Document Detail

Endovascular treatment of the thoracic aorta.
MedLine Citation:
PMID:  14671694     Owner:  NLM     Status:  MEDLINE    
Open surgical repair has been considered the mainstay of therapy for thoracic aortic aneurysms, both elective and emergency procedures alike. Recent advances in endovascular technology have made endovascular stentgraft placement a therapeutic modality that is minimally invasive and potentially a safer treatment for aneurysmal disease of the descending thoracic aorta. Moreover, this technology may be appropriate for other diseases of the thoracic aorta, including traumatic disruptions and dissections. There appears to be an increase in the diagnosis, and therefore incidence, of these various thoracic aortic pathologies, owing both to improvement in imaging capabilities and longer life expectancies. In distinction to endovascular repair of infrarenal aortic aneurysms, the evolution of thoracic stentgrafts has progressed more slowly as there has yet to exist a clinically proven device after 10 years of clinical trials. However, the enthusiasm for this technology persists, for it may indeed hold the potential for the greatest patient benefit as conventional open surgical repair continues to offer serious morbidity and mortality rates. This paper reviews the current status of thoracic aortic stentgrafts, including recent clinical studies, device failures and refinements, and future directions.
Ruth L Bush; Peter H Lin; Alan B Lumsden
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  37     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2003-12-12     Completed Date:  2004-03-24     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  399-405     Citation Subset:  IM    
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
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MeSH Terms
Angiography, Digital Subtraction
Aortic Aneurysm, Thoracic / diagnosis,  epidemiology,  surgery*
Blood Vessel Prosthesis Implantation* / adverse effects,  methods
Prosthesis Design
Spinal Cord Ischemia / etiology
Tomography, X-Ray Computed

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