1. [Endovascular treatment of diseases of the descending thoracic aorta].
- Author
-
Holst AK, Quaade M, Andersen LI, Rohr N, and Justesen P
- Subjects
- Adult, Aged, Aortic Dissection surgery, Aneurysm, False surgery, Aneurysm, Ruptured surgery, Aorta, Thoracic diagnostic imaging, Aortic Aneurysm, Thoracic surgery, Aortic Diseases diagnostic imaging, Blood Vessel Prosthesis Implantation adverse effects, Female, Follow-Up Studies, Heart Valve Prosthesis adverse effects, Humans, Male, Middle Aged, Prosthesis Failure, Radiography, Stents, Vascular Surgical Procedures adverse effects, Aorta, Thoracic surgery, Aortic Diseases surgery, Blood Vessel Prosthesis Implantation methods, Vascular Surgical Procedures methods
- Abstract
Introduction: Endovascular repair as treatment of aortic diseases seems promising. We report the first Danish results of endografting of the descending thoracic aorta., Materials and Methods: Nineteen patients (median age 68 years, range 22-78 years) underwent endovascular treatment of diseases in the descending thoracic aorta: atherosclerotic aneurysm (n = 7), ruptured aneurysm (n = 3), Type B dissection (n = 3), traumatic rupture (n = 3), pseudoaneurysm (n = 2) and a defective aortic prosthesis (n = 1). The patients were followed with chest CT scans and clinically., Results: In all cases the endograft was successfully deployed in the intended positions. Median total hospital stay was 5 days, range 2-21 days. Eight patients had post-implantation syndrome. No deaths occurred within the first post-operative month. During the follow-up period (median 12 months, range 1-56 months) five deaths were observed. One of the patients died from aortobronchial fistula related to the endograft. One patient had an endoleak, and two had expanded aneurysm. None of these patients was treated., Conclusion: In selected patients, endoluminal grafting of the descending thoracic aortic is a safe and successful alternative to open graft repair in treating aneurysm, ruptured aneurysm, traumatic rupture and dissection. However, long-term evaluation is still required.
- Published
- 2006