Article: Endovascular repair for thoracic aortic pathologies-early and midterm results

File Download Links for fulltext
(May Require Subscription)
Supplementary
  • Basic View
  • Metadata View
  • XML View
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
2011 Impact Factor: 0.575
2011 SCImago Journal Rankings: 0.070
ISI Accession Number IDWOS:000264662400007
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 0.575
2011 SCImago Journal Rankings: 0.070
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
Author Affiliations
  1. The University of Hong Kong