PMID: 9546963Jan 1, 1997Paper

Thoracic aortic aneurysm repair with endovascular stent-grafts

Vascular Medicine
C P SembaM D Dake

Abstract

The purpose of the study was to describe the clinical experience is using endoluminal stent-grafts for the treatment of thoracic aortic aneurysms in high-risk patients. Patients with aneurysms of the descending thoracic aorta who were considered high surgical risks underwent evaluation for endoluminal repair. The prosthesis was constructed from Z stents covered with polyester fabric using dimensions based upon preprocedural computed tomography scans and angiography. Through a femoral arteriotomy or left retroperitoneal flank incision, a 22-24 Fr delivery catheter was inserted and advanced through the aorta to the target site under fluoroscopic guidance in the operating suite. The stent-graft prosthesis was deployed at the site of the aneurysm. 44 patients (36 male, 8 female; mean age 36 years) underwent stent-graft repair for thoracic aneurysms (mean diameter 6.3 cm). The deployment was technically successful in all cases, with complete aneurysm thrombosis in 88%. The 30-day perioperative mortality rate was 6.8% and 35-month actuarial survival was 82%. There were no cases of stent migration, surgical conversion or intraprocedural death. Paraplegia occurred in two patients who underwent simultaneous surgical infrarenal aortic an...Continue Reading

References

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Citations

Apr 16, 2002·Vascular and Endovascular Surgery·Elizabeth S RachelR A Mitchell
Aug 19, 2006·The Journal of Trauma·Giampaolo ZoffoliTiziano Gherli
Jun 3, 2004·Circulation·Michael A BettmannUNKNOWN American Heart Association
Mar 5, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Linda M Reilly, Timothy A M Chuter
Sep 17, 2003·Journal of Cardiac Surgery·Kenneth Ouriel, Roy K Greenberg
Aug 2, 2008·Asian Cardiovascular & Thoracic Annals·Peter H LinKenneth L Mattox

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