Document Detail

Role of endovascular therapies in the management of diverse thoracic aortic pathology.
MedLine Citation:
PMID:  17704482     Owner:  NLM     Status:  MEDLINE    
Stent grafts are currently indicated for treatment of chronic aneurysmal disease of the descending thoracic aorta. At most centers of excellence, this technique has become the preferred treatment modality for this pathologic process. Many centers are also reporting excellent outcomes using a variety of debranching procedures to expand the anatomic limits of therapeutic intervention. These debranching procedures enable proximal extension of stent grafts into the transverse aortic arch and similarly enable distal extension into the visceral portion of the abdominal aorta. Thoracic aortic disease, however, is not limited to aneurysmal pathology. In our experience, at least half of all patients with major thoracic aortic pathology will have nonaneurysmal disease processes. Frequently, these patients are high-risk candidates for the performance of open surgical intervention. The reduced procedural morbidity and mortality observed with thoracic endovascular aortic repair when compared with open surgical intervention have catalyzed the investigation of stent grafts in the management of nonaneurysmal pathologic processes. This therapy has been successfully applied to a variety of diverse thoracic aortic pathologies, including aortic dissection, aortic transection, penetrating atherosclerotic ulcers, embolic lesions, and aortic coarctation. The focus of this article is on the latter 3 of these pathologies.
Peter F Ford; Mark A Farber
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Perspectives in vascular surgery and endovascular therapy     Volume:  19     ISSN:  1531-0035     ISO Abbreviation:  Perspect Vasc Surg Endovasc Ther     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-08-20     Completed Date:  2007-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100970607     Medline TA:  Perspect Vasc Surg Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  134-43     Citation Subset:  IM    
University of North Carolina, Chapel Hill, North Carolina 27599, USA.
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MeSH Terms
Aorta, Thoracic*
Aortic Coarctation / surgery
Aortic Diseases / surgery*
Blood Vessel Prosthesis
Embolism / surgery
Esophageal Fistula / surgery
Ulcer / surgery
Vascular Fistula / surgery
Comment In:
Perspect Vasc Surg Endovasc Ther. 2007 Jun;19(2):144-5   [PMID:  17704483 ]

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

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