Endovascular treatment of thoracic aortic pathology: feasibility and mid-term results.
Eur J Vasc Endovasc Surg
; 25(6): 532-9, 2003 Jun.
Article
en En
| MEDLINE
| ID: mdl-12787695
ABSTRACT
OBJECTIVE:
to report our experience with 21 consecutive patients treated with a thoracic stent-graft.DESIGN:
retrospective analysis. MATERIALS ANDMETHODS:
Between October 1998 and February 2002, 21 patients (12 male), mean age 55.6 years (range 19-86 years), were treated for aorticortic pathology localized to the descending aorta (18 patients), the aortic arch (2 patients) and the ascending aorta (1 patient) and comprising true aneurysms (8 patients), false aneurysms (6 patients), traumatic rupture (4 patients), mycotic aneurysms (2 patients), and ruptured aneurysm (1 patient). Plain chest X-rays and computed tomography was performed at 3, 6 and 12 months postoperatively and then annually.RESULTS:
the median (range) operation time was 85min (50-305min), hospital stay 6 days (3-63 days) and follow-up 24 months (5-44 months). Complications occurred in 5 patients and comprised intraoperative migration (1), type I endoleak (1), type II endoleak (1), ischemic myelopathy (1), pneumonia (2), suture granuloma (1) and common femoral artery dissection (1).CONCLUSIONS:
stent-grafting can be successfully employed to treat a wide range of thoracic aortic pathologies with a mortality, morbidity and resource utilization that is considerably less than that associated with conventional surgery. However, long term follow-up on safety and efficacy is needed.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Aorta Torácica
/
Procedimientos Quirúrgicos Vasculares
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur J Vasc Endovasc Surg
Asunto de la revista:
ANGIOLOGIA
Año:
2003
Tipo del documento:
Article
País de afiliación:
Países Bajos