ASSA13-08-5 Safety and Long-Term Efficacy of Left Subclavian Artery Coverage During Thoracic Endovascular Aortic Repair

ASSA13-08-5 Safety and Long-Term Efficacy of Left Subclavian Artery Coverage During Thoracic Endovascular Aortic Repair

ObjectiveTo observe the safety and long-term efficacy of left subclavian artery (LSA) coverage during thoracic endovascular aortic repair (TEVAR). Methods Retrospectively analysed the clinical data and outcomes perioperatively and during follow-up in 278 patients who were suffered from Stanford B ao...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Heart (British Cardiac Society) 2013-04, Vol.99 (Suppl 1), p.A37-A37
Hauptverfasser: Xiaozeng, Wang, Quanmin, Jing, Yaling, Han, Haiwei, Liu, Fanfei, Wang
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page A37
container_issue Suppl 1
container_start_page A37
container_title Heart (British Cardiac Society)
container_volume 99
creator Xiaozeng, Wang
Quanmin, Jing
Yaling, Han
Haiwei, Liu
Fanfei, Wang
description ObjectiveTo observe the safety and long-term efficacy of left subclavian artery (LSA) coverage during thoracic endovascular aortic repair (TEVAR). Methods Retrospectively analysed the clinical data and outcomes perioperatively and during follow-up in 278 patients who were suffered from Stanford B aortic dissection and accepted TEVAR between April 2002 and July 2011. Among those patients, 77 had lesions that required LSA coverage and 201 had their LSA uncovered. Results The patients with coronary artery disease and hypertension were more often seen in LSA-uncovered group, while those with penetrating atherosclerotic ulcer were less seen in this group (P < /span >
doi_str_mv 10.1136/heartjnl-2013-303992.113
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1780727537</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4021077521</sourcerecordid><originalsourceid>FETCH-LOGICAL-b2147-9f0f5d35c827aa417d2b357dd8b60f918b8f948cfe79570ddf9fc894aace45443</originalsourceid><addsrcrecordid>eNqNkEFP3DAQhaOqSKWU_2CpZ7d2bMf2MVqWgrRq1WZBiIs1cewl29146yQrcuPSP8ovIVFoz5xmNO-9edKXJIiSL5Sy7OuDg9htmx1OCWWYEaZ1OinvklPKMzWd796POxMCZ4TJD8nHtt0SQrhW2Wky5EWRj0GisHh--luAd92AoKnQKjQbvHZxj5be1xbsgIJHK-c7VPSl3cGxhgblsXNxQItwdBE2Dl30sW42aP0QItjaomVThSO0tt9BRHmI3Xj75Q5Qx0_JiYdd685f51lyc7lcL67w6se360W-wmVKucTaEy8qJqxKJQCnskpLJmRVqTIjXlNVKq-5st5JLSSpKq-9VZoDWMcF5-ws-Tz_PcTwp3dtZ7ahj81YaahURKZSMDm61OyyMbRtdN4cYr2HOBhKzATa_ANtJtBmBj0pYxTP0brt3OP_HMTfJpNMCvP9dmGufl7eF0zdm2z0s9lf7rdvb3kBbGOTkw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780727537</pqid></control><display><type>article</type><title>ASSA13-08-5 Safety and Long-Term Efficacy of Left Subclavian Artery Coverage During Thoracic Endovascular Aortic Repair</title><source>BMJ Journals - NESLi2</source><source>PubMed Central</source><creator>Xiaozeng, Wang ; Quanmin, Jing ; Yaling, Han ; Haiwei, Liu ; Fanfei, Wang</creator><creatorcontrib>Xiaozeng, Wang ; Quanmin, Jing ; Yaling, Han ; Haiwei, Liu ; Fanfei, Wang</creatorcontrib><description>ObjectiveTo observe the safety and long-term efficacy of left subclavian artery (LSA) coverage during thoracic endovascular aortic repair (TEVAR). Methods Retrospectively analysed the clinical data and outcomes perioperatively and during follow-up in 278 patients who were suffered from Stanford B aortic dissection and accepted TEVAR between April 2002 and July 2011. Among those patients, 77 had lesions that required LSA coverage and 201 had their LSA uncovered. Results The patients with coronary artery disease and hypertension were more often seen in LSA-uncovered group, while those with penetrating atherosclerotic ulcer were less seen in this group (P &lt; /span &gt; &lt;0.05). The other clinical baseline data had no statistics differences between two groups. The success ratios of TEVER were both 100% in two groups. The proximal landing zones were shorter (8.0 ± 