ISSN: 1859 - 2872
Medium-term results of thoraci aortic aneurysm repair by endovascular intervention
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Abstract
Objective: Evaluation of medium-term results of applying stent graft intervention technique to treat thoracic aortic aneurysms, with or without aortic arch cervical debranching. Subject and method: A retrospective descriptive study of thoracic aortic aneurysms patients treated by endovascular intervention at the Department of Cardiac Surgery, Cho Ray Hospital from August 2013 to October 2019. Result: In 80 patients, there were 62 males (78%), mean age 64.7 ± 11.6 (31-87 years old). Common risk factors were hypertension 61 (76%), smoking 51 (64%), dyslipidemia 49 (61%). Sacciform aneurysms 49 (61%), fuciform aneurysms 31 (39%). The average aneurysm diameter was 64 ± 15 (mm). The mean diameter of the arterial access was 7.23 ± 1.13 (mm). There were 43 cases of aortic arch cervical debranching before intervention (54%). The success rate of the intervention was 95%. Early mortality rate 3 (3.7%), no complications such as displacement, stenosis, fracture or twisting of the stent graft, aortic dissection, and cerebral artery occlusion. The mean follow-up time was 36.78 ± 17.27 months. Mid-term mortality rate 9 (11.7%). There were 5 cases of endoleak and 3 cases of stroke recorded during the mid-term follow-up period. 2 cases of reintervention, accounted for 2.6%. Conclusion: Treatment of thoracic aortic aneurysms by endovascular intervention, with or without aortic arch cervical debranching is safe and feasible with good early and medium-term results.
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References
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