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Efficacy of ascending aortic banding technique concomitant with type I hybrid aortic arch repair in high-risk patients

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Abstracts

Banding of the ascending aorta has been introduced as a less complex procedure to optimize the proximal landing zone of the stent graft in hybrid aortic arch surgery. However, data about the long-term results and effects of this technique are still limited. We aimed to study the efficacy of banding of the ascending aorta in hybrid aortic arch repair. The study included 11 high-risk patients with dilated ascending aorta (wider than 38 mm in diameter) undergoing ascending aortic banding for hybrid arch repair. Clinical outcomes, including technical success, endoleaks, perioperative mortality and morbidity, and sequential remodeling of the ascending aorta were investigated. The average diameter of the ascending aorta had been reduced (p = 0.02) from 42.1 mm (range = 39.0–46.4) to 37.2 mm (range = 35.6–38.6) after banding procedure. The technical success rate was 100.0%. No type I endoleak occurred, but 2 cases of distal stent graft-induced new entry required re-interventions. The 5-year survival and freedom from aortic events rates both were 81.8%. The ascending aortic diameter remained stable and no proximal migration of the stent graft was observed during the study period. The 5-year results validated the durability of this therapeutic modality, especially in high-risk patients.

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Acknowledgements

This work was supported by grants from the National Science Council, Taiwan (NSC98-2314-B-010-035-MY3, NSC101-2314-B-010-065-MY3, MOST105-2314-B-010-048-MY3, MOST 106-2314-B-101-056), and Taipei Veterans General Hospital, Taiwan (VGH-103E1-008, VGH-102C-137, VGH-103C-136, VGH-104-C-117, VGH-107C-147, VGH- V105D18-001-MY3-3). The authors thank Chun-Han Shih and Chun-Kai Shih for providing technical assistance.

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Authors and Affiliations

  1. Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan

    Hung-Lung Hsu & Chun-Che Shih

  2. School of Medicine, National Yang-Ming University, Taipei, Taiwan

    Hung-Lung Hsu, Chun-Yang Huang, Po-Lin Chen, Yin-Yin Chen, Chiao-Po Hsu, I-Ming Chen & Chun-Che Shih

  3. Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, #201, Section 2, Shipai Road, Taipei, Taiwan

    Chun-Yang Huang, Po-Lin Chen, Chiao-Po Hsu, I-Ming Chen & Chun-Che Shih

  4. Department of Cardiovascular Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan

    Hung-Lung Hsu

  5. Department of Surgery, Taiwan Adventist Hospital, Taipei, Taiwan

    Hung-Lung Hsu & Yin-Yin Chen

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Hsu, HL., Huang, CY., Chen, PL. et al. Efficacy of ascending aortic banding technique concomitant with type I hybrid aortic arch repair in high-risk patients. Heart Vessels 34, 1524–1532 (2019). https://doi.org/10.1007/s00380-019-01384-3

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