6.5mm vs 28.3 ± 10.1mm, P = 0.000) while the aortas covered by stent grafts were longer (132.6 ± 24.7mm vs 122.0 ± 38.9mm, P = 0.011) in LSA-covered group compared with those in LSA-uncovered group. The postoperative systolic pressures of left and right upper limbs were (80.5 ± 37.3)mmHg and (128.7 ± 22.6) mmHg (P = 0.000) in patients with LSA covered completely and were (115.8 ± 25.7)mmHg and (125.5 ± 27.4) mmHg in those with LSA covered partially (P = 1.805). No statistics differences occurred between two groups referring to the mean aortic diameters, incidences of endovascular leakage, post-implantation syndrome (transient elevations of body temperature, C-reactive protein and mild leukocytosis) and incision infection. Transient movement disorder of both lower extremities occurred in two patients in the LSA-uncovered group within the first 24 hours postoperatively, while paraplegia developed in neither group during hospital stay. Patients presented with cooling, discoloration, pain and weakness of left upper extremity and pulselessness of left brachial artery were more often seen in LSA-covered group during perioperative and follow up period. The incidence of cooling, discoloration, pain and weakness of left upper extremity and stroke, together with the mortality had no statistics differences between patients with LSA covered completely or partially. The pulselessness of left brachial dance presented more often (P = 0.000) while the weakness of that presented less often (P = 0.001) in patients with LSA covered completely compared with those with LSA covered partially. No blood vessel by-pass grafting was performed on account of severe left arm ischemia. Conclusions It is safe and feasible to cover LSA for managing the insufficiency of proximal landing zone in patients with Stanford B AD during TEVAR. Better long-term efficacy could be achieved in this way.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/heartjnl-2013-303992.113</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><ispartof>Heart (British Cardiac Society), 2013-04, Vol.99 (Suppl 1), p.A37-A37</ispartof><rights>2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2013 (c) 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b2147-9f0f5d35c827aa417d2b357dd8b60f918b8f948cfe79570ddf9fc894aace45443</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://heart.bmj.com/content/99/Suppl_1/A37.1.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://heart.bmj.com/content/99/Suppl_1/A37.1.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77342,77373</link.rule.ids></links><search><creatorcontrib>Xiaozeng, Wang</creatorcontrib><creatorcontrib>Quanmin, Jing</creatorcontrib><creatorcontrib>Yaling, Han</creatorcontrib><creatorcontrib>Haiwei, Liu</creatorcontrib><creatorcontrib>Fanfei, Wang</creatorcontrib><title>ASSA13-08-5 Safety and Long-Term Efficacy of Left Subclavian Artery Coverage During Thoracic Endovascular Aortic Repair</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><description>ObjectiveTo observe the safety and long-term efficacy of left subclavian artery (LSA) coverage during thoracic endovascular aortic repair (TEVAR). Methods Retrospectively analysed the clinical data and outcomes perioperatively and during follow-up in 278 patients who were suffered from Stanford B aortic dissection and accepted TEVAR between April 2002 and July 2011. Among those patients, 77 had lesions that required LSA coverage and 201 had their LSA uncovered. Results The patients with coronary artery disease and hypertension were more often seen in LSA-uncovered group, while those with penetrating atherosclerotic ulcer were less seen in this group (P &lt; /span &gt; &lt;0.05). The other clinical baseline data had no statistics differences between two groups. The success ratios of TEVER were both 100% in two groups. The proximal landing zones were shorter (8.0 ± 6.5mm vs 