Complete endovascular therapy with branched stent grafts: Treatment alternative for thoracoabdominal aortic aneurysms; [Komplett endovaskuläre Therapie mit gebranchten Endoprothesen: Behandlungsalternative bei thorakoabdominellen Aortenaneurysmen]

被引:0
作者
Böckler D. [1 ]
Verhoeven E.L. [2 ]
机构
[1] Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Chirurgische Universitätsklinik Heidelberg, 69120 Heidelberg
[2] Klinik für Gefäßchirurgie, Klinikum Nürnberg Süd
关键词
Comorbidity; Mortality; Outcome; Prosthesis design; Stents;
D O I
10.1007/s00398-012-0964-0
中图分类号
学科分类号
摘要
The development of branched stent grafts has allowed an additional treatment alternative for thoracoabominal aortic aneurysms. The results of full endovascular repair of selected thoracoabdominal aneurysms are promising and the technique can be offered to high-risk patients for open surgery, for instance with the combination of several risk factors and extent of the disease. A learning curve should be expected. Anatomical limitations, such as extremely tortuous vessels and access problems should be taken into account as well as the quality of the targeted side branches. Although long-term results need to be awaited and limitations of the method, e. g. waiting time for planning and device construction and reinterventions, need to be taken into account, it is likely that endovascular repair of thoracoabdominal aneurysms will become the preferential treatment option for many patients in the near future. © 2012 Springer-Verlag Berlin Heidelberg.
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页码:338 / 345
页数:7
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  • [1] Crawford E.S., DeNatale R.W., Thoracoabdominal aortic aneurysm: Observations regarding the natural course of the disease, J Vasc Surg, 3, pp. 578-582, (1986)
  • [2] Safi H.J., Miller III C.C., Huynh T.T., Et al., Distal aortic perfusion and cerebrospinal fluid drainage for thoracoabdominal and descending thoracic aortic repair: Ten years of organ protection, Ann Surg, 238, pp. 372-380, (2003)
  • [3] Cowan Jr J.A., Dimick J.B., Henke P.K., Et al., Surgical treatment of intact thoracoabdominal aortic aneurysms in the United States: Hospital and surgeon volume-related outcomes, J Vasc Surg, 37, pp. 1169-1174, (2003)
  • [4] Rigberg D.A., McGory M.L., Zingmond D.S., Et al., Thirty-day morality statistics underestimate the risk of repair of thoracoabdominal aortic aneurysms: A statewide experience, J Vasc Surg, 43, pp. 217-223, (2006)
  • [5] Coselli J.S., Bozinovski J., Le Maire S.A., Open surgical repair of 2,286 thoracoabdominal aortic aneurysms, Ann Thorac Surg, 83, (2007)
  • [6] Coselli J.S., LeMaire S.A., Miller III C.C., Et al., Mortality and paraplegia after thoracoabdominal aortic aneurysm repair: A risk factor analysis, Ann Thorac Surg, 69, pp. 409-414, (2000)
  • [7] Conrad M.F., Crawford R.S., Davison J.K., Et al., Thoracoabdominal aneurysm repair: A 20-year perspective, Ann Thorac Surg, 83, (2007)
  • [8] Botsios S., Schmidt A., Klaeffling C., Et al., Die endovaskuläre Behandlung von Bauchaortenaneurysmen bei älteren Patienten (80 Jahre), Zentralbl Chir, 134, pp. 325-330, (2009)
  • [9] Faruqi R.M., Chuter T.A., Reilly L.M., Et al., Endovasular repair of abdominal aortic aneurysm using a pararenal fenestrated stent-graft, J Endovasc Surg, 6, pp. 354-358, (1999)
  • [10] Browne T.F., Hartley D., Purchas S., Et al., A fenestrated covered suprarenal aortic stent, Eur J Vasc Endovasc Surg, 18, pp. 445-449, (1999)