| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 Department of Angiography and Interventional Radiology, University of Vienna
Medical School, Währinger-Gürtel 18-20, A-1090 Vienna,
Austria.
2 Department of Cardio-Thoracic Surgery, University of Vienna Medical School,
A-1090 Vienna, Austria.
3 Department of Anesthesia and Intensive Care Medicine, University of Vienna
Medical School, A-1090 Vienna, Austria.
4 Department of Vascular Surgery, University of Vienna Medical School, A-1090
Vienna, Austria.
OBJECTIVE. The purpose of this study was to evaluate the clinical and midterm results after endovascular treatment of atherosclerotic thoracic aortic aneurysms.
MATERIALS AND METHODS. Twenty-eight consecutive patients who were 53-82 years old (mean age, 71.6 years) were treated with a commercially available endoprosthesis. Subclavian transposition or bypass surgery was performed before the procedure in eight patients. Size dynamics of the aneurysms were analyzed on the basis of diameter and thrombus volume measurements obtained on three-dimensional CT reconstructions before hospital discharge (n = 22) and at the 1-year (n = 22), 2-year (n = 12), and 3-year (n = 5) follow-ups.
RESULTS. The technical success rate was 100%. There was no 30-day mortality. None of the patients had symptoms due to spinal cord ischemia. The survival rate at 1, 2, and 3 years was 96.1%, 90.9%, and 80.2%, respectively. During the perioperative period, patients presented with leukocytosis (37%), fever (36%), elevated C-reactive protein value (92%), pleural effusion (50%), and periaortic atelectasis (41%). Three early type I endoleaks sealed spontaneously. Three early type II endoleaks persisted over time, and one late type II endoleak was detected. In patients with type II endoleaks, thrombus volume of the aneurysms was constant (n = 2) or increased (n = 2). In patients without endoleaks, mean thrombus volume decreased (-53.2 ± 56.8 mL, -40%) significantly (p = 0.001) during the first year. There was no significant interval decrease between the 1- and 2-year follow-ups (mean, -2.4 mL, p = 0.92) and between the 2- and 3-year follow-ups (mean, -0.4 mL, p = 0.68).
CONCLUSION. Endovascular treatment of atherosclerotic thoracic aortic aneurysms may result in a substantial reduction of the aneurysm sac in patients without endoleaks.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  C. A. Nienaber, I. Akin, R. Erbel, and A. Haverich CHAPTER 31 Diseases of the Aorta and Trauma to the Aorta and the Heart ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. G. Svensson, N. T. Kouchoukos, D. C. Miller, J. E. Bavaria, J. S. Coselli, M. A. Curi, H. Eggebrecht, J. A. Elefteriades, R. Erbel, T. G. Gleason, et al. Expert Consensus Document on the Treatment of Descending Thoracic Aortic Disease Using Endovascular Stent-Grafts Ann. Thorac. Surg., January 1, 2008; 85(1_Supplement): S1 - S41. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Akowuah, A. Baumbach, P. Wilde, G. Angelini, and A. J. Bryan Emergency repair of traumatic aortic rupture: Endovascular versus conventional open repair. J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 897 - 901. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. G. Gleason and L. C. Benjamin Conventional Open Repair of Descending Thoracic Aortic Aneurysms Perspectives in Vascular Surgery and Endovascular Therapy, June 1, 2007; 19(2): 110 - 121. [Abstract] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
M. Schoder, M. Grabenwoger, T. Holzenbein, M. Cejna, M. P. Ehrlich, T. Rand, A. Stadler, M. Czerny, C. M. Domenig, C. Loewe, et al. Endovascular repair of the thoracic aorta necessitating anchoring of the stent graft across the arch vessels J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 380 - 387. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. T. Katzen, M. D. Dake, A. A. MacLean, and D. S. Wang Endovascular Repair of Abdominal and Thoracic Aortic Aneurysms Circulation, September 13, 2005; 112(11): 1663 - 1675. [Full Text] [PDF]
|
|
|
|
|
|
M. Czerny, D. Zimpfer, T. Fleck, R. Gottardi, M. Cejna, M. Schoder, J. Lammer, E. Wolner, M. Grabenwoger, and M.-R. Mueller Successful Treatment of an Aortoesophageal Fistula After Emergency Endovascular Thoracic Aortic Stent-Graft Placement Ann. Thorac. Surg., September 1, 2005; 80(3): 1117 - 1120. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Sueda, K. Orihashi, K. Okada, Y. Sugawara, K. Imai, and M. Hamamoto Successful shrinkage of distal arch and proximal descending aortic aneurysm after transaortic endovascular stent-grafting Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 716 - 721. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Swaminathan, C. K. Lineberger, R. L. McCann, and J. P. Mathew The Importance of Intraoperative Transesophageal Echocardiography in Endovascular Repair of Thoracic Aortic Aneurysms Anesth. Analg., December 1, 2003; 97(6): 1566 - 1572. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
