Hybrid treatment for thoracoabdominal aortic aneurysms / 中华外科杂志
Chinese Journal of Surgery
; (12): 657-660, 2009.
Article
em Zh
| WPRIM
| ID: wpr-280609
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To review the experience of hybrid conventional open and endovascular treatment of thoracoabdominal aortic aneurysm (TAAA), and evaluate the immediate and long term outcomes.</p><p><b>METHODS</b>From September 1998 to October 2008, 15 TAAA patients were treated by hybrid-procedures. The mean patient age was 58.7 years (ranged from 44 to 72 years). The aneurysms were Crawford type I in 2, type II in 8, type III in 2, type IV in 3. The median aneurysms diameter was (67.5 +/- 7.5) mm (ranged from 55 to 82 mm). Patients were followed up before dismissal, 3, 6, 12 months later, and annually thereafter.</p><p><b>RESULTS</b>Two patients were antegrade revascularization, the others were retrograde revascularization. Mean operation time was (8.1 +/- 1.4) h (ranged from 6.8 to 12.7 h), mean blood loss was (956.7 +/- 80.1) ml (ranged from 750 to 3,000 ml). Two patients died during perioperative time, no paraplegia. During follow up revealed shrinkage of aneurysm, no graft migration and paraplegia, but 1 died for acute myocardial infarct.</p><p><b>CONCLUSIONS</b>Hybrid treatment is a safe and effective option for treatment of TAAA. Immediate and mid-term outcomes are favorable, but long-term surveillance is indefinite.</p>
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Cirurgia Geral
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Estudos Retrospectivos
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Seguimentos
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Resultado do Tratamento
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Aneurisma da Aorta Torácica
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Aneurisma da Aorta Abdominal
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Implante de Prótese Vascular
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2009
Tipo de documento:
Article