Stenting of the descending thoracic aorta: a six-year single-center experience

Απλή σελίδα τεκμηρίου
dc.contributor.authorMatsagkas, M. I.en
dc.contributor.authorKirou, I. E.en
dc.contributor.authorKouvelos, G.en
dc.contributor.authorArnaoutoglou, E. M.en
dc.contributor.authorPapakostas, J. C.en
dc.contributor.authorKatsouras, C.en
dc.contributor.authorPapadopoulos, G.en
dc.contributor.authorMichalis, L. K.en
dc.date.accessioned2015-11-24T18:50:35Z
dc.date.available2015-11-24T18:50:35Z
dc.identifier.issn1569-9285-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18106
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectAorta, Thoracic/radiography/*surgeryen
dc.subjectAortic Diseases/mortality/radiography/*surgeryen
dc.subjectAortography/methodsen
dc.subject*Blood Vessel Prosthesisen
dc.subjectBlood Vessel Prosthesis Implantation/adverse effects/*instrumentation/mortalityen
dc.subjectChi-Square Distributionen
dc.subjectEndovascular Procedures/adverse effects/*instrumentation/mortalityen
dc.subjectFemaleen
dc.subjectGreeceen
dc.subjectHospital Mortalityen
dc.subjectHumansen
dc.subjectKaplan-Meier Estimateen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPostoperative Complications/etiologyen
dc.subjectProsthesis Designen
dc.subjectReoperationen
dc.subjectRetrospective Studiesen
dc.subjectRisk Assessmenten
dc.subjectRisk Factorsen
dc.subject*Stentsen
dc.subjectTime Factorsen
dc.subjectTomography, X-Ray Computeden
dc.subjectTreatment Outcomeen
dc.subjectYoung Adulten
dc.titleStenting of the descending thoracic aorta: a six-year single-center experienceen
heal.abstractOBJECTIVES: The aim of this study was to review the six-year results of the endovascular repair of descending thoracic aortic pathologies, reporting the early perioperative outcomes as well as the mid-term follow-up of the treated patients. METHODS: Fifty-five consecutive patients who underwent endovascular repair for thoracic aortic pathology (32 aneurysms, 17 acute thoracic aortic syndromes, and six traumatic aortic ruptures) during a six-year period were retrospectively reviewed. From these patients, 30 (54.5%) were treated electively and 25 (45.5%) on an emergency basis. In eight cases (14.5%) there was a need for left subclavian artery orifice overstenting. In seven patients (12.7%) an abdominal aortic lesion was simultaneously treated, while three more patients (5.5%) had previously had their abdominal aortic aneurysm repaired. RESULTS: The primary technical success was 92.7%. Seven patients (12.7%) underwent some operation related complication, while postoperative complications occurred in five patients (9.1%), namely four myocardial infarctions, one acute respiratory distress syndrome and two delayed parapareses resulting in an overall incidence of neurological complications of 3.6%. The combined 30-day and in-hospital mortality was 9.1%, exclusively related to patients treated emergently (P = 0.01). In a mean follow-up period of 34 months there were six deaths, and the overall cumulative survival at four years was estimated at 72.6%. Only one type II endoleak was observed one month after the procedure and it spontaneously disappeared 18 months later. CONCLUSIONS: The endovascular repair of descending thoracic aortic pathologies seems to be a well-established method, with favorable morbidity and mortality rates, at least for 30 days and in the mid-term. Taking into account the potential of a wide application of the endovascular technique in many vascular centers, stenting of the thoracic aorta might offer an overall better solution for patients suffering from these devastating pathologies.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1510/icvts.2010.262584-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21297139-
heal.identifier.secondaryhttp://icvts.oxfordjournals.org/content/12/5/789.full.pdf-
heal.journalNameInteract Cardiovasc Thorac Surgen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2011-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

Αρχεία

Φάκελος/Πακέτο αδειών

Προβολή: 1 - 1 of 1
Μικρογραφία εικόνας
Ονομα:
license.txt
Μέγεθος:
1.74 KB
Μορφότυπο:
Item-specific license agreed upon to submission
Περιγραφή:
Κατεβάστε

Συλλογές

Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