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

TitleEndovascular repair for thoracic aortic pathologies-early and midterm results
Authors
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
Citation
Asian 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.
Persistent Identifierhttp://hdl.handle.net/10722/147692
ISSN
2014 Impact Factor: 0.906
2014 SCImago Journal Rankings: 0.317
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorHo, Pen_HK
dc.contributor.authorChan, YCen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorCheung, GCYen_HK
dc.date.accessioned2012-05-29T06:07:58Z-
dc.date.available2012-05-29T06:07:58Z-
dc.date.issued2009en_HK
dc.identifier.citationAsian Journal Of Surgery, 2009, v. 32 n. 1, p. 39-46en_HK
dc.identifier.issn1015-9584en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147692-
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.en_HK
dc.languageengen_US
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#descriptionen_HK
dc.relation.ispartofAsian Journal of Surgeryen_HK
dc.subjectAorticen_HK
dc.subjectEndovascularen_HK
dc.subjectThoracicen_HK
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAneurysm, False - Surgeryen_US
dc.subject.meshAngioplastyen_US
dc.subject.meshAortic Aneurysm, Thoracic - Surgeryen_US
dc.subject.meshAortic Rupture - Surgeryen_US
dc.subject.meshBlood Vessel Prosthesis Implantationen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshStentsen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleEndovascular repair for thoracic aortic pathologies-early and midterm resultsen_HK
dc.typeArticleen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hken_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.identifier.authorityChan, YC=rp00530en_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid19321401-
dc.identifier.scopuseid_2-s2.0-62949244013en_HK
dc.identifier.hkuros155063-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-62949244013&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume32en_HK
dc.identifier.issue1en_HK
dc.identifier.spage39en_HK
dc.identifier.epage46en_HK
dc.identifier.isiWOS:000264662400007-
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridHo, P=24469553100en_HK
dc.identifier.scopusauthoridChan, YC=27170769400en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridCheung, GCY=15052803300en_HK

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