Endovascular treatment of thoracic disease: patient selection and a proposal of a risk score

Aneurismas de la aorta torácica: Historia natural, diagnóstico y tratamiento

“…Para los pacientes con aneurisma de la aorta ascendente, el reemplazo aórtico por una prótesis de Dacrón es suficiente cuando no existe compromiso valvular (Técnica de David) [27][28] (Figura 3). Al contrario, en el caso de los pacientes con Síndrome de Marfán, Loeys-Dietz, Ehlers-Danlos o cuando la válvula aórtica está dilatada, se realiza una sustitución de ésta y toda la aorta aneurismática por una prótesis valvulada con reimplantación de las arterias coronarias (Procedimiento de Bentall) .…”

“…En el caso de los aneurismas de la aorta descendente se recomienda el tratamiento endovascular 2 (Figura 5). Éste se realiza bajo anestesia general, para un mejor control de la hemodinamia y una inducción de hipotensión controlada 28 . Las ventajas sobre la cirugía abierta son la anulación de grandes incisiones torácicas, menor pérdida de sangre, menor riesgo de isquemia medular (se evita el campleo aórtico y la ligadura de las arterias intercostales), menor dependencia de asistencia respiratoria mecánica y una recuperación más rápida [33][34][35] .…”

Thoracic Angiography and Intervention in Trauma

“…Endovascular treatment for traumatic aortic injury and aortic branch vessel injury is gaining increasing popularity as evidenced by the number of case reports and case series that have appeared in the literature over the past several years [15][16][17][18][19][20][21][22][23][24][25]. The potential advantages of this technique include speed; potential decreased morbidity, such as paraplegia, blood loss, and level of invasiveness; and potential decreased mortality.…”

“…Their successful use of the ''elephant trunk'' technique was translated to the use of stent grafts in the treatment of thoracic aortic aneurysms [ Fig. 9] [21][22][23].…”

Delayed endovascular treatment of descending aorta stent graft collapse in a patient treated for post- traumatic aortic rupture: a case report

“…Endovascular technique is nowadays the gold standard treatment for this kind of lesion[2], but this approach may have some complications[3,4]. Graft collapse has been described in 33 cases in literature[5-18]; according to these reports, a reintervention is needed to correct this potentially lethal complication, either by open repair or with endovascular approach, as soon as the collapse is detected.…”