Intramural Hematoma and Penetrating Ulcers: Indications to Endovascular Treatment

被引：125
作者：
Eggebrecht, H. [1 ]
Plicht, B. [1 ]
Kahlert, P. [1 ]
Erbel, R. [1 ]
机构：
[1] Univ Duisburg Essen, W German Heart Ctr Essen, Dept Cardiol, Essen, Germany
来源：
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2009年 / 38卷 / 06期
关键词：
Penetrating aortic ulcer; Intramural hematoma; TEVAR; Stent-graft; Acute aortic syndrome; THORACIC AORTA; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ATHEROSCLEROTIC ULCER; STENT-GRAFT; FOLLOW-UP; DISSECTION; FEATURES;
D O I：
10.1016/j.ejvs.2009.09.001
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Intramural hematoma (IMH) of the aorta and penetrating aortic ulcer (PAU) are important variant forms of classic doubte-barrel aortic dissection in patients presenting with acute aortic syndrome. Recent insights provided by modern high-resolution imaging are currently challenging previous pathophysiologic concepts underlying IMH and PAU, suggesting a close relationship of both entities. Thoracic endovascular aortic repair (TEVAR) offers a less invasive approach to the treatment of affected patients with very encouraging early to midterm results. This review discusses current indication for TEVAR in IMH and PAU patients in the view of an improved understanding of these diseases. (C) 2009 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
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收藏
页码：659 / 665
页数：7
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