Endovascular repair of complicated chronic distal aortic dissections: Intermediate outcomes and complications

摘要: Introduction Patients with chronic distal aortic dissection (CDAD) remain at high risk for late aorta-related events and reinterventions, the ideal management strategy remains undefined. Open surgical procedures carry morbidity, but scant data thoracic endovascular repair (TEVAR) of CDAD exist. This study reports our intermediate-term results TEVAR complicated CDAD. Methods All cases (aortic growth, malperfusion, intractable pain) institution between 2000 2007 were retrospectively reviewed. Demographic information, indications repair, complications, morphologic changes collected from medical records imaging studies. Aortic morphology (aneurysm size, false lumen thrombosis) was assessed multiple levels 3-dimensional image analysis techniques. Kaplan-Meier used to estimate survival, freedom reintervention, likelihood thrombosis, log-rank tests discriminate curves. Results In total, 144 stent–grafts implanted in 76 consecutive patients (49 male) Early ( P Conclusions Management challenging clinicians. is a reasonable treatment modality dissections limited aorta prevention focal growth extensive dissections. Late complications need secondary interventions emphasize complexity this patient population long-term follow-up.