''Relining'' of thoracic aortic stent grafts for patients presenting with rupture/impending rupture.
Publication/Presentation Date
7-1-2011
Abstract
OBJECTIVES: To report a series of patients following thoracic endovascular aortic repair (TEVAR) presenting with rupture, who were effectively treated with TEVAR relining.
METHODS: Five patients who underwent repeat TEVAR in an urgent fashion were identified. Chart review was performed to identify demographics, device type, aneurysm characteristics, and postoperative course.
RESULTS: Mean time to relining procedure was 5.8 (range 2-10) years. All patients had ≥3 device components originally placed. Mean size of the original aneurysm was 7.2 cm (range 6.6-8). All patients underwent relining with proximal and distal extension with immediate technical success. At a mean follow-up of 1.3 years, there was no evidence of endoleak and no patients required repeat intervention.
CONCLUSIONS: Complete relining with proximal and distal extension was effective in treating patients presenting with rupture. These findings suggest that proximal and distal landing zones provided, relining should be considered the initial management strategy in patients s/p TEVAR re-presenting with rupture.
Volume
45
Issue
5
First Page
438
Last Page
441
ISSN
1938-9116
Published In/Presented At
Wang, G. J., Jackson, B. M., Woo, E. Y., Bavaria, J. E., Desai, N. D., Pochettino, A., & Fairman, R. M. (2011). ''Relining'' of thoracic aortic stent grafts for patients presenting with rupture/impending rupture. Vascular and endovascular surgery, 45(5), 438–441. https://doi.org/10.1177/1538574411408744
Disciplines
Medicine and Health Sciences
PubMedID
21576209
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article