Document Detail


Initial experience in the treatment of thoracic aortic aneurysmal disease with a thoracic aortic endograft at Baylor University Medical Center.
MedLine Citation:
PMID:  18382748     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A retrospective review of 27 patients who underwent endovascular repair of thoracic aneurysms and of other thoracic aortic pathology with the thoracic aortic endograft (Gore Medical, Flagstaff, AZ) from June 2005 to July 2007 was performed. The mean follow-up period was 13.5 months (range, 2-25 months). Indications for thoracic endografting included descending thoracic aneurysms (n = 18), thoracoabdominal aneurysms (n = 3), traumatic aortic injuries (n = 3), penetrating aortic ulcers (n = 2), and contained rupture of a type B dissection (n = 1). One patient died during the procedure, for an overall mortality rate of 3.7%. The average length of stay was 8.1 days, with an average stay in the intensive care unit of 4.2 days. If patients with traumatic aortic injuries were excluded, the average overall and intensive care unit length of stay were 5.6 and 1.8 days, respectively. There was one incident of spinal cord ischemia (3.7%). There were five type I or type III endoleaks, three of which required revision (11.1%). In conclusion, thoracic endografting is a safe and viable option for the repair of descending thoracic aneurysms and other aortic pathologies. We have found it to be less invasive, even in conjunction with preoperative debranching procedures, with a shorter recovery time, decreased perioperative morbidity and blood loss, and decreased peri-operative mortality compared with standard open repair.
Authors:
Jeffrey Apple; Karen L McQuade; Baron L Hamman; Robert F Hebeler; William P Shutze; Dennis R Gable
Related Documents :
21685298 - Acute and chronic effects of epicardial radiofrequency applications delivered on epicar...
11803328 - New perspectives for the treatment of thoracic aortic aneurysm with self-expanding endo...
10522718 - Recent clinical experience with left heart bypass using a centrifugal pump for repair o...
20558948 - Endovascular repair of sealed rupture of a thoracic inflammatory aneurysm that develope...
16649728 - Postpartum dissection of the left main coronary artery.
15992718 - Aortic dissection with diastolic prolapse of intimal flap into left ventricle.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Proceedings (Baylor University. Medical Center)     Volume:  21     ISSN:  0899-8280     ISO Abbreviation:  Proc (Bayl Univ Med Cent)     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9302033     Medline TA:  Proc (Bayl Univ Med Cent)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  115-9     Citation Subset:  -    
Affiliation:
Departments of Vascular Surgery (Apple, McQuade, Shutze, Gable) and Cardiothoracic Surgery (Hamman, Hebeler), Baylor University Medical Center, Dallas, Texas.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Comments/Corrections

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


Previous Document:  As the world grows: contraception in the 21st century.
Next Document:  Active intravascular rewarming for hypothermia associated with traumatic injury: early experience wi...