Thoracic Aorta

Endovascular Stent-graft Treatment for Stanford Type A Aortic Dissection

Ye C, Chang G, Li S, et al (Sun Yat-Sen Univ, Guangzhou, People’s Republic of China) Eur J Vasc Endovasc Surg 42:787–794, 2011^§

Abstract

Objective

The aim of the study is to summarise our experience of endovascular stent grafting for Stanford type A aortic dissection.

Design

Retrospective analysis at single centre.

Methods

From January 2001 to January 2009, we treated 45 cases of Stanford type A aortic dissection with endovascular stent grafting. The entry tear was located at the ascending aorta in 10 cases (DeBakey type I), the aortic arch in 14 cases and the distal aortic arch or proximal descending aorta in 21 cases in which the ascending aorta was also involved by the dissection.

Results

The surgical success rate was 97.8% (44/45) and 30-day mortality rate was 6.7% (3/45). Type I endoleaks occurred in 10 cases: one patient died intra-operatively, four were successfully treated with ballooning, four were sealed with aortic cuffs and one case caused by left subclavian artery (LSA) reflux was sealed with an occluder. Average follow-up time was 35.5 ± 5.4 months. Up to the most recent review or death, 32 patients had complete thrombosis and 10 had partial thrombosis inside the false lumen. Two deaths occurred after 30-days postoperatively.

Conclusion

Endovascular stent-graft treatment is a minimally invasive and effective method to treat Stanford type A aortic dissection (Figs 1–3).

Figure 1 Group A. A) Preoperative DSA showed an aortic dissection with tear 1.5 cm from the right innominate artery, 5 cm from the ostium of coronary artery, and B) 2.0 cm in diameter. C) Endoleak remained after the first stent was implanted through LCCA. D) A second stent was implanted to close the tear and the leakage stopped. (Reprinted from European Journal of Vascular and Endovascular Surgery, Ye C, Chang G, Li S, et al. Endovascular stent-graft treatment for Stanford type A aortic dissection. Eur J Vasc Endovasc Surg. 2011;42:787–794. Copyright 2011, with permission from the European Society for Vascular Surgery.)

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related

Related posts:

1. Function Testing of Platelets and Long-term Outcome of Patients with Peripheral Arterial Disease Undergoing Transluminal Angioplasty
2. of Hypoxia-Inducible Factor-1α Gene Therapy on Walking Performance in Patients With Intermittent Claudication
3. Proximal Endografting With Distal Bare-Metal Stenting for Management of Aortic Dissection
4. Influence of Abdominal Pressure on Lower Extremity Venous Pressure and Hemodynamics: A Human In-vivo Model Simulating the Effect of Abdominal Obesity

Stay updated, free articles. Join our Telegram channel

Join