Aneurisma del arco aórtico. Tratamiento con stent multicapa diversor de flujo más embolización con coils

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Resumen Para el tratamiento de la patología del arco aórtico, la cirugía abierta continúa siendo el gold standard. Debido a sus altas morbilidad y mortalidad se han desarrollado diferentes técnicas alternativas. Entre estas, destacan los tratamientos híbridos y exclusivamente endovasculares. En el marco de la investigación, se ha utilizado un stent multicapa diversor de flujo. Presentamos nuestra experiencia en un caso en el que implantamos un stent multicapa diversor de flujo en un paciente con aneurisma del arco aórtico. En la evolución requirió técnica de coiling del aneurisma trans-stent con éxito técnico. No logramos evaluar el éxito clínico en un plazo suficiente debido a muerte precoz por una causa no relacionada.

Translated abstract

Abstract Currently open surgery continues to be the gold standard for the treatment of aortic arch pathology. Due to its high morbidity and mortality, different alternative techniques such as hybrid or endovascular treatment have been developed. In the framework of these investigations, the multilayer flow modulator stent has been used with technical success. We present our early experience in a male patient with an aortic arch aneurysm, using an MFM and also a trans stent coiling technique. Despite technical success, long-term outcomes could not be assessed due to premature death from unrelated causes.

Related collections

Most cited references 10

Record: found
Abstract: not found
Article: not found

Editor's Choice – Current Options and Recommendations for the Treatment of Thoracic Aortic Pathologies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)