The Use of Stent Grafts for the Treatment of Aneurysms and Dissections of the Thoracic Aorta: A Single Centre Experience

Abstract

Thoracic stent grafts offer a realistic alternative to surgery.

Endovascular Grafting of the Thoracic Aorta, an Evolving Therapy: Ten‐year Experience in a Single Centre

“…No patients undergoing elective endografting died within the first 30 days and this is similar to other reported series of both endovascular and open repair of the descending thoracic aorta, where the reported mortality ranges from 0 to 9.5% [14][15][16][19][20][21][22][23] and 2-30%. 3,[5][6][7][8][9]24 Urgent operations were undertaken in patients who had ruptured, rapidly expanding or symptomatic aneurysms.…”

Type B Aortic Dissections:Treating the Many to Benefit the Few?

“…26 Since that time, many authors have published results on TEVAR for the treatment of descending thoracic aortic dissections. 4,5,27–34 Dake et al 5 initially reported a series of 19 acute symptomatic dissections with 16% early mortality, which is in line with the 11% in our own series. Early mortality in a study from Palma et al 31 was 6% in 58 patients; of those, 35 were acute but asymptomatic.…”

Rapid Progression of Discrete Type A Intramural Hematoma:Prevention of a “Procedure-Related” Complication by Intraoperative Transesophageal Echocardiography

“…2 Perforations of the flaring stent-spring through the aortic wall have been observed during open repair 2 ; however, retrograde type A dissection has also been associated with the use of differently designed stent-grafts without proximal bare stents. 9 The present case demonstrates that dissection of the ascending aorta is not caused solely by procedure-related intimal injury, but also occurs due to underlying, but previously undiagnosed or underestimated disease of the ascending aorta or arch. In our patient, only discrete wall thickening of the ascending aorta was observed on the initial imaging, and it was not considered significant.…”