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Observations on the Failure of Stent-Grafts in the Aortic Arch.

Hinchliffe, R J; Krasznai, A; Schultzekool, L; Blankensteijn, J D; Falkenberg, M; Lonn, L; Hausegger, K; de Blas, M; Egana, J M and Sonesson, Björn LU , et al. (2007) In European Journal of Vascular and Endovascular Surgery 34(4). p.6-451
Abstract
Abstract

INTRODUCTION: The results of endovascular stent-grafts in the abdominal aorta and descending thoracic aorta have been encouraging. Expanding the use of thoracic stent-grafts in to the aortic arch has been associated with increasing numbers of complications. Recently isolated cases of stent-graft collapse have been reported.



METHODS: This was a multi-centre European case series. Data was collected retrospectively on seven patients from five experienced endovascular centres with thoracic stent-graft collapse.



RESULTS: Of the seven patients four were treated for traumatic aortic rupture. Six were male, median age 33 (range 17-54) years. During the ensuing 2 months all patients suffered... (More)
Abstract

INTRODUCTION: The results of endovascular stent-grafts in the abdominal aorta and descending thoracic aorta have been encouraging. Expanding the use of thoracic stent-grafts in to the aortic arch has been associated with increasing numbers of complications. Recently isolated cases of stent-graft collapse have been reported.



METHODS: This was a multi-centre European case series. Data was collected retrospectively on seven patients from five experienced endovascular centres with thoracic stent-graft collapse.



RESULTS: Of the seven patients four were treated for traumatic aortic rupture. Six were male, median age 33 (range 17-54) years. During the ensuing 2 months all patients suffered stent-graft collapse. This was symptomatic in 3 patients and the rest were identified on CT. Endovascular management was possible in 6/7 patients using either a balloon expandable stent (n=6) or further stent-graft (n=1). Two patients had persistent type I endoleak despite treatment. Two of the 7 patients died, both of which presented with symptomatic thoracic stent-graft occlusion. Both deaths were a direct result of stent-graft collapse.



CONCLUSIONS: Thoracic stent-graft collapse may be asymptomatic underscoring the importance of stent-graft surveillance. Endovascular management of collapse is possible in most cases using a large balloon expandable stent. Symptomatic collapse is associated with high morbidity and mortality. (Less)
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publication status
published
subject
keywords
thoracic aorta, thoracic aneurysm, endovascular stent-graft, traumatic aortic rupture, aortic transection
in
European Journal of Vascular and Endovascular Surgery
volume
34
issue
4
pages
6 - 451
publisher
Elsevier
external identifiers
  • wos:000250114300013
  • scopus:34548604780
ISSN
1532-2165
DOI
10.1016/j.ejvs.2007.06.005
language
English
LU publication?
yes
id
87c4060e-e0ff-4dca-888e-ab4db764724f (old id 607156)
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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17669668&dopt=Abstract
date added to LUP
2012-12-28 11:17:26
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2017-11-05 04:29:57
@article{87c4060e-e0ff-4dca-888e-ab4db764724f,
  abstract     = {Abstract<br/><br>
INTRODUCTION: The results of endovascular stent-grafts in the abdominal aorta and descending thoracic aorta have been encouraging. Expanding the use of thoracic stent-grafts in to the aortic arch has been associated with increasing numbers of complications. Recently isolated cases of stent-graft collapse have been reported.<br/><br>
<br/><br>
METHODS: This was a multi-centre European case series. Data was collected retrospectively on seven patients from five experienced endovascular centres with thoracic stent-graft collapse.<br/><br>
<br/><br>
RESULTS: Of the seven patients four were treated for traumatic aortic rupture. Six were male, median age 33 (range 17-54) years. During the ensuing 2 months all patients suffered stent-graft collapse. This was symptomatic in 3 patients and the rest were identified on CT. Endovascular management was possible in 6/7 patients using either a balloon expandable stent (n=6) or further stent-graft (n=1). Two patients had persistent type I endoleak despite treatment. Two of the 7 patients died, both of which presented with symptomatic thoracic stent-graft occlusion. Both deaths were a direct result of stent-graft collapse.<br/><br>
<br/><br>
CONCLUSIONS: Thoracic stent-graft collapse may be asymptomatic underscoring the importance of stent-graft surveillance. Endovascular management of collapse is possible in most cases using a large balloon expandable stent. Symptomatic collapse is associated with high morbidity and mortality.},
  author       = {Hinchliffe, R J and Krasznai, A and Schultzekool, L and Blankensteijn, J D and Falkenberg, M and Lonn, L and Hausegger, K and de Blas, M and Egana, J M and Sonesson, Björn and Ivancev, Krassi},
  issn         = {1532-2165},
  keyword      = {thoracic aorta,thoracic aneurysm,endovascular stent-graft,traumatic aortic rupture,aortic transection},
  language     = {eng},
  number       = {4},
  pages        = {6--451},
  publisher    = {Elsevier},
  series       = {European Journal of Vascular and Endovascular Surgery},
  title        = {Observations on the Failure of Stent-Grafts in the Aortic Arch.},
  url          = {http://dx.doi.org/10.1016/j.ejvs.2007.06.005},
  volume       = {34},
  year         = {2007},
}