Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score
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://repositorio.unifesp.br/handle/11600/26802 http://dx.doi.org/10.1016/S0003-4975(02)03386-6 |
Resumo: | Background. Although selection criteria and subgroup analysis are still in the early developmental stages, endovascular treatment of aortic disease has become an alternative to surgery for many patients.Methods. From November 1996 to November 1999, 49 patients were treated with a self-expandable endoprosthesis at our institution. Most patients had acute aortic dissections. Thirteen of these patients did not follow the anatomic selection protocol. We retrospectively analyzed these patients to compare our numerical risk score (which includes clinical and anatomic criteria) between groups with or without success and between groups that followed the anatomic protocol (P) or did not follow the anatomic protocol (E [exception]).Results. Success rates were similar in groups P and E, although mortality rates were higher in group E. Patients from group E had longer procedures and required multiple stents more frequently. the proposed risk score was able to differentiate between groups with or without success, as well as between groups P and E.Conclusions. in order to reduce mortality and morbidity rates, careful selection criteria must be followed when treating patients endovascularly. Although it is time-consuming, using objective criteria can help select patients for endovascular treatment. We propose that patients with a risk score higher than 11 should only undergo percutaneous treatment when they have an unacceptably high surgical risk, and even so only after a detailed discussion of the risks. (C) 2002 by the Society of Thoracic Surgeons. |
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Alves, Claudia Maria Rodrigues [UNIFESP]Fonseca, José Honório Palma da [UNIFESP]Souza, José Augusto Marcondes de [UNIFESP]Carvalho, Antonio Carlos Camargo [UNIFESP]Buffolo, Enio [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2016-01-24T12:33:19Z2016-01-24T12:33:19Z2002-04-01Annals of Thoracic Surgery. New York: Elsevier B.V., v. 73, n. 4, p. 1143-1148, 2002.0003-4975http://repositorio.unifesp.br/handle/11600/26802http://dx.doi.org/10.1016/S0003-4975(02)03386-610.1016/S0003-4975(02)03386-6WOS:000174807400031Background. Although selection criteria and subgroup analysis are still in the early developmental stages, endovascular treatment of aortic disease has become an alternative to surgery for many patients.Methods. From November 1996 to November 1999, 49 patients were treated with a self-expandable endoprosthesis at our institution. Most patients had acute aortic dissections. Thirteen of these patients did not follow the anatomic selection protocol. We retrospectively analyzed these patients to compare our numerical risk score (which includes clinical and anatomic criteria) between groups with or without success and between groups that followed the anatomic protocol (P) or did not follow the anatomic protocol (E [exception]).Results. Success rates were similar in groups P and E, although mortality rates were higher in group E. Patients from group E had longer procedures and required multiple stents more frequently. the proposed risk score was able to differentiate between groups with or without success, as well as between groups P and E.Conclusions. in order to reduce mortality and morbidity rates, careful selection criteria must be followed when treating patients endovascularly. Although it is time-consuming, using objective criteria can help select patients for endovascular treatment. We propose that patients with a risk score higher than 11 should only undergo percutaneous treatment when they have an unacceptably high surgical risk, and even so only after a detailed discussion of the risks. (C) 2002 by the Society of Thoracic Surgeons.Universidade Federal de São Paulo, Paulista Sch Med, São Paulo, BrazilUniversidade Federal de São Paulo, Paulista Sch Med, São Paulo, BrazilWeb of Science1143-1148engElsevier B.V.Annals of Thoracic Surgeryhttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policyinfo:eu-repo/semantics/openAccessEndovascular treatment of thoracic disease: Patient selection and a proposal of a risk scoreinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlereponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/268022022-02-18 10:14:11.707metadata only accessoai:repositorio.unifesp.br:11600/26802Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:08:07.228669Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score |
title |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score |
spellingShingle |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score Alves, Claudia Maria Rodrigues [UNIFESP] |
title_short |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score |
title_full |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score |
title_fullStr |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score |
title_full_unstemmed |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score |
title_sort |
Endovascular treatment of thoracic disease: Patient selection and a proposal of a risk score |
author |
Alves, Claudia Maria Rodrigues [UNIFESP] |
author_facet |
Alves, Claudia Maria Rodrigues [UNIFESP] Fonseca, José Honório Palma da [UNIFESP] Souza, José Augusto Marcondes de [UNIFESP] Carvalho, Antonio Carlos Camargo [UNIFESP] Buffolo, Enio [UNIFESP] |
author_role |
author |
author2 |
Fonseca, José Honório Palma da [UNIFESP] Souza, José Augusto Marcondes de [UNIFESP] Carvalho, Antonio Carlos Camargo [UNIFESP] Buffolo, Enio [UNIFESP] |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Alves, Claudia Maria Rodrigues [UNIFESP] Fonseca, José Honório Palma da [UNIFESP] Souza, José Augusto Marcondes de [UNIFESP] Carvalho, Antonio Carlos Camargo [UNIFESP] Buffolo, Enio [UNIFESP] |
description |
Background. Although selection criteria and subgroup analysis are still in the early developmental stages, endovascular treatment of aortic disease has become an alternative to surgery for many patients.Methods. From November 1996 to November 1999, 49 patients were treated with a self-expandable endoprosthesis at our institution. Most patients had acute aortic dissections. Thirteen of these patients did not follow the anatomic selection protocol. We retrospectively analyzed these patients to compare our numerical risk score (which includes clinical and anatomic criteria) between groups with or without success and between groups that followed the anatomic protocol (P) or did not follow the anatomic protocol (E [exception]).Results. Success rates were similar in groups P and E, although mortality rates were higher in group E. Patients from group E had longer procedures and required multiple stents more frequently. the proposed risk score was able to differentiate between groups with or without success, as well as between groups P and E.Conclusions. in order to reduce mortality and morbidity rates, careful selection criteria must be followed when treating patients endovascularly. Although it is time-consuming, using objective criteria can help select patients for endovascular treatment. We propose that patients with a risk score higher than 11 should only undergo percutaneous treatment when they have an unacceptably high surgical risk, and even so only after a detailed discussion of the risks. (C) 2002 by the Society of Thoracic Surgeons. |
publishDate |
2002 |
dc.date.issued.fl_str_mv |
2002-04-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T12:33:19Z |
dc.date.available.fl_str_mv |
2016-01-24T12:33:19Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Annals of Thoracic Surgery. New York: Elsevier B.V., v. 73, n. 4, p. 1143-1148, 2002. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/26802 http://dx.doi.org/10.1016/S0003-4975(02)03386-6 |
dc.identifier.issn.none.fl_str_mv |
0003-4975 |
dc.identifier.doi.none.fl_str_mv |
10.1016/S0003-4975(02)03386-6 |
dc.identifier.wos.none.fl_str_mv |
WOS:000174807400031 |
identifier_str_mv |
Annals of Thoracic Surgery. New York: Elsevier B.V., v. 73, n. 4, p. 1143-1148, 2002. 0003-4975 10.1016/S0003-4975(02)03386-6 WOS:000174807400031 |
url |
http://repositorio.unifesp.br/handle/11600/26802 http://dx.doi.org/10.1016/S0003-4975(02)03386-6 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Annals of Thoracic Surgery |
dc.rights.driver.fl_str_mv |
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1143-1148 |
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 |
|
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1783460254094196736 |