Document Detail


Debate regarding the best surgical option for type IV thoracoabdominal aortic aneurysms.
MedLine Citation:
PMID:  21722832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Conventional open surgical repair, endovascular treatment, and the hybrid technique constitute the three treatment options for patients with type IV thoracoabdominal aortic aneurysms (TAAAs). Treatment is advocated to prevent rupture but yields significant risk for spinal cord ischemia, cardiovascular, and renal and respiratory complications, including death. Refinements in open surgical techniques and branched endovascular graft repair together with the development of hybrid techniques have been applied to the treatment of type IV-TAAAs to decrease the risk of these complications. However, much of the evidence of the argument is circumstantial. Large experiences are limited to a few centers worldwide with inherent disparity between patient groups and several limitations to the construction of a prospective randomized trial. This controversial subject is now open to discussion, and our debaters have been given the challenge to clarify the evidence to justify their preferred option for repair of type IV-TAAAs.
Authors:
Michael P Jenkins; Stéphan Haulon; Roy K Greenberg; Thomas L Forbes
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  54     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-04     Completed Date:  2011-09-06     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  258-67     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Regional Vascular Unit, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom. michael.jenkins@imperial.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Thoracic / classification,  diagnosis,  surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / adverse effects,  instrumentation
Endovascular Procedures / adverse effects,  instrumentation
Evidence-Based Medicine
Humans
Patient Selection
Prosthesis Design
Risk Assessment
Risk Factors
Stents
Treatment Outcome
Comments/Corrections
Comment In:
J Vasc Surg. 2011 Jul;54(1):267-8   [PMID:  21722833 ]

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


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