title: [Endovascular stent-graft repair for Stanford type A aortic dissection with extra-anatomic bypass].
abstract: OBJECTIVE To evaluate the effects of endovascular stent-graft repair for Stanford type A aortic dissection combined with extra-anatomic bypass.
  
  
  METHODS
  To perform endovascular repair for Stanford type A aortic dissection, we tried to extend the landing zone by extra-anatomic bypass to reconstruct the innominate artery, the left common carotid artery or the left subclavian artery, and then achieved the process immediately or at a secondary stage via either the carotid or the femoral approach.
  
  
  RESULTS
  Thirty-four patients with ascending aortic dissection (n=8) and aortic arch dissection (n=26) were treated with this technique. Thirty three patients were successfully done aortic endovascular repair, only one died during the operation. The thirty-day mortality rate was 8.8% (3/34), endoleak incidence rate was 11.8% (4/34) and incidence rate of cerebral infarction was 5.9% (2/34). Twenty-nine patients were followed-up for 6-70 months (mean, 24. 5 months). Complete (n=16) and partial (n=13) thrombosis of the false lumen were showed with CT angiography and/or vascular color Doppler ultrasound scanning.
  
  
  CONCLUSIONS
  Endovascular stent-graft repair combined with extra-anatomic bypass can be a novel option for Stanford type A aortic dissection; it is safe, less invasive, and with fewer complications. Nevertheless, indications need further consideration.
authors.affiliation: Department of Vascular Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
authors.forename: Guang-qi
authors.initials: GQ
authors.lastname: Chang
authors.forename: Xiao-xi
authors.initials: XX
authors.lastname: Li
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.forename: Jia-ping
authors.initials: JP
authors.lastname: Li
authors.forename: Zuo-jun
authors.initials: ZJ
authors.lastname: Hu
authors.forename: Chen
authors.initials: C
authors.lastname: Yao
authors.forename: Yong-jie
authors.initials: YJ
authors.lastname: Lin
authors.forename: Shen-ming
authors.initials: SM
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome