Abstract | PURPOSE: The purpose of this study was to evaluate feasibility and safety of endovascular stent grafting for the treatment of patients with rupture of the descending thoracic aorta. METHODS: RESULTS:
Stent grafts were successfully placed in all patients. No endoleaks were observed at the end of the procedure. However, rebleeding was observed within 2 weeks of the procedure in two patients with infection. Six patients (46%) died within 5 months of the procedure (mean survival period, 61 +/- 60 days). All five patients with infection (100%) died, and only one of eight patients without infection (13%) died (P <.01). The remaining seven patients are alive during the mean follow-up period of 21 months (overall survival rate, 54%), although additional surgical interventions, including surgical conversion in one case and upper extremity extraanatomic bypass in the other, were necessary in two of these patients. CONCLUSION:
Endovascular stent grafting may be a safe and feasible method for the treatment of rupture of the descending thoracic aorta in selected patients without infection. However, its usefulness in terms of long-term prognosis appears to be extremely limited, especially in patients with infection.
|
Authors | Noriyuki Kato, Tadanori Hirano, Masaki Ishida, Takatsugu Shimono, Shao Hua Cheng, Isao Yada, Kan Takeda |
Journal | Journal of vascular surgery
(J Vasc Surg)
Vol. 37
Issue 1
Pg. 100-5
(Jan 2003)
ISSN: 0741-5214 [Print] United States |
PMID | 12514584
(Publication Type: Journal Article)
|
Chemical References |
- Polyesters
- Polytetrafluoroethylene
|
Topics |
- Acute Disease
- Adolescent
- Aged
- Aged, 80 and over
- Aortic Aneurysm, Thoracic
(therapy)
- Aortic Rupture
(complications, mortality, surgery, therapy)
- Emergencies
- Female
- Follow-Up Studies
- Humans
- Infections
(complications)
- Male
- Middle Aged
- Polyesters
- Polytetrafluoroethylene
- Prognosis
- Stents
- Survival Rate
|