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General Thoracic and Cardiovascular Surgery

Published in:

01-05-2014 | Current Topics Review Article

TEVAR for type B aortic dissection in Japan

Author: Akihiko Usui

Published in: General Thoracic and Cardiovascular Surgery | Issue 5/2014

Abstract

TEVAR is a new strategy for treating both acute and chronic type B aortic dissection. The JSC guidelines classify TEVAR as a Class I recommendation for cases of complicated acute type B dissection and a Class IIa recommendation for cases of chronic type B aortic dissection. While TEVAR has been primarily applied to treat complicated acute type B aortic dissection in Europe and the USA, the procedure remains an off-label treatment strategy for aortic dissection in Japan. The current state of TEVAR for type B aortic dissection in Japan from 2001 to 2011 is estimated in the annual reports of the Japanese Association for Thoracic Surgery. The number of acute type B aortic dissection patients treated with transluminal stent grafting increased rapidly after 2008, from 10 cases in 2001 to 76 cases in 2010. Meanwhile, the number acute type B aortic dissection patients treated with any type of surgery has increased gradually, from 100 cases in 2001 to 194 cases in 2009. The number of chronic type B aortic dissection patients treated with transluminal stent grafting increased abruptly in 2010, reaching 346 cases, which accounted for one-third of all surgical procedures for chronic type B aortic dissection. Furthermore, the number of open surgeries for chronic type B aortic dissection has also increased gradually, from 401 cases in 2001 to 947 cases in 2011. At present, open surgery, TEVAR and hybrid procedures are available to treat patients with type B aortic dissection. The use of a multidisciplinary team approach is mandatory when selecting the appropriate surgical strategy.

Trent MS, Parsonnet V, Shoenfeld R, Brener BJ, Eisenbud DE, Novick AS, Campbell AY, Ferrara-Ryan M, Villanueva A. A balloonexpandable intravascular stent for obliterating experimental aortic dissection. J Vasc Surg. 1990;11:707–17.PubMedCrossRef

Moon MR, Dake MD, Pelc LR, Liddell R, Castro LJ, Mitchell RS, Miller DC. Intravascular stenting of acute experimental type B dissections. J Surg Res. 1993;54:381–8.PubMedCrossRef

Kato M, Matsuda T, Kaneko M, Ueda T, Kuratani T, Yoshioka Y, Ohnishi K. Experimental assessment of newly devised transcatheter stent-graft for aortic dissection. Ann Thorac Surg. 1995;59:908–15.PubMedCrossRef

Palma JH, Almeida DR, Carvalho AC, Andrade JC, Buffolo E. Surgical treatment of acute type B aortic dissection using an endoprosthesis (elephant trunk). Ann Thorac Surg. 1997;63:1081–4.PubMedCrossRef

Kato M, Matsuda T, Kaneko M, Kuratani T, Mizushima T, Seo Y, Uchida H, Kichikawa K, Maeda M, Ohnishi K. Outcomes of stentgraft treatment of false lumen In aortic dissection. Circulation. 1998;98:II305–312.

Dake MD, Kato N, Mitchell RS, Semba CP, Razavi MK, Shimono T, Hirano T, Takeda K, Yada I, Miller DC. Endovascular stentgraft placement for the treatment of acute aortic dissection. N Engl J Med. 1999;340:1546–52.PubMedCrossRef

Nienaber CA, Fattori R, Lund G, Dieckmann C, Wolf W, von Kodolitsch Y, Nicolas V, Pierangeli A. Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement. N Engl J Med. 1999;340:1539–45.PubMedCrossRef

Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE Jr, Eagle KA, Hermann LK, Isselbacher EM, Kazerooni EA, Kouchoukos NT, Lytle BW, Milewicz DM, Reich DL, Sen S, Shinn JA, Svensson LG, Williams DM. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease. J Am Coll Cardiol. 2010;55:e27–129.PubMedCrossRef

Auer J, Berent R, Eber B. Aortic dissection: incidence, natural history and impact of surgery. J Clin Basic Cardiol. 2000;3:151–4.

10.

Grabenwöger M, Alfonso F, Bachet J, Bonser R, Czerny M, Eggebrecht H, Evangelista A, Fattori R, Jakob H, Lönn L, Nienaber CA, Rocchi G, Rousseau H, Thompson M, Weigang E, Erbel R. Thoracic endovascular aortic repair (TEVAR) for the treatment of aortic diseases: a position statement from the European Association for Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J. 2012;33:1558–63 JSC guideline.PubMedCrossRef

11.

