Endovascular repair of thoracic aortic aneurysms: stent-graft fixation across the aortic arch vessels

Annals of Vascular Surgery
James A BurksMichael L Marin

Abstract

The close proximity of the arch vessels to the origin of many thoracic aortic aneurysms (TAA) may result in placement of the stent struts across the left subclavian or carotid ostia. The purpose of this study is to determine the incidence and impact of transaortic arch vessel fixation during thoracic aortic stent graft deployment for the treatment of descending TAA. From May 1997 to July 2000, 20 patients (10 men, 10 women, mean age 82 years) with descending TAA were treated in the operating room with endoluminally placed stent grafts secured proximally to the thoracic aorta with a long (15-mm) uncovered stent segment (Talent LPS). Pre- and post-operative angiograms and IV contrast-enhanced spiral CT scans were performed in all cases. Follow-up contrast CT scans were obtained at 1, 3, 6, and 12 months and yearly thereafter to assess the adequacy of repair and to determine stent position and arch vessel patency. We found that thoracic aortic endograft fixation across the left aortic arch vessels occurs frequently during device placement and is associated with no early morbidity. Long-term follow-up is necessary to ensure that there are no late sequelae.

Citations

Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Maria SchoderJohannes Lammer
Feb 6, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ernst WeigangMichael P Siegenthaler
Oct 7, 2003·Vascular and Endovascular Surgery·Charles S ThompsonEdward B Diethrich
Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Allan J KrugerAndrew A Hill
Jan 16, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hardy SchumacherJens-Rainer Allenberg
Jan 30, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dittmar BöcklerJens-Rainer Allenberg
Oct 10, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Peter WaldenbergerBenedikt V Czermak
May 28, 2010·The Mount Sinai Journal of Medicine, New York·Donald T BarilMichel S Makaroun
Sep 15, 2005·Circulation·Barry T KatzenDavid S Wang
Aug 22, 2007·Cardiovascular and Interventional Radiology·Matt ThompsonIan Loftus
Apr 1, 2006·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Hiroshi OhtakeOsamu Matsui
May 1, 2008·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Ourania PreventzaEdward B Diethrich
May 31, 2003·Nature Reviews. Drug Discovery·Carl R MerrilSankar L Adhya
Mar 12, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Shin Ishimaru
Mar 8, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ernst WeigangMartin Grabenwoger
Oct 9, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Liangxi YuanZaiping Jing

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.