PARALLEL GRAFT TECHNIQUE: UMA ALTERNATIVA PARA O TRATAMENTO DE PATOLOGIA DO ARCO AÓRTICO
DOI:
https://doi.org/10.48750/acv.246Keywords:
Aorta, Aortic arch, Aneurysm, Chimney technique, Endovascular repairAbstract
Treatment of aortic pathologies involving the aortic arch represents a great challenge for vascular surgeons. Endografting techniques, comparing to open surgery, are less invasive approaches. However, an adequate proximal landing zone remains a challenge and, regarding this issue, parallel graft techniques represent a viable endovascular treatment option in patients with challenging aortic arch pathology by extending the proximal landing zone while maintaining aortic side branches perfusion. Parallel graft techniques required a thorough planning and the clinical and imagiological follow-up are mandatory. They appear to be a safe and minimally invasive alternative techniques in selected fragile patients. The authors report three clinical cases that required the use for parallel grafts to treat complex pathology of aortic arch.
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References
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20. Lee JT, Greenberg JI, Dalman RL (2012) Early experience with the snorkel technique for juxtarenal aneurysms. J Vasc Surg
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21. Sugiura K, Sonesson B, Akesson M et al (2009) The applicability of chimney grafts in the aortic arch. J Cardiovasc Surg (Torino)
50(4):475–481
22. Hogendoorn W, Schlosser FJ, Moll FL, Sumpio BE, Muhs BE. Thoracic endovascular aortic repair with the chimney graft technique. J Vasc Surg 2013;58:502–11.
23. Lindblad B, Bin Jabr A, Holst J, et al. Chimney grafts in aortic stent grafting: hazardous or useful technique? systematic review of
current data. Eur J Vasc Endovasc Surg 2015;50:722–31
24. Estrera AL, Sandhu HK, Afifi RO, et al. Early and late outcomes after complete aortic replacement. Ann Thorac Surg 2015; 100: 528–534
2. Misfeld M, Leontyev S, Borger MA, Gindensperger O, Lehmann S, Legare JF et al. What is the best strategy for brain protection in patients undergoing aortic arch surgery? A single center experience of 636 patients. Ann Thorac Surg 2012;93:1502–8
3. Makaloski V, Tsilimparis N, Rohlffs F, Heidemann F, Debus ES, Kölbel T. Endovascular total arch replacement techniques and early results. Ann Cardiothorac Surg 2018;7(3):380–388
4. Greenberg RK, Clair D, Srivastava S, Bhandari G, Turc A, Hampton J, et al. Should patients with challenging anatomy be offered endovascular aneurysm repair? J Vasc Surg 2003;38:990–6
5. Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, et al. 2014 ESC guidelines on the diagnosis and treatment
of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The task
force for the diagnosis and treatment of aortic diseases of the European Society of Cardiology (ESC). Eur Heart J 2014;35(41):2873e926
6. Ouzounian M, LeMaire SA, Coselli JS. Open aortic arch repair: stateof-the-art and future perspectives. Semin Thorac Cardiovasc Surg
2013;25:107–15
7. Hiraoka A, Chikazawa G, Tamura K, Totsugawa T, Sakaguchi T, Yoshitaka H. Clinical outcomes of different approaches to aortic arch
disease. J Vasc Surg 2015;61(1):88e95
8. Buth J, Penn O, Tielbeek A, Mersman M. Combined approach to stent-graft treatment of an aortic arch aneurysm. J Endovasc Surg
1998;5:329–32
9. Moulakakis KG, Mylonas SN, Markatis F, Kotsis T, Kakisis J, Liapis CD. A systematic review and meta-analysis of hybrid aortic arch
