Observations on the Failure of Stent-Grafts in the Aortic Arch.
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/607156
- author
- organization
- publishing date
- 2007
- type
- Contribution to journal
- 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
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Medical Radiology Unit (013241410)
- id
- 87c4060e-e0ff-4dca-888e-ab4db764724f (old id 607156)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17669668&dopt=Abstract
- date added to LUP
- 2016-04-01 16:21:51
- date last changed
- 2022-01-28 19:12:14
@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}},
keywords = {{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 = {{https://lup.lub.lu.se/search/files/4650023/626110.pdf}},
doi = {{10.1016/j.ejvs.2007.06.005}},
volume = {{34}},
year = {{2007}},
}