Arch surgery for Type Ia Endoleak: how to remain normothermic and avoid circulatory arrest.

Arch surgery for Type Ia Endoleak: how to remain normothermic and avoid circulatory arrest. Ann Thorac Surg. 2020 Apr 07;: Authors: Di Eusanio M, Cefarelli M, Alfonsi J, Berretta P, Gatta E Abstract Type-Ia endoleak following thoracic endovascular aortic repair (TEVAR) is an ominous complication that requires an aggressive treatment. Total arch replacement with a distal suture taking the native distal aorta, the stentgraft and the arch graft, by allowing a perfect closure of the proximal endoleak, represents the most common treatment in this setting. Nevertheless, such intervention continues to carry a significant mortality and morbidity that are mostly related to prolonged extra-corporeal circulation(ECC) time and hypothermic circulatory arrest(HCA). Here we present a technique for total arch replacement that, with the use of a stentgraft balloon endoclamping, avoids both hypothermia and circulatory arrest. PMID: 32275909 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research