replacement. Ann Cardiothorac Surg 2013;2(3): 247e60
10. Lotfi S, Clough RE, Ali T, Salter R, Young CP, Bell R et al. Hybrid repair of complex thoracic aortic arch pathology: long-term outcomes of extra-anatomic bypass grafting of the supra-aortic trunk. Cardiovasc Intervent Radiol 2013;36:46–55
11. Iba Y, Minatoya K, Matsuda H, Sasaki H, Tanaka H, Oda T et al. How should aortic arch aneurysms be treated in the endovascular aortic repair era? A risk-adjusted comparison between open and hybrid arch repair using propensity score-matching analysis. Eur J Cardiothorac Surg 2014;46:32–9
12. De Rango P, Ferrer C, Coscarella C, Musumeci F, Verzini F, Pogany G et al. Contemporary comparison of aortic arch repair by endovascular and open surgical reconstructions. Surg Vasc 2015;61:339–46
13. Antoniou GA, El Sakka K, Hamady M, et al. Hybrid treatment of complex aortic arch disease with supra-aortic debranching and
endovascular stent graft repair. Eur J 33. Vasc Endovasc Surg 2010;39:683–90
14. Chuter TA, Schneider DB. Endovascular repair of the aortic arch. Perspect Vasc Surg Endovasc Ther 2007;19:188–92
15. Spear R, Haulon S, Ohki T, Tsilimparis N, Kanaoka Y, Milne CP, et al. Editor’s choice e subsequent results for arch aneurysm repair with inner branched endografts. Eur J Vasc Endovasc Surg 2016;51(3):380e5
16. Anderson JL, Adam DJ, Berce M, Hartley DE. Repair of thoracoabdominal aortic aneurysms with fenestrated and branched endovascular stent grafts. J Vasc Surg 2005;42:600–7
17. Baldwin ZK, Chuter TAM, Hiramoto JS, et al. Double-barrel technique for preservation of aortic arch branches during thoracic endovascular aortic repair. Ann Vasc Surg 2008; 22: 703–709
18. Patel RP, Katsargyris A, Verhoeven EL, Adam DJ, Hardman J. Endovascular Aortic Aneurysm Repair with Chimney and Snorkel Grafts: Indications, Techniques and Results. Cardiovasc Intervent Radiol. 2013 Dec;36(6):1443–1451
19. Larzon T, Gruber G, Friberg O, Geijer H, Norgren L. Experiences of intentional carotid stenting in endovascular repair of aortic
arch aneurysms — two case reports. Eur J Vasc Endovasc Surg 2005;30:147–51
20. Lee JT, Greenberg JI, Dalman RL (2012) Early experience with the snorkel technique for juxtarenal aneurysms. J Vasc Surg
55(4):935–946
21. Sugiura K, Sonesson B, Akesson M et al (2009) The applicability of chimney grafts in the aortic arch. J Cardiovasc Surg (Torino)
50(4):475–481
22. Hogendoorn W, Schlosser FJ, Moll FL, Sumpio BE, Muhs BE. Thoracic endovascular aortic repair with the chimney graft technique. J Vasc Surg 2013;58:502–11.
23. Lindblad B, Bin Jabr A, Holst J, et al. Chimney grafts in aortic stent grafting: hazardous or useful technique? systematic review of
current data. Eur J Vasc Endovasc Surg 2015;50:722–31
24. Estrera AL, Sandhu HK, Afifi RO, et al. Early and late outcomes after complete aortic replacement. Ann Thorac Surg 2015; 100: 528–534
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Published
2020-04-30
How to Cite
1.
Augusto R, Campos J, Coelho A, Coelho N, Pinto E, Semião C, Ribeiro J, Peixoto J, Brandão D, Canedo A. PARALLEL GRAFT TECHNIQUE: UMA ALTERNATIVA PARA O TRATAMENTO DE PATOLOGIA DO ARCO AÓRTICO. Angiol Cir Vasc [Internet]. 2020 Apr. 30 [cited 2024 Apr. 24];16(1):35-40. Available from: https://acvjournal.com/index.php/acv/article/view/246
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Clinical Case
