Document Detail


The thoracic endograft: a minimally invasive treatment option for aortic diseases.
MedLine Citation:
PMID:  18220093     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Thoracic endografts provide a less invasive surgical option for treatment of descending aortic pathology. We present our early thoracic endograft experience with endovascular management of aneurysms, penetrating aortic ulcers, and traumatic injuries. METHODS: Fifteen consecutive patients scheduled for endograft placement at a single institution were evaluated on an intent-to-treat basis. Retrospective record review was used to determine patient demographics, surgical indications, operative, and follow-up care. RESULTS: Fourteen of 15 patients (93.3%) had successful endograft implantation. Thirty-day survival was 100%, with a 0% rate of spinal cord ischemia. Morbidity included access complications in two patients (13.3%) and a myocardial infarction in one patient (6.7%). CONCLUSIONS: Descending thoracic aortic pathology can be treated with low morbidity and mortality using endografts, even in high-risk patients. Continued post-placement surveillance is necessary.
Authors:
Robert E Noll; Britt H Tonnessen; Krishna Mannava; Samuel R Money; Charles Sternbergh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society     Volume:  159     ISSN:  0024-6921     ISO Abbreviation:  J La State Med Soc     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2008-01-28     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505618     Medline TA:  J La State Med Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  253-6, 258-60     Citation Subset:  IM    
Affiliation:
Ochsner Medical Center, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angioplasty / methods*
Aorta, Thoracic* / injuries
Aortic Aneurysm, Thoracic / radiography,  surgery
Aortic Diseases / radiography,  surgery*
Aortic Rupture / radiography,  surgery
Blood Vessel Prosthesis Implantation / methods*
Female
Humans
Male
Middle Aged
Surgical Procedures, Minimally Invasive
Tomography, X-Ray Computed
Ulcer / surgery

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


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