Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis
Background: Dissections that involve the ascending aorta are classified as type A, regardless of the site of the primary intimal tear, and all other dissections as type B. Type B dissections can have fatal ischemic and hemorrhagic complications. In the chronic state, dilatation and rupture can be mo...
Guardado en:
| Autores principales: | , , , , , , , , , , , |
|---|---|
| Lenguaje: | Spanish / Castilian |
| Publicado: |
Sociedad Médica de Santiago
2008
|
| Materias: | |
| Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100009 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:scielo:S0034-98872008001100009 |
|---|---|
| record_format |
dspace |
| spelling |
oai:scielo:S0034-988720080011000092009-03-23Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesisMertens M,RenatoArriagada J,IvetteValdés E,FranciscoKrämer Sch,AlbrechtMariné M,LeopoldoBergoeing R,MichelBraun J,SandraGodoy J,IvánCórdova A,SamuelHuete G,AlvaroVergara G,JeannetteCarvajal N,Claudia Aortic aneurism Aortic dissection Stents Background: Dissections that involve the ascending aorta are classified as type A, regardless of the site of the primary intimal tear, and all other dissections as type B. Type B dissections can have fatal ischemic and hemorrhagic complications. In the chronic state, dilatation and rupture can be mortal. Endovascular surgery is a therapeutic alternative, considering the high rate of complications of conventional surgery Aim: To report the results of endovascular treatment of type B aortic dissection. Material and methods: Report of 36 treated patients (30 males) aged 43 to 87 years, with a type B aortic dissection. Seventy eight percent were hypertensive and 39% smoked. The diagnosis was conñrmed by CAT sean. Acute patients were treated for complications and chronic patients, for dilatation. In the operating room, an endoprothesis was placed through the femoral artery, to cover the tear. The tear was located and the lumens were differentiated using angiography and transesophageal echocardiography. Results: All procedures were successful. In 16 acute dissections the indications were malperfusion syndrome or unmanageable hypertension in seven patients and imminent rupture or persistent pain in nine. Twenty chronic patients were operated due to dilatation (mean 6 cm). One patient died due to cardiac failure. One patient had a transient paraparesia and two had pulmonary embolism. No patient died in a follow up períod ranging from 2.5 to 74 months. Four patients required a new aortic endovascular procedure due to progressive dilatation or endoleak. Conclusión: Endovascular treatment of type B aortic dissection has good immediate andlong term results.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.11 20082008-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100009es10.4067/S0034-98872008001100009 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Aortic aneurism Aortic dissection Stents |
| spellingShingle |
Aortic aneurism Aortic dissection Stents Mertens M,Renato Arriagada J,Ivette Valdés E,Francisco Krämer Sch,Albrecht Mariné M,Leopoldo Bergoeing R,Michel Braun J,Sandra Godoy J,Iván Córdova A,Samuel Huete G,Alvaro Vergara G,Jeannette Carvajal N,Claudia Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis |
| description |
Background: Dissections that involve the ascending aorta are classified as type A, regardless of the site of the primary intimal tear, and all other dissections as type B. Type B dissections can have fatal ischemic and hemorrhagic complications. In the chronic state, dilatation and rupture can be mortal. Endovascular surgery is a therapeutic alternative, considering the high rate of complications of conventional surgery Aim: To report the results of endovascular treatment of type B aortic dissection. Material and methods: Report of 36 treated patients (30 males) aged 43 to 87 years, with a type B aortic dissection. Seventy eight percent were hypertensive and 39% smoked. The diagnosis was conñrmed by CAT sean. Acute patients were treated for complications and chronic patients, for dilatation. In the operating room, an endoprothesis was placed through the femoral artery, to cover the tear. The tear was located and the lumens were differentiated using angiography and transesophageal echocardiography. Results: All procedures were successful. In 16 acute dissections the indications were malperfusion syndrome or unmanageable hypertension in seven patients and imminent rupture or persistent pain in nine. Twenty chronic patients were operated due to dilatation (mean 6 cm). One patient died due to cardiac failure. One patient had a transient paraparesia and two had pulmonary embolism. No patient died in a follow up períod ranging from 2.5 to 74 months. Four patients required a new aortic endovascular procedure due to progressive dilatation or endoleak. Conclusión: Endovascular treatment of type B aortic dissection has good immediate andlong term results. |
| author |
Mertens M,Renato Arriagada J,Ivette Valdés E,Francisco Krämer Sch,Albrecht Mariné M,Leopoldo Bergoeing R,Michel Braun J,Sandra Godoy J,Iván Córdova A,Samuel Huete G,Alvaro Vergara G,Jeannette Carvajal N,Claudia |
| author_facet |
Mertens M,Renato Arriagada J,Ivette Valdés E,Francisco Krämer Sch,Albrecht Mariné M,Leopoldo Bergoeing R,Michel Braun J,Sandra Godoy J,Iván Córdova A,Samuel Huete G,Alvaro Vergara G,Jeannette Carvajal N,Claudia |
| author_sort |
Mertens M,Renato |
| title |
Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis |
| title_short |
Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis |
| title_full |
Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis |
| title_fullStr |
Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis |
| title_full_unstemmed |
Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis |
| title_sort |
tratamiento endovascular de la disección aórtica tipo b mediante endoprótesis |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2008 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100009 |
| work_keys_str_mv |
AT mertensmrenato tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT arriagadajivette tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT valdesefrancisco tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT kramerschalbrecht tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT marinemleopoldo tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT bergoeingrmichel tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT braunjsandra tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT godoyjivan tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT cordovaasamuel tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT huetegalvaro tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT vergaragjeannette tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis AT carvajalnclaudia tratamientoendovasculardeladiseccionaorticatipobmedianteendoprotesis |
| _version_ |
1718436412354723840 |