Publication
Reparação Híbrida do Arco Aórtico: Experiência Inicial do Hospital de Santa Marta
| dc.contributor.author | Rodrigues, H | |
| dc.contributor.author | Castro, JM | |
| dc.contributor.author | Valentim, H | |
| dc.contributor.author | Laranjeira, A | |
| dc.contributor.author | Ferreira, E | |
| dc.contributor.author | Albuquerque e Castro, J | |
| dc.contributor.author | Fragata, J | |
| dc.contributor.author | Mota Capitão, L | |
| dc.date.accessioned | 2013-10-17T14:14:01Z | |
| dc.date.available | 2013-10-17T14:14:01Z | |
| dc.date.issued | 2012 | |
| dc.description.abstract | Objectives: To retrospectively review the hybrid treatment of the aortic arch with supra-aortic debranching and endo- vascular stent-graft repair in a single institution. Methods: From 2007 to 2010, all patients submitted to aortic debranching procedures were entered into a prospective database analysis. For the present study, only patients with sealing zones 0 and 1, according to the Ishimaru classification, were included. Procedure-related morbimortality was analysed for the open and endovascular procedures. Results: During the study period, we electively performed 6 total aortic debranching and 4 partial aortic debranching procedures in 10 patients. According to the etiology the indications were: 6 aortic arch aneurysms, 2 post-dissection aneu- rysms, 1 false aneurysm and 1 type I endoleak following TEVAR. The proximal sealing zone was Ishimaru zone 0 in six patients and zone 1 in four patients. The TEVAR procedure was delayed in all patients with a completion success of 80% (1 patient died from ruptured aortic aneurysm; 1 patient denied the second procedure and was lost to follow-up). The 30d mortality rate was 10% (patient mentioned above). The main morbidity was: 1 axillar venous thrombosis, 1 case of subclinical myocardial infarction, 1 case of terminal renal insufficiency and 1 case of prolonged ventilation. No permanent cerebral or peripheral neurologic deficit was noted. Conclusions: The hybrid repair of the aortic arch is a feasible and reproducible procedure, and our results are similar to the previously published series. Medium and long-term results are necessary to confirm whether the technique can be regarded as a safe alternative to open surgery in high-risk patients. | por |
| dc.identifier.citation | Rev Port Cir Cardiotorac Vasc. 2012 Jul-Sep;19(3):141-7 | por |
| dc.identifier.uri | http://hdl.handle.net/10400.17/1478 | |
| dc.language.iso | por | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular | por |
| dc.subject | HSM CCT | por |
| dc.subject | HSM CIR VASC | |
| dc.subject | Falso Aneurisma/patologia | |
| dc.subject | Falso Aneurisma/cirurgia | |
| dc.subject | Aorta Torácica/patologia | |
| dc.subject | Aorta Torácica/cirurgia | |
| dc.subject | Aneurisma da Aorta Torácica/patologia | |
| dc.subject | Aneurisma da Aorta Torácica/cirurgia | |
| dc.subject | Endoleak/patologia | |
| dc.subject | Endoleak/cirurgia | |
| dc.subject | Procedimentos Endovasculares/métodos | |
| dc.subject | Estudos de Follow-Up | |
| dc.subject | Estudos Retrospectivos | |
| dc.subject | Stents | |
| dc.subject | Resultado de Tratamento | |
| dc.title | Reparação Híbrida do Arco Aórtico: Experiência Inicial do Hospital de Santa Marta | por |
| dc.title.alternative | Hybrid repair of the Aortic Arch. Santa Marta Hospital Initial Experience | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 147 | por |
| oaire.citation.startPage | 141 | por |
| oaire.citation.title | Revista Portuguesa de Cirurgia Cardio-Torácica e Vascular | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |