
Aortic diseases;
Therapy;
Stent;
Complications
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(10):587-590
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study was designed to evaluate the prognosis of the reconstruction of left subclavian artery (LSA)in thoracic endovascular aortic repair(TEVAR)for patients with aortic arch disease.Methods From January 2010 to August 2016,55 patients with aortic arch disease(left vertebral artery dominance)who had undergone TEVAR including LSA covered in Fuwai Hospital were enrolled.28 patients received concomitant reconstruction of LSA.The study endpoints includ-ed: postoperative death, reoperation, stroke and aorta-related adverse events.Results Follow-up data were obtained from all patients.The mean follow-up time was(30.0 ±17.5)months.All patients were diagnosed with left vertebral artery dominance by preoperative computerized tomography of aorta.The preoperative diameter of left vertebral artery was(4.88 ±0.85)mm while the right vertebral artery was(3.00 ±0.75)mm.There were no in-hospital deaths,reoperations and aorta-related adverse events.Three patients died and 2 patients experienced Type Ⅳ endoleak during the follow up.Conclusion The mid-term prognosis of the reconstruction of left subclavian artery in thoracic endovascular aortic repair for patients with aortic arch disease are good and long-term follow-up is necessary.
