Minimally Invasive Repair of Ascending Aortic Pseudoaneurysms: An Alternative to Open Surgical Repair in High-Risk Patients.

Zucker, David J S; Smith, Aaron; Srinivasa, Ravi N; Yang, Eric H; Kwon, Murray H; Moriarty, John M

Zucker, David J S; Smith, Aaron; Srinivasa, Ravi N; Yang, Eric H; Kwon, Murray H; Moriarty, John M.

Afiliação

Zucker DJS; Department of Radiology, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California.
Smith A; Department of Radiology, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California.
Srinivasa RN; Department of Radiology, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California.
Yang EH; Department Medicine, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California.
Kwon MH; Department Surgery, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California.
Moriarty JM; Department of Radiology, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California. Electronic address: jmoriarty@mednet.ucla.edu.

J Vasc Interv Radiol ; 31(8): 1342-1347.e1, 2020 Aug.

Article em En | MEDLINE | ID: mdl-32680683

ABSTRACT

ABSTRACT

Development of a pseudoaneurysm of the ascending aorta is an uncommon complication of aortic surgery. Several nonsurgical techniques are available for treatment of ascending aortic pseudoaneurysms (AAPs). This report outlines a single-center retrospective experience with 14 nonsurgical procedures for treatment of AAPs in 10 patients. Modified stent grafts, septal defect occlusion devices, coil embolics, and liquid embolics were deployed by transthoracic and endovascular approaches. Complete stasis of the AAP was achieved in 7 of 10 patients (70%). Mean postprocedural recoveries occurred within 3.5 days. Nonsurgical techniques for repair of AAPs offer a comparatively safe and effective alternative to open surgical repair.

Assuntos

Falso Aneurisma/terapia; Aneurisma Aórtico/terapia; Implante de Prótese Vascular; Embolização Terapêutica; Procedimentos Endovasculares; Adulto; Idoso; Idoso de 80 Anos ou mais; Falso Aneurisma/diagnóstico por imagem; Aneurisma Aórtico/diagnóstico por imagem; Prótese Vascular; Implante de Prótese Vascular/efeitos adversos; Implante de Prótese Vascular/instrumentação; Embolização Terapêutica/efeitos adversos; Embolização Terapêutica/instrumentação; Procedimentos Endovasculares/efeitos adversos; Procedimentos Endovasculares/instrumentação; Feminino; Humanos; Masculino; Pessoa de Meia-Idade; Estudos Retrospectivos; Medição de Risco; Fatores de Risco; Stents; Fatores de Tempo; Resultado do Tratamento

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aneurisma Aórtico / Falso Aneurisma / Implante de Prótese Vascular / Embolização Terapêutica / Procedimentos Endovasculares Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Vasc Interv Radiol Assunto da revista: ANGIOLOGIA / RADIOLOGIA Ano de publicação: 2020 Tipo de documento: Article

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