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Review
. 2023 Sep 19:2023:5592622.
doi: 10.1155/2023/5592622. eCollection 2023.

Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review

Weixue Huo  1 , Mengwei He  1 , Xianhao Bao  1 , Ye Lu  1 , Wen Tian  1 , Jiaxuan Feng  1   2 , Zhaoxiang Zeng  2 , Rui Feng  1
Affiliations
Review

Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review

Weixue Huo et al. Emerg Med Int. .

Abstract

Objective: The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascending aortic endovascular repair included in the literature published between January 2007 and July 2023, excluding type A aortic dissection. We reviewed 56 case reports and 7 observational studies included in this study, assessing the techniques, equipment, procedural steps, and results. We summarized the age, complications, follow-up time, and access route.

Results: This study includes 63 articles reporting 105 patients (mean age: 64.96 ± 17.08 years) who received endovascular repair for nondissected ascending aortic disease. The types of disease include aneurysm (N = 16), pseudoaneurysm (N = 71), penetrating aortic ulcer (N = 10), intramural hematoma (N = 2), thrombosis (N = 2), iatrogenic coarctation (N = 1), and rupture of the aorta (N = 3). The success rate of surgery is 99.05% (104/105). Complications include endoleak (10.48%, 11/105), stroke (5.71%, 6/105), postoperative infection (1.91%, 2/105), acute renal failure (0.95%, 1/105), aortic rupture (0.95%, 1/105), thrombosis (0.95%, 1/105), and splenic infarction (0.95%, 1/105). Five patients required conversion to open surgery, two patients underwent endovascular reintervention, and four of these five patients underwent surgery due to endoleak. Early mortality was 2.86% (3/105).

Conclusion: While the viability and results of endovascular repair for the treatment of ascending aortic disease are acknowledged in some circumstances, further research is needed to determine the safety and effectiveness of endovascular treatment for ascending aortic disease.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
The flowchart for identifying, selecting, and eliminating acceptable studies for this review.
Figure 2
Figure 2
Composition of ascending aortic diseases included in this article.
Figure 3
Figure 3
Access routes for endovascular ascending aorta repair.
See this image and copyright information in PMC

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