| Treatment of Stanford type B aortic dissection with stent-grafts: preliminary results. | |
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MedLine Citation:
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PMID: 11058658 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the feasibility and safety of endovascular stent-graft placement in treating Stanford type B aortic dissection. MATERIALS AND METHODS: Seven patients underwent endovascular stent-graft placement for type B aortic dissection. Five patients had acute and two had chronic dissection. In five patients, the proximal entry tear was within 2 cm of the origin of the left subclavian artery, and in two patients it was beyond this site. In three patients, the noncovered proximal portion of the stent-graft was placed across the origin of the left subclavian artery. The efficacy of the procedure was assessed at follow-up studies 3, 6, 12, and 24 months after intervention. RESULTS: The procedure was technically and clinically successful in six patients (86%). The left subclavian artery remained patent in all patients. In two patients with involvement of aortic branches, endovascular stent-graft placement restored adequate blood flow to the compromised branches. One patient was readmitted 1 month later because the dissection extended into the ascending aorta. In all but this patient, closure of the entry tear and thrombosis of the false lumen along the stent-graft were achieved. All false lumina shrank considerably. The mean follow-up time was 14 months (range, 1-25 months). CONCLUSION: Type B aortic dissections within and beyond 2 cm of the origin of the left subclavian artery can be treated safely and effectively by means of endovascular stent-graft placement. |
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Authors:
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B V Czermak; P Waldenberger; G Fraedrich; A H Dessl; K E Roberts; R J Bale; R Perkmann; W R Jaschke |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Radiology Volume: 217 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 2000 Nov |
Date Detail:
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Created Date: 2000-11-13 Completed Date: 2000-11-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 544-50 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology I, Leopold-Franzens Medical School and University Hospital Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. benedikt.czermak@uibk.ac.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Aneurysm, Dissecting / radiography, therapy* Aortic Aneurysm, Thoracic / radiography, therapy* Blood Vessel Prosthesis Feasibility Studies Female Humans Male Middle Aged Radiography, Interventional Stents* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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