Outcomes after stent graft therapy for dissection-related aneurysmal degeneration in the descending thoracic aorta

Journal of Vascular Surgery
Derek P NathanBenjamin W Starnes

Abstract

Stent graft therapy has emerged as an alternative to open surgery in the management of chronic dissection-related aneurysmal degeneration (DRAD) in the descending thoracic aorta (DTA). The incidence of perioperative complications, need for secondary aortic intervention (SAI), and rate of aneurysmal false-lumen thrombosis have not been thoroughly described. Perioperative and midterm outcomes in patients who underwent stent graft therapy for chronic DRAD DTA at a single institution between January 2006 and September 2013 were retrospectively analyzed. Preoperative anatomic factors, including the number of visceral and renal side branches off the false lumen, and false lumen volume, were analyzed for their ability to predict treatment failure. Treatment failure was defined as death, need for a SAI, and failure to achieve thrombosis of the DRAD DTA. Treatment success was defined as thrombosis of the false lumen in the area of the DRAD DTA with stability or a decrease in the maximum diameter of the DRAD DTA. During the study period, 47 patients underwent stent graft therapy for chronic DRAD DTA. Patients were a mean age of 58.3 ± 11.7 years, 74.5% (n = 35) were male, and 14.9% (n = 7) had a history of connective tissue disease. The ...Continue Reading

References

Jun 7, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A WinnerkvistK Rådegran
Apr 29, 2008·Journal of Vascular Surgery·Julio A RodriguezEdward B Diethrich
Oct 22, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Brian J ManningKrassi Ivancev
Nov 17, 2009·The Journal of Thoracic and Cardiovascular Surgery·Shang Dong XuZhao Guang Zhang
Jan 28, 2010·The Annals of Thoracic Surgery·Cyrus J ParsaG Chad Hughes
May 10, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C KarmonikA B Lumsden
Jan 17, 2012·Journal of Vascular Surgery·Derek P NathanBenjamin M Jackson
May 15, 2012·Journal of Vascular Surgery·Christof KarmonikHendrik von Tengg-Kobligk
Dec 19, 2012·The Annals of Thoracic Surgery·Bradley G LeshnowerJoseph E Bavaria
Jan 21, 2014·Annals of Surgery·Ludovic CanaudMatt M Thompson
Feb 28, 2014·Journal of Vascular Surgery·Salvatore T ScaliCatherine K Chang
Feb 11, 2015·Journal of Vascular Surgery·Christopher A DurhamMark F Conrad

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Citations

Jan 11, 2016·Journal of Vascular Surgery·Rachel E HeneghanR Eugene Zierler
Nov 21, 2017·Interactive Cardiovascular and Thoracic Surgery·Atsushi OmuraJunjiro Kobayashi
Feb 27, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ahmed EleshraTilo Kölbel

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