“One-Stop” Individualized Treatment of Aortic Disease_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHENGZhi , GUOQian-nan , LIUFu-bin , WANGHai-hao , LIUChun , ZHOUYan-rong , WEIXiang ,  PANYou-min

Department of Cardiothoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, P. R. China;

Corresponding author：

PANYou-min, Email: youmin-pan@hotmail.com

Keywords：

Aortic disease; Aortic dissection; Aortic aneurysm; Endovascular repair; Hybrid operation; Indivi-dualized treatment

DOI：

10.7507/1007-4848.20160160

Video：

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Objective To evaluate the importance of "one-stop" hybrid operating room in the individualized treatment of aortic pathology. Method We retrospectively analyzed the clinical data of 247 patients of aortic pathology who were operated in the hybrid operating room in our hospital from January 2013 through December 2014. There were 193 males and 54 females at age of 24-83(54±12) years. Results Thoracic or abdominal endovascular aortic repair (TEVAR/EVAR) was applied in 132 patients, including 122 simple patients and 10 complexes. Fenestrated TEVAR was applied in 61 patients. Hybrid operation was done in 54 patients. Perioperative death occurred in 9 patients (3.6%). Perioperative complication rate was 11.7% (29/247) . The patients were followed up for one year. During follow-up, five patients were dead. The one-year survival rate was 98.0% (242/247) . Conclusions "One-stop" individualized treatment of aortic pathology shows its advantage, yet long-term result still needs to be followed up.

Citation： ZHENGZhi, GUOQian-nan, LIUFu-bin, WANGHai-hao, LIUChun, ZHOUYan-rong, WEIXiang, PANYou-min. “One-Stop” Individualized Treatment of Aortic Disease. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(7): 666-670. doi: 10.7507/1007-4848.20160160 Copy

1.	陈纪言, 罗淞元, 刘媛. 急性主动脉夹层的腔内修复术治疗现状与展望. 中国循环杂志, 2014, 29(1) :1-3.
2.	Kaneko T, Davidson MJ. Use of the hybrid operating room in cardiovascular medicine. Circulation, 2014, 130(11) :910-917.
3.	Holmes DR Jr, Rich JB, Zoghbi WA, et al. The heart team of cardiovascular care. J Am Coll Cardiol, 2013, 61(9) :903-907.
4.	Akin I, Nienaber CA. Interventional treatment strategies of thoracic aortic pathologies. Eur Rev Med Pharmacol Sci, 2014, 18(17) :2562-2574.
5.	Cheshire N, Bicknell C. Thoracic endovascular aortic repair:the basics. J Thorac Cardiovasc Surg, 2013, 145(3 Suppl):S149-S153.
6.	魏以桢, 常谦, 于存涛, 等. 一期杂交手术治疗累及主动脉弓远端的降主动脉病变. 中国胸心血管外科临床杂志, 2011, 18(2) :99-103.
7.	Varu VN, Greenberg JI, Lee JT. Improved efficiency and safety for EVAR with utilization of a hybrid room. Eur J Vasc Endovasc Surg, 2013, 46(6) :675-679.
8.	林称意, 郭家龙, 罗卫民, 等. 杂交手术治疗急性 DeBakey III型主动脉夹层. 中国实用医药, 2014, 9(29) :84-86.
9.	杜宁, 宋怡, 孙毅, 等. 杂交手术治疗Stanford B-C型主动脉夹层. 临床心血管病杂志, 2013, 29(2) :144-145.
10.	Kölbel T, Diener H, Larena-Avellaneda A, et al. Advanced endova-scular techniques for thoracic and abdominal aortic dissections. J Cardiovasc Surg (Torino), 2013, 54(1 Suppl 1) :81-90.
11.	Buth J, Penn O, Tielbeek A, et al. Combined approach to stent-graft treatment of an aortic arch aneurysm. J Endovasc Surg, 1998, 5(4) :329-332.
12.	Akin I, Kische S, Rehders TC, et al. TEVAR:the solution to all aortic problems? Herz, 2011, 36(6) :539-547.
13.	周为民, 周卫, 邱结华, 等. 复杂主动脉病变的腔内治疗和杂交手术. 中国普通外科杂志, 2013, 22(12) :1553-1555.
14.	Chung C, Fremed D, Han D, et al. Update on the use of abdominal and thoracic endografts for treating aortic aneurysms. Expert Rev Med Devices, 2016, 13(3) :287-295.
15.	Roselli EE, Brozzi N, Albacker T, et al. Transapical endovascular ascending repair for inoperable acute type a dissection. JACC Cardiovasc Interv, 2013, 6(4) :425-426.
16.	Tsagakis K, Konorza T, Dohle DS, et al. Hybrid operating room concept for combined diagnostics, intervention and surgery in acute type A dissection. Eur J Cardiothorac Surg, 2013, 43(2) :397-404.
17.	王深明, 王斯文. 血管腔内治疗Stanford A型主动脉夹层. 中国医科大学学报, 2014, 43(1) :1-4.
18.	申运华, 严中亚, 严光, 等. 个体化组合式分支覆膜支架重建主动脉弓治疗Stanford A型主动脉夹层. 中华外科杂志, 2014, 52(6) :436-441.
19.	丁盛, 张近宝, 欧阳辉, 等. 不同杂交方式治疗累及弓部的主动脉夹层. 中国胸心血管外科临床杂志, 2012, 19(4) :435-437.
20.	刘日辉, 杨俊波, 陈家军, 等. 同期杂交手术治疗复杂Stanford B型主动脉夹层. 中国胸心血管外科临床杂志, 2014, 21(30) :352-355.

