Endovascular Repair of Contained Rupture of the Thoracic Aorta
- Department of Radiology, St. George's Hospital, Blackshaw Road, London SW17 0QT (United Kingdom)
- Department of Vascular Surgery, St. George's Hospital, Blackshaw Road, London SW17 0QT (United Kingdom)
Purpose: To assess the efficacy of stent-grafts for the treatment of acute rupture of the thoracic aorta. Methods: Four patients with acute contained ruptures of the thoracic aorta were treated by insertion of stent-grafts. The underlying aortic lesions were aneurysm, acute aortic ulcer, acute type B dissection and giant cell aortitis. The procedures were performed under general anesthesia in three patients and local anesthesia in one patient. Results: All stent-grafts were successfully deployed. All patients survived the procedure and are now alive and well at follow-up (mean 6.3 months, range 44 days-16 months). One patient underwent a second stent procedure 10 days after the first procedure because of a proximal endoleak. All hemothoraces have resolved. There were no complications. Conclusion:Treatment of acute contained ruptures of the thoracic aorta by the insertion of stent-grafts is feasible. The technical success rates,complication rates and patient survival compare favorably with emergency surgery.
- OSTI ID:
- 21083431
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 25, Issue 4; Other Information: DOI: 10.1007/s00270-001-0115-6; Copyright (c) 2002 Springer-Verlag New York, Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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