Endovascular Treatment of Chronic Complicated Type B Aortic Dissection
| Autor: | Deo Cesar Carneiro Fontes, Antonio Massamitsu Kambara, Fabio Henrique Rossi, Vanessa Luciene Abreu de Marco, Cano Mn, Samuel Martins Moreira, Eduardo Rafael Novero, Patrick Bastos Metzger, Nilo Mitsuru Izukawa, Heraldo Antônio Barbato |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Aterosclerose Asymptomatic Prostheses and implants medicine.artery medicine Thoracic aorta Próteses e implantes Endovascular treatment Aorta torácica Dissecação business.industry Dissection Mortality rate Retrospective cohort study General Medicine Perioperative Atherosclerosis Surgery Aorta thoracic Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Revista Brasileira de Cardiologia Invasiva (English Edition). 20:184-190 |
| ISSN: | 2214-1235 |
| DOI: | 10.1016/s2214-1235(15)30050-8 |
| Popis: | Background Endovascular repair of aortic diseases is a well-established therapeutic alternative for patients with the appropriate anatomy and/or high surgical risk, as it provides lower morbidity and mortality rates. This study aimed to analyse the outcomes of asymptomatic patients undergoing endovascular treatment of thoracic aortic dissections with an aortic diameter > 5.5 cm or endoleaks. Technical success, therapeutic success, morbidity, mortality, and perioperative complication and reintervention rates were assessed. Methods The present retrospective study, which was performed at a reference centre from January, 2010 to July, 2011, analysed consecutive patients undergoing endovascular repair of chronic complicated type B aortic dissections based on the Stanford classification. Results Twenty-six patients were treated. The mean age was 56.4 ± 7 years, and 61.5% were males. Technical and therapeutic success rates were 100% and 74%, respectively. The perioperative mortality was 7.6%, and the mortality rate in the first year of follow-up was 19.3%. The reintervention rate was 15.3%. Conclusions In the present study, endovascular treatment of chronic type B aortic dissections proved to be a feasible method associated with acceptable perioperative complication rates. The therapeutic success and reintervention rates indicated the necessity for stringent and careful clinical follow-up of these patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|