“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.	陳紀言, 羅淞元, 劉媛. 急性主動脈夾層的腔內修復術治療現狀與展望. 中國循環雜志, 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.	魏以楨, 常謙, 于存濤, 等. 一期雜交手術治療累及主動脈弓遠端的降主動脈病變. 中國胸心血管外科臨床雜志, 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.	林稱意, 郭家龍, 羅衛民, 等. 雜交手術治療急性 DeBakey III型主動脈夾層. 中國實用醫藥, 2014, 9(29) :84-86.
9.	杜寧, 宋怡, 孫毅, 等. 雜交手術治療Stanford B-C型主動脈夾層. 臨床心血管病雜志, 2013, 29(2) :144-145.
10.	K?lbel 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.	周為民, 周衛, 邱結華, 等. 復雜主動脈病變的腔內治療和雜交手術. 中國普通外科雜志, 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. 血管腔內治療Stanford A型主動脈夾層. 中國醫科大學學報, 2014, 43(1) :1-4.
18.	申運華, 嚴中亞, 嚴光, 等. 個體化組合式分支覆膜支架重建主動脈弓治療Stanford A型主動脈夾層. 中華外科雜志, 2014, 52(6) :436-441.
19.	丁盛, 張近寶, 歐陽輝, 等. 不同雜交方式治療累及弓部的主動脈夾層. 中國胸心血管外科臨床雜志, 2012, 19(4) :435-437.
20.	劉日輝, 楊俊波, 陳家軍, 等. 同期雜交手術治療復雜Stanford B型主動脈夾層. 中國胸心血管外科臨床雜志, 2014, 21(30) :352-355.

1. 陳紀言, 羅淞元, 劉媛. 急性主動脈夾層的腔內修復術治療現狀與展望. 中國循環雜志, 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. 魏以楨, 常謙, 于存濤, 等. 一期雜交手術治療累及主動脈弓遠端的降主動脈病變. 中國胸心血管外科臨床雜志, 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. 林稱意, 郭家龍, 羅衛民, 等. 雜交手術治療急性 DeBakey III型主動脈夾層. 中國實用醫藥, 2014, 9(29) :84-86.
9. 杜寧, 宋怡, 孫毅, 等. 雜交手術治療Stanford B-C型主動脈夾層. 臨床心血管病雜志, 2013, 29(2) :144-145.
10. K?lbel 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. 周為民, 周衛, 邱結華, 等. 復雜主動脈病變的腔內治療和雜交手術. 中國普通外科雜志, 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. 血管腔內治療Stanford A型主動脈夾層. 中國醫科大學學報, 2014, 43(1) :1-4.
18. 申運華, 嚴中亞, 嚴光, 等. 個體化組合式分支覆膜支架重建主動脈弓治療Stanford A型主動脈夾層. 中華外科雜志, 2014, 52(6) :436-441.
19. 丁盛, 張近寶, 歐陽輝, 等. 不同雜交方式治療累及弓部的主動脈夾層. 中國胸心血管外科臨床雜志, 2012, 19(4) :435-437.
20. 劉日輝, 楊俊波, 陳家軍, 等. 同期雜交手術治療復雜Stanford B型主動脈夾層. 中國胸心血管外科臨床雜志, 2014, 21(30) :352-355.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

“One-Stop” Individualized Treatment of Aortic Disease

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