Atkins MD Jr, Black JH III, Cambria RP. Aortic dissection: perspectives in the era of stent-graft repair. J Vasc Surg. 2006;43:30A–43A.PubMedCrossRef

12.

Parsa CJ, Hughes GC. Surgical options to contend with thoracic aortic pathology. Semin Roentgenol. 2009;44:29–51.PubMedCrossRef

13.

Parsa CJ, McCann RL, Hughes GC. Novel approach to the treatment of distal malperfusion secondary to ascending aortic dissection. J Card Surg. 2010;25:220–2.PubMedCrossRef

14.

Hughes GC, Andersen ND, McCann RL. Management of acute type B aortic dissection. J Thorac Cardiovasc Surg. 2013;145:S202–7.PubMedCrossRef

15.

Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, Evangelista A, Fattori R, Suzuki T, Oh JK, Moore AG, Malouf JF, Pape LA, Gaca C, Sechtem U, Lenferink S, Deutsch HJ, Diedrichs H, Marcos y Robles J, Llovet A, Gilon D, Das SK, Armstrong WF, Deeb GM, Eagle KA. The International Registry of Acute Aortic Dissection (IRAD). JAMA 2000;283:897–903

16.

Kodama K, Nishigami K, Sakamoto T, Sawamura T, Hirayama T, Misumi H, Nakao K. Tight heart rate control reduces secondary adverse events in patients with type B acute aortic dissection. Circulation. 2008;118(Suppl 1):S167–70.PubMedCrossRef

17.

Fattori R, Cao P, De Rango P, Czerny M, Evangelista A, Nienaber C, Rousseau H, Schepens M. Interdisciplinary expert consensus document on management of type B aortic dissection. J Am Coll Cardiol. 2013;61:1661–78.PubMedCrossRef

18.

Coady MA, Ikonomidis JS, Cheung AT, Matsumoto AH, Dake MD, Chaikof EL, et al. Surgical management of descending thoracic aortic disease: open and endovascular approaches: a scientific statement from the American Heart Association. Circulation. 2010;121:2780–804.PubMedCrossRef

19.

Fattori R, Mineo G, Di Eusanio M. Acute type B aortic dissection: current management strategies. Curr Opin Cardiol. 2011;26:488–93.PubMedCrossRef

20.

Trimarchi S, Nienaber CA, Rampoldi V, Myrmel T, Suzuki T, Bossone E, Tolva V, Deeb MG, Upchurch GR Jr, Cooper JV, Fang J, Isselbacher EM, Sundt TM 3rd, Eagle KA, IRAD Investigators. Role and results of surgery in acute typeBaortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation. 2006; 114:I357–I364

21.

Ham SW, Rowe VL, Ochoa C, Chong T, Lee WM, Baker CJ, Cohen RG, Cunningham MJ, Weaver FA, Woo K. Thoracic aortic stent-grafting for acute, complicated, type B aortic dissections. Ann Vasc Surg. 2011;25:333–9.PubMedCrossRef

22.

Szeto WY, McGarvey M, Pochettino A, Moser GW, Hoboken A, Cornelius K, Woo EY, Carpenter JP, Fairman RM, Bavaria JE. Results of a new surgical paradigm: endovascular repair for acute complicated type B aortic dissection. Ann Thorac Surg. 2008;86:87–94.PubMedCrossRef

23.

Verhoye JP, Miller DC, Sze D, Dake MD, Mitchell RS. Complicated acute type B aortic dissection: midterm results of emergency endovascular stent-grafting. J Thorac Cardiovasc Surg. 2008;136:424–30.PubMedCrossRef

24.

Feezor RJ, Martin TD, Hess PJ Jr, Beaver TM, Klodell CT, Lee WA. Early outcomes after endovascular management of acute, complicated type B aortic dissection. J Vasc Surg. 2009;49:561–6.PubMedCrossRef

25.

Pearce BJ, Passman MA, Patterson MA, Taylor SM, Lecroy CJ, Combs BR, Jordan WD. Early outcomes of thoracic endovascular stent-graft repair for acute complicated type B dissection using the Gore TAG endoprosthesis. Ann Vasc Surg. 2008;22:742–9.PubMedCrossRef

26.

