Document Detail


Aortic dissection and its endovascular management.
MedLine Citation:
PMID:  18665107     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aortic dissection is the commonest life-threatening event involving the aorta, affecting 5-10 per million people per year. Without treatment, half of patients with acute proximal aortic dissections die within 24 hours, and 60% of patients with acute distal aortic dissections die within 1 month. Only 10% of patients with proximal dissections and 40% of those with distal dissections will be alive at 1 year. Patients with chronic distal dissections are at risk of aortic rupture with nearly 20% requiring intervention. The aim of management of aortic dissection is to reduce propagation of the dissection plane and prevent the fatal complications of this condition. A paradigm shift in the surgical management of these patients began in the late 1990s with the reporting of two small series of patients being treated with custom-designed covered stents delivered through a unilateral arteriotomy. Both studies demonstrated the feasibility and technical success in endovascular sealing of the proximal intimal entry tear in patients with type B thoracic dissections.
Authors:
R J Hinchliffe; M Halawa; P J Holt; R Morgan; I Loftus; M M Thompson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  49     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-30     Completed Date:  2008-12-02     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  449-60     Citation Subset:  IM    
Affiliation:
St George's Regional Vascular Institute, London, UK. rhinchli@sgul.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Dissecting / complications,  pathology,  surgery*
Aortic Aneurysm / complications,  pathology,  surgery*
Aortic Rupture / etiology,  pathology,  prevention & control*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Chronic Disease
Disease Progression
Humans
Stents
Surgical Procedures, Minimally Invasive
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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