Document Detail


Endovascular repair of the descending thoracic aorta: evidence for the change in clinical practice.
MedLine Citation:
PMID:  15996372     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose was to review outcome data following endovascular repair of the descending thoracic aorta from reports published between 1994 and 2004. To accomplish this task, 1,518 patients underwent endovascular repair for thoracic aortic disease; 810 thoracic aortic aneurysms, 500 type B thoracic aortic dissections, and 106 traumatic ruptures. The 30-day mortality rate was 5.5% and 6% for late postoperative deaths. The primary technical success rate was 97%, with only 15 patients requiring open conversion. Neurologic deficits occurred in 29 patients. In total, 118 endoleaks were reported; 29 were restented, and the remainder required surgical intervention. Graft infection occurred in 6 cases, and migrations were detected in 10. The conclusion reached is that endovascular repair of descending thoracic aortic disease is feasible and can be achieved with low rates of perioperative morbidity and mortality. As few long-term data exist on the durability of thoracic stent grafts, lifelong surveillance remains necessary.
Authors:
Saiqa Sayed; Matt M Thompson
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Vascular     Volume:  13     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-07-05     Completed Date:  2005-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  148-57     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, St George's Hospital Medical School, London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Dissecting / mortality,  physiopathology,  surgery
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / mortality,  physiopathology,  surgery
Aortic Diseases / mortality,  physiopathology,  surgery*
Aortic Rupture / mortality,  physiopathology,  surgery
Humans
Paraparesis / etiology
Paraplegia / etiology
Postoperative Complications / etiology
Treatment Outcome
Vascular Surgical Procedures / methods*

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


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