Tratamiento endovascular del aneurisma de aorta torácica descendente

Background: The natural history of aneurysms ends in rupture and death. In 1990 the first endovascular exclusion of an aneurysm, using an endoluminal graft implanted through the femoral arteries was performed. More recently, the same procedure has been used for aneurysms of the thoracic aorta. Aim:...

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Autores principales: Mertens M,Renato, Valdés E,Francisco, Krämer Sch,Albrecht, Mariné M,Leopoldo, Irarrázaval L,Manuel, Morán V,Sergio, Zalaquet S,Ricardo, Schwartz Y,Eitan, Vergara G,Jeannette, Valdebenito G,Magaly
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2003
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000600005
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spelling oai:scielo:S0034-988720030006000052004-12-13Tratamiento endovascular del aneurisma de aorta torácica descendenteMertens M,RenatoValdés E,FranciscoKrämer Sch,AlbrechtMariné M,LeopoldoIrarrázaval L,ManuelMorán V,SergioZalaquet S,RicardoSchwartz Y,EitanVergara G,JeannetteValdebenito G,Magaly Aorta, thoracic Aortic aneurysm Atherosclerosis Graft survival Background: The natural history of aneurysms ends in rupture and death. In 1990 the first endovascular exclusion of an aneurysm, using an endoluminal graft implanted through the femoral arteries was performed. More recently, the same procedure has been used for aneurysms of the thoracic aorta. Aim: To report our experience with endovascular treatment of thoracic aorta aneurysms. Material and methods: Analysis of 14 patients (nine male), aged 30 to 79 years, treated between May 2001 and August 2002. Results: The mean diameter of the aneurysms was 6.9 cm. The etiology was atherosclerotic in nine patients. The Excluder device (Gore<FONT FACE=Symbol>â</FONT>) was preferentially used. There was no operative mortality or paraplegia. One patient had a transient leg monoparesis that reverted completely. No patient had type I endoleaks. Two patients had type II endoleaks on discharge, that sealed spontaneously. In a follow up, ranging from 2 to 17 months, one patient died of a bronchopneumonia and no aneurysm rupture has been detected. Conclusions: The short term results of endoluminal treatment of thoracic aorta aneurysms are excellent. This treatment is less invasive and has less complications than conventional surgery (Rev Méd Chile 2003; 131: 617-22)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.6 20032003-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000600005es10.4067/S0034-98872003000600005
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Aorta, thoracic
Aortic aneurysm
Atherosclerosis
Graft survival
spellingShingle Aorta, thoracic
Aortic aneurysm
Atherosclerosis
Graft survival
Mertens M,Renato
Valdés E,Francisco
Krämer Sch,Albrecht
Mariné M,Leopoldo
Irarrázaval L,Manuel
Morán V,Sergio
Zalaquet S,Ricardo
Schwartz Y,Eitan
Vergara G,Jeannette
Valdebenito G,Magaly
Tratamiento endovascular del aneurisma de aorta torácica descendente
description Background: The natural history of aneurysms ends in rupture and death. In 1990 the first endovascular exclusion of an aneurysm, using an endoluminal graft implanted through the femoral arteries was performed. More recently, the same procedure has been used for aneurysms of the thoracic aorta. Aim: To report our experience with endovascular treatment of thoracic aorta aneurysms. Material and methods: Analysis of 14 patients (nine male), aged 30 to 79 years, treated between May 2001 and August 2002. Results: The mean diameter of the aneurysms was 6.9 cm. The etiology was atherosclerotic in nine patients. The Excluder device (Gore<FONT FACE=Symbol>â</FONT>) was preferentially used. There was no operative mortality or paraplegia. One patient had a transient leg monoparesis that reverted completely. No patient had type I endoleaks. Two patients had type II endoleaks on discharge, that sealed spontaneously. In a follow up, ranging from 2 to 17 months, one patient died of a bronchopneumonia and no aneurysm rupture has been detected. Conclusions: The short term results of endoluminal treatment of thoracic aorta aneurysms are excellent. This treatment is less invasive and has less complications than conventional surgery (Rev Méd Chile 2003; 131: 617-22)
author Mertens M,Renato
Valdés E,Francisco
Krämer Sch,Albrecht
Mariné M,Leopoldo
Irarrázaval L,Manuel
Morán V,Sergio
Zalaquet S,Ricardo
Schwartz Y,Eitan
Vergara G,Jeannette
Valdebenito G,Magaly
author_facet Mertens M,Renato
Valdés E,Francisco
Krämer Sch,Albrecht
Mariné M,Leopoldo
Irarrázaval L,Manuel
Morán V,Sergio
Zalaquet S,Ricardo
Schwartz Y,Eitan
Vergara G,Jeannette
Valdebenito G,Magaly
author_sort Mertens M,Renato
title Tratamiento endovascular del aneurisma de aorta torácica descendente
title_short Tratamiento endovascular del aneurisma de aorta torácica descendente
title_full Tratamiento endovascular del aneurisma de aorta torácica descendente
title_fullStr Tratamiento endovascular del aneurisma de aorta torácica descendente
title_full_unstemmed Tratamiento endovascular del aneurisma de aorta torácica descendente
title_sort tratamiento endovascular del aneurisma de aorta torácica descendente
publisher Sociedad Médica de Santiago
publishDate 2003
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000600005
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