Document Detail


The use of stent grafts for the treatment of aneurysms and dissections of the thoracic aorta: a single centre experience.
MedLine Citation:
PMID:  14603416     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the results of stent graft treatment for diseases of the thoracic aorta. DESIGN: A retrospective study of the results of thoracic stent graft procedures in a single centre. METHODS: The results of 30 procedures performed in 24 patients were analysed. Eleven patients had aneurysmal dilatation of the descending thoracic aorta (>5.5 cm), nine patients had complicated type B dissection, three had penetrating ulcers and one had a traumatic pseudoaneurysm. Imaging follow-up consisted of CT scans performed at one, three, six and 12 months following the procedure and annually thereafter. RESULTS: One technical failure occurred due to a ruptured external iliac artery. There were no other immediate failures. The primary technical success rate was 83%. The 30-day procedural and patient mortality rates were 7 and 8%, respectively. No neurological complications occurred. Seven patients had the subclavian artery covered without complications. Secondary intervention was required in 21%. During the follow-up period (mean 11 months, range 1-48 months.) there were five deaths, two of which were related to stent graft infection. CONCLUSION: Thoracic stent grafts offer a realistic alternative to surgery.
Authors:
P Matravers; R Morgan; A Belli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  26     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-11-06     Completed Date:  2004-02-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  587-95     Citation Subset:  IM    
Affiliation:
St Georges Hospital, Blackshaw Road, London SW17 0QT, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aneurysm, Dissecting / radiography,  surgery*
Aneurysm, False / radiography,  surgery
Aortic Aneurysm, Thoracic / radiography,  surgery*
Blood Vessel Prosthesis Implantation*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retrospective Studies
Stents*
Treatment Outcome
Ulcer / radiography,  surgery

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


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