Document Detail

Wholly endovascular repair of thoracoabdominal aneurysm.
MedLine Citation:
PMID:  18446776     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aim was to evaluate a wholly endovascular approach to the repair of thoracoabdominal aortic aneurysm (TAAA). METHODS: Six patients (median age 71 years) underwent wholly endovascular repair of TAAA (maximum diameter 56-85 mm) employing individually customized endografts. Procedures were performed under general anaesthesia, with spinal drainage in five patients. Patients were followed by serial computed tomography, plain radiography and duplex imaging for a median of 17 (range 8-44) months. RESULTS: All grafts were deployed as intended, with preservation of all target vessels. There were no postoperative deaths, strokes or paraplegia. One patient suffered a silent myocardial infarction. In two patients a persistent paraostial endoleak was treated by further balloon dilatation of the stent within the endograft fenestration. Imaging before discharge confirmed aneurysm exclusion in all patients. Two patients required late secondary intervention to abolish endoleaks due to side-branch disconnection. One patient suffered late occlusion of the coeliac axis without clinical sequelae, and late occlusion of a solitary renal artery in another resulted in dependence on dialysis. There have been no late deaths and all aneurysms remain excluded. CONCLUSION: Wholly endovascular TAAA repair is relatively safe, but long-term follow-up is required to establish its durability.
G L Gilling-Smith; R G McWilliams; J R H Scurr; J A Brennan; R K Fisher; P L Harris; S R Vallabhaneni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  95     ISSN:  1365-2168     ISO Abbreviation:  Br J Surg     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-05     Completed Date:  2008-05-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  703-8     Citation Subset:  AIM; IM    
Copyright Information:
2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Regional Vascular Unit, Royal Liverpool University Hospital, Liverpool, UK.
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MeSH Terms
Anesthesia, General
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / methods*
Endarterectomy / methods
Follow-Up Studies
Hospital Mortality
Imaging, Three-Dimensional
Middle Aged
Tomography, X-Ray Computed / methods

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