Endovascular repair of lesions involving the descending thoracic aorta. Mid-term morphological changes
| Autor: | Philippe Douek, Loic Boussel, Cherif Attia, Didier Revel, Fadi Farhat, Jacques Villard |
|---|---|
| Přispěvatelé: | Centre de Recherche et d'Application en Traitement de l'Image et du Signal (CREATIS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-École Supérieure Chimie Physique Électronique de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Imagerie et modélisation Vasculaires, Thoraciques et Cérébrales (MOTIVATE), Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Department of Radiology, Cardiological Hospital, Hospices Civils de Lyon |
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Male
Reoperation Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging Aortic Rupture Aorta Thoracic Aortography Risk Assessment Magnetic resonance angiography Blood Vessel Prosthesis Implantation Aortic aneurysm Aneurysm Blood vessel prosthesis medicine.artery Humans Medicine Thoracic aorta Hospital Mortality Aortic rupture Aorta Aortic Aneurysm Thoracic medicine.diagnostic_test business.industry Middle Aged medicine.disease Blood Vessel Prosthesis Prosthesis Failure Surgery Aortic Dissection Treatment Outcome Cardiothoracic surgery cardiovascular system Female Stents Radiology Cardiology and Cardiovascular Medicine business Magnetic Resonance Angiography Follow-Up Studies |
| Zdroj: | Interactive Cardiovascular and Thoracic Surgery Interactive Cardiovascular and Thoracic Surgery, Oxford University Press (OUP), 2008, 7 (4), pp.595--599 |
| ISSN: | 1569-9293 |
| Popis: | [DOI:\hrefhttps://dx.doi.org/10.1510/icvts.2008.17531510.1510/icvts.2008.175315] [PubMed:\hrefhttps://www.ncbi.nlm.nih.gov/pubmed/1848723718487237]; Thoracic aortic lesions are often life-threatening conditions with significant morbidity and mortality after open surgical repair. If preliminary results suggest that endovascular therapy is an effective and advantageous treatment, long-term effectiveness remains questionable. We analysed 75 consecutive patients who underwent endovascular stent-grafting of lesions involving the descending thoracic aorta (32 emergent, 43 elective). Aortic pathologies were aneurysms (n=31), chronic (n=8) or complicated (n=6) type B dissections, penetrating ulcers (n=4) or aortic ruptures (n=26). Follow-up was performed using magnetic resonance angiography. In three cases, the procedure was stopped due to inappropriate arterial access calibre. The hospital mortality and morbidity were 8% and 12%, respectively. One patient of the chronic group presented a type I endoleak, treated by embolisation. After 1.5 months, the mortality and morbidity rates were 10.6% and 10.6%, respectively. The secondary endoleak rate was 16%. One patient died of aortic rupture 24 months after the procedure. In the aneurysm group, the regression of the aortic calibre was significant in 23 and stable in 28 patients. Thus, and despite encouraging early outcomes, mid-term results suggest a trend toward increased re-intervention and late complication rates in these high surgical risk patients. Therefore, continued surveillance of patients treated with stent-grafts is necessary. |
| Databáze: | OpenAIRE |
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