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Open Conversions and Semiconversions for Late Endoleaks After EVAR: A 22-year Multicentre Experience by Perini, Paolo; Gargiulo, Mauro; Silingardi, Roberto; Bellosta, Raffaello; Michelagnoli, Stefano; Bonvini, Stefano; Piffaretti, Gabriele; Tusini, Nicola; Capelli, Patrizio; Bonardelli, Stefano; Freyrie, Antonio is a Medicine article available to read on EtoBox.
What is Open Conversions and Semiconversions for Late Endoleaks After EVAR: A 22-year Multicentre Experience about?
## Introduction: The best surgical strategy for acute Stanford type A aortic dissection (aTAAD) involving the arch is controversial. We have used a novel method that antegrade implanting a previously fenestrated stent for arch repair, which have revealed acceptable results. Methods: From December 2014 to December 2016, 81 aTAAD patients (52 male, 29 female) underwent ascending aorta replacement and fenestrated stent graft implantation. The fenestrated stent graft was implanted into the true lumen of aortic arch during the hypothermia circulation arrest period. The proximal descending aorta with the fenestration opening at the ostia of three head vessels in the arch. The proximal end of the stent graft was anastomosed to the distal end of the Dacron tube graft that replaced the proximal ascending aorta. All patients had contrast enhanced computed tomography angiography before discharge and during follow up. Results: The cardiopulmonary bypass time was 213 AE 49 minutes, aortic cross-clamp time was 133 AE 39 minutes, and selective cerebral perfusion and lower body arrest time was 27 AE 8 minutes. There were 5 in-hospital deaths due to circulation failure, multiple organ dysfunction a
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- Author
- Perini, Paolo; Gargiulo, Mauro; Silingardi, Roberto; Bellosta, Raffaello; Michelagnoli, Stefano; Bonvini, Stefano; Piffaretti, Gabriele; Tusini, Nicola; Capelli, Patrizio; Bonardelli, Stefano; Freyrie, Antonio
- Publisher
- Elsevier Science; Elsevier ; W. B. Saunders Co., Ltd.; Elsevier BV (ISSN 1078-5884)
- Published
- 2019
- Language
- EN
- Field
- Medicine (Health Sciences)