Utility of Intraoperative Transesophageal Echocardiography during Endovascular Stent-graft Repair of Acute Thoracic Aortic Dissection

González-Fajardo, J.A.; Gutiérrez, Vicente Guilarte; Román, José Alberto San; Serrador, Ana; Arreba, Emilio; Río, Lourdes Del; Martín, Miguel; Carrera, S.; Vaquero, Carlos

doi:10.1007/s10016-001-0103-y

Cited by 32 publications

(9 citation statements)

References 11 publications

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“…Information derived from TOE allows stent re-adjustments and may potentially result in less post-procedural perigraft leak. Its usefulness has been validated for aortic dissections 18,19 . Large vessels (e.g.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of Planned or Emergency Endovascular Stent Graft Surgery for Thoracic Aneurysms and Dissections

See

Lee

Lew

2004

Anaesth Intensive Care

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We reviewed the intraoperative anaesthetic management and outcome of seven consecutive cases of endovascular stent graft surgery for thoracic aortic aneurysms or dissections over a period of 20 months in our institution. Seven males (median age 63) underwent endovascular stent graft surgery of the thoracic aorta under general anaesthesia. Four were emergency procedures for acute dissection or leaks of thoracic aneurysms. The duration of the procedures ranged from 120 to 300 minutes. Intraoperative stent migration occurred in one patient. Induced hypotension and immobilization were critical during stent deployment. Six out of the seven patients were discharged home between three to 20 days postoperatively. There was no 30-day mortality. One patient died sixty days postoperatively. Anaemia and respiratory complications were the most common postoperative problems encountered. None of the patients sustained spinal cord ischaemia, acute myocardial infarction or renal impairment. Endovascular stent graft surgery of the thoracic aorta is a relatively new alternative to conventional open surgery. Our experience suggests satisfactory short-term outcome even for patients with acute dissection. However, long-term survival and results require further evaluation.

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Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of Planned or Emergency Endovascular Stent Graft Surgery for Thoracic Aneurysms and Dissections

See

Lee

Lew

2004

Anaesth Intensive Care

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“…Although especially for preoperative diagnosis, planning, and angiography, CT and MRI can be used, TEE is suitable during the perioperative period [1] . Angiography is an invasive and time-consuming imaging modality, but TEE provides useful information by identifying the entry site, correct positioning of the guide wire within the true lumen, proper stent positioning and early detection of possible complications [5] . TEE can also be used for patient follow-up to reveal post interventional problems.…”

Section: Thoracic Endovascular Aortic Repair (Tevar) Is a Viable Altementioning

confidence: 99%

Transesophageal Echocardiography in a Patient with Chronic Type B Aortic Dissection Treated with Thoracic Endovascular Aortic Repair

Baytan¹,

Baysan²,

Gunaydin³

et al. 2014

GKDA Derg

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“…It can provide instantaneous views of the location of the guide wires (95%) and an estimation of endograft sizing and location before deployment in relation to the normal and diseased thoracic aorta. 19 Intravascular ultrasound has been recommended in endovascular repairs. In contrast to angiography, both endograft leakage and iatrogenic dissections may easily be diagnosed by TEE.…”

Section: Transesophageal Echocardiography Monitoringmentioning

confidence: 99%

Anesthesia for Patients With Aortic Aneurysm Undergoing Endovascular Stenting

Drenger¹,

Jain²

2011

ASA Refresher Courses in Anesthesiology

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Utility of Intraoperative Transesophageal Echocardiography during Endovascular Stent-graft Repair of Acute Thoracic Aortic Dissection

Cited by 32 publications

References 11 publications

Anaesthetic Management of Planned or Emergency Endovascular Stent Graft Surgery for Thoracic Aneurysms and Dissections

Anaesthetic Management of Planned or Emergency Endovascular Stent Graft Surgery for Thoracic Aneurysms and Dissections

Transesophageal Echocardiography in a Patient with Chronic Type B Aortic Dissection Treated with Thoracic Endovascular Aortic Repair

Anesthesia for Patients With Aortic Aneurysm Undergoing Endovascular Stenting

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