28.3 ± 10.1mm, P = 0.000) while the aortas covered by stent grafts were longer (132.6 ± 24.7mm vs 122.0 ± 38.9mm, P = 0.011) in LSA-covered group compared with those in LSA-uncovered group. The postoperative systolic pressures of left and right upper limbs were (80.5 ± 37.3)mmHg and (128.7 ± 22.6) mmHg (P = 0.000) in patients with LSA covered completely and were (115.8 ± 25.7)mmHg and (125.5 ± 27.4) mmHg in those with LSA covered partially (P = 1.805). No statistics differences occurred between two groups referring to the mean aortic diameters, incidences of endovascular leakage, post-implantation syndrome (transient elevations of body temperature, C-reactive protein and mild leukocytosis) and incision infection. Transient movement disorder of both lower extremities occurred in two patients in the LSA-uncovered group within the first 24 hours postoperatively, while paraplegia developed in neither group during hospital stay. Patients presented with cooling, discoloration, pain and weakness of left upper extremity and pulselessness of left brachial artery were more often seen in LSA-covered group during perioperative and follow up period. The incidence of cooling, discoloration, pain and weakness of left upper extremity and stroke, together with the mortality had no statistics differences between patients with LSA covered completely or partially. The pulselessness of left brachial dance presented more often (P = 0.000) while the weakness of that presented less often (P = 0.001) in patients with LSA covered completely compared with those with LSA covered partially. No blood vessel by-pass grafting was performed on account of severe left arm ischemia. Conclusions It is safe and feasible to cover LSA for managing the insufficiency of proximal landing zone in patients with Stanford B AD during TEVAR. Better long-term efficacy could be achieved in this way.</description><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqNkEFP3DAQhaOqSKWU_2CpZ7d2bMf2MVqWgrRq1WZBiIs1cewl29146yQrcuPSP8ovIVFoz5xmNO-9edKXJIiSL5Sy7OuDg9htmx1OCWWYEaZ1OinvklPKMzWd796POxMCZ4TJD8nHtt0SQrhW2Wky5EWRj0GisHh--luAd92AoKnQKjQbvHZxj5be1xbsgIJHK-c7VPSl3cGxhgblsXNxQItwdBE2Dl30sW42aP0QItjaomVThSO0tt9BRHmI3Xj75Q5Qx0_JiYdd685f51lyc7lcL67w6se360W-wmVKucTaEy8qJqxKJQCnskpLJmRVqTIjXlNVKq-5st5JLSSpKq-9VZoDWMcF5-ws-Tz_PcTwp3dtZ7ahj81YaahURKZSMDm61OyyMbRtdN4cYr2HOBhKzATa_ANtJtBmBj0pYxTP0brt3OP_HMTfJpNMCvP9dmGufl7eF0zdm2z0s9lf7rdvb3kBbGOTkw</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Xiaozeng, Wang</creator><creator>Quanmin, Jing</creator><creator>Yaling, Han</creator><creator>Haiwei, Liu</creator><creator>Fanfei, Wang</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>201304</creationdate><title>ASSA13-08-5 Safety and Long-Term Efficacy of Left Subclavian Artery Coverage During Thoracic Endovascular Aortic Repair</title><author>Xiaozeng, Wang ; Quanmin, Jing ; Yaling, Han ; Haiwei, Liu ; Fanfei, Wang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b2147-9f0f5d35c827aa417d2b357dd8b60f918b8f948cfe79570ddf9fc894aace45443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiaozeng, Wang</creatorcontrib><creatorcontrib>Quanmin, Jing</creatorcontrib><creatorcontrib>Yaling, Han</creatorcontrib><creatorcontrib>Haiwei, Liu</creatorcontrib><creatorcontrib>Fanfei, Wang</creatorcontrib><collection>Istex</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiaozeng, Wang</au><au>Quanmin, Jing</au><au>Yaling, Han</au><au>Haiwei, Liu</au><au>Fanfei, Wang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ASSA13-08-5 Safety and Long-Term Efficacy of Left Subclavian Artery Coverage During Thoracic Endovascular Aortic Repair</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>2013-04</date><risdate>2013</risdate><volume>99</volume><issue>Suppl 1</issue><spage>A37</spage><epage>A37</epage><pages>A37-A37</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>ObjectiveTo observe