Open Thoracoabdominal Aortic Procedures following Endovascular Intervention

Abstract

Open conversion of thoracoabdominal aortic (TAA) disease after failed attempts of endovascular treatment is increasingly required. The main causes are endoleak, endograft failure, infection, disease progression, or persistent false lumen perfusion in dissected aortas. Mortality and morbidity rates are high, higher than after standard TAA open repair. Therefore, this surgery should be performed only in dedicated centers by experienced teams. Specific perioperative organ protection protocols, as well as surgical techniques, are crucial to guarantee acceptable results.

Keywords

aortic aneurysm - endovascular procedure - endoleak - thoracoabdominal

Publikationsverlauf

Eingereicht: 05. September 2021

Angenommen: 12. April 2022

Artikel online veröffentlicht:
15. Dezember 2022

• References

• 1 Verhoeven ELG, Katsargyris A, Bekkema F. et al. Editor's choice—ten-year experience with endovascular repair of thoracoabdominal aortic aneurysms: results from 166 consecutive patients. Eur J Vasc Endovasc Surg 2015; 49 (05) 524-531
• 2 Rocha RV, Lindsay TF, Friedrich JO. et al. Systematic review of contemporary outcomes of endovascular and open thoracoabdominal aortic aneurysm repair. J Vasc Surg 2020; 71 (04) 1396-1412.e12
• 3 Dossabhoy SS, Simons JP, Diamond KR. et al. Reinterventions after fenestrated or branched endovascular aortic aneurysm repair. J Vasc Surg 2018; 68 (03) 669-681
• 4 Walker J, Kaushik S, Hoffman M. et al. Long-term durability of multibranched endovascular repair of thoracoabdominal and pararenal aortic aneurysms. J Vasc Surg 2019; 69 (02) 341-347
• 5 Spiliotopoulos K, Preventza O, Green SY. et al. Open descending thoracic or thoracoabdominal aortic approaches for complications of endovascular aortic procedures: 19-year experience. J Thorac Cardiovasc Surg 2018; 155 (01) 10-18
• 6 Rinaldi E, Kahlberg A, Carta N, Mascia D, Bertoglio L, Chiesa R. Late open conversion following failure of EVAR and TEVAR: “state of the art”. Cardiovasc Intervent Radiol 2020; 43 (12) 1855-1864
• 7 Keschenau PR, Ketting S, Mees B. et al. Editor's choice—open thoracic and thoraco-abdominal aortic repair after prior endovascular therapy. Eur J Vasc Endovasc Surg 2018; 56 (01) 57-67
• 8 Coselli JS, Rosu C, Amarasekara HS. et al. Reoperative surgery on the thoracoabdominal aorta. J Thorac Cardiovasc Surg 2018; 155 (02) 474-485.e1
• 9 Oderich GS, Forbes TL, Chaer R. et al; Writing Committee Group. Reporting standards for endovascular aortic repair of aneurysms involving the renal-mesenteric arteries. J Vasc Surg 2021; 73 (1S): 4S-52S
• 10 Coselli JS, Spiliotopoulos K, Preventza O, de la Cruz KI, Amarasekara H, Green SY. Open aortic surgery after thoracic endovascular aortic repair. Gen Thorac Cardiovasc Surg 2016; 64 (08) 441-449
• 11 Zhang L, Zhao Z, Chen Y. et al. Reintervention after endovascular repair for aortic dissection: a systematic review and meta-analysis. J Thorac Cardiovasc Surg 2016; 152 (05) 1279-1288.e3
• 12 LeMaire SA, Green SY, Kim JH. et al. Thoracic or thoracoabdominal approaches to endovascular device removal and open aortic repair. Ann Thorac Surg 2012; 93 (03) 726-732 , discussion 733
• 13 Ehrlich MP, Nienaber CA, Rousseau H. et al. Short-term conversion to open surgery after endovascular stent-grafting of the thoracic aorta: the Talent thoracic registry. J Thorac Cardiovasc Surg 2008; 135 (06) 1322-1326
• 14 Coselli JS, LeMaire SA, Preventza O. et al. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg 2016; 151 (05) 1323-1337
• 15 Gaudino M, Khan FM, Rahouma M. et al. Spinal cord injury after open and endovascular repair of descending thoracic and thoracoabdominal aortic aneurysms: A meta-analysis. J Thorac Cardiovasc Surg 2022; 163 (02) 552-564
• 16 Kahlberg A, Tshomba Y, Baccellieri D. et al; CURITIBA Investigators. Renal perfusion with histidine-tryptophan-ketoglutarate compared with Ringer's solution in patients undergoing thoracoabdominal aortic open repair. J Thorac Cardiovasc Surg 2021; (e-pub ahead of print).
• 17 Monaco F, Barucco G, Nardelli P. et al. Editor's choice—a rotational thromboelastometry driven transfusion strategy reduces allogenic blood transfusion during open thoraco-abdominal aortic aneurysm repair: a propensity score matched study. Eur J Vasc Endovasc Surg 2019; 58 (01) 13-22
• 18 Tshomba Y, Leopardi M, Mascia D. et al. Automated pressure-controlled cerebrospinal fluid drainage during open thoracoabdominal aortic aneurysm repair. J Vasc Surg 2017; 66 (01) 37-44
• 19 Bertoglio L, Kahlberg A, Gallitto A. et al. Role of historical and procedural staging during elective fenestrated and branched endovascular treatment of extensive thoraco-abdominal aortic aneurysms: insight from a multicenter Italian registry. J Vasc Surg 2022; 75 (05) 1501-1511
• 20 Chakfé N, Diener H, Lejay A. et al; Esvs Guidelines Committee. Editor's choice—European Society for Vascular Surgery (ESVS) 2020 clinical practice guidelines on the management of vascular graft and endograft infections. Eur J Vasc Endovasc Surg 2020; 59 (03) 339-384
• 21 Mascia D, Rinaldi E, Salvati S. et al. Thoracic endovascular aortic repair with additional distal bare stents in type B aortic dissection does not prevent long-term aneurysmal degeneration. J Endovasc Ther 2021; 28 (03) 425-433
• 22 Salvati S, Bilman V, Melloni A. et al. Late surgical conversion of failed multilayer flow modulator stenting in thoraco-abdominal aneurysms. Interact Cardiovasc Thorac Surg 2021; (April): 1-9
• 23 Kahlberg A, Ferrante AMR, Miloro R. et al. Late patency of reconstructed visceral arteries after open repair of thoracoabdominal aortic aneurysm. J Vasc Surg 2018; 67 (04) 1017-1024
• 24 Afifi RO, Sandhu HK, Zaidi ST. et al. Intercostal artery management in thoracoabdominal aortic surgery: to reattach or not to reattach?. J Thorac Cardiovasc Surg 2018; 155 (04) 1372-1378.e1
• 25 Chiesa R, Melissano G, Marone EM, Marrocco-Trischitta MM, Kahlberg A. Aorto-oesophageal and aortobronchial fistulae following thoracic endovascular aortic repair: a national survey. Eur J Vasc Endovasc Surg 2010; 39 (03) 273-279