Mid- and long-term result of celiac artery coverage in TEVAR treatment for aortic dissection.
- Author:
Ming LI
1
;
Chang SHU
2
,
3
;
Quanming LI
1
;
Tun WANG
1
;
Kun FANG
4
Author Information
1. Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
2. Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011
3. Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China.
4. Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China.
- Publication Type:Journal Article
- MeSH:
Aneurysm, Dissecting;
surgery;
Angiography, Digital Subtraction;
Angioplasty;
methods;
Aorta, Thoracic;
surgery;
Aortic Aneurysm, Thoracic;
surgery;
Blood Vessel Prosthesis Implantation;
adverse effects;
methods;
Celiac Artery;
surgery;
Computed Tomography Angiography;
Endoleak;
etiology;
Endovascular Procedures;
adverse effects;
methods;
Female;
Follow-Up Studies;
Humans;
Male;
Mesenteric Artery, Superior;
surgery;
Postoperative Complications;
epidemiology;
Retrospective Studies;
Stents;
adverse effects;
Thrombosis;
etiology;
Treatment Outcome
- From:
Journal of Central South University(Medical Sciences)
2016;41(11):1197-1201
- CountryChina
- Language:Chinese
-
Abstract:
To observe the mid- and long-term result of intentional coverage of celiac artery in thoracic endovascular aortic repair (TEVAR) surgery for aortic dissection.
Methods: We retrospectively analyzed 21 cases who received TEVAR with celiac artery coverage during the operation. The existence of collaterals between celiac artery (CA) and superior mesenteric artery (SMA) was confirmed by preoperative CT angiography (CTA) or digital substract angiography (DSA) for each patient. We used the stent-graft precisely above the orifice of SMA. Follow-ups were carried out at 2 weeks, 1 month, 3 months, 6 months, 1 year after the operation, and once per year thereafter.
Results: No signs of visceral artery ischemic syptoms such as liver dysfunction, abdominal pain or distention were observed after the operation. There was no signs of spinal cord ischemia (SCI). Seven cases showed type II endoleak upon completion DSA but stopped automatically within 3 months. CTA in follow-ups showed thrombosis formation in false lumen.
Conclusion: The intentional coverage of CA during the TEVAR for aortic dissection is safe and effective. The incidence of post-operative SCI or visceral artery ischemia is low. Type II endoleak is a major complication but it can be ceased automatically after medication.
