Self-expandable aortic stent-grafts for treatment of descending aortic dissections

Detalhes bibliográficos
Autor(a) principal: Fonseca, José Honório Palma da [UNIFESP]
Data de Publicação: 2002
Outros Autores: Souza, José Augusto Marcondes de [UNIFESP], Alves, Claudia Maria Rodrigues [UNIFESP], Carvalho, Antonio Carlos Camargo [UNIFESP], Buffolo, Enio [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1016/S0003-4975(02)03397-0
http://repositorio.unifesp.br/handle/11600/26803
Resumo: Background. Acute aortic dissection is a lifethreatening medical condition that is associated with high morbidity and mortality.Methods. of 198 patients treated with a self-expanding polyester-covered stent-graft for various pathologic aortic conditions in our institution, we selected 70 consecutive patients with type B aortic dissection who were undergoing treatment. the stent-graft was introduced through the femoral artery in the angiography suite, under general anesthesia with systemic heparinization and induced hypotension.Results. the procedure was performed in 70 patients; of these, 58 had descending aortic dissection and 12 had atypical dissections. the procedure was successful in 65 patients (92.9%), as documented by exclusion of the false lumen of the thoracic aorta. Eleven patients (18.9%) had persistent blood flow in the false lumen of the abdominal aorta due to distal reentries. Five patients (7.1%) underwent conversion to surgery. Insertion of additional stent-grafts was required in 34 patients (48.6%). At 29 months of follow-up, 91.4% of the patients were alive.Conclusions. Stent-grafts are an important means of treating aortic dissections, which may replace conventional medical treatment of this condition for the majority of patients. (C) 2002 by the Society of Thoracic Surgeons.
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spelling Self-expandable aortic stent-grafts for treatment of descending aortic dissectionsBackground. Acute aortic dissection is a lifethreatening medical condition that is associated with high morbidity and mortality.Methods. of 198 patients treated with a self-expanding polyester-covered stent-graft for various pathologic aortic conditions in our institution, we selected 70 consecutive patients with type B aortic dissection who were undergoing treatment. the stent-graft was introduced through the femoral artery in the angiography suite, under general anesthesia with systemic heparinization and induced hypotension.Results. the procedure was performed in 70 patients; of these, 58 had descending aortic dissection and 12 had atypical dissections. the procedure was successful in 65 patients (92.9%), as documented by exclusion of the false lumen of the thoracic aorta. Eleven patients (18.9%) had persistent blood flow in the false lumen of the abdominal aorta due to distal reentries. Five patients (7.1%) underwent conversion to surgery. Insertion of additional stent-grafts was required in 34 patients (48.6%). At 29 months of follow-up, 91.4% of the patients were alive.Conclusions. Stent-grafts are an important means of treating aortic dissections, which may replace conventional medical treatment of this condition for the majority of patients. (C) 2002 by the Society of Thoracic Surgeons.Universidade Federal de São Paulo, Dept Cardiovasc Surg, Sch Med, Cardiovasc Surg & Cardiol Discipline, BR-04038002 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Cardiovasc Surg, Sch Med, Cardiovasc Surg & Cardiol Discipline, BR-04038002 São Paulo, BrazilWeb of ScienceElsevier B.V.Universidade Federal de São Paulo (UNIFESP)Fonseca, José Honório Palma da [UNIFESP]Souza, José Augusto Marcondes de [UNIFESP]Alves, Claudia Maria Rodrigues [UNIFESP]Carvalho, Antonio Carlos Camargo [UNIFESP]Buffolo, Enio [UNIFESP]2016-01-24T12:33:19Z2016-01-24T12:33:19Z2002-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1138-1141http://dx.doi.org/10.1016/S0003-4975(02)03397-0Annals of Thoracic Surgery. New York: Elsevier B.V., v. 73, n. 4, p. 1138-1141, 2002.10.1016/S0003-4975(02)03397-00003-4975http://repositorio.unifesp.br/handle/11600/26803WOS:000174807400028engAnnals of Thoracic Surgeryinfo:eu-repo/semantics/openAccesshttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policyreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2022-06-02T09:34:53Zoai:repositorio.unifesp.br/:11600/26803Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652022-06-02T09:34:53Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Self-expandable aortic stent-grafts for treatment of descending aortic dissections
