Onion skin technique for open surgical replacement of aortic arch following primary endoprothesic thoracic aorta treatment

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Endovascular aortic replacement (EVAR) techniques have become the first choice option for many aortic diseases in patients in whom standard open surgery was contraindicated or with high surgical risk. A secondary open surgical treatment, following a primary EVAR procedure, could, however, be challenging depending on the type, the extension and the position of primary endoprosthesis. Here, we describe an original and easy technique capable of simplifying a secondary aortic arch replacement following EVAR treatment of the descending thoracic aorta. The basic concept of such techniques is similar to that of the conventional 'elephant trunk' technique and is based on an inverted straight tube graft inserted into the endoprosthesis and anastomized using a multi-layer double suture with external strip felt of Dacron.

Original languageEnglish
Article numberezt362
Pages (from-to)384-385
Number of pages2
JournalEuropean Journal of Cardio-thoracic Surgery
Volume45
Issue number2
DOIs
Publication statusPublished - Feb 2014

Fingerprint

Onions
Thoracic Aorta
Skin
Aortic Diseases
Polyethylene Terephthalates
Sutures
Therapeutics
Transplants

Keywords

  • Aortic arch
  • Endoprosthesis
  • Redo surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

@article{07bdf550c99d41eb8c477132de6ef3a2,
title = "Onion skin technique for open surgical replacement of aortic arch following primary endoprothesic thoracic aorta treatment",
abstract = "Endovascular aortic replacement (EVAR) techniques have become the first choice option for many aortic diseases in patients in whom standard open surgery was contraindicated or with high surgical risk. A secondary open surgical treatment, following a primary EVAR procedure, could, however, be challenging depending on the type, the extension and the position of primary endoprosthesis. Here, we describe an original and easy technique capable of simplifying a secondary aortic arch replacement following EVAR treatment of the descending thoracic aorta. The basic concept of such techniques is similar to that of the conventional 'elephant trunk' technique and is based on an inverted straight tube graft inserted into the endoprosthesis and anastomized using a multi-layer double suture with external strip felt of Dacron.",
keywords = "Aortic arch, Endoprosthesis, Redo surgery",
author = "Pasquale Totaro and Eliana Raviola and Roberto Veronesi and Alessandro Mazzola",
year = "2014",
month = "2",
doi = "10.1093/ejcts/ezt362",
language = "English",
volume = "45",
pages = "384--385",
journal = "European Journal of Cardio-thoracic Surgery",
issn = "1010-7940",
publisher = "European Association for Cardio-Thoracic Surgery",
number = "2",

}

TY - JOUR

T1 - Onion skin technique for open surgical replacement of aortic arch following primary endoprothesic thoracic aorta treatment

AU - Totaro, Pasquale

AU - Raviola, Eliana

AU - Veronesi, Roberto

AU - Mazzola, Alessandro

PY - 2014/2

Y1 - 2014/2

N2 - Endovascular aortic replacement (EVAR) techniques have become the first choice option for many aortic diseases in patients in whom standard open surgery was contraindicated or with high surgical risk. A secondary open surgical treatment, following a primary EVAR procedure, could, however, be challenging depending on the type, the extension and the position of primary endoprosthesis. Here, we describe an original and easy technique capable of simplifying a secondary aortic arch replacement following EVAR treatment of the descending thoracic aorta. The basic concept of such techniques is similar to that of the conventional 'elephant trunk' technique and is based on an inverted straight tube graft inserted into the endoprosthesis and anastomized using a multi-layer double suture with external strip felt of Dacron.

AB - Endovascular aortic replacement (EVAR) techniques have become the first choice option for many aortic diseases in patients in whom standard open surgery was contraindicated or with high surgical risk. A secondary open surgical treatment, following a primary EVAR procedure, could, however, be challenging depending on the type, the extension and the position of primary endoprosthesis. Here, we describe an original and easy technique capable of simplifying a secondary aortic arch replacement following EVAR treatment of the descending thoracic aorta. The basic concept of such techniques is similar to that of the conventional 'elephant trunk' technique and is based on an inverted straight tube graft inserted into the endoprosthesis and anastomized using a multi-layer double suture with external strip felt of Dacron.

KW - Aortic arch

KW - Endoprosthesis

KW - Redo surgery

UR - http://www.scopus.com/inward/record.url?scp=84892549545&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892549545&partnerID=8YFLogxK

U2 - 10.1093/ejcts/ezt362

DO - 10.1093/ejcts/ezt362

M3 - Article

C2 - 23868952

AN - SCOPUS:84892549545

VL - 45

SP - 384

EP - 385

JO - European Journal of Cardio-thoracic Surgery

JF - European Journal of Cardio-thoracic Surgery

SN - 1010-7940

IS - 2

M1 - ezt362

ER -