Document Detail


Endovascular repair of the descending aorta and the aortic arch with the Relay stent graft.
MedLine Citation:
PMID:  19632426     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this study was to evaluate the efficacy and safety of thoracic endovascular aortic repair with a newly designed Relay thoracic stent graft (Bolton Medical, Sunrise, FL). DESCRIPTION: Between 2005 and 2007, 22 patients (71.8 +/- 8.5) received 24 stent grafts. Indications were aneurysms (n = 13), penetrating atherosclerotic ulcers (n = 7), and dissections (n = 2). Due to the proximity of the lesions to the aortic arch, rerouting procedures (ie, subclavian transposition [n = 1], double transposition [n = 12], and total arch rerouting [n = 6] were performed pre-interventionally; three patients did not undergo rerouting). All patients were followed-up with a computed tomographic scan of the entire aorta at discharge, 3 months, 6 months, and annually thereafter (mean follow-up, 13 months). EVALUATION: Primary technical success was obtained in 20 of 22 patients, with one persisting type I endoleak and one asymptomatic type II endoleak. One patient died due to malignant arrhythmia 3 days after stent-graft placement. During follow-up, 1 nonaortic related death was observed. No additional endoleaks were observed. Finally, all supra-aortic rerouting procedures remained patent. CONCLUSIONS: In the treatment of degenerative disease of the descending aorta and the aortic arch, the Bolton Relay stent graft offers acceptable efficacy and safety in short-term follow-up.
Authors:
Martin Funovics; Melanie Blum; Herbert Langenberger; Christina Plank; Maria Schoder; Gundula Edelhauser; Roman Gottardi; Dominik Berzacky; Marion Dorfmeister; Michael Grimm; Johannes Lammer; Martin Czerny
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  88     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-27     Completed Date:  2009-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  637-40     Citation Subset:  AIM; IM    
Affiliation:
Cardiovascular and Interventional Radiology, Medical University of Vienna, Vienna, Austria. martin.funovics@meduniwien.ac.at
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anastomosis, Surgical
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Aortic Diseases / epidemiology,  surgery*
Atherosclerosis / surgery*
Blood Vessel Prosthesis Implantation* / adverse effects
Comorbidity
Female
Humans
Male
Middle Aged
Postoperative Complications / epidemiology
Stents
Treatment Outcome

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


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