Comparison of immediate and long-term results of stenting and open surgery for thoracic aortic aneurysm

Belov, Yu. V.; Абугов, С А; Polyakov, R. S.; Charchyan, E. R.; Puretskiy, M.V.; Saakyan, Yu. M.

doi:10.17116/kardio201710252-57

Kardiol. serdechno-sosud. khir.

2017

DOI: 10.17116/kardio201710252-57

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Comparison of immediate and long-term results of stenting and open surgery for thoracic aortic aneurysm

Yu. V. Belov¹,

С А Абугов²,

R. S. Polyakov³

et al.

Abstract: Первая успешная процедура эндоваскулярного протезирования (ЭП) грудной аорты (ГА) при посттравматической аневризме была выполнена 24 марта 1987 г. в СССР. Данная операция стала возможна благодаря научно-практическим поискам группы советских сосудистых хирургов, которую возглавлял Н.Л. Володось [1]. Цель их работы-поиск малотравматичного «дистанционного» метода протезирования аорты. Мотивацией для поисков служила крайне высокая операционная летальность и фактическая беспомощность хирургии того времени при рекон… Show more

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Cited by 2 publications

References 19 publications

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Central aortic blood pressure and pulse wave characteristics in patients with decscending thoracic and abdominal aortic aneurysm: features, dynamics, and prognostic significance

Gurevich,

Emelyanov,

Ionov

et al. 2023

Arter. gipertenz.

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Aortic aneurysm (AA) is one of the most formidable cardiovascular diseases, characterized by subtle clinical manifestations and a high risk of complications. Predisposing factors in the development of AA are age, arterial hypertension (HTN), atherosclerosis, and inflammatory aortic diseases. Those are associated with changes in vascular stiffness. HTN causes increased tension in the aortic wall when the pulse wave of blood pressure (BP) rises in patients with AA. Indicators of central BP and vascular stiffness are of particular interest. They present as independent risk factors for cardiovascular events but are poorly studied among patients with AA. The purpose of the review is to summarize the ideas about the relationship of AA with the indicators of vascular stiffness and central hemodynamics in patients with non-operated AA, as well as after endovascular AA repair. Here we discuss the predictive accuracy and applicability of individual markers concerning AA progression and surgical treatment outcomes, as well as unresolved issues and prospects for further research.

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Central aortic blood pressure and pulse wave characteristics in patients with decscending thoracic and abdominal aortic aneurysm: features, dynamics, and prognostic significance

Gurevich,

Emelyanov,

Ionov

et al. 2023

Arter. gipertenz.

View full text Add to dashboard Cite

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Immediate and Longterm Results of Endovascular Stent-Grafting in Dissections and Atherosclerotic Aneurysms of Thoracic Aorta

Латт¹,

Moiseev²,

Черная

et al. 2018

Aterotromboz

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Objective: to analyze the results of endovascular stent-graftingin dissections and atherosclerotic aneurysms of descending part of thoracic aorta.Material and method: in this analysis includes 28 patients with dissections and atherosclerotic aneurysms of descending part of thoracic aorta. Acute aortic dissection type 3 was occurred in 10 patients and two of them were complicated with rupture into the left pleural cavity. 10 patients with chronic aortic dissection type bunderwent operations and one of them was complicated with rupture into the left pleural cavity. Among 8 operated patients due to chronic aneurysms of descending part of thoracic aorta, 4 patients were manifested with symptoms of hemothorax. In 3 patients with aortic dissection type 1 in long-term period, endovascular stent-grafting was performed concerning with the dilatation of descending thoracic aorta and patent false lumen. During in-hospital and long-term periods immediate clinical results, serious clinical complications and long-term survival were compared.Results: technical success of endovascular stent-grafting was achieved in 100 % of cases. In-hospital mortality was 4 (14,2 %) and 30-day mortality was 3 (10,7 %). Events of paraplegia, TIA (Transient Ischemic Attack), prosthetic infection were not found in our research. Two clinical occurrences of vascular approach site complication were found; one case of endoleak type 1 and stent-graft dislocation which required repeated endovascular stent-grafting and one case of endoleak type 2 which was performed subclaviancarotid bypass and ligation of left subclavian artery. Prolong intubation was needed in 5 patients (18,5 %).conclusion: Endovascular stent-grafting in dissections and atherosclerotic aneurysms of descending part of thoracic aorta contributes good immediate clinical results associating with less quantity of serious complications.

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Comparison of immediate and long-term results of stenting and open surgery for thoracic aortic aneurysm

Cited by 2 publications

References 19 publications

Central aortic blood pressure and pulse wave characteristics in patients with decscending thoracic and abdominal aortic aneurysm: features, dynamics, and prognostic significance

Central aortic blood pressure and pulse wave characteristics in patients with decscending thoracic and abdominal aortic aneurysm: features, dynamics, and prognostic significance

Immediate and Longterm Results of Endovascular Stent-Grafting in Dissections and Atherosclerotic Aneurysms of Thoracic Aorta

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