Penetrating atherosclerotic ulcer of the descending thoracic aorta: Treatment by endovascular stent-Graft
| Autor: | José Ferreira, Hicham T. Abada, Julien Struyven, Jafar Golzarian, Jean Christophe Cavenaile, Salvatore Murgo, Luc Dussaussois |
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| Rok vydání: | 1998 |
| Předmět: |
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medicine.medical_specialty Arteriosclerosis medicine.medical_treatment Dissection (medical) Aortography Blood Vessel Prosthesis Implantation Aneurysm Penetrating atherosclerotic ulcer medicine.artery Catheterization Peripheral medicine Humans Thoracic aorta Radiology Nuclear Medicine and imaging cardiovascular diseases Survival rate Aged Aged 80 and over Aorta Aortic Aneurysm Thoracic business.industry Graft Survival Stent medicine.disease Surgery Aortic Dissection Treatment Outcome surgical procedures operative Descending aorta Female Stents Radiology Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | CardioVascular and Interventional Radiology. 21:454-458 |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | Purpose: To present four cases of penetrating ulcer of the descending thoracic aorta treated by transfemoral insertion of an endoluminal stent-graft. Methods: Four patients with penetrating aortic ulcers were reviewed. Three cases were complicated by rupture, false aneurysm, or retrograde dissection. All patients were treated by endovascular stent-graft and were followed by helical computed tomography (CT). Results: Endovascular stent-graft deployment was successful in all patients. However, in one case we observed a perigraft leak that spontaneously disappeared within the first month, and two interventions were needed for another patient. Following treatment, one episode of transient spinal ischemia was observed. The 30-day survival rate was 100%, but one patient died from pneumonia with cardiac failure 34 days after the procedure. In one patient, helical CT performed at 3 months showed a false aneurysm independent of the first ulcer. This patient refused any further treatment and suddenly died at home (unknown cause) after a 6-month follow-up period. Conclusion: Transluminal placement of endovascular stent-grafts for treatment of penetrating ulcers of the descending thoracic aorta appears to be a possible alternative to classical surgery. After treatment, follow-up by CT is essential to detect possible complications of the disease. |
| Databáze: | OpenAIRE |
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