Document Detail


Endovascular stent-grafting for descending thoracic aortic aneurysms.
MedLine Citation:
PMID:  11788247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Endoluminal placement of covered stent-grafts emerges as a less-invasive alternative to open surgical repair of thoracic aortic aneurysms (TAA). The present report describes our experience with endovascular stent-grafting in the treatment of descending TAA. METHODS: From 1997 to 2001, 28 descending TAA's were treated in 27 patients (17 male, mean age 70 years) by endovascular stent-grafting. The aneurysms (mean diameter, 6.6 cm) had diverse causes, but the majority were due to atherosclerosis (71%). They were predominantly localized in the proximal (32%), central (39%), and distal part (22%) of the descending thoracic aorta. In two patients (7%), the entire thoracic aorta was treated. Preliminary subclavian-carotid artery transposition was performed in five patients. AneurX (n=6), Talent (n=9), and Excluder (n=13) stent-grafts were used. In 13 cases (46%), multiple stents were necessary for complete aneurysm exclusion. RESULTS: In 27 of 28 cases (96%), the endovascular stent-grafts were successfully deployed. In one patient, stent dislocation into the aneurysm required open surgical repair in a subsequent procedure. There was no operative mortality. None of the patients developed paraplegia or paraparesis. No distal embolization occurred. After a median follow-up of 21 months (range, 1-49 months), there was one non-related late death. There was no aneurysm rupture. Maximal aneurysm diameter either remained stable or decreased slightly over time in all but one patient with evidence of an endoleak. Endoleaks occurred in eight patients (29%) during follow-up. In five of them the endoleaks sealed spontaneously, whereas in two patients a distal extension was inserted. CONCLUSIONS: Endovascular repair of descending TAA's is a promising less-invasive alternative to open repair. Extended follow-up is necessary to determine its definite efficacy in the longer term.
Authors:
Robin H Heijmen; Ivo G Deblier; Frans L Moll; Karl M Dossche; Jos C van den Berg; Tim Th Overtoom; Sjef M Ernst; Marc A Schepens
Related Documents :
16643067 - Pilot study of dynamic cine ct angiography for the evaluation of abdominal aortic aneur...
10805887 - Aneurysm rupture after endovascular repair using the aneurx stent graft.
21984027 - Limb outcome and mortality in lower and upper extremity arterial injury: a comparison u...
14770247 - Embolization of complex vascular lesions.
3226537 - Nontraumatic frontal lobe hemorrhages: clinical-computed tomographic correlations.
2140577 - Atrial natriuretic polypeptide is removed by the lungs and released into the left atriu...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  21     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-14     Completed Date:  2002-02-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  5-9     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands. rheijmen@hetnet.nl
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation*
Female
Humans
Male
Middle Aged
Retrospective Studies
Stents*

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


Previous Document:  Concomitant clozapine reduces smoking in patients treated with risperidone.
Next Document:  Quality of life after interventions on the thoracic aorta with deep hypothermic circulatory arrest.