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ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. Aortic Surgery and Endovascular Repair Archive
Volume 11 - 2024 |
doi: 10.3389/fcvm.2024.1416635
This article is part of the Research Topic New Advances in Branches Reconstruction During Endovascular Repair of Aortic Pathologies View all 7 articles
Comparison of Branched, Fenestrated, and Parallel Strategy of Endovascular Treatment for Thoracoabdominal Aortic Pathologies Involving Visceral Regions
Provisionally accepted- 1 Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai, Shanghai Municipality, China
- 2 Department of Vascular Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
- 3 Department of Vascular Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China
- 4 Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China
- 5 Department of Cardiovascular Surgery, Ningxia Hui Autonomous Region People's Hospital, Yinchuan, Henan Province, China
- 6 Department of Vascular and Hernia Surgery, Ganzhou People's Hospital, Ganzhou, China
- 7 Department of Vascular Surgery, Wuhan Asia Heart Hospital, Wuhan, China
- 8 Department of Vascular Surgery, Shanghai General Hospital, Shanghai, China
- 9 Department of Thyroid, Breast and Vascular Surgery, Shanghai Fourth People's Hospital, Shanghai, China
Purpose: To compare the long-term efficacy of the parallel stent-graft (PSG) techniques , fenestrated stent-graft (FSG) techniques and branched stent-graft (BSG) techniques treating thoracoabdominal aortic pathologies. Materials and Methods: 291 patients with thoracic aortic aneurysm (TAA) and dissection (TAD) involving visceral arteries underwent PSG(n=85, 15 TAA and 70 TAD) or FSG (n=107, 47 TAD and 60 TAA) or BSG (n=99, 37 TAD and 62 TAA) were included in multiple centers from January 2015 to December 2022, and a total of 1108 visceral aortic branches were reconstructed. Results: The average reconstruction time of each visceral aortic branch for FSG, BSG, and PSG is 27.5±12.1 minutes,23.2±11.9 minutes, and 18.8±11.8 minutes, respectively (P<0.01).The rate of free from endoleak in last follow-up for FSG, BSG, and PSG is 86.9%,91.9%,and 60.0%, respectively. And the last follow-up patency rate for FSG, BSG, and PSG is 85.0%, 91.9%,and 94.1%, respectively. The average reconstruction price of each visceral aortic branch for FSG, BSG and PSG is 41.40 ± 3.22 thousand, 41.84 ± 3.86 thousand, and 42.35 ± 4.52 thousand, respectively (P=0.24). Conclusion: To treat the aortic pathologies involving visceral segment, BSG got lower endoleak rate and higher branch patency rate when compared with FSG and PSG techniques. And the expense of the BSG was comparable to other two techniques. Keywords: Aortic aneurysm, Aortic dissection, Endovascular repair, Visceral arteries, Branched stent-graft, Parallel stent-graft, Fenestrated stent-graft.
Keywords: Aortic Aneurysm, aortic dissection, Endovascular repair, Visceral arteries, Branched stent-graft, Parallel stent-graft, Fenestrated stent-graft
Received: 12 Apr 2024; Accepted: 26 Aug 2024.
Copyright: © 2024 Ma, Wu, Zhu, Guo, Li, Liu, Liu, Li, Ye, Chen, Qi, Xiao, Zeng, Sun, Feng, Jing and Feng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Zhishi Wu, Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433, Shanghai Municipality, China
Guanglang Zhu, Department of Vascular Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, China
Mingyuan Liu, Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China
Youjin Li, Department of Cardiovascular Surgery, Ningxia Hui Autonomous Region People's Hospital, Yinchuan, Henan Province, China
Ming Qi, Department of Vascular Surgery, Wuhan Asia Heart Hospital, Wuhan, China
Hongyan Xiao, Department of Vascular Surgery, Wuhan Asia Heart Hospital, Wuhan, China
Zhaoxiang Zeng, Department of Vascular Surgery, Shanghai General Hospital, Shanghai, China
Yudong Sun, Department of Vascular Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, China
Rui Feng, Department of Vascular Surgery, Shanghai General Hospital, Shanghai, China
Zaiping Jing, Department of Thyroid, Breast and Vascular Surgery, Shanghai Fourth People's Hospital, Shanghai, China
Jiaxuan Feng, Department of Vascular Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, China
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