Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review
Objective. The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascendi...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2023/5592622 |
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| author | Weixue Huo Mengwei He Xianhao Bao Ye Lu Wen Tian Jiaxuan Feng Zhaoxiang Zeng Rui Feng |
| author_facet | Weixue Huo Mengwei He Xianhao Bao Ye Lu Wen Tian Jiaxuan Feng Zhaoxiang Zeng Rui Feng |
| author_sort | Weixue Huo |
| collection | DOAJ |
| description | Objective. The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascending aortic endovascular repair included in the literature published between January 2007 and July 2023, excluding type A aortic dissection. We reviewed 56 case reports and 7 observational studies included in this study, assessing the techniques, equipment, procedural steps, and results. We summarized the age, complications, follow-up time, and access route. Results. This study includes 63 articles reporting 105 patients (mean age: 64.96 ± 17.08 years) who received endovascular repair for nondissected ascending aortic disease. The types of disease include aneurysm (N = 16), pseudoaneurysm (N = 71), penetrating aortic ulcer (N = 10), intramural hematoma (N = 2), thrombosis (N = 2), iatrogenic coarctation (N = 1), and rupture of the aorta (N = 3). The success rate of surgery is 99.05% (104/105). Complications include endoleak (10.48%, 11/105), stroke (5.71%, 6/105), postoperative infection (1.91%, 2/105), acute renal failure (0.95%, 1/105), aortic rupture (0.95%, 1/105), thrombosis (0.95%, 1/105), and splenic infarction (0.95%, 1/105). Five patients required conversion to open surgery, two patients underwent endovascular reintervention, and four of these five patients underwent surgery due to endoleak. Early mortality was 2.86% (3/105). Conclusion. While the viability and results of endovascular repair for the treatment of ascending aortic disease are acknowledged in some circumstances, further research is needed to determine the safety and effectiveness of endovascular treatment for ascending aortic disease. |
| format | Article |
| id | doaj-art-41f8b618caa643b0bcf794b345caceed |
| institution | Kabale University |
| issn | 2090-2859 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-41f8b618caa643b0bcf794b345caceed2025-08-20T03:55:41ZengWileyEmergency Medicine International2090-28592023-01-01202310.1155/2023/5592622Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic ReviewWeixue Huo0Mengwei He1Xianhao Bao2Ye Lu3Wen Tian4Jiaxuan Feng5Zhaoxiang Zeng6Rui Feng7Department of Vascular SurgeryDepartment of Vascular SurgeryDepartment of Vascular SurgeryDepartment of Vascular SurgeryDepartment of Vascular SurgeryDepartment of Vascular SurgeryDepartment of Vascular SurgeryDepartment of Vascular SurgeryObjective. The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascending aortic endovascular repair included in the literature published between January 2007 and July 2023, excluding type A aortic dissection. We reviewed 56 case reports and 7 observational studies included in this study, assessing the techniques, equipment, procedural steps, and results. We summarized the age, complications, follow-up time, and access route. Results. This study includes 63 articles reporting 105 patients (mean age: 64.96 ± 17.08 years) who received endovascular repair for nondissected ascending aortic disease. The types of disease include aneurysm (N = 16), pseudoaneurysm (N = 71), penetrating aortic ulcer (N = 10), intramural hematoma (N = 2), thrombosis (N = 2), iatrogenic coarctation (N = 1), and rupture of the aorta (N = 3). The success rate of surgery is 99.05% (104/105). Complications include endoleak (10.48%, 11/105), stroke (5.71%, 6/105), postoperative infection (1.91%, 2/105), acute renal failure (0.95%, 1/105), aortic rupture (0.95%, 1/105), thrombosis (0.95%, 1/105), and splenic infarction (0.95%, 1/105). Five patients required conversion to open surgery, two patients underwent endovascular reintervention, and four of these five patients underwent surgery due to endoleak. Early mortality was 2.86% (3/105). Conclusion. While the viability and results of endovascular repair for the treatment of ascending aortic disease are acknowledged in some circumstances, further research is needed to determine the safety and effectiveness of endovascular treatment for ascending aortic disease.http://dx.doi.org/10.1155/2023/5592622 |
| spellingShingle | Weixue Huo Mengwei He Xianhao Bao Ye Lu Wen Tian Jiaxuan Feng Zhaoxiang Zeng Rui Feng Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review Emergency Medicine International |
| title | Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review |
| title_full | Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review |
| title_fullStr | Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review |
| title_full_unstemmed | Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review |
| title_short | Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review |
| title_sort | minimally invasive endovascular repair for nondissected ascending aortic disease a systematic review |
| url | http://dx.doi.org/10.1155/2023/5592622 |
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