Emergency endovascular interventions for acute thoracic aortic rupture: Four-year follow-up

Doss, Mirko; Wood, Jeffrey P.; Balzer, J. O.; Martens, Sven; Deschka, Heinz; Moritz, Anton

doi:10.1016/j.jtcvs.2004.09.034

Cited by 70 publications

(53 citation statements)

References 16 publications

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“…Several authors have documented early proximal type I endoleaks after EVR of traumatic thoracic aortic rupture [8,10,13,21], but only a few reports exist about late proximal type I endoleaks [17,20,41]. Late proximal or distal type I endoleaks are a well-known complication after EVR of atherosclerotic aneurysms and acute and chronic dissections Stanford type B.…”

Section: Discussionmentioning

confidence: 99%

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

et al. 2006

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The aim of this retrospective study was to evaluate mid- and long-term results of endovascular stent-graft placement for emergency repair of acute traumatic thoracic aortic rupture. From 1996 through 2005, 22 consecutive patients (mean age: 38.7 years) underwent endovascular repair of acute traumatic thoracic aortic rupture located at the aortic isthmus in most cases. All patients were at high surgical risk due to severe associated injuries. The endografts were inserted via femoral or iliac artery access under fluoroscopic guidance. Follow-up was performed postinterventionally, at 6 and 12 months and yearly thereafter, and included clinical examination and computed tomography (CT) scans. Technical and clinical success rates were 86.3%. Mean follow-up was 31.7 months. Three patients developed early type I endoleak due to the inability of the rigid graft to adapt to the curved aortic contour. In two of them conversion to open surgery was necessary. One patient had late type I endoleak and died. No other complications were observed. The outcome was successful in most patients. The mid- and long-term results of our current study are promising. However, early type I endoleak represents a problem, especially in adolescent patients with a marked curvature of the aortic arch.

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Section: Discussionmentioning

confidence: 99%

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

et al. 2006

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“…been associated with an overall mortality rate >50% [3]. In an effort to improve the perioperative outcomes of patients, endovascular stent grafting of the thoracic aorta was introduced in the early 1990s [4].…”

Section: Case Reportmentioning

confidence: 99%

Complication of Endoleak and Retrograde Type A Dissection after Stenting of a Ruptured Type B Dissection

Kong¹,

Dong²,

Shen³

2015

Surgery Curr Res

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“…In den letzten Jahren hat sich die endovaskuläre Behandlung der akuten Ruptur der Aorta thoracalis descendens als Verfahren mit einer hohen akuten Erfolgsrate im Vergleich mit der offenen Operation etabliert und wird sowohl von Kardiologen/Angiologen als auch von Chirurgen angewendet [3,8,9,10]. Trotz der Behandlungserfolge besteht abhängig von der zugrunde liegenden Erkrankung auch weiterhin ein hohes Letalitätsrisi-ko von knapp 20-25% innerhalb der ersten 30 Tage [3, 8, 9, 10].…”

Section: Fazitunclassified

Hämoptyse als erstes Anzeichen einer thorakalen Aortenruptur

Dahm

Voigtländer

Schrödter

et al. 2010

Chirurg

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Acute aortic rupture is associated with a high mortality. The leading symptoms are chest pain, dyspnea and hemodynamic instability as well as hemoptysis. In the current case report a patient with known coronary artery disease and prior coronary artery bypass surgery presented with hemoptysis. He was initially treated for a presumed gastroenterological disorder. The chest X-ray delineated a structure suggestive of aortic rupture and this diagnosis was confirmed by computed tomography. Emergency treatment was performed by implantation of an endovascular stent prosthesis. This procedure is currently regarded the standard treatment of rupture of the descending thoracic aorta. We conclude our case report with a discussion of epidemiology, symptoms, pathogenesis and therapy of this clinically dramatic disease.

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Emergency endovascular interventions for acute thoracic aortic rupture: Four-year follow-up

Abstract: Despite encouraging early outcomes, midterm results suggest a trend toward increased reintervention and late complication rates in the endovascular group. Therefore continued surveillance of patients treated with stent grafts is necessary.

Cited by 70 publications

References 16 publications

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

Complication of Endoleak and Retrograde Type A Dissection after Stenting of a Ruptured Type B Dissection

Hämoptyse als erstes Anzeichen einer thorakalen Aortenruptur

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