Endovascular Stent-Graft Treatment of a Ruptured Thoracic Aortic Ulcer

Faries, Peter L.; Lang, Elvira V.; Ramdev, Pranay; Hollier, Larry H.; Marin, Michael L.; Pomposelli, Frank B.

doi:10.1583/1545-1550-9.sp3.20

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…The data on PAU was compared with that published on thoracic PAU (T. PAU) since the 1986 series of Stanson 3 to determine the differences between these lesions at each site. [1][2][3]14,15,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] Statistical methods were used for. Chi-square analysis was used to compare A. PAU and T. PAU (chiZ0.05).…”

Section: Methodsmentioning

confidence: 99%

Penetrating Atherosclerotic Ulcers of the Infrarenal Aorta: Life-threatening Lesions

Batt

Haudebourg

Planchard

et al. 2005

European Journal of Vascular and Endovascular Surgery

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Section: Methodsmentioning

confidence: 99%

Penetrating Atherosclerotic Ulcers of the Infrarenal Aorta: Life-threatening Lesions

Batt

Haudebourg

Planchard

et al. 2005

European Journal of Vascular and Endovascular Surgery

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“…Penetrating atherosclerotic ulcers of the aorta are caused by the ulceration of atheromatous plaques that disrupt the internal elastic lamina, with subsequent hematoma formation within the media of the aortic wall (25,26,50 -52). Progression of the ulcerative process can lead to hematoma formation in the aortic media, aortic dissection, adventitial pseudoaneurysm formation, and transmural aortic rupture (25,50). They usually occur in elderly patients with severe atherosclerotic disease and hypertension and typically involve the de-scending thoracic aorta (25,26,51,52).…”

Section: Penetrating Atherosclerotic Ulcermentioning

confidence: 99%

“…However, treatment of descending aortic lesions is more controversial. Asymptomatic and uncomplicated ulcers may be managed medically with close radiologic follow-up (50,53). In contrast, in symptomatic or progressing lesions, early treatment is mandatory.…”

Section: Penetrating Atherosclerotic Ulcermentioning

confidence: 99%

Section: Penetrating Atherosclerotic Ulcermentioning

confidence: 99%

“…Stent-graft repair represents a good alternative to surgery (Fig 12), especially in elderly patients, who frequently present with comorbidities (23,25,26,50). A small number of series have documented encouraging results, with greater than 90% technical success and low mortality (23,50,54). The only mid-term data, from the Stanford group, document that endovascular stent-graft repair is associated with low perioperative morbidity and mortality (19% and 12%, respectively) in selected high surgical risk, elderly patients with penetrating atherosclerotic ulcers located in the descending thoracic aorta (26).…”

Section: Penetrating Atherosclerotic Ulcermentioning

confidence: 99%

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Endovascular Stent-Graft Treatment of Thoracic Aortic Disease

Garzón¹,

Fernández-Velilla²,

Martí³

et al. 2005

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Aneurysmal diseases of the thoracic aorta are life-threatening conditions. In such cases, stent-graft treatment has been proposed as an alternative to surgery. The morbidity and mortality associated with endovascular repair are significantly lower than those associated with open surgery. In the largest surgical series, the mortality ranged from 5% to 20%. In studies of endovascular repair, the 30-day mortality was 0%-20% and the periprocedural stroke rate was 0%-7%. Often, open surgery is prohibited in patients with these high-risk lesions; thus, in many cases endovascular treatment is the only alternative. Thoracic aortic diseases that can be treated with endovascular stent-graft placement include aneurysms, dissection, traumatic rupture, traumatic pseudoaneurysms, intramural hematoma, penetrating atherosclerotic ulcers, and aortic rupture. Thorough preprocedure imaging is essential for selecting patients, choosing the stent-graft devices, and planning the intervention. Prerequisites for endovascular stent-graft placement are an adequate neck for graft attachment and adequate vascular access. When the ascending aorta or aortic arch is involved, surgical and endovascular procedures can be combined and performed simultaneously, allowing treatment of a wider range of cases. An experienced interdisciplinary team is needed to manage such cases.

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Endovascular Stent‐Graft Repair of Thoracic Aortic Aneurysms and Dissections

Lee¹,

White²

2005

Vascular Surgery

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Endovascular Stent-Graft Treatment of a Ruptured Thoracic Aortic Ulcer

Cited by 9 publications

References 12 publications

Penetrating Atherosclerotic Ulcers of the Infrarenal Aorta: Life-threatening Lesions

Penetrating Atherosclerotic Ulcers of the Infrarenal Aorta: Life-threatening Lesions

Endovascular Stent-Graft Treatment of Thoracic Aortic Disease

Endovascular Stent‐Graft Repair of Thoracic Aortic Aneurysms and Dissections

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