Endovascular repair of thoracic aortic disease with the EndoFit stent-graft: Short and midterm results from a single center

Luigi Inglese, Nadia Mollichelli, Massimo Medda, Cristina Sirolla, Valerio Tolva, Viviana Grassi, Cecilia Fantoni, Ana Neagu, Marco Pavesi

Research output: Contribution to journalArticle

Abstract

Purpose: To analyze the outcomes of endovascular treatment of thoracic aortic pathologies performed at a single center with the EndoFit thoracic stent-graft system. Methods: From January 2002 to January 2007, 41 patients (33 men; mean age 69.3±9.7 years, range 48-84) were treated for thoracic aortic disease with the EndoFit stent-graft system. Patient data were retrieved from a retrospective review of hospital records. Indications for treatment were progression of aneurysm size in atherosclerotic aneurysms (n=24, mean aneurysm diameter 7.19±1.48 cm), acute contained aortic rupture (n=5), aortic dissection (n=6), penetrating atherosclerotic ulcers (n=4), post-traumatic pseudoaneurysm (n=1), and post coarctation repair aneurysm (n=1). Results: The EndoFit stent-graft was successfully deployed in all 41 patients. The inhospital and 30-day mortality rate was 7.3% (3 patients). Three (7.3%) postoperative endoleaks were recorded: a proximal type Ia and a distal Ib both resolved spontaneously at 1 and 3 months, respectively. The third patient had a persistent type Ia endoleak; conversion was necessary after 1 year. There was only 1 case of spinal ischemia, with consequent lower extremity weakness; no paraplegia was observed. During a mean 24.8-month follow-up, 2 secondary type Ia endoleaks were treated with additional stent-grafts. There were 7 (17%) deaths during follow-up. At 2 years, overall patient survival by Kaplan-Meier analysis was 70%; aneurysm-related survival was 89%. Conclusion: Endovascular treatment of vascular disease involving the descending thoracic aorta can be safely performed with the EndoFit thoracic stent-graft system.

Original languageEnglish
Pages (from-to)54-61
Number of pages8
JournalJournal of Endovascular Therapy
Volume15
Issue number1
DOIs
Publication statusPublished - Feb 2008

Keywords

  • Endovascular aneurysm repair
  • Thoracic aortic aneurysm
  • Thoracic aortic disease
  • Thoracic aortic dissection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Inglese, L., Mollichelli, N., Medda, M., Sirolla, C., Tolva, V., Grassi, V., Fantoni, C., Neagu, A., & Pavesi, M. (2008). Endovascular repair of thoracic aortic disease with the EndoFit stent-graft: Short and midterm results from a single center. Journal of Endovascular Therapy, 15(1), 54-61. https://doi.org/10.1583/07-2158M.1