Cambria RP, Crawford RS, Cho JS, Bavaria J, Farber M, Lee WA, Ramaiah V, Kwolek CJ, GORE TAG Investigators. A multicenter clinical trial of endovascular stent graft repair of acute catastrophes of the descending thoracic aorta. J Vasc Surg. 2009;50:1255–64.PubMedCrossRef

27.

Totaro M, Miraldi F, Fanelli F, Mazzesi G. Emergency surgery for retrograde extension of type B dissection after endovascular stent graft repair. Eur J Cardiothorac Surg. 2001;20:1057–8.PubMedCrossRef

28.

Hao Z, Zhi-Wei W, Zhen Z, Xiao-Ping H, Hong-Bing W, Yi G. Endovascular stent-graft placement or open surgery for the treatment of acute type B aortic dissection: a meta-analysis. Ann Vasc Surg. 2012;26:454–61.CrossRef

29.

Parker JD, Golledge J. Outcome of endovascular treatment of acute type B aortic dissection. Ann Thorac Surg. 2008;86:1707–12.PubMedCrossRef

30.

Fattori R, Tsai TT, Myrmel T, Evangelista A, Cooper JV, Trimarchi S, Li J, Lovato L, Kische S, Eagle KA, Isselbacher EM, Nienaber CA. Complicated acute type B dissection: is surgery still the best option?: a report from the International Registry of Acute Aortic Dissection. JACC Cardiovasc Interv. 2008;1:395–402.PubMedCrossRef

31.

Zeeshan A, Woo EY, Bavaria JE, Fairman RM, Desai ND, Pochettino A, Szeto WY. Thoracic endovascular aortic repair for acute complicated type B aortic dissection: superiority relative to conventional open surgical and medical therapy. J Thorac Cardiovasc Surg. 2010;140:S109–15.PubMedCrossRef

32.

Alves CMR, da Fonseca JHP, de Souza JAM, Kim HC, Esher G, Buffolo E. Endovascular treatment of type B aortic dissection: the challenge of late success. Ann Thorac Surg. 2009;87:1360–5.PubMedCrossRef

33.

Nienaber CA. Influence and critique of the INSTEAD Trial (TEVAR Versus Medical Treatment or Uncomplicated Type B Aortic Dissection). Semin Vasc Surg. 2011;24:167–71.PubMedCrossRef

34.

Nienaber CA, Kische S, Rousseau H, Eggebrecht H, Rehders TC, Kundt G, Glass A, Scheinert D, Czerny M, Kleinfeldt T, Zipfel B, Labrousse L, Fattori R, Ince H, INSTEAD-XL trial. Endovascular repair of type B aortic dissection: long-term results of the randomized investigation of stent grafts in aortic dissection trial. Circ Cardiovasc Interv. 2013;6:407–16.PubMedCrossRef

35.

Brunkwall J, Lammer J, Verhoeven E, Taylor P. ADSORB: a study on the efficacy of endovascular grafting in uncomplicated acute dissection of the descending aorta. Eur J Vasc Endovasc Surg. 2012;44:31–6.PubMedCrossRef

36.

Tsai TT, Evangelista A, Nienaber CA, Myrmel T, Meinhardt G, Cooper JV, Smith DE, Suzuki T, Fattori R, Llovet A, Froehlich J, Hutchison S, Distante A, Sundt T, Beckman J, Januzzi JL Jr, Isselbacher EM, Eagle KA. Partial thrombosis of the false lumen in patients with acute type B aortic dissection. N EJM. 2007;357:349–59

37.

Kunishige H, Myojin K, Ishibashi Y, Ishii K, Kawasaki M, Oka J. Predictors of surgical indications for acute type B aortic dissection based on enlargement of aortic diameter during the chronic phase. Jpn J Thorac Cardiovasc Surg. 2006;54:477–82.PubMedCrossRef

38.

Song JM, Kim SD, Kim JH, Kim MJ, Kang DH, Seo JB, Lim TH, Lee JW, Song MG, Song JK. Long-term predictors of descending aorta aneurysmal change in patients with aortic dissection. J Am Coll Cardiol. 2007;50:799–804.PubMedCrossRef

39.

Chang CP, Liu JC, Liou YM, Chang SS, Chen JY. The role of false lumen size in prediction or in-hospital complications after acute Type B aortic dissection. J Am Coll Cardiol. 2008;52:1170–6.PubMedCrossRef

40.

