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Journal of Cardiothoracic Surgery

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Open Access 01-12-2006 | Study protocol

Complications after endovascular stent-grafting of thoracic aortic diseases

Authors: Gabriele Piffaretti, Matteo Tozzi, Chiara Lomazzi, Nicola Rivolta, Roberto Caronno, Patrizio Castelli

Published in: Journal of Cardiothoracic Surgery | Issue 1/2006

Abstract

Background

To update our experience with thoracic aortic stent-graft treatment over a 5-year period, with special consideration for the occurrence and management of complications.

Methods

From December 2000 to June 2006, 52 patients with thoracic aortic pathologies underwent endovascular repair; there were 43 males (83%) and 9 females, mean age 63 ± 19 years (range 17–87). Fourteen patients (27%) were treated for degenerative thoracic aortic aneurysm, 12 patients (24%) for penetrating aortic ulcer, 8 patients (15%) for blunt traumatic injury, 7 patients (13%) for acute type B dissection, 6 patients (11%) for a type B dissecting aneurysm; 5 patients (10%) with thoraco-abdominal aortic aneurysms were excluded from the analyses. Fifteen patients (32%) underwent emergency treatment. Overall, mean EuroSCORE was 9 ± 3 (median 15, range 3–19). All procedures were performed in the theatre under general anesthesia. All complications occurring during hospitalisation were recorded. Follow-up protocol featured CT-A, and chest X-rays 1, 4 and 12 months after intervention, and annually thereafter.

Results

Primary technical success was achieved in all patients; procedures never aborted because of access difficulty. Conversion to standard open repair was never required. Mean duration of the procedure was 119 ± 75 minutes (median 90, range 45–285). Mean blood loss was 254 mL (range 50–1200 mL). The mean length of the aorta covered by the SGs was 192 ± 21 mm (range 100–360). The LSA was over-stented in 17 cases (17/47, 36%). Overall 30-day operative mortality was 6.4% (3/47). Major complications included pneumonia (n = 9), cerebrovascular accidents (n = 4), arrhythmia (n = 4), acute renal failure (n = 3), and colic ischemia (n = 1). Overall, endoleak rate was 14%.

Conclusion

Although this report is a retrospective and not comparative analysis of thoracic aortic repair, the combined minor and major morbidity rate was lower than previous reported to results of either electively and emergency performed conventional repair.

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Title: Complications after endovascular stent-grafting of thoracic aortic diseases
Authors: Gabriele Piffaretti
Matteo Tozzi
Chiara Lomazzi
Nicola Rivolta
Roberto Caronno
Patrizio Castelli
Publication date: 01-12-2006
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2006
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-1-26

At a glance: The STEP trials

Springer Medicine

Complications after endovascular stent-grafting of thoracic aortic diseases

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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