Abstract
Thoracic aort aneurysms may lead severe complications. Untreated aneurysms may rupture at any time which has a very high mortality. Those aneurysms may be treated both with conventional open surgery and with endovascular stentgrafting. Themost appropriateapproachforthosecases is treatment with endovascular stent-grafting which should be done after a comprehensive evaluation of the patients. Endovascular therapy for aneurysmsof thethoracic aortacanavoidthecomplicationsof open surgerywith high mortalityandmorbidityratesandmayshortenthestay in theintensive care units. Success rates of this procedure is considerably high in the surgical centerswithawellexperiencedteam includingcardiovascular surgeons, interventional cardiologists and anesthesiologists. Endovascular aneurysm repair has been performed in our university hospital since, October 2006.
Keywords
thoracic aort aneurysms conventional aortic surgery treatment with endovascular stent-grafting
References
- Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent- graft for the treatment of descending thoracic aortic aneurysms. N Engl J Med 1994;33:1729-34.
- Fleck T., Hutschala D., Czerny M., Ehrlich M.P., Kasimir M.T., Cejna M., Wolner E., Grabenwoger M. Combined Surgical and Endovascular Treatment of Acute Aortic Dissection Type A, Preliminary Results. Ann Thorac Surg 2002;74:761-765.
- Makaroun MS, Dillavou ED, Kee ST, Sicard G, Chaikof E, Bavaria J, Williams D, Cambria RP, Mit- chell RS. Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the GORE TAG thoracic endoprosthesis. J Vasc Surg. 2005;41: -9.
- Peter H. Lin, Hosam F. El Sayed, Panagiotis Kougi- as, Wei Zhou, Scott A. LeMaire, and Joseph S. Coselli. Results of endovascular repair of the thoracic aorta with the Talent Thoracic stent graft: The Talent Thoracic Retrospective Registry Vascular. 2007;15:179-190.
- Sayed S., MRCS; Thompson M.M. Endovascular Repair of the Descending Thoracic Aorta: Evidence for the Change in Clinical Practice. Vascular. 2005;13:148- 157.
Abstract
Torasikaort anevrizmasıciddikomplikasyonlara nedenolabilen birdurumdur. Zamanındamüdahaleedilmediğindeanevrizmarüptüreolup yüksek oranda mortaliteileseyredebilmektedir. Bu türanevrizmalar klasikaçıkaort cerrahisi ya da uygun vakalarda endovasküler stent grefting uygulanması ile tedavi edilebilmektedir. Günümüzde en uygun yaklaşım hastaların iyi bir şekilde identifikasyonuyapılarakanevrizmanınendovasküler stentgreftiletamiredilmesidir. Böylece hastalar açık aort cerrahisi gibi büyük bir cerrahi prosedür ve sonrasında yüksek bir mortalite ve morbidite ile seyreden yoğun bakım periyodundan korunmaktadır. Bu yötemiletedavininbaşarısıtecrübeliekip ve gerekli donanıma sahip merkezlerde çok yüksektir. İşlem Kalp ve Damar Cerrahisi, Kardiyoloji, Anesteziyoloji vereanimasyonekiplerininortakçalışmaları ile Ekim 2006 tarihinden beri multidisipliner olarak hastanemizde başarı ile uygulanmaktadır.
References
- Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent- graft for the treatment of descending thoracic aortic aneurysms. N Engl J Med 1994;33:1729-34.
- Fleck T., Hutschala D., Czerny M., Ehrlich M.P., Kasimir M.T., Cejna M., Wolner E., Grabenwoger M. Combined Surgical and Endovascular Treatment of Acute Aortic Dissection Type A, Preliminary Results. Ann Thorac Surg 2002;74:761-765.
- Makaroun MS, Dillavou ED, Kee ST, Sicard G, Chaikof E, Bavaria J, Williams D, Cambria RP, Mit- chell RS. Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the GORE TAG thoracic endoprosthesis. J Vasc Surg. 2005;41: -9.
- Peter H. Lin, Hosam F. El Sayed, Panagiotis Kougi- as, Wei Zhou, Scott A. LeMaire, and Joseph S. Coselli. Results of endovascular repair of the thoracic aorta with the Talent Thoracic stent graft: The Talent Thoracic Retrospective Registry Vascular. 2007;15:179-190.
- Sayed S., MRCS; Thompson M.M. Endovascular Repair of the Descending Thoracic Aorta: Evidence for the Change in Clinical Practice. Vascular. 2005;13:148- 157.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 1, 2009 |
| Published in Issue | Year 2009 Volume: 1 Issue: 2 |