(作者:W. Anthony Lee 刊发时间:2008-12)(查看:4287 下载:2) | 概述:Careful patient selection and case planning is critical to the early and late success of thoracic endovascular aortic aneurysm repair (TEVAR). It can be said that 90% of the battle is won or lost before stepping into the operating room. Although repair of an uncomplicated mid-descending thoracic aneurysm is fairly straightforward, most thoracic pathologies lie close to the arch vessels proximally or mesenteric vessels distally, or both. Meticulous attention to detail and proficiency in advanced |
| (作者:M. Ferreira,M. Monteiro,L. Lanziotti,G. Abuhadba,L 刊发时间:2007-01)(查看:4243 下载:2) | 概述:Purpose. To report a series of cases in which deliberate occlusion of the left Subclavian Artery (SA) caused the Subclavian Steal Syndrome (SSS). Methods. Between January 2001 and August 2006, we performed 81 endovascular repairs of the Thoracic Aorta. 21 patients required left SA occlusion for an adequate proximal landing zone. 17 of these patients were treated by deliberate SA occlusion. Four patients (23.5%) developed a SSS, of which three were treated by a secondary Subclavian-to-carotid
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(作者:K. Koseoglu,B. Cildag,S. Sen,M. Boga,M. Parildar 刊发时间:2006-02)(查看:4202 下载:2) | 概述:We report a case of an immuno-suppressed 49-year-old man with mycotic aneurysm of left subclavian artery. The aneurysm was diagnosed by computed tomography and digital subtraction angiography. Our choice for treatment was endovascular stent-graft implantation. After stent-graft implantation, type I endoleak was present because of the aneurysm had broad neck and, so, we implanted second stent-graft proximally to the first stent. The end of the procedure, there was a minimal type III endoleak into |
| (作者:Michael P. Siegenthaler,Ernst Weigang, Kerstin Bre 刊发时间:2008-07)(查看:4139 下载:5) | 概述:Objective: Endovascular treatment of thoracoabdominal aortic aneurysms (TAAA) in combination with selective open surgical revascularization may be an alternative to conventional surgical repair. We analyzed our patient outcomes after elective and emergent endovascular TAAA repair. Methods: Mortality and outcome data from 21 consecutive patients treated with endovascular TAAA repair between 2000 and 2006 were reviewed. An integrated neuroprotective approach was used on all patients. Mortality ris |
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(作者:K.P. Donas,M. Czerny,I. Guber,H. Teufelsbauer,J. N 刊发时间:2007-05)(查看:4109 下载:4) | 概述:Purpose. To report the results of a systematic review of the literature and to provide evidence for the hybrid openendovascular repair (HOER) in patients with thoracoabdominal aortic aneurysms (TAAAs). Methods. A comprehensive literature review was performed and all studies identified that reported the results of HOER in patients with TAAA and information about primary technical and clinical success in evaluating the immediate and longterm complications such as neurological, renal and respirator |
| (作者:John A. Elefteriades, MD 刊发时间:2008-05)(查看:4085 下载:21) | 概述:The vast database of the Yale Center for Thoracic Aortic Disease—which includes information on 3000 patients with thoracic aortic aneurysm or dissection, with 9000 catalogued images and 9000 patient-years of follow-up—has, over the last decade, permitted multiple glimpses into the “playbook” of this virulent disease. Understanding the precise behavioral features of thoracic aortic aneurysm and dissection permits us more effectively to combat this disease. |
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(作者:Peter Mikhail,Phil J. Hess,Charles T. Klodell,Thom 刊发时间:2007-09)(查看:4063 下载:2) | 概述:Acute aortic dissection is a disease entity that is treated depending on the extent and location of involvement of the dissection flap. Type A dissection (involving the ascending aorta and/or aortic arch) is managed surgically, whereas type B dissection (involving only the descending aorta) is usually managed medically. Because these treatments are different and prompt intervention is critical to survival,accurate initial diagnosis is essential. Clinical changes may also develop that represent a |
| (作者:Robert J Feezor,Philip J Hess Jr,Tomas D Martin,Ch 刊发时间:2009-01)(查看:4059 下载:2) | 概述:Although a large proportion of patients with traumatic thoracic aortic injury die before undergoing definitive repair, those who survive still face ongoing risk of death and morbidity. Endovascular therapy may offer a minimally invasive alternative in the repair of the aortic injury. |
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(作者:Tad Kim,Tomas D. Martin,W. Anthony Lee,Philip J. H 刊发时间:2008-11)(查看:4057 下载:4) | 概述:Objectives: Extensive aneurysms of the ascending, arch, and descending thoracic aorta traditionally have been managed with a 2-stage "elephant trunk" procedure. Single-stage transmediastinal repairs have also been used, because in some patients the entire repair is not completed owing to either complications during first-stage repair or magnitude of the second-stage operation. Since 2006, second-stage elephant trunks have been preferentially completed with endovascular stent grafts in anatomical |
| (作者:Jenny K. Hoang, MBBS, FRANZCR, Santiago Martinez, 刊发时间:2008-10)(查看:4021 下载:5) | 概述:Open surgical and endovascular repair techniques can be used to manage thoracic aortic diseases such as dissection, intramural hematoma, aneurysm, pseudoaneurysm, and penetrating ulcer. Following thoracic aortic repair, imaging has an important role in routine follow-up and in investigation of suspected complications. The thoracic aorta has a spectrum of expected postoperative findings on computed tomography angiography (CTA), magnetic resonance angiography (MRA), conventional angiography, and c |
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(作者:Robert G. Kayser Jr.,MBA, Derek R. Brinster,Mark S 刊发时间:2007-05)(查看:4014 下载:2) | 概述:A case of a 35-year-old woman with acute circumferential type B aortic dissection is presented. A review of the literature demonstrated that circumferential aortic dissection is limited to a small number of case reports and a small case series of type A lesions. This is the first report of a circumferential type B dissection. The case highlights the need to fully evaluate patients with acute aortic dissection and illustrates the unique data provided by transesophageal echocardiography and helica |
| (作者:Joseph E. Bavaria,Joseph S. Coselli,Michael A. Cur 刊发时间:2008-01)(查看:3994 下载:7) | 概述:Between 43,000 and 47,000 people die annually in the United States from diseases of the aorta and its branches and continues to increase. For the thoracic aorta, these diseases are increasingly treated by stent-grafting. No prospective randomized study exists comparing stentgrafting and open surgical treatment, including for disease subgroups. |
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