Endovascular Treatment of Thoracic Dissection

Rousseau, Hervé; Otal, P.; Kos, Xavier; Soula, Philippe; Bouchard, Louis; Massabuau, P; Chabbert, V.; Chemla, Patricia; Joffre, Francis

doi:10.1080/00015458.2002.11679320

Cited by 11 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The etiologies treated include aortic aneurysms of atherosclerotic/degenerative, (chronic) traumatic, anastomotic, or mycotic origin (Fig. 5) [40,41,42,43,44,47,48,49,50,51,52,53,54,55,56,57,80,81]. Indications in patients with type-B aortic dissection and giant penetrating ulcers are not clearly defined [16,25,29,30,33,35,36,37,38,39,80].…”

Section: Endovascular Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular treatment of thoracic aortic aneurysms: a review

Thurnher

Grabenwöger

2002

Eur Radiol

View full text Add to dashboard Cite

Open surgical repair is considered the traditional treatment for patients with thoracic aortic aneurysms (TAA). In view of the persistent perioperative mobidity and mortality, endovascular stent-graft placement as a minimally invasive and potentially safer treatment for aneurysm of the descending aorta was introduced in 1992. Since then, progress has been made and several institutions have substantiated the safety and effectiveness of stent grafts in the repair of descending TAAs or type-B aortic dissections. Currently, both custom-designed, home-made, and commercially available stent grafts are used. Prior to placement of the endoprosthesis, three major prerequisites must be considered: the localization and morphology of the aneurysm; the distal vascular access of sufficient size; and a limited tortuosity of the abdominal and thoracic aorta. Although short-term results are encouraging, severe complications, including paraplegia, cerebral strokes, and aortic rupture, have been encountered. The long-term durability of currently available stent-graft systems is nonexistent and material fatigue are of major concern to both surgeons and radiologists. Nevertheless, endovascular stent-graft placement could become the procedure of choice in a substantial number of patients with descending TAA.

show abstract

Section: Endovascular Proceduresmentioning

confidence: 99%

“…Accurate preoperative imaging studies are of the utmost importance to determine the best access site for insertion of the stent-graft delivery system [55,56]. In our department, we perform both a DSA with the use of a calibrated catheter and a multi-slice CT angiography covering the entire aorta and pelvic arteries.…”

Section: Arterial Access Sitesmentioning

confidence: 99%

Endovascular treatment of thoracic aortic aneurysms: a review

Thurnher

Grabenwöger

2002

Eur Radiol

View full text Add to dashboard Cite

show abstract

“…Therefore, longer endografts may be a good choice. 1 However, the extension of stent graft coverage increases, theoretically, the risk of spinal cord ischemia (SCI). The overall incidence of paraplegia or paraparesis was reported to be 1 to 16% after thoracic aortic endovascular repair (TEVAR).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Thoracic Aortic Dissection Treated by Endografts Covering a Longer Distance of Aorta According to the Location of the Adamkiewicz Artery

Jia

et al. 2012

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Preprocedural imaging often allows precise identification of the location of primary entry tears and secondary tears in the dissection flap, and provides critical information regarding aortic diameter, angulation and coverage length (facilitating the selection of appropriately sized stent grafts, stent graft limbs, and/or bare metal stents for endovascular repair). Relative to un-dissected landing zone, stent grafts should be oversized by 10-20% to ensure proper aortic wall apposition (27). Access vessel course, caliber, and degree of calcification should also be evaluated on preoperative imaging prior to sheath insertion.…”

Section: Endovascular Managementmentioning

confidence: 99%