Endovascular Treatment of a Ruptured Thoracic Aortic Aneurysm

Palombi, Massimiliano; Berardi, F; Sposato, Stefano; Gargiulo, Mauro; Bochicchio, O; Iaria, Giuseppe; Leporelli, P.

doi:10.1053/ejvs.1999.1013

Cited by 14 publications

(6 citation statements)

References 4 publications

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“…There have been few reports of cases in which stentgrafting was performed for a DTAA that had ruptured into the pleural cavity. 4,5 Moreover, there have been no previous reports on successful treatment using stentgrafting of a DTAA that had ruptured into the right pleural cavity, probably because a rupture into the right pleural cavity is unusual and because a delay in diagnosis would result in deterioration of the patient's condition and thus eliminate stent-grafting as an option in some cases. 6 Although stent-graft for a normal aortic wall has been shown to be effective for haemostasis in animal models, 7 it is still not clear whether stent-grafting for a ruptured DTAA is clinically effective.…”

Section: Discussionmentioning

confidence: 99%

Stent-grafting for a thoracic aortic aneurysm ruptured into the right pleural cavity

Kurimoto

Morishita

Kawaharada

et al. 2003

European Journal of Vascular and Endovascular Surgery

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Section: Discussionmentioning

confidence: 99%

Stent-grafting for a thoracic aortic aneurysm ruptured into the right pleural cavity

Kurimoto

Morishita

Kawaharada

et al. 2003

European Journal of Vascular and Endovascular Surgery

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“…Semba et al 22 was the first to report endovascular management of acute thoracic aortic rupture, achieving an 82% perioperative survival rate with no paraplegia in 11 patients. More recently, Palombi et al 21 reported successful endovascular exclusion of a ruptured aneurysm of the distal thoracic aorta using 2 overlapping Vanguard endoprostheses. Greenberg et al 9 employed covered Z stents to treat 25 TAAs, 5 of which had contained rupture or aortobronchial fistula; 3 patients died in the perioperative period.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair for Acute Rupture of the Descending Thoracic Aorta

et al. 2002

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Purpose: To report the endovascular treatment of acute descending thoracic aortic rupture as an alternative to open surgery in high-risk patients. Methods: Between November 1999 and April 2001, 10 patients (7 men; median age 75 years) underwent endovascular stent-grafting of the descending thoracic aorta for acute rupture from an aneurysm (n = 7) or blunt trauma (n = 3). All patients were evaluated as high operative risk. The aortic rupture was associated with isolated mediastinal hematomas (n = 7), left hemothorax (n = 2), or aortobronchial fistula (n = 1). The Excluder Thoracic Endoprosthesis was used predominantly. Results: The mean interval to the endovascular repair was 45.3 ± 28.4 hours. All stent-grafts were successfully deployed. Two patients required common iliac artery access, and 2 needed covered stents for iatrogenic iliac artery rupture. There was 1 postoperative death (myocardial infarction) and no renal failure, neurological complications, embolization, stent-graft migration, or perigraft leak. One patient died 4 months later from an unrelated cause. At a mean follow-up of 7.9 ± 5.1 months, all aneurysms and rupture sites were excluded with no evidence of endoleak or hematoma. Conclusions: Endoluminal treatment is a feasible technique for the management of acute rupture of the descending thoracic aorta. Long-term studies are required to assess the effectiveness and durability of this technique in comparison to open repair.

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“…Only with readily available devices at the institution can unstable patients with ruptured TAA be treated endoluminally. 10 When endoluminal devices are commonly available and the successful endovascular treatment of ruptured aneurysm is reported more frequently, perhaps endovascular exclusion will become the treatment of choice for ruptured TAA.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Exclusion of Leaking Thoracic Aortic Aneurysms

Woody

Walot

Donayre³

et al. 2002

J Endovasc Ther

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Purpose: To describe the endovascular exclusion of leaking thoracic aortic aneurysms (TAA). Case Report: Two elderly patients with leaking TAAs who were at high risk for surgical intervention were transferred to our institution for possible endovascular treatment. Both patients underwent successful endovascular exclusion of the leaking TAAs using multiple stacked AneuRx thoracic endoprostheses. One patient remains alive and well at 1 year with an excluded aneurysm; the other patient died from heart failure 2 months after endografting. Conclusions: While the early results of the endovascular exclusion of leaking TAAs are promising, the use of thoracic endoprostheses remains investigational.

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Endovascular Treatment of a Ruptured Thoracic Aortic Aneurysm

Cited by 14 publications

References 4 publications

Stent-grafting for a thoracic aortic aneurysm ruptured into the right pleural cavity

Stent-grafting for a thoracic aortic aneurysm ruptured into the right pleural cavity

Endovascular Repair for Acute Rupture of the Descending Thoracic Aorta

Endovascular Exclusion of Leaking Thoracic Aortic Aneurysms

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