Percutaneous Treatment of Thoracic Aorta Diseases. A Multidisciplinary Approach

摘要: Introduction and objectives The purpose of this study was to evaluate the experience a multidisciplinary team in percutaneous treatment thoracic aorta disease. Patients Method Between December 2001 January 2004, 15 patients were selected for at Thoracic Aorta Unit Hospital Universitario Central de Asturias. motives stent implantation were: degenerative aneurysm (n=7), acute dissection (n=4), penetrating atherosclerotic ulcer (n=1), posttrauma-tic (n=2), postsurgery pseudoaneurysm (n=1). Four procedures considered emergencies. Another 2 underwent prior surgery supra-aortic branches. Previous computed tomographic angiography arteriography performed, complex cases dissection, magnetic resonance imaging used. All placement performed hemodynamics laboratory. during follow-up. Results Stent positioning technically successful 14 patients. mean length aortic coverage 230 ±110 mm (range, 110-440 mm). No intraoperative deaths occurred. There one in-hospital death. Transient postimplantation syndrome presented 3 Two type I endoleaks, 1 II endoleak thrombosis superior mesenteric artery found on month. III subsequent Conclusions Endovascular stent-grafting is valid alternative disease high-risk Coordination between different medical specialties appropriate selection are needed. Long-term follow-up necessary ensure usefulness efficacy procedure.