Title

''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

Disciplines

Medicine and Health Sciences

PubMedID

21576209

Department(s)

Department of Medicine, Cardiology Division

Document Type

Article

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