[Interventional treatment of thoracic aortic dissection with stent-graft placement guided by transesophageal echocardiography].
Zhonghua Nei Ke Za Zhi
; 43(1): 26-8, 2004 Jan.
Article
em Zh
| MEDLINE
| ID: mdl-14990017
ABSTRACT
OBJECTIVE:
To evaluate the effect and safety of transfemoral stent-graft placement in combination with transesophageal echocardiography (TEE) in treating DeBakey IIIb aortic dissecting aneurysm.METHODS:
Eight male patients [mean age (55.8 +/- 10.2) years, range 28-71 years] with DeBakey IIIb aortic dissection were diagnosed and confirmed by magnetic resonance angiography (MRA). With TEE and fluoroscopy monitoring, transfemoral stent-grafts placement was performed with resulting close of the proximal or both proximal and distal ruptures of aortic dissection. The immediate and follow-up results were assessed.RESULTS:
Eleven stent-grafts were placed successfully in the 8 patients, the mean diameter of stents was 29.4 (22-38) mm. Three patients had a mild endoleak and 2 patients had a tiny shunt immediately after operation. Ascending aortic dissection occurred in 1 patient after balloon dilation. The mean stay in hospital was 9 days. All the eight patients were followed up and the mean time of follow-up was 10.5 (6-18) months, 4 residual shunts disappeared. No stents displacement or new endoleak occurred.CONCLUSIONS:
Transfemoral stent-graft placement in combination with TEE for the treatment of DeBakey IIIb aortic dissection is a promising method, which is safe, effective and with little injury. Its recent and middle term result is satisfactory, but further observation is needed for long term result.
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Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
/
Stents
/
Aneurisma da Aorta Torácica
/
Ecocardiografia Transesofagiana
/
Dissecção Aórtica
Idioma:
Zh
Ano de publicação:
2004
Tipo de documento:
Article