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Titolo:
Thoracic aortic stent grafts - Early experience from two centres using commercially available devices
Autore:
Taylor, PR; Gaines, PA; McGuinness, CL; Cleveland, TJ; Beard, JD; Cooper, G; Reidy, JF;
Indirizzi:
Guys & St Thomas Hosp Trust, Guys Hosp, Dept Surg, London SE1 9RT, EnglandGuys & St Thomas Hosp Trust London England SE1 9RT ndon SE1 9RT, England Guys & St Thomas Hosp Trust, Guys Hosp, Dept Radiol, London SE1 9RT, England Guys & St Thomas Hosp Trust London England SE1 9RT ndon SE1 9RT, England No Gen Hosp, Dept Cardiothorac Surg, Sheffield S5 7AU, S Yorkshire, England No Gen Hosp Sheffield S Yorkshire England S5 7AU AU, S Yorkshire, England Sheffield Vasc Inst, Sheffield S5 7AU, S Yorkshire, England Sheffield VascInst Sheffield S Yorkshire England S5 7AU rkshire, England
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 1, volume: 22, anno: 2001,
pagine: 70 - 76
SICI:
1078-5884(200107)22:1<70:TASG-E>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANEURYSM REPAIR; DISSECTION; PLACEMENT;
Keywords:
stent graft; thoracic aneurysm; aortic dissection; chronic dissection; aortic transection; traumatic dissection;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Taylor, PR Guys & St Thomas Hosp Trust, St Thomas Hosp, Dept Surg, London SE1 7EH, England Guys & St Thomas Hosp Trust London England SE1 7EH H, England
Citazione:
P.R. Taylor et al., "Thoracic aortic stent grafts - Early experience from two centres using commercially available devices", EUR J VAS E, 22(1), 2001, pp. 70-76

Abstract

Objectives: open surgical intervention for aneurysms of the distal arch and descending thoracic aorta is associated with high morbidity and mortality. Stent grafts offer an attractive alternative treatment for these aneurysms. The aim of this study was to assess the morbidity and mortality of endovascular treatment for these aneurysms with stent grafts. Design, patients and methods: a prospective observational study was performed of 37 consecutive patients treated from July 1997 to October 2000 (30 at Guy's and St. Thomas' and 7 at Sheffield). Indications included degenerative aneurysms (n = 18), false aneurysm (5), acute dissection (4), aortic transection (4), aneurysm related to previous surgery for coarctation (3), chronic dissection (2) and traumatic dissection (1). Nineteen were performed as elective and 18 as non-elective procedures. Results: three non-elective patients died in hospital (in-hospital and 30-day mortality 8%) and one suffered a stroke with spontaneous full recovery. No elective patient died. One patient with a persistent proximal endoleak required conversion to open repair at 6 weeks. Two patients with persistentflow into the sac at 24 h spontaneously thrombosed at subsequent 3 month follow-up. Two further patients developed new distal endoleaks at 3 months and required distal extension cuffs. One patient died at 28 months of aorticrupture. Serial CT scans had shown prolapse of the stent graft into the aneurysm sac and the patient died just before planned endovascular repair. Nopatient suffered paraplegia or renal failure. Intensive care facilities were only required for patients who needed them preoperatively. Conclusions: thoracic stent grafts can be performed with low morbidity andmortality. They offer a realistic alternative to open surgery. Long term follow up is required to assess their durability.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 00:50:10