TY - JOUR

T1 - Hybrid technology in the surgical treatment of proximal aortic dissection

AU - Chernyavsky, A. M.

AU - Lyashenko, M. M.

AU - Syrota, D. A.

AU - Khvan, D. S.

AU - Kozlov, B. N.

AU - Panfilov, D. S.

AU - Lukinov, V. L.

N1 - Publisher Copyright: © Russian Journal of Cardiology.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Aim. To assess results of Meshalkin National Research Medical Center and Tomsk National Research Medical Center in surgical treatment of DeBakey type I aortic dissection using hybrid technologies (“frozen elephant trunk”) compared with classical standard interventions. Material and methods. The study included patients operated on successively in the 2002-2010 timeframe with a diagnosis of acute and subacute DeBakey type I aortic dissection. A retrospective observational comparison of the surgical treatment results of patients (two groups) was performed: using standard surgical approaches (beveled anastomosis or aortic arch replacement using multi-branched prosthesis) and frozen elephant trunk (FET) intervention. The groups included 70 and 31 patients, respectively. Mortality and morbidity were evaluated in the postoperative period, the frequency of aorto-related events - during the observation period. Results. Mortality and the frequency of complications between the groups in the early and late postoperative periods did not differ. Aorto-related events of the groups in the long-term period differed statistically significantly in favor of hybrid interventions (p=0,005). Conclusion. The hybrid technology of thoracic aorta reconstruction using “frozen elephant trunk” type allows to make one-step reconstruction of the aorta during its multilevel lesion. Observation of patients in the long-term period allows us to announce of a longtime, stable result of surgical treatment in the absence of additional perioperative risks.

AB - Aim. To assess results of Meshalkin National Research Medical Center and Tomsk National Research Medical Center in surgical treatment of DeBakey type I aortic dissection using hybrid technologies (“frozen elephant trunk”) compared with classical standard interventions. Material and methods. The study included patients operated on successively in the 2002-2010 timeframe with a diagnosis of acute and subacute DeBakey type I aortic dissection. A retrospective observational comparison of the surgical treatment results of patients (two groups) was performed: using standard surgical approaches (beveled anastomosis or aortic arch replacement using multi-branched prosthesis) and frozen elephant trunk (FET) intervention. The groups included 70 and 31 patients, respectively. Mortality and morbidity were evaluated in the postoperative period, the frequency of aorto-related events - during the observation period. Results. Mortality and the frequency of complications between the groups in the early and late postoperative periods did not differ. Aorto-related events of the groups in the long-term period differed statistically significantly in favor of hybrid interventions (p=0,005). Conclusion. The hybrid technology of thoracic aorta reconstruction using “frozen elephant trunk” type allows to make one-step reconstruction of the aorta during its multilevel lesion. Observation of patients in the long-term period allows us to announce of a longtime, stable result of surgical treatment in the absence of additional perioperative risks.

KW - Aorta

KW - Dissection

KW - Frozen elephant trunk

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=85057856172&partnerID=8YFLogxK

U2 - 10.15829/1560-4071-2018-11-8-13

DO - 10.15829/1560-4071-2018-11-8-13

M3 - Article

AN - SCOPUS:85057856172

VL - 23

SP - 8

EP - 13

JO - Российский кардиологический журнал

JF - Российский кардиологический журнал

SN - 1560-4071

IS - 11

ER -