title Self-expandable aortic stent-grafts for treatment of descending aortic dissections
spellingShingle Self-expandable aortic stent-grafts for treatment of descending aortic dissections
Fonseca, José Honório Palma da [UNIFESP]
title_short Self-expandable aortic stent-grafts for treatment of descending aortic dissections
title_full Self-expandable aortic stent-grafts for treatment of descending aortic dissections
title_fullStr Self-expandable aortic stent-grafts for treatment of descending aortic dissections
title_full_unstemmed Self-expandable aortic stent-grafts for treatment of descending aortic dissections
title_sort Self-expandable aortic stent-grafts for treatment of descending aortic dissections
author Fonseca, José Honório Palma da [UNIFESP]
author_facet Fonseca, José Honório Palma da [UNIFESP]
Souza, José Augusto Marcondes de [UNIFESP]
Alves, Claudia Maria Rodrigues [UNIFESP]
Carvalho, Antonio Carlos Camargo [UNIFESP]
Buffolo, Enio [UNIFESP]
author_role author
author2 Souza, José Augusto Marcondes de [UNIFESP]
Alves, Claudia Maria Rodrigues [UNIFESP]
Carvalho, Antonio Carlos Camargo [UNIFESP]
Buffolo, Enio [UNIFESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Fonseca, José Honório Palma da [UNIFESP]
Souza, José Augusto Marcondes de [UNIFESP]
Alves, Claudia Maria Rodrigues [UNIFESP]
Carvalho, Antonio Carlos Camargo [UNIFESP]
Buffolo, Enio [UNIFESP]
description Background. Acute aortic dissection is a lifethreatening medical condition that is associated with high morbidity and mortality.Methods. of 198 patients treated with a self-expanding polyester-covered stent-graft for various pathologic aortic conditions in our institution, we selected 70 consecutive patients with type B aortic dissection who were undergoing treatment. the stent-graft was introduced through the femoral artery in the angiography suite, under general anesthesia with systemic heparinization and induced hypotension.Results. the procedure was performed in 70 patients; of these, 58 had descending aortic dissection and 12 had atypical dissections. the procedure was successful in 65 patients (92.9%), as documented by exclusion of the false lumen of the thoracic aorta. Eleven patients (18.9%) had persistent blood flow in the false lumen of the abdominal aorta due to distal reentries. Five patients (7.1%) underwent conversion to surgery. Insertion of additional stent-grafts was required in 34 patients (48.6%). At 29 months of follow-up, 91.4% of the patients were alive.Conclusions. Stent-grafts are an important means of treating aortic dissections, which may replace conventional medical treatment of this condition for the majority of patients. (C) 2002 by the Society of Thoracic Surgeons.
publishDate 2002
dc.date.none.fl_str_mv 2002-04-01
2016-01-24T12:33:19Z
2016-01-24T12:33:19Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/S0003-4975(02)03397-0
Annals of Thoracic Surgery. New York: Elsevier B.V., v. 73, n. 4, p. 1138-1141, 2002.
10.1016/S0003-4975(02)03397-0
0003-4975
http://repositorio.unifesp.br/handle/11600/26803
WOS:000174807400028
url http://dx.doi.org/10.1016/S0003-4975(02)03397-0
http://repositorio.unifesp.br/handle/11600/26803
identifier_str_mv Annals of Thoracic Surgery. New York: Elsevier B.V., v. 73, n. 4, p. 1138-1141, 2002.
10.1016/S0003-4975(02)03397-0
0003-4975
WOS:000174807400028
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Annals of Thoracic Surgery
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
eu_rights_str_mv openAccess
rights_invalid_str_mv http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.format.none.fl_str_mv 1138-1141
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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