IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p14563-d964786.html
   My bibliography  Save this article

Aneurysm Sac Pressure during Branched Endovascular Aneurysm Repair versus Multilayer Flow Modulator Implantation in Patients with Thoracoabdominal Aortic Aneurysm

Author

Listed:
  • Maciej Antkiewicz

    (Department of Vascular, General and Transplantation Surgery, Wroclaw Medical University, 50-367 Wroclaw, Poland)

  • Wiktor Kuliczkowski

    (Department of Cardiology, Wroclaw Medical University, 50-367 Wroclaw, Poland)

  • Marcin Protasiewicz

    (Department of Cardiology, Wroclaw Medical University, 50-367 Wroclaw, Poland)

  • Tomasz Zubilewicz

    (Department of Vascular Surgery and Angiology, Medical University of Lublin, 20-059 Lublin, Poland)

  • Piotr Terlecki

    (Department of Vascular Surgery and Angiology, Medical University of Lublin, 20-059 Lublin, Poland)

  • Magdalena Kobielarz

    (Department of Mechanics, Materials Science and Biomedical Engineering, Wroclaw University of Science and Technology, 50-370 Wroclaw, Poland)

  • Dariusz Janczak

    (Department of Vascular, General and Transplantation Surgery, Wroclaw Medical University, 50-367 Wroclaw, Poland)

Abstract

Open thoracoabdominal repair is the gold standard in the TAAA treatment. However, there are endovascular techniques, that sometimes may be an alternative, such as branched endovascular aneurysm repair (BEVAR) or implantation of the multilayer flow modulator (MFM). In this study, we aimed to assess differences in the aneurysm sac pressure (ASP) between patients undergoing BEVAR and MFM implantation. The study included 22 patients with TAAA (14 patients underwent BEVAR, while eight MFM implantation). The pressure sensor wire was placed inside the aneurysm. A measurement of ASP and aortic pressure (AP) was performed during the procedure. The systolic pressure index (SPI), diastolic pressure index (DPI), and pulse pressure index (PPI) were calculated as a quotient of the ASP and AP values. After the procedure, SPI and PPI were lower in the BEVAR group than in the MFM group. During a procedure, a drop in SPI and PPI was noted in patients undergoing BEVAR, while no changes were revealed in the MFM group. This indicates that BEVAR, but not MFM, is associated with a reduction in systolic and pulse pressure in the aneurysm sac in patients with TAAA.

Suggested Citation

  • Maciej Antkiewicz & Wiktor Kuliczkowski & Marcin Protasiewicz & Tomasz Zubilewicz & Piotr Terlecki & Magdalena Kobielarz & Dariusz Janczak, 2022. "Aneurysm Sac Pressure during Branched Endovascular Aneurysm Repair versus Multilayer Flow Modulator Implantation in Patients with Thoracoabdominal Aortic Aneurysm," IJERPH, MDPI, vol. 19(21), pages 1-7, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14563-:d:964786
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/14563/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/21/14563/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14563-:d:964786. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.