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Aortic arch chronic dissection following ascending aorta prosthetic replacement for acute Stanford A dissection
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Acute aortic dissection is a disease with a risk of rupture of the ascending aorta (the part of the aorta after the heart) that can be treated with prosthetic replacement of the ascending aorta. After the repair and during follow up of those patients, the residual part of the aorta (the aortic arch) can heal with time. In other cases, the remaining persistent dissected part of the aorta can grow in diameter leading to an aneurysm (bulge). In this case, there is a risk of rupture of the aneurysm causing the death of the patient. The only way to prevent this rupture is a preventive surgery of the dilated part of the aorta. The conventional treatment for those aneurysms is a surgical replacement of the aortic arch. This surgery has high mortality and morbidity rates. This surgery is performed under general anaesthesia and requires extracorporeal circulation (circulation of blood outside the body through a machine) with hypothermic circulatory arrest (temporarily stopping blood flow under very cold body temperatures). Only healthy patients can undergo this surgery. Recently, a group of surgeons have used an endovascular approach for degenerative aneurysm of the aortic arch (non dissecting aneurysms). The device used is a long covered stent (tube) with two branches to keep supra aortic vessels (for the brain and the arms) patent (open). This device is custom made for each patient's anatomy. This technique had acceptable mortality and morbidity rates. The encouraging results of the early experience with this device have led to the use of this technique in chronic dissection of the aortic arch. The aim of this study is to assess the results of this endovascular treatment of dissecting aneurysm of the aortic arch in patients previously treated for an acute aortic dissection.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
2021 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30973389/ results
You can take part if:
You may not be able to take part if:
Does not meet inclusion criteria
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
Mr
Dorian
Verscheure
+33 (0)63291212
dorians@gmail.com
The study is sponsored by Centre Chirurgical Marie Lannelongue and funded by Investigator initiated and funded.
Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.
You can print or share the study information with your GP/healthcare provider or contact the research team directly.
