Thoracic aortic emergencies (TAE) - fixured thoracic aortic aneurysms (TAA), acute type b dissection - are associated with high risk of mortality and morbility. Endovasular surgery (ES) of TAE has been considered as an alternative procedure. From March 2001 to July 2003, 26 patients with TAE were admitted to our department and submitted to ES: 8 pts (30.7%) for fixured TAA, 18 pts (69.3%) for acute type b dissection evolving to rupture. AngioCT scan was diagnostic in all pts. A stented-graft was placed by femoral arteriotomy. TAA and type B pts were submitted to a multiple stent-graft procedure to cover the entire descending thoracic aorta (2.2 ± 1.2 grafts/pt). There were no perioperative deaths and open surgical conversions. The intraoperative angiography and Ctscan at the discharge showed no significant endoleaks and good seating of the aortic dissection. Average ICU and hospital stay was 1.7 ± 0.8 and 5.9 ± 3.0 days. Follow up ranged between 4 and 23 months, included clinical examination and serial CT scan at 3, 6 and 12 months, and every 6 months successively. An 84 years old TAA pt died of septic shock from pneumonia 78 days after endovascular surgery. Endovascular surgery is a safe technique for treating TAE with encouraging early and mid-term results. This therapeutic approach seem to be particulary efficacious in high risk subsets, as those represented by elderly patients.
|Translated title of the contribution||The role of endovascular therapy in the treatment of aortic aneurysms in high-risk subsets|
|Number of pages||6|
|Journal||Giornale di Gerontologia|
|Publication status||Published - Dec 2003|
ASJC Scopus subject areas
- Geriatrics and Gerontology