Stanley GA, Murphy EH, Knowles M, Ilves M, Jessen ME, Dimaio JM, Modrall JG, Arko FR 3rd. Volumetric analysis of type B aortic dissections treated with thoracic endovascular aortic repair. J Vasc Surg. 2011;54:985–92.PubMedCrossRef

41.

Akin I, Kische S, Rehders TC, Ince HS, Nienaber CA. Thoracic endovascular stent-graft therapy in aortic dissection. Curr Opin Cardiol. 2010;25:552–9.PubMedCrossRef

42.

43.

Svensson LG, Kouchoukos NF, Miller DC, Bavaria JE, Coselli JS, Curi MA, Eggebrecht H, Elefteriades JA, Erbel R, Gleason TG, Lytle BW, Mitchell RS, Nienaber CA, Roselli EE, Safi HJ, Shemin RJ, Sicard GA, Sundt TM 3rd, Szeto WY, Wheatley GH 3rd. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg. 2008;85:S1–41.PubMedCrossRef

44.

Czerny M, Zimpfer D, Rodler S, Funovics M, Dorfmeister M, Schoder M, Marta G, Weigang E, Gottardi R, Lammer J, Wolner E, Grimm M. Endovascular stent-graft placement of aneurysms involving the descending aorta originating from chronic type B dissections. Ann Thorac Surg. 2007;83:1635–9 JCS.PubMedCrossRef

45.

Parsa CJ, Schroder JN, Daneshmand MA, McCann RL, Hughes GC. Midterm results for endovascular repair of complicated acute and chronic type B aortic dissection. Ann Thorac Surg. 2010;89:97–104.PubMedCrossRef

46.

Bozinovski J, Coselli JS. Outcomes and survival in surgical treatment of descending thoracic aorta with acute dissection. Ann Thorac Surg. 2008;85:965–70.PubMedCrossRef

47.

Amano J, Kuwano H, Yokomise H. Thoracic and cardiovascular surgery in Japan during 2010. Annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2013;61:57–9.CrossRef

48.

Kuwano H, Amano J, Yokomise H. Thoracic and cardiovascular surgery in Japan during 2010. Annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2012;60:680–708.PubMedCrossRef

49.

Sakata R, Fujii Y, Kuwano H. Thoracic and cardiovascular surgery in Japan during 2009. Annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2011;59:636–67.PubMedCrossRef

50.

Sakata R, Fujii Y, Kuwano H. Thoracic and cardiovascular surgery in Japan during 2008. Annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2010;58:356–83.PubMedCrossRef

51.

Ueda Y, Fujii Y, Kuwano H. Thoracic and cardiovascular surgery in Japan during 2007. Annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2009;57:488–513.PubMedCrossRef

52.

Ueda Y, Fujii Y, Kuwano H. Thoracic and cardiovascular surgery in Japan during 2006. Annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2008;56:365–88.PubMedCrossRef

53.

Ueda Y, Fujii Y, Udagawa H. Thoracic and cardiovascular surgery in Japan during 2005. Annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2007;55:377–99.PubMedCrossRef

54.

Kazui T, Osada H, Fujita H. Thoracic and cardiovascular surgery in Japan during 2004. Annual report by The Japanese Association for Thoracic Surgery. Jpn J Thorac Cardiovasc Surg. 2006;54:363–86.PubMedCrossRef

55.

Kazui T, Wada H, Fujita H. Thoracic and cardiovascular surgery in Japan during 2003. Annual report by The Japanese Association for Thoracic Surgery. Jpn J Thorac Cardiovasc Surg. 2005;53:517–36.PubMedCrossRef

56.

Yada Y, Wada H, Fujita H. Thoracic and cardiovascular surgery in Japan during 2002. Annual report by The Japanese Association for Thoracic Surgery. Jpn J Thorac Cardiovasc Surg. 2004;52:491–508.CrossRef

57.

Yada Y, Wada H, Shinoda M, Yasuda K. Thoracic and cardiovascular surgery in Japan during 2001. Annual report by The Japanese Association for Thoracic Surgery. Jpn J Thorac Cardiovasc Surg. 2003;51:699–716.PubMedCrossRef

Title: TEVAR for type B aortic dissection in Japan
Author: Akihiko Usui
Publication date: 01-05-2014
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 5/2014
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-013-0348-8

At a glance: The STEP trials

Springer Medicine

TEVAR for type B aortic dissection in Japan

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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