1. 陈纪言, 罗淞元, 刘媛. 急性主动脉夹层的腔内修复术治疗现状与展望. 中国循环杂志, 2014, 29(1) :1-3.
2. Kaneko T, Davidson MJ. Use of the hybrid operating room in cardiovascular medicine. Circulation, 2014, 130(11) :910-917.
3. Holmes DR Jr, Rich JB, Zoghbi WA, et al. The heart team of cardiovascular care. J Am Coll Cardiol, 2013, 61(9) :903-907.
4. Akin I, Nienaber CA. Interventional treatment strategies of thoracic aortic pathologies. Eur Rev Med Pharmacol Sci, 2014, 18(17) :2562-2574.
5. Cheshire N, Bicknell C. Thoracic endovascular aortic repair:the basics. J Thorac Cardiovasc Surg, 2013, 145(3 Suppl):S149-S153.
6. 魏以桢, 常谦, 于存涛, 等. 一期杂交手术治疗累及主动脉弓远端的降主动脉病变. 中国胸心血管外科临床杂志, 2011, 18(2) :99-103.
7. Varu VN, Greenberg JI, Lee JT. Improved efficiency and safety for EVAR with utilization of a hybrid room. Eur J Vasc Endovasc Surg, 2013, 46(6) :675-679.
8. 林称意, 郭家龙, 罗卫民, 等. 杂交手术治疗急性 DeBakey III型主动脉夹层. 中国实用医药, 2014, 9(29) :84-86.
9. 杜宁, 宋怡, 孙毅, 等. 杂交手术治疗Stanford B-C型主动脉夹层. 临床心血管病杂志, 2013, 29(2) :144-145.
10. Kölbel T, Diener H, Larena-Avellaneda A, et al. Advanced endova-scular techniques for thoracic and abdominal aortic dissections. J Cardiovasc Surg (Torino), 2013, 54(1 Suppl 1) :81-90.
11. Buth J, Penn O, Tielbeek A, et al. Combined approach to stent-graft treatment of an aortic arch aneurysm. J Endovasc Surg, 1998, 5(4) :329-332.
12. Akin I, Kische S, Rehders TC, et al. TEVAR:the solution to all aortic problems? Herz, 2011, 36(6) :539-547.
13. 周为民, 周卫, 邱结华, 等. 复杂主动脉病变的腔内治疗和杂交手术. 中国普通外科杂志, 2013, 22(12) :1553-1555.
14. Chung C, Fremed D, Han D, et al. Update on the use of abdominal and thoracic endografts for treating aortic aneurysms. Expert Rev Med Devices, 2016, 13(3) :287-295.
15. Roselli EE, Brozzi N, Albacker T, et al. Transapical endovascular ascending repair for inoperable acute type a dissection. JACC Cardiovasc Interv, 2013, 6(4) :425-426.
16. Tsagakis K, Konorza T, Dohle DS, et al. Hybrid operating room concept for combined diagnostics, intervention and surgery in acute type A dissection. Eur J Cardiothorac Surg, 2013, 43(2) :397-404.
17. 王深明, 王斯文. 血管腔内治疗Stanford A型主动脉夹层. 中国医科大学学报, 2014, 43(1) :1-4.
18. 申运华, 严中亚, 严光, 等. 个体化组合式分支覆膜支架重建主动脉弓治疗Stanford A型主动脉夹层. 中华外科杂志, 2014, 52(6) :436-441.
19. 丁盛, 张近宝, 欧阳辉, 等. 不同杂交方式治疗累及弓部的主动脉夹层. 中国胸心血管外科临床杂志, 2012, 19(4) :435-437.
20. 刘日辉, 杨俊波, 陈家军, 等. 同期杂交手术治疗复杂Stanford B型主动脉夹层. 中国胸心血管外科临床杂志, 2014, 21(30) :352-355.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

“One-Stop” Individualized Treatment of Aortic Disease

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