Endovascular Management of Thoracic Aortic Aneurysms
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Rossella Fattori Vincenzo Russo Luigi Lovato Katia Buttazzi Giovanni Rinaldi
- چاپ و سال / کشور: 2010
Description
The overall survival of patients with thoracic aortic aneurysm (TAA) has improved significantly in the past few years. Endovascular treatment, proposed as an alternative to surgery, has been considered a therapeutic innovation because of its low degree of invasiveness, which allows the treatment of even high-surgical risk patients with limited complications and mortality. A major limitation is the lack of adequate evidence regarding longterm benefit and durability because follow-up has been limited to just a few years even in the largest series. The combination of endovascular exclusion with visceral branch revascularization for the treatment of thoracoabdominal aortic aneurysms involving the visceral aorta has also been attempted. As an alternative, endografts with branches represent a technological evolution that allows treatment of complex anatomy. Even if only small numbers of patients and short follow-up are available, this technical approach, which has with limited mortality (\10%) and paraplegia rates, to expand endovascular treatment to TAA seems feasible. With improved capability to recognize proper anatomy and select clinical candidates, the choice of endovascular stent-graft placement may offer a strategy to optimize management and improve prognosis.
Cardiovasc Intervent Radiol DOI 10.1007/s00270-011-0101-6 Received: 8 November 2010 / Accepted: 31 December 2010
