None listed
Conditions
Brief summary
The aim of the present study was to study the effect on the frequency of abdominal aortic remodeling and distal reintreations of additional stent graft implantation in the distal part of the descending aorta after the previously implanted hybrid stent graft in the proximal descending aorta. For this purpose, two groups with aortic dissection extending to the bifurcation of the abdominal aorta were estimated comparable by the main clinical parameters. One group included patients who underwent only hybrid reconstruction of the thoracic aorta (open reconstruction of the aortic arch with simultaneous implantation of a hybrid stent graft into the proximal descending aorta). The other group included patients who, in addition to the previous intervention, were implanted with stent graft in the distal part of the descending aorta to the level of the celiac trunk (TEVAR).
Interventions
Brief name: Effect of the hybryd stent-graft (with or without TEVAR) deployment in the descending aorta.
FET ("frozen elephant trunk") procedure includes open intervention on the aortic arch and simultaneous antegrade implantation of stent graft into the descending aorta under transesophageal ulrasonic control.
All procedures were performed under cardiopulmonary bypass, circulatory arrest with unilateral antegrade cerebral perfusion via innominate artery
Duration of the FET ("frozen elephant tr
Brief name: Effect of the hybryd stent-graft (with or without TEVAR) deployment in the descending aorta. FET ("frozen elephant trunk") procedure includes open intervention on the aortic arch and simultaneous antegrade implantation of stent graft into the descending aorta under transesophageal ulrasonic control. All procedures were performed under cardiopulmonary bypass, circulatory arrest with unilateral antegrade cerebral perfusion via innominate artery Duration of the FET ("frozen elephant trunk procedure") procedure individually in each case.On average, the procedure of reconstruction of the aortic arch and implantation of a stent graft is 60-120 minutes All procedures were performed by one experienced surgeon (25 years experience) Armamentarium: E-vita Open Plus graft (Jotec GmbH, Hechingen, Germany), E-vita thoracic 3G (Jotec GmbH, Hechingen, Germany) There are 2 groups of patients with aortic dissection (De Bakey I and III types) propagated down to aortic bifurcation: 1st - frozen elephant trunk procedure only (antergade implantation of the hybris stent graft in the descending aorta combined with open aortic arch surgery) 2nd - frozen elephant trunk procedure + TEVAR (down to coeliac trunk). TEVAR is performed during the first 30 days after primary FET Group division was random.
Sponsors
Cardiology Research Institute, Tomsk National Research Medical Center
Study design
Allocation
Non-randomised trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Aortic dissection (De Bakey I and III types) that propagates down to aortic bifurcation
Exclusion criteria
A dissection flap limited to the aortic arch or to the proximal descending aorta
Outcome results
None listed