Balloon occlusion technique combined with total arch replacement and frozen elephant trunk in the treatment of complex aortic arch diseases: an early clinical analysis of 100 cases in a single center
10.3760/cma.j.cn112434-20190830-00287
- VernacularTitle:球囊封堵联合全弓置换及支架象鼻手术治疗主动脉弓部病变——单中心100例早期临床结果分析
- Author:
Yanxiang LIU
1
;
Bowen ZHANG
;
Shenghua LIANG
;
Yunfeng LI
;
Yi SHI
;
Hongwei GUO
;
Xiaogang SUN
Author Information
1. 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院血管外科中心 100037
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(10):599-602
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of balloon occlusion technique combined with total arch replacement and frozen elephant trunk in the treatment of complex aortic arch diseases.Methods:The clinical data of 100 patients undergoing balloon occlusion technique combined with total arch replacement and frozen elephant trunk surgery in Fuwai Hospital from August 2017 to September 2018 were retrospectively reviewed, and the early clinical results were analyzed.Results:The average circulatory arrest time was(5.2±3.1) min. The lowest nasopharyngeal and bladder temperature was(27.9±1.0) ℃ and(29.2±1.2) ℃, respectively. One patient died in hospital due to multiple organ failure caused by acute liver failure, and a total of 4 patients died within 30 days. Other postoperative complications included cerebral infarction in 3 cases, paraplegia in 2 cases, low cardiac output syndrome requiring IABP assistance in 1 case, renal failure requiring continuous dialysis in 5 cases, redo for bleeding in 4 cases, reintubation in 3 cases, recurrent laryngeal nerve injury in 1 case, and osteofascial compartment syndrome in 1 case.Conclusion:Balloon occlusion technique combined with total arch replacement and frozen elephant trunk is safe and feasible in the treatment of complex aortic arch diseases. Its organ protection effect still needs to be confirmed by large sample comparison study.
