OBJECTIVES: Outcomes are reported in management of post-dissection @entity439 involving the aortic arch and/or thoraco-abdominal segment (TAAA) treated with fenestrated and branched (complex) endografts. METHODS: This report includes all @entity1 with chronic post-dissection @entity439 >55  mm in diameter, deemed unfit for open surgery, treated using complex endografts between October 2011 and March 2015. When appropriate, staged management strategies including left subclavian artery revascularization, thoracic endografting, dissection flap fenestration or @entity1283 , and other endovascular procedures were performed at least 3 weeks prior to @entity14183 . The following outcome data were collected prospectively at discharge, 12 months and annually thereafter: technical success, @entity1070 , target vessel patency, false lumen patency, @entity439 diameter, major and minor complications, re-interventions, and mortality. RESULTS: The cohort comprised 23 @entity1 with a median age of 65 years. Staged procedures were performed in 14 @entity1 (61%). Seven @entity1 with dissections involving the arch were treated with inner branched endografts, and 16 TAAA @entity1 were treated with fenestrated or branched endografts. The technical success rate was 71% following arch repair and 100% following TAAA repair. During early follow up, one of the arch group @entity1 died and one in the TAAA group suffered @entity2759 . The median follow up was 12 months (range 3-48), during which time one @entity1 died of causes unrelated to @entity439 or treatment. Two early re-interventions were performed in the arch group to correct access vessel complications and there were a further two late re-interventions in the TAAA group to treat @entity1070 . All target vessels (n  =  72) remained patent. CONCLUSIONS: This experience indicates that complex endovascular repair of post-dissection @entity439 is a viable alternative to open repair in @entity1 deemed unfit for open surgery. There are insufficient data to allow comparison with the outcome of open surgery in anatomically similar, but fit, @entity1 .

Early Experience of Endovascular Repair of Post-dissection XXXX Involving the Thoraco-abdominal Aorta and the Arch.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1070 :: ('MESH:D057867', 'Disease') :: ['endoleaks'] @entity1283 :: ('MESH:D006332', 'Disease') :: ['tear enlargement'] @entity14183 :: ('MESH:D049914', 'Disease') :: ['definitive complex endovascular repair'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysm'] @entity2759 :: ('MESH:D020760', 'Disease') :: ['spinal cord ischemia']
@entity439 :: (MESH:D000783,Disease) :: ['Aneurysms']
