PMID- 27586311
OWN - NLM
STAT- MEDLINE
DCOM- 20170306
LR  - 20221207
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 69
IP  - 10
DP  - 2016 Sep
TI  - [Surgical Treatment for Various Types of Thoracic Aortic Disease using 
      Commercially Available Open Stent Graft;Early Results and Technical Pitfalls].
PG  - 820-7
AB  - BACKGROUND: The open stent grafting, in other words "frozen elephant trunk (FET)" 
      technique has been played an important role in surgical treatment of extensive 
      thoracic aortic pathologies. J Graft Open Stent Graft (JOSG) was a new Japan-made 
      commercially available product. We have recently introduced this attractive 
      device as an alternative to self-made open stent graft. PATIENTS: Twenty 
      consecutive patients underwent aortic arch replacement using the JOSG as a FET in 
      our institution. A JOSG was implanted:atherosclerotic thoracic aortic aneurysm 
      (n=10), acute type A aortic dissection( n=6), chronic type B dissection( n=4). 
      RESULTS: There was no operative death, but 1 patient died of multiple organ 
      failure 5 weeks after the operation. Spinal cord injury was observed in 1 
      patient. Although JOSG implantation was completed in all patients, we experienced 
      2 cases of technical device failure during operation. After distal anastomosis 
      with the insertion of JOSG to the downstream aorta, antegrade perfusion of 
      extracorporeal circulation became difficult due to JOSG obstruction. Severe 
      kinking of JOSG might occurred because of the tortuous distal arch to descending 
      aorta and the excellent flexing properties of the JOSG. In patients with aortic 
      dissection presenting narrow true lumen, subsequent endovascular stent graft 
      placement was required because of inadequate obliteration of the false lumen. 
      CONCLUSIONS: Thoracic aortic surgery using JOSG was introduced and performed with 
      acceptable morbidity and mortality. JOSG was expected to contribute to the 
      surgical treatment of thoracic aortic diseases, but a few serious complications 
      of JOSG related to its structural property should be kept in mind for the safety 
      of the procedure.
FAU - Uchida, Tetsuro
AU  - Uchida T
AD  - Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, 
      Japan.
FAU - Hamasaki, Azumi
AU  - Hamasaki A
FAU - Yamashita, Atsushi
AU  - Yamashita A
FAU - Nakamura, Ken
AU  - Nakamura K
FAU - Hayashi, Jun
AU  - Hayashi J
FAU - Funata, Satoko
AU  - Funata S
FAU - Gomi, Seigo
AU  - Gomi S
FAU - Sadahiro, Mitsuaki
AU  - Sadahiro M
LA  - jpn
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Dissection/diagnostic imaging/*surgery
MH  - Aortic Aneurysm, Thoracic/diagnostic imaging/*surgery
MH  - Female
MH  - Humans
MH  - Imaging, Three-Dimensional
MH  - Male
MH  - Middle Aged
MH  - *Stents
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
EDAT- 2016/09/03 06:00
MHDA- 2017/03/07 06:00
CRDT- 2016/09/03 06:00
PHST- 2016/09/03 06:00 [entrez]
PHST- 2016/09/03 06:00 [pubmed]
PHST- 2017/03/07 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2016 Sep;69(10):820-7.