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Endovascular treatment of descending thoracic aortic aneurysms with the EndoFit stent-graft.

Abstract：

OBJECTIVE:To evaluate the mid-term feasibility, efficacy, and durability of descending thoracic aortic aneurysm (DTAA) exclusion using the EndoFit device (LeMaitre Vascular). METHODS:Twenty-three (23) men (mean age 66 years) with a DTAA were admitted to our department for endovascular repair (21 were ASA III+ and 2 refused open repair) from January 2003 to July 2005. RESULTS:Complete aneurysm exclusion was feasible in all subjects (100% technical success). The median follow-up was 18 months (range 8-40 months). A single stent-graft was used in 6 cases. The deployment of a second stent-graft was required in the remaining 17 patients. All endografts were attached proximally, beyond the left subclavian artery, leaving the aortic arch branches intact. No procedure-related deaths have occurred. A distal type I endoleak was detected in 2 cases on the 1 month follow-up CT scan, and was repaired with reintervention and deployment of an extension graft. A nonfatal acute myocardial infarction occurred in 1 patient in the sixth postoperative month. Graft migration, graft infection, paraplegia, cerebral or distal embolization, renal impairment or any other major complications were not observed. CONCLUSION:The treatment of DTAAs using the EndoFit stent-graft is technically feasible. Mid-term results in this series are promising.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Saratzis N,Saratzis A,Melas N,Ginis G,Lioupis A,Lykopoulos D,Lazaridis J,Kiskinis D

doi

10.1007/s00270-006-0168-7

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

177-81

issue

2

eissn

0174-1551

issn

1432-086X

journal_volume

30

pub_type

杂志文章

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