Document Detail


The role of anatomic factors in predicting success of endovascular repair of thoracic aortic aneurysms.
MedLine Citation:
PMID:  20034942     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We evaluated the results of thoracic endovascular aneurysm repair (TEVAR) to determine what anatomic factors influenced the clinical outcomes.METHODS: Preoperative computed tomography (CT) angiograms of 65 patients who underwent TEVAR were analyzed using 3-dimensional imaging. The proximal and distal neck, thoracic aneurysm, and iliac arteries were measured for angulation, diameter, length, calcification, and tortuosity. Immediate technical success and clinical success were measured.RESULTS: Immediate technical success was achieved in 91% (59 of 65) of the patients analyzed. One patient died in the operating room during treatment of rupture. Clinical success was achieved in 83% (54 of 65) of patients at follow-up. Four patients had small endoleaks with no sac enlargement at follow-up. One patient was converted to open repair. Severe iliac calcification was found to be significant for deployment failure. The mean follow-up is 8 months (1-36 months).CONCLUSION: Increased iliac calcification and increased iliac tortuosity correlate with an inability to successfully deploy the device.
Authors:
Jonathan N Bowman; Daniel Silverberg; Sharif Ellozy; Victoria Teodorescu; Honesto Poblete; Michael Marin; Peter Faries
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-12-23
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  101-4     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Mount Sinai School of Medicine, New York, USA. jonathan.bowman@mssm.edu
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Thoracic / mortality,  radiography*,  surgery*
Aortography / methods*
Blood Vessel Prosthesis Implantation* / adverse effects,  mortality
Calcinosis / radiography
Humans
Iliac Artery / radiography
Imaging, Three-Dimensional
Predictive Value of Tests
Prosthesis Failure
Radiographic Image Interpretation, Computer-Assisted
Retrospective Studies
Risk Factors
Time Factors
Tomography, X-Ray Computed*
Treatment Outcome

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


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