Clinical effect of ascending aorta banding combined with type Ⅰ hybrid aortic arch repair on aortic arch diseases
Objective To assess the efficacy and safety of ascending aorta banding technique combined with type Ⅰ hybrid aortic arch repair for the aortic arch diseases.Methods The clinical data of patients undergoing ascending aorta banding technique combined with type Ⅰ hybrid arch repair for aortic arch diseases from March 2019 to March 2022 in Beijing Anzhen Hospital were retrospectively analyzed.The technical success,perioperative complications and follow-up results were evaluated.Results A total of 44 patients were collected,including 35 males and 9 females,with a median age of 63.0(57.5,64.6)years.The average EuroSCORE Ⅱ score was 8.4％±0.7％.The technical success rate was 100.0％.All patients did not have retrograde type A aortic dissection and endoleaks.One patient died of multiple organ failure 5 days after operation,the in-hospital mortality rate was 2.3％,and the remaining 43 patients survived and were discharged from hospital.The median follow-up period was 14.5(6-42)months with a follow-up rate of 100.0％.One patient with spinal cord injury died 2 years after hospital discharge.One patient underwent thoracic endovascular aortic repair at postoperative 3 months due to new entry tears near to the distal end of the stent.Conclusion Ascending aorta banding combined with type Ⅰ hybrid arch repair for the aortic arch diseases does not need cardio-pulmonary bypass.Ascending aorta banding technique strengthens the proximal anchoring area of the stent to avoid risks such as retrograde type A dissection,endoleak and migration.The operation owns small trauma,rapid recovery,low mortality and a low rate of reintervention,which may be considered as a safe and effective choice in the treatment of the elderly,high-risk patients with complex complications.
万方数据
维普
