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CardioVascular and Interventional Radiology

, Volume 30, Issue 4, pp 628–637 | Cite as

Endovascular Repair of Localized Pathological Lesions of the Descending Thoracic Aorta: Midterm Results

  • Cherif Attia
  • Jacques Villard
  • Loic Boussel
  • Fadi Farhat
  • Jacques Robin
  • Didier Revel
  • Philippe DouekEmail author
Clinical Investigation

Abstract

The endoluminal stent-graft represents an attractive and a less invasive technique for treatment of various diseases of the descending thoracic aorta. The purpose of this study was to evaluate the Talent endovascular stent-graft for the treatment of various localized diseases of the descending thoracic aorta. Over a 3-year period, Talent thoracic endografts were placed in 40 patients with a high surgical risk, presenting a localized lesion of the descending thoracic aorta: degenerative aneurysm (n = 13), acute traumatic rupture (n = 11), acute Stanford type B aortic dissection (n = 6), false aneurysm (n = 7), and penetrating atherosclerotic ulcer (n = 3). Fifteen patients (37.5%) were treated as emergencies. The feasibility of endovascular treatment and sizing of the aorta and stent-grafts were determined preoperatively by magnetic resonance angiography (MRA) and intraoperative angiography. Immediate and mid-term technical and clinical success was assessed by clinical and MRA follow-up. Endovascular treatment was completed successfully in all 40 patients, with no conversion to open repair or intraoperative mortality. The mean operative time was 37.5 ± 7 min. The overall 30-day mortality rate was 10% (n = 4), all in emergency cases, for causes not related to the endograft. The primary technical success was 92.5%. The mean follow-up period was 15 ± 5 months. The survival rate was 95% (n = 35). Diminution of the aneurismal size was observed in 47.5% (n = 19). We conclude that endovascular treatment of the various localized diseases of the descending thoracic aorta is a promising, feasible, alternative technique to open surgery in well-selected patients.

Keywords

Stent-graft Aneurysm Descending thoracic aorta Type B dissection Trauma Atherosclerotic ulcer 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Cherif Attia
    • 1
  • Jacques Villard
    • 1
  • Loic Boussel
    • 2
  • Fadi Farhat
    • 1
  • Jacques Robin
    • 1
  • Didier Revel
    • 2
  • Philippe Douek
    • 2
    • 3
    Email author
  1. 1.Department of Cardiovascular SurgeryUniversity Hospital Louis PradelLyonFrance
  2. 2.Department of Interventional RadiologyUniversity Hospital Louis PradelLyonFrance
  3. 3.Service de Imagerie et radiologie interventionnelleHôpital CardiologiqueLyonFrance

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