Self-expandable aortic stent-grafts for treatment of descending aortic dissections
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , |
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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Repositório Institucional da UNIFESP |
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3465 |
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 |
_version_ |
1814268287749455872 |