(作者:Wison Y. Szeto, MD,Thomas G. Gleason, MD[|] 刊发时间:2005-06)(查看:11517 下载:15) | 概述:Surgical management has been the established standard of care for acute ascending aortic dissection (Stanford type A or Debakey type I or II) with a worldwide average operative mortality rate of 23% compared with a 1-month mortality rate of 60% with medical management alone. Improving an institution’s operative results depends on the establishment of a comprehensive and specialized team integrating their expertise into a protocoldriven system of care delivery specific for aortic dissections. The |
| (作者:Stephan Kische, Ibrahim Akin, Hüseyin Ince, Tim C. Rehders, Henrik Schneider, Jasmin Ortak, and Chri 刊发时间:2008-01)(查看:10772 下载:25) | 概述:horacic aortic endografting has demonstrated encouraging mid-term results and attracts growing acceptance as a valuable treatment option for chronic aneurysmal disease. The emerging role of endovascular strategies for management of acute thoracic aortic pathologies is even more exciting considering the sobering results of open repair. Although it is accepted that patients at high risk for open surgery will benefit from endovascular strategies, the exact role of stent-graft interventions remains |
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(作者:Paul D. DiMusto, MD, David M. Williams, MD, Himanshu J. Patel, MD, Santi Trimarchi, MD[|]Journal of 刊发时间:2010-06)(查看:10732 下载:10) | 概述:There are approximately 9000 new cases of aortic dis- section in the United States each year. Uncomplicated type B aortic dissections are traditionally managed with medical therapy, controlling blood pressure and heart rate, with
30-day mortality rates between 4% and 10%. However, there is no consensus regarding the management of com- plicated (ie, presenting with malperfusion or refractory pain) type B dissections. Open surgical management of these patients carries an |
| (作者:Remo Daniel Covello,Giulia Maj,Giovanni Landoni,Fr 刊发时间:2008-12)(查看:10121 下载:6) | 概述:Objective: To describe 6 months of experience in the anesthetic management of percutaneous aortic valve implantation.Design: An observational, cohort study. Setting: A university hospital. |
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(作者:George S.K. Fung 刊发时间:2008-01)(查看:9868 下载:25)( 在线阅读) | 概述:In treating thoracic aortic diseases, endovascular repair involves the placement of a self-expanding stent-graft system across the diseased
thoracic aorta. Computational fluid dynamic techniques are applied to model the blood flow by numerically solving the three-dimensional
continuity equation and the time-dependent Navier–Stokes equations for an incompressible fluid. From our results, high blood pressure level
and high systolic slope of the pressure waveform will significantly increase the |
| (作者:Wilson Y. Szeto, MD, William G. Moser, CRNP, Nimesh D. Desai, MD, Rita K. Milewski, MD[|]Annual of t 刊发时间:2009-06)(查看:8640 下载:84) | 概述:We report a case of a patient with a history of previous coronary artery bypass grafting undergoing endovascular aortic repair of a large pseudoaneurysm in the ascending aorta. Due to the limitations of the current technology, the endograft was deployed through a left ventricular transapical approach by using a left mini-thoracotomy |
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(作者:James T. McPhee, M.D.,2 Emad H. Asham, M.D., Michael J. Rohrer, M.D., Michael J. Singh, M.D., Geof 刊发时间:2007-04)(查看:6161 下载:11) | 概述:Introduction and objectives. Several publications document the technical feasibility of stent graft repair of aortic transection. We report our mid-term results of endovascular repair of thoracic aortic transections using covered stent grafts and compare this to a co- hort undergoing open repair during the same time period to demonstrate the shift in practice pattern at our institution.
Materials and methods. A retrospective review of pa- tients who sustained blunt thoracic transection was |
| (作者:E.L. Verhoeven*, 刊发时间:2009-06)(查看:5746 下载:15) | 概述:Background: Recent developments with fenestrated and branched stent grafts have
opened the way to treat complex aortic aneurysms involving the visceral arteries. Early reports
on endovascular treatment of thoraco-abdominal aneurysms have demonstrated the feasibility
of the technique. Given the sparse literature, its safety has not been established yet.
Methods: A literature review was conducted, and the results of our own series of 30 patients
treated with a custom-made Zenith device with f |
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(作者:H. Rousseau, MD, J.P. Bolduc, MD, C. Dambrin, MD, PhD, B. Marcheix, MD, G. Canevet, MD, and P. 刊发时间:2005-04)(查看:5541 下载:49) | 概述:Endovascular treatment of aortic disease has emerged as an alternative mode of treatment that is particularly attractive for patients with severe comorbidities who would not be ideal candidates for open surgery. Actually, short-term morbidity and mortality rates, of large series, compare favorably with those from surgery, and stent-graft placement is proving to be a safe, minimally invasive, and effective treatment for thoracic aortic diseases. However, although endoluminal interventions |
| (作者:Roberto Di Bartolomeo 刊发时间:2009-06)(查看:5247 下载:14) | 概述:Objective: The treatment of complex aortic pathologies of the thoracic aorta remains a challenging issue in aortic surgery. The most recent
development of the classic elephant trunk technique, the ‘frozen elephant trunk’ technique, represents the combination of an endovascular
approach with a conventional surgical treatment for a hybrid approach. Methods: Between January 2007 and July 2008, 34 patients were
operated on for complex pathologies of the thoracic aorta using the frozen elephant tr |
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(作者:Chris Probst[|] 刊发时间:2008-11)(查看:5154 下载:21) | 概述:We present a case of a ruptured chronic Stanford B dissection of the aorta which was successfully treated with a tapered endoprosthesis using
the right axillary artery for access. Challenges to endovascular strategies for thoracic aortic pathology include relatively restricted endoprosthesis
configurations and problems associated with endovascular access. Especially in younger patients the right axillary artery should be considered
as a possible and safe access for antegrade stent placement. |
| (作者:Ali Khoynezhad,MD,Carlos E. Donayre,MD,Jennifer Sm 刊发时间:2007-09)(查看:5075 下载:19) | 概述:Objective: The risk factors associated with death after thoracic endovascular aortic repair are poorly understood. The aim of this study is to analyze the risk factors associated with early and late mortality after thoracic endovascular aortic repair. |
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