(作者:Scott A. Alexander, MD, and Geoffrey D. Rubin, MD 刊发时间:2009-01)(查看:3487 下载:2) | 概述:Computed tomography (CT) angiography of the thoracic aorta has undergone many changes over the past two decades. The advent of multidetector-row CT (MDCT) approximately 10 years ago has revolutionized the evaluation of the thoracic aorta. In a single breathhold, many thousands of images can be acquired as needed to answer important clinical questions. Coronary artery evaluation has been a major driving factor for the exponential advances in MDCT evolution, with a major by-product being improved |
| (作者:K.P. Donas,M. Czerny,I. Guber,H. Teufelsbauer,J. N 刊发时间:2007-05)(查看:3454 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 |
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(作者:K. Koseoglu,B. Cildag,S. Sen,M. Boga,M. Parildar 刊发时间:2006-02)(查看:3423 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:Tad Kim,Tomas D. Martin,W. Anthony Lee,Philip J. H 刊发时间:2008-11)(查看:3422 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 |
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(作者:Peter Mikhail,Phil J. Hess,Charles T. Klodell,Thom 刊发时间:2007-09)(查看:3395 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:W. Anthony Lee 刊发时间:2008-12)(查看:3377 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 |
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(作者:O.J. Denton,J. Bloor,R.P. Martin,A.J.P. Tometzki,M 刊发时间:2008-04)(查看:3374 下载:2) | 概述:Introduction: Aortic arch anomalies are common; however, the presence of concomitant pathology may present a complex management problem. Report: A 42 year old lady with anomalous right subclavian artery was found to have recurrent coarctation of the aorta and an aneurysm related to the previous repair. Management of the aneurysm was complicated by the proximity of subclavian artery origins. Bilateral subclavian-to-carotid transposition was undertaken to preserve antegrade vertebral artery flow, |
| (作者:John A. Elefteriades, MD 刊发时间:2008-05)(查看:3366 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:Robert J Feezor,Philip J Hess Jr,Tomas D Martin,Ch 刊发时间:2009-01)(查看:3337 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. |
| (作者:Naomichi Uchida,Hiroshi Ishihara,Hidenori Shibamur 刊发时间:2005-08)(查看:3322 下载:2) | 概述:We sought to describe the midterm results of extensive primary repair of the thoracic aorta by means of the modified elephant trunk technique with a stent graft for acute type A aortic dissection, particularly the changes of the false lumen shown by enhanced computed tomographic scanning. |
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(作者:Michael P. Siegenthaler,Ernst Weigang, Kerstin Bre 刊发时间:2008-07)(查看:3302 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 |
| (作者:Robert G. Kayser Jr.,MBA, Derek R. Brinster,Mark S 刊发时间:2007-05)(查看:3300 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 |
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