Emergency treatment of the thoracic aorta: results in 113 consecutive acute patients (the Talent Thoracic Retrospective Registry)☆

Abstract

Sub-analysis of the Talent Thoracic Retrospective Registry for endovascular stent grafting of acute thoracic aorta pathology in over 100 consecutive patients demonstrated its feasibility, with low morbidity and acceptable low mortality rates.

Outcome of patients suffering from acute type B aortic dissection: a retrospective single-centre analysis of 135 consecutive patients☆

“…For patients presenting with acute type B aortic dissection (TBAD), several different treatment strategies exist, including minimally invasive thoracic endovascular aortic repair (TEVAR). Management recommendations for acute pathologies of the descending aorta are mostly derived from registry data and expert opinion, as opposed to randomised clinical trials [1][2][3][4][5][6][7][8][9]. Nonetheless, there is general consensus that patients with stable, acute, uncomplicated TBAD should be treated conservatively with antihypertensives and heart rate control, followed by regular ambulatory visits and imaging [10,11].…”

Endovascular repair of thoracic and abdominal aortic ruptures: a single-center experience

“…Several case reports and case series evaluating the technical feasibility and safety of endovascular treatment for rAAA and TAI suggest that between 40% and 80% of rAAAs are suitable for endovascular aortic repair (EVAR) (5,7,13,14), and the perioperative mortality rates for endovascular repair of rAAA and TAI are 10%-29% (15)(16)(17) and 0%-20% (10,11,18), respectively.…”

“…The Talent thoracic retrospective registry (18) reported the results from 113 patients with acute thoracic aortic pathology who were treated endovascularly. The in-hospital mortality rate was only 8% in this study.…”

Endovascular Repair of Thoracic Aortic Emergencies

“…Dake et al presented one of the first series of endovascular stent grafts for the treatment of descending thoracic aortic aneurysms in 1994 (Dake et al, 1994). Since then, several authors have reported successful endovascular treatment of both chronic and acute lesions of the thoracic aorta (Dake, 2001;Kato et al, 1997;Fujikawa et al, 2001;Lachat et al, 2002;Czermak et al, 2002;Amabile et al, 2004;Dunham et al, 2004;Hoornweg et al, 2006;Alsac et al, 2008;Kaya et al, 2009). Despite advances in surgical techniques, surgery for acute thoracic aortic rupture is associated with high morbidity and mortality rates (Doss et al, 2003;Dake et al, 1994).…”