دورية أكاديمية
Mini-access ascending aorto-bifemoral bypass surgery for the treatment of aortic steno-occlusive disease.
| العنوان: | Mini-access ascending aorto-bifemoral bypass surgery for the treatment of aortic steno-occlusive disease. |
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| المؤلفون: | Ku MJ; Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea., Lee YR; Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea., Kim JB; Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. |
| المصدر: | JTCVS techniques [JTCVS Tech] 2024 Jan 19; Vol. 24, pp. 14-19. Date of Electronic Publication: 2024 Jan 19 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101768546 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-2507 (Electronic) Linking ISSN: 26662507 NLM ISO Abbreviation: JTCVS Tech Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [New York] : Elsevier Inc., [2020]- |
| مستخلص: | Objectives: Mid-aortic syndrome is a rare condition characterized by severe aortic narrowing, leading to high upper body blood pressure and organ hypoperfusion, necessitating surgical intervention. Although central bypassing is considered ideal, it involves extensive incisions. To overcome these limitations, less-invasive approaches have been developed. This study aims to introduce a mini-access approach using video-endoscopy and to evaluate the feasibility and outcomes of mini-access ascending aorto-bifemoral bypass surgery. Methods: From November 2020 to May 2022, we performed ascending aorta to bifemoral artery bypass operations on 7 patients to treat steno-occlusive diseases in the downstream aorta. A Y-graft was created, and procedures were conducted under general anesthesia using video-endoscopy with limited skin incisions. Results: Intraoperatively, there were no major complications, and none of the patients required cardiopulmonary bypass support. Furthermore, there were no postoperative mortalities or major complications. Postoperatively, the mean ankle-brachial index significantly improved from 0.59/0.59 to 0.96/0.92 ( P = .004), and the mean glomerular filtration rate increased from 61.1 to 85.3 mL/min/1.73 mm 2 ( P = .012). Additionally, symptoms of claudication resolved in all patients. Conclusions: Videoscope-assisted mini-access aortic bypass surgery not only provides favorable early postoperative outcomes but also represents a technically feasible alternative to traditional surgical approaches for the treatment of steno-occlusive aortic diseases. Competing Interests: The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest. (© 2024 The Author(s).) |
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| فهرسة مساهمة: | Keywords: Takayasu arteritis; aortic bypass; minimally invasive surgery |
| تواريخ الأحداث: | Date Created: 20240605 Latest Revision: 20240607 |
| رمز التحديث: | 20240607 |
| مُعرف محوري في PubMed: | PMC11145077 |
| DOI: | 10.1016/j.xjtc.2024.01.006 |
| PMID: | 38835566 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2666-2507 |
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| DOI: | 10.1016/j.xjtc.2024.01.006 |