Endovascular Repair of Contained Rupture of the Thoracic Aorta

Journal Article · Thu Aug 15 04:00:00 EDT 2002 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-001-0115-6· OSTI ID:21083431

Morgan, Robert ^[1]; Loosemore, Tom ^[2]; Belli, Anna-Maria ^[1]

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1. Department of Radiology, St. George's Hospital, Blackshaw Road, London SW17 0QT (United Kingdom)
2. 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, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 25; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ANESTHESIA
AORTA
BIOLOGICAL REPAIR
GRAFTS
PATIENTS
RUPTURES
SURGERY
TUMOR CELLS