| The role of anatomic factors in predicting success of endovascular repair of thoracic aortic aneurysms. | |
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MedLine Citation:
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PMID: 20034942 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jonathan N Bowman; Daniel Silverberg; Sharif Ellozy; Victoria Teodorescu; Honesto Poblete; Michael Marin; Peter Faries |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-12-23 |
Journal Detail:
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Title: Vascular and endovascular surgery Volume: 44 ISSN: 1938-9116 ISO Abbreviation: Vasc Endovascular Surg Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-21 Completed Date: 2010-04-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136421 Medline TA: Vasc Endovascular Surg Country: United States |
Other Details:
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Languages: eng Pagination: 101-4 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Mount Sinai School of Medicine, New York, USA. jonathan.bowman@mssm.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Aneurysm, Thoracic
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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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