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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 
 JOURNAL OF ENDOVASCULAR THERAPY, Vol.9(6) : 817-821, 2002 
Journal Title
Issue Date
Adult ; Aged ; Aged, 80 and over ; Aneurysm, Dissecting/surgery* ; Aneurysm, False/surgery ; Aortic Aneurysm, Thoracic/surgery* ; Aortic Rupture/surgery ; Aortography ; Blood Vessel Prosthesis Implantation ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Postoperative Complications/mortality ; Reoperation ; Stents* ; Survival Analysis ; Syndrome ; Time Factors ; Treatment Outcome
thoracic aorta ; custom-made endografts ; Z-stent ; polytetrafluoroethylene graft ; intimal tear ; recurrent dissection
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.
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1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Chang, Byung Chul(장병철)
Jang, Yang Soo(장양수) ORCID logo https://orcid.org/0000-0002-2169-3112
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
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