Clinical Outcomes for Endovascular Repair of Thoracic Aortic Disease Using the Seal Thoracic Stent Graft: A Korean Multicenter Retrospective Study

The purpose of this article is to report the initial experience with endovascular repair of thoracic aortic disease in a single tertiary vascular unit in northwestern Greece. Between 2003 and 2005, 16 patients were treated with endovascular techniques for various pathologies of the descending thoracic aorta. Twelve patients were treated electively and four emergently. Operative and follow-up data for a mean time of 18.4 months were retrospectively collected and analyzed. Primary technical success was obtained in 14 (87.5%) cases. No early or late deaths occurred, and there was no major operation-related complication. No paraplegia was observed in our patients. Stent graft–related complications occurred in 18.75% (one type 2 and two type 3 endoleaks), but they all had a favorable outcome. No further problems have been reported in any of our patients. Endovascular stent graft repair for diseases of the thoracic aorta seems to be a promising alternative to open surgery, especially for high-risk patients. Long-term results are needed to confirm the early benefit of this treatment option with regard to morbidity and mortality rates. The potential of this technique to be applicable even in relatively small, tertiary vascular centers might be of great benefit to patients.

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Stent-graft repair for thoracic aortic disease: Results of an independent nationwide study in France from 1999 to 2001

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2005.07.029 ◽

2006 ◽

Vol 131 (1) ◽

pp. 131-137 ◽

Cited By ~ 31

Author(s):

Jean-Baptiste Ricco ◽

Jérome Cau ◽

Christophe Marchand ◽

Michel Marty ◽

Marie-Hélène Rodde-Dunet ◽

...

Keyword(s):

Stent Graft ◽

Aortic Disease ◽

Thoracic Aortic Disease ◽

Nationwide Study ◽

Stent Graft Repair

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Anatomical repair for Kommerell diverticulum with deep site in-situ fenestration

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492318785250 ◽

2018 ◽

Vol 26 (6) ◽

pp. 467-469

Author(s):

Masami Shingaki ◽

Yoshihiko Kurimoto ◽

Kiyofumi Morishita ◽

Toshio Baba ◽

Tsuyoshi Shibata ◽

...

Keyword(s):

Stent Graft ◽

Subclavian Artery ◽

Endovascular Repair ◽

Left Subclavian Artery ◽

The Third ◽

Deep Site ◽

Main Component ◽

Thoracic Stent Graft ◽

Kommerell Diverticulum

An 83-year-old woman with a Kommerell diverticulum was treated by anatomical endovascular repair with a deep site in-situ fenestration instead of complex debranching techniques. The main component of the thoracic stent-graft was deployed just distal to the third cervical branch to completely exclude the Kommerell diverticulum. A deep site in-situ fenestration was made on the main component using a radiofrequency needle through the left subclavian artery, and a stent-graft was deployed to bridge the main component to the left subclavian artery. Six months postoperatively, the Kommerell diverticulum was completely excluded with excellent left subclavian artery patency.

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Endovascular Stent-Graft Treatment of Thoracic Aortic Disease

Radiographics ◽

10.1148/rg.25si055513 ◽

2005 ◽

Vol 25 (suppl_1) ◽

pp. S229-S244 ◽

Cited By ~ 40

Author(s):

Gonzalo Garzón ◽

María Fernández-Velilla ◽

Milagros Martí ◽

Ignacio Acitores ◽

Fernando Ybáñez ◽

...

Keyword(s):

Stent Graft ◽

Aortic Disease ◽

Endovascular Stent ◽

Thoracic Aortic Disease ◽

Endovascular Stent Graft

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Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease

Journal of Vascular Surgery ◽

10.1016/j.jvs.2005.11.045 ◽

2006 ◽

Vol 43 (3) ◽

pp. 609-612 ◽

Cited By ~ 104

Author(s):

Markus G.M. Steinbauer ◽

Alexander Stehr ◽

Karin Pfister ◽

Thomas Herold ◽

Niels Zorger ◽

...

Keyword(s):

Endovascular Repair ◽

Aortic Disease ◽

Thoracic Aortic Disease ◽

Endograft Collapse

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Commentary: New Low-Profile Zenith Alpha Stent-Graft for the Treatment of Thoracic Aortic Disease

Journal of Endovascular Therapy ◽

10.1177/1526602815573247 ◽

2015 ◽

Vol 22 (2) ◽

pp. 160-162 ◽

Cited By ~ 1

Author(s):

Jip L. Tolenaar ◽

Jean Paul P. M. de Vries

Keyword(s):

Stent Graft ◽

Aortic Disease ◽

Thoracic Aortic Disease ◽

Low Profile

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Endovascular Repair of the Descending Thoracic Aorta: Evidence for the Change in Clinical Practice

Vascular ◽

10.1258/rsmvasc.13.3.148 ◽

2005 ◽

Vol 13 (3) ◽

pp. 148-157 ◽

Cited By ~ 20

Author(s):

Saiqa Sayed ◽

Matt M. Thompson

Keyword(s):

Thoracic Aorta ◽

Endovascular Repair ◽

Graft Infection ◽

Aortic Disease ◽

Outcome Data ◽

Aortic Aneurysms ◽

Descending Thoracic Aorta ◽

Thoracic Aortic Disease ◽

Technical Success Rate ◽

Open Conversion

The purpose was to review outcome data following endovascular repair of the descending thoracic aorta from reports published between 1994 and 2004. To accomplish this task, 1,518 patients underwent endovascular repair for thoracic aortic disease; 810 thoracic aortic aneurysms, 500 type B thoracic aortic dissections, and 106 traumatic ruptures. The 30-day mortality rate was 5.5% and 6% for late postoperative deaths. The primary technical success rate was 97%, with only 15 patients requiring open conversion. Neurologic deficits occurred in 29 patients. In total, 118 endoleaks were reported; 29 were restented, and the remainder required surgical intervention. Graft infection occurred in 6 cases, and migrations were detected in 10. The conclusion reached is that endovascular repair of descending thoracic aortic disease is feasible and can be achieved with low rates of perioperative morbidity and mortality. As few long-term data exist on the durability of thoracic stent grafts, lifelong surveillance remains necessary.

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