Treatment of thoracic aortic dissection with stent-grafts: Midterm results

Won Heum Shim, Bon Kwon Koo, Young sup Yoon, Donghoon Choi, Yangsoo Jang, Do Yun Lee, Byoung chul Chang

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Purpose: To evaluate the early and midterm outcomes after stent-graft implantation for dissection in the descending thoracic aorta. Methods: Sixteen custom-made endovascular stent-grafts were implanted in 15 patients (10 men; mean age 55.9 ± 13.7 years, range 32-82) with descending thoracic aortic dissection. Indications for stent-graft implantation were persistent symptoms unresponsive to medical treatment or progressive enlargement of the false lumen. Clinical and imaging surveillance with computed tomography was performed within 1 month of the procedure and at 3 to 6-month intervals in follow-up. Results: Endovascular stent-graft implantation at the target site was successful in 14 (93%) patients; 1 device migrated, leaving the false lumen open to flow in the failed case. One (7%) patient who was treated emergently for rupture died suddenly 2 days after the procedure. Over an average follow-up of 31.5 ± 23.8 months, 1 (7%) patient died and 2 (14%) patients underwent surgical treatment due to recurrent dissection. The remaining 10 patients showed complete thrombosis of the false lumen; in 3, the false lumen completely resolved. Conclusions: Endovascular stent-graft implantation in descending thoracic aortic dissection is a feasible, safe, and effective treatment modality. However, further studies are necessary in a greater number of patients to determine if wider application of this minimally invasive procedure is justified.

Original languageEnglish
Pages (from-to)817-821
Number of pages5
JournalJournal of Endovascular Therapy
Volume9
Issue number6
DOIs
Publication statusPublished - 2002 Dec 1

Fingerprint

Stents
Dissection
Thorax
Transplants
Thoracic Aorta
Therapeutics
Rupture
Thrombosis
Tomography
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Shim, Won Heum ; Koo, Bon Kwon ; Yoon, Young sup ; Choi, Donghoon ; Jang, Yangsoo ; Lee, Do Yun ; Chang, Byoung chul. / Treatment of thoracic aortic dissection with stent-grafts : Midterm results. In: Journal of Endovascular Therapy. 2002 ; Vol. 9, No. 6. pp. 817-821.
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Treatment of thoracic aortic dissection with stent-grafts : Midterm results. / Shim, Won Heum; Koo, Bon Kwon; Yoon, Young sup; Choi, Donghoon; Jang, Yangsoo; Lee, Do Yun; Chang, Byoung chul.

In: Journal of Endovascular Therapy, Vol. 9, No. 6, 01.12.2002, p. 817-821.

Research output: Contribution to journalArticle

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