Endovascular therapy ot thoracic aortic aneurysms

被引：7
作者：
Schumacher H. [1 ,2 ]
Böckler D. [1 ]
Allenberg J.-R. [1 ]
机构：
[1] Abteilung für Gefäßchirurgie, Vaskuläre und Endovaskuläre Chirurgie, Gefäßzentrum, Ruprecht-Karls-Universität Heidelberg
[2] Abteilung für Gefäßchirurgie, Vaskuläre und Endovaskuläre Chirurgie, Gefäßzentrum, Ruprecht-Karls-Universität Heidelberg, 69120 Heidelberg
来源：
Gefässchirurgie | 2005年 / 10卷 / 3期
关键词：
High-risk patient; Implantation technique; Stent graft; Thoracic aortic aneurysm; Thoracic; endovascular repair;
D O I：
10.1007/s00772-005-0399-y
中图分类号：
学科分类号：
摘要：
Experience with endovascular repair of abdominal aortic aneurysms has led to the development of minimally invasive techniques to treat thoracic aortic pathologies. Such inhomogenous diseases challenge surgeons to perform complex surgical repairs in high-risk patients. The minimally invasive nature of thoracic endografting provides an attractive alternative therapy, especially in patients deemed unfit for thoracotomy. A worldwide review of thoracic endografting demonstrates encouraging short and midterm outcomes with significant reductions in morbidity and early mortality and acceptable freedom from aneurysm related death. Close long-term surveillance and serial imaging studies will be crucial to discovering complications unique to thoracic endografting and to detecting device failure prior to the development of devastating clinical sequelae. As this technology matures, endovascular therapy may become the preferred initial therapy for many thoracic aortic lesions. More specific selection of patients may further reduce mortality and morbidity. © Springer Medizin Verlag 2005.
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收藏
页码：203 / 220
页数：17
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