the safety and long-term efficacy of left subclavian artery (LSA) coverage during thoracic endovascular aortic repair (TEVAR). Methods Retrospectively analysed the clinical data and outcomes perioperatively and during follow-up in 278 patients who were suffered from Stanford B aortic dissection and accepted TEVAR between April 2002 and July 2011. Among those patients, 77 had lesions that required LSA coverage and 201 had their LSA uncovered. Results The patients with coronary artery disease and hypertension were more often seen in LSA-uncovered group, while those with penetrating atherosclerotic ulcer were less seen in this group (P &lt; /span &gt; &lt;0.05). The other clinical baseline data had no statistics differences between two groups. The success ratios of TEVER were both 100% in two groups. The proximal landing zones were shorter (8.0 ± 6.5mm vs 28.3 ± 10.1mm, P = 0.000) while the aortas covered by stent grafts were longer (132.6 ± 24.7mm vs 122.0 ± 38.9mm, P = 0.011) in LSA-covered group compared with those in LSA-uncovered group. The postoperative systolic pressures of left and right upper limbs were (80.5 ± 37.3)mmHg and (128.7 ± 22.6) mmHg (P = 0.000) in patients with LSA covered completely and were (115.8 ± 25.7)mmHg and (125.5 ± 27.4) mmHg in those with LSA covered partially (P = 1.805). No statistics differences occurred between two groups referring to the mean aortic diameters, incidences of endovascular leakage, post-implantation syndrome (transient elevations of body temperature, C-reactive protein and mild leukocytosis) and incision infection. Transient movement disorder of both lower extremities occurred in two patients in the LSA-uncovered group within the first 24 hours postoperatively, while paraplegia developed in neither group during hospital stay. Patients presented with cooling, discoloration, pain and weakness of left upper extremity and pulselessness of left brachial artery were more often seen in LSA-covered group during perioperative and follow up period. The incidence of cooling, discoloration, pain and weakness of left upper extremity and stroke, together with the mortality had no statistics differences between patients with LSA covered completely or partially. The pulselessness of left brachial dance presented more often (P = 0.000) while the weakness of that presented less often (P = 0.001) in patients with LSA covered completely compared with those with LSA covered partially. No blood vessel by-pass grafting was performed on account of severe left arm ischemia. Conclusions It is safe and feasible to cover LSA for managing the insufficiency of proximal landing zone in patients with Stanford B AD during TEVAR. Better long-term efficacy could be achieved in this way.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><doi>10.1136/heartjnl-2013-303992.113</doi></addata></record>
fulltext fulltext
identifier ISSN: 1355-6037
ispartof Heart (British Cardiac Society), 2013-04, Vol.99 (Suppl 1), p.A37-A37
issn 1355-6037
1468-201X
language eng
recordid cdi_proquest_journals_1780727537
source BMJ Journals - NESLi2; PubMed Central
title ASSA13-08-5 Safety and Long-Term Efficacy of Left Subclavian Artery Coverage During Thoracic Endovascular Aortic Repair
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T05%3A12%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=ASSA13-08-5%E2%80%85Safety%20and%20Long-Term%20Efficacy%20of%20Left%20Subclavian%20Artery%20Coverage%20During%20Thoracic%20Endovascular%20Aortic%20Repair&rft.jtitle=Heart%20(British%20Cardiac%20Society)&rft.au=Xiaozeng,%20Wang&rft.date=2013-04&rft.volume=99&rft.issue=Suppl%201&rft.spage=A37&rft.epage=A37&rft.pages=A37-A37&rft.issn=1355-6037&rft.eissn=1468-201X&rft_id=info:doi/10.1136/heartjnl-2013-303992.113&rft_dat=%3Cproquest_cross%3E4021077521%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1780727537&rft_id=info:pmid/&rfr_iscdi=true