AJR ARRS Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Czermak, B. V.
Right arrow Articles by Jaschke, W. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Czermak, B. V.
Right arrow Articles by Jaschke, W. R.
AJR 2002; 179:337-345
© American Roentgen Ray Society


Placement of Endovascular Stent-Grafts for Emergency Treatment of Acute Disease of the Descending Thoracic Aorta

Benedikt V. Czermak1, Peter Waldenberger1, Reinhold Perkmann2, Michael Rieger1, Iris E. Steingruber1, Ammar Mallouhi1, Gustav Fraedrich2 and Werner R. Jaschke1

1 Department of Radiology, Kurt Amplatz Center, Leopold-Franzens Medical School and University Hospital Innsbruck, Anichstr. 35, 6020 Innsbruck, Austria.
2 Department of Vascular Surgery, Leopold-Franzens Medical School and University Hospital Innsbruck, 6020 Innsbruck, Austria.

OBJECTIVE. The aim of this study was to evaluate the feasibility, safety, and effectiveness of endovascular stent-graft placement for the emergency treatment of acute descending thoracic aortic disease.

MATERIALS AND METHODS. From January 1996 through November 2001, 18 patients underwent emergency endovascular stent-graft placement for various types of acute descending thoracic aortic disease. Five patients had Stanford type B aortic dissection, six had traumatic ruptures of the thoracic aorta, five had ruptured aortic aneurysms, and two had penetrating atherosclerotic aortic ulcers. All patients presented with life-threatening symptoms requiring treatment with stent-grafts from the emergency kit. All were at high surgical risk due to serious comorbidities. The efficacy of the procedure was assessed at follow-up studies before discharge and at 3, 6, and 12 months after intervention and yearly thereafter.

RESULTS. The primary technical success rate was 78%. Four patients had primary perigraft leaks. The secondary technical success rate was 83%. One patient died 20 hr after intervention from stent-graft—related causes. Follow-up studies revealed stent-graft migration in one patient. Progression of disease was observed in one patient treated for dissection and in both patients treated for penetrating ulcers. One patient died 7 months after intervention of unknown reasons; all other patients are alive. The mean follow-up time was 17.4 months (range, 0-38 months).

CONCLUSION. Emergency repair of acute descending thoracic aortic disease with stent-graft placement can be successfully accomplished and may be a promising alternative to open-chest surgery, especially in patients at high risk.




This article has been cited by other articles:


Home page
Card Surg AdultHome page
T. G. Gleason and J. E. Bavaria
Trauma to the Great Vessels
Card. Surg. Adult, January 1, 2008; 3(2008): 1333 - 1354.
[Full Text]


Home page
J. Thorac. Cardiovasc. Surg.Home page
B. Marcheix, C. Dambrin, J.-P. Bolduc, C. Arnaud, C. Cron, L. Hollington, A. Mugniot, P. Soula, M. Bennaceur, V. Chabbert, et al.
Midterm results of endovascular treatment of atherosclerotic aneurysms of the descending thoracic aorta.
J. Thorac. Cardiovasc. Surg., November 1, 2006; 132(5): 1030 - 1036.
[Abstract] [Full Text] [PDF]


Home page
Arch SurgHome page
D. R. Lebl, R. A. Dicker, D. A. Spain, and S. I. Brundage
Dramatic shift in the primary management of traumatic thoracic aortic rupture.
Arch Surg, February 1, 2006; 141(2): 177 - 180.
[Abstract] [Full Text] [PDF]


Home page
RadioGraphicsHome page
G. Garzon, M. Fernandez-Velilla, M. Marti, I. Acitores, F. Ybanez, and L. Riera
Endovascular Stent-Graft Treatment of Thoracic Aortic Disease
RadioGraphics, October 1, 2005; 25(suppl_1): S229 - S244.
[Abstract] [Full Text] [PDF]


Home page
RadioGraphicsHome page
E. Therasse, G. Soulez, M.-F. Giroux, P. Perreault, L. Bouchard, J.-F. Blair, N. Beaudoin, A. Benko, and V. L. Oliva
Stent-Graft Placement for the Treatment of Thoracic Aortic Diseases
RadioGraphics, January 1, 2005; 25(1): 157 - 173.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
J. Timperley and A. P. Banning
Prognosis of Aortic Intramural Hematoma With and Without Penetrating Atherosclerotic Ulcer: A Clinical and Radiological Analysis
Circulation, March 11, 2003; 107(9): e63 - 63.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2002 by the American Roentgen Ray Society.