Аннотация:
RESULTS: There were no any complications after proximal debranching and aortic stenting. Abdominal debranching was followed by lethal outcome in 3 (13.0[%]) patients and early postoperative occlusion of the prosthesis brunch in 3 out of 87 cases.CONCLUSION: Staged approach for hybrid surgical treatment is optimal solution, especially in high risk patients. In our opinion no necessity for cardiopulmonary bypass is the main advantage of this technique.AIM: To generalize our experience of step-by-step hybrid thoracoabdominal aortic replacement.MATERIAL AND METHODS: Twenty-three patients were enrolled who underwent staged hybrid treatment of thoracoabdominal aortic aneurysm. There were 5 (21.7[%]) women and 18 (78.3[%]) men aged 61.4±8.3 years (37-74 years). The first stage was proximal debranching, the second - distal (abdominal) procedure and the third - stenting of the thoracoabdominal aorta.Цель исследования - обобщение нашего опыта этапного гибридного хирургического лечения больных аневризм
Ключевые слова:
aortic stenting; debranching; hybrid intervention; thoracoabdominal aortic aneurysm
abdominal aorta; aged; blood vessel prosthesis; blood vessel transplantation; diagnostic imaging; female; human; male; middle aged; postoperative complication; procedures; risk assessment; Russian Federation; thoracic aorta; thoracic aorta aneurysm; treatment outcome; Aged; Aorta, Abdominal; Aorta, Thoracic; Aortic Aneurysm, Thoracic; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation; Female; Humans; Male; Middle Aged; Outcome and Process Assessment (Health Care); Postoperative Complications; Risk Adjustment; Russia
Комаров Р. Н. Роман Николаевич 1977-
Винокуров И. А. Иван Андреевич 1989-
Каравайкин П. А. Павел Александрович 1987-
Абдулмуталибов И. М. Ислам Магомедгаджиевич 1987-
Белов Ю. В. Юрий Владимирович 1954-
Komarov R. N. Roman Nikolaevich 1977-
Vinokurov I. A. Ivan Andreevich 1989-
Karavaykin P. A. Pavel Aleksandrovich 1987-
Abdulmutalibov I. M. Islam Magomedgadzhievich 1987-
Belov Yu. V. Yurij Vladimirovich 1954-
Staged approach for hybrid thoracoabdominal aortic replacement [Étapnyĭ metod gibridnogo protezirovaniia torakoabdominal'noĭ aorty]
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 2 С. 21-27
2018
Статья
aortic stenting debranching hybrid intervention thoracoabdominal aortic aneurysm
abdominal aorta aged blood vessel prosthesis blood vessel transplantation diagnostic imaging female human male middle aged postoperative complication procedures risk assessment Russian Federation thoracic aorta thoracic aorta aneurysm treatment outcome Aged Aorta, Abdominal Aorta, Thoracic Aortic Aneurysm, Thoracic Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation Female Humans Male Middle Aged Outcome and Process Assessment (Health Care) Postoperative Complications Risk Adjustment Russia
RESULTS: There were no any complications after proximal debranching and aortic stenting. Abdominal debranching was followed by lethal outcome in 3 (13.0[%]) patients and early postoperative occlusion of the prosthesis brunch in 3 out of 87 cases.CONCLUSION: Staged approach for hybrid surgical treatment is optimal solution, especially in high risk patients. In our opinion no necessity for cardiopulmonary bypass is the main advantage of this technique.AIM: To generalize our experience of step-by-step hybrid thoracoabdominal aortic replacement.MATERIAL AND METHODS: Twenty-three patients were enrolled who underwent staged hybrid treatment of thoracoabdominal aortic aneurysm. There were 5 (21.7[%]) women and 18 (78.3[%]) men aged 61.4±8.3 years (37-74 years). The first stage was proximal debranching, the second - distal (abdominal) procedure and the third - stenting of the thoracoabdominal aorta.Цель исследования - обобщение нашего опыта этапного гибридного хирургического лечения больных аневризм