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Article: Endovascular repair for thoracic aortic pathologies-early and midterm results
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TitleEndovascular repair for thoracic aortic pathologies-early and midterm results
 
AuthorsTing, ACW1
Cheng, SWK1
Ho, P1
Chan, YC1
Poon, JTC1
Cheung, GCY1
 
KeywordsAortic
Endovascular
Thoracic
 
Issue Date2009
 
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
 
CitationAsian Journal Of Surgery, 2009, v. 32 n. 1, p. 39-46 [How to Cite?]
 
AbstractObjective: To assess the early and midterm results of endovascular stent graft repair in patients with thoracic aortic pathologies. Methods: Between March 2000 and December 2005, 44 consecutive patients undergoing endovascular repair for 45 thoracic aortic lesions were studied. Follow-up protocol includes regular clinical examination and computed tomographies. Results: There were 37 men and 7 women with a median age of 59 years at operation (range, 26-90). The pathologies consisted of 15 thoracic aortic aneurysms, nine pseudoaneurysms, 16 thoracic aortic dissections, and five thoracic aortic injuries. Successful deployment of the endovascular stent grafts with complete sealing of the pathology were achieved in all but one patient who had the procedure abandoned as a result of access difficulty, giving a technical success of 98%. The median hospital stay was 7 days (range, 3-196), with no hospital death nor paraplegia. The median follow-up was 25 months (range, 0-86). There were eight follow-up deaths, two of which were thoracic aortic pathology related (both patients had aortoesophageal fistulae). There were three other clinical failures: distal attachment endoleak in a patient with thoracic aortic aneurysm, one enlarging and one newly developed dissecting thoracic aortic aneurysm despite endografting. The cumulative freedom from clinical failure and failure free survival were 90% and 75% at 18 months respectively. Conclusion: Endovascular stent graft repair is a feasible option in thoracic aortic pathologies with promising early and midterm results. © 2009 Elsevier. All rights reserved.
 
ISSN1015-9584
2013 Impact Factor: 0.758
2013 SCImago Journal Rankings: 0.361
 
ISI Accession Number IDWOS:000264662400007
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorTing, ACW
 
dc.contributor.authorCheng, SWK
 
dc.contributor.authorHo, P
 
dc.contributor.authorChan, YC
 
dc.contributor.authorPoon, JTC
 
dc.contributor.authorCheung, GCY
 
dc.date.accessioned2012-05-29T06:07:58Z
 
dc.date.available2012-05-29T06:07:58Z
 
dc.date.issued2009
 
dc.description.abstractObjective: To assess the early and midterm results of endovascular stent graft repair in patients with thoracic aortic pathologies. Methods: Between March 2000 and December 2005, 44 consecutive patients undergoing endovascular repair for 45 thoracic aortic lesions were studied. Follow-up protocol includes regular clinical examination and computed tomographies. Results: There were 37 men and 7 women with a median age of 59 years at operation (range, 26-90). The pathologies consisted of 15 thoracic aortic aneurysms, nine pseudoaneurysms, 16 thoracic aortic dissections, and five thoracic aortic injuries. Successful deployment of the endovascular stent grafts with complete sealing of the pathology were achieved in all but one patient who had the procedure abandoned as a result of access difficulty, giving a technical success of 98%. The median hospital stay was 7 days (range, 3-196), with no hospital death nor paraplegia. The median follow-up was 25 months (range, 0-86). There were eight follow-up deaths, two of which were thoracic aortic pathology related (both patients had aortoesophageal fistulae). There were three other clinical failures: distal attachment endoleak in a patient with thoracic aortic aneurysm, one enlarging and one newly developed dissecting thoracic aortic aneurysm despite endografting. The cumulative freedom from clinical failure and failure free survival were 90% and 75% at 18 months respectively. Conclusion: Endovascular stent graft repair is a feasible option in thoracic aortic pathologies with promising early and midterm results. © 2009 Elsevier. All rights reserved.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationAsian Journal Of Surgery, 2009, v. 32 n. 1, p. 39-46 [How to Cite?]
 
dc.identifier.epage46
 
dc.identifier.hkuros155063
 
dc.identifier.isiWOS:000264662400007
 
dc.identifier.issn1015-9584
2013 Impact Factor: 0.758
2013 SCImago Journal Rankings: 0.361
 
dc.identifier.issue1
 
dc.identifier.pmid19321401
 
dc.identifier.scopuseid_2-s2.0-62949244013
 
dc.identifier.spage39
 
dc.identifier.urihttp://hdl.handle.net/10722/147692
 
dc.identifier.volume32
 
dc.languageeng
 
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
 
dc.publisher.placeHong Kong
 
dc.relation.ispartofAsian Journal of Surgery
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAdult
 
dc.subject.meshAged
 
dc.subject.meshAged, 80 And Over
 
dc.subject.meshAneurysm, False - Surgery
 
dc.subject.meshAngioplasty
 
dc.subject.meshAortic Aneurysm, Thoracic - Surgery
 
dc.subject.meshAortic Rupture - Surgery
 
dc.subject.meshBlood Vessel Prosthesis Implantation
 
dc.subject.meshFemale
 
dc.subject.meshFollow-Up Studies
 
dc.subject.meshHumans
 
dc.subject.meshMale
 
dc.subject.meshMiddle Aged
 
dc.subject.meshStents
 
dc.subject.meshTime Factors
 
dc.subject.meshTreatment Outcome
 
dc.subjectAortic
 
dc.subjectEndovascular
 
dc.subjectThoracic
 
dc.titleEndovascular repair for thoracic aortic pathologies-early and midterm results
 
dc.typeArticle
 
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<description.abstract>Objective: To assess the early and midterm results of endovascular stent graft repair in patients with thoracic aortic pathologies. Methods: Between March 2000 and December 2005, 44 consecutive patients undergoing endovascular repair for 45 thoracic aortic lesions were studied. Follow-up protocol includes regular clinical examination and computed tomographies. Results: There were 37 men and 7 women with a median age of 59 years at operation (range, 26-90). The pathologies consisted of 15 thoracic aortic aneurysms, nine pseudoaneurysms, 16 thoracic aortic dissections, and five thoracic aortic injuries. Successful deployment of the endovascular stent grafts with complete sealing of the pathology were achieved in all but one patient who had the procedure abandoned as a result of access difficulty, giving a technical success of 98%. The median hospital stay was 7 days (range, 3-196), with no hospital death nor paraplegia. The median follow-up was 25 months (range, 0-86). There were eight follow-up deaths, two of which were thoracic aortic pathology related (both patients had aortoesophageal fistulae). There were three other clinical failures: distal attachment endoleak in a patient with thoracic aortic aneurysm, one enlarging and one newly developed dissecting thoracic aortic aneurysm despite endografting. The cumulative freedom from clinical failure and failure free survival were 90% and 75% at 18 months respectively. Conclusion: Endovascular stent graft repair is a feasible option in thoracic aortic pathologies with promising early and midterm results. &#169; 2009 Elsevier. All rights reserved.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong