Outcomes of a Novel Single Branched Aortic Stent Graft for Treatment of Type B Aortic Dissection.
Publication/Presentation Date
9-12-2024
Abstract
BACKGROUND: Intervention on Type B dissection frequently requires landing the proximal edge of the stent graft between the left common carotid artery and left subclavian artery (LSA). The Gore® TAG® Thoracic Branch Endoprosthesis (TBE) is a technology which allows LSA preservation with a single internal branch.
METHODS: This study was a prospective non-randomized single-arm clinical trial of patients with type B aortic dissection that were treated with the single branched device. Patients with operative indications for acute, chronic or residual Type B dissections that originated distal to the origin of a left subclavian artery suitable for branch graft placement were eligible for the study. Native aortic and surgical graft proximal landing zones were eligible.
RESULTS: Among the 132 patients, there were 25 (18.9%) acute type B dissections, 79 (59.8%) of chronic type B dissections and 28 (21.1%) of residual dissections after previous open Type A repair. Percutaneous access was used in 105 (79.5%) patients. Overall, 30-day mortality occurred in 6 patients (4.5%). The overall 30 day stroke rate was 2/132(1.5%) and the one-year freedom from stroke was 96.8%. Device Technical Success and Procedural Success was achieved in 129/132(97.7%) and 110/132(83.3%) of subjects, respectively and there was one instance of loss of side branch patency. There was no persistent antegrade false lumen flow observed.
CONCLUSIONS: In this study of a novel branched endograft device to preserve the LSA in patients with type B dissection undergoing TEVAR, we demonstrate acceptable safety and efficacy outcomes at one year.
ISSN
1552-6259
Published In/Presented At
Desai, N. D., Wang, G. J., Brinkman, W., Coselli, J., Taylor, B., Patel, H., Dake, M., Fleischman, F., Panneton, J., Matsumura, J., Sweet, M., DeMartino, R., Leshnower, B., Sanchez, L., & Bavaria, J. E. (2024). Outcomes of a Novel Single Branched Aortic Stent Graft for Treatment of Type B Aortic Dissection. The Annals of thoracic surgery, S0003-4975(24)00769-0. Advance online publication. https://doi.org/10.1016/j.athoracsur.2024.07.053
Disciplines
Medicine and Health Sciences
PubMedID
39277156
Department(s)
Department of Surgery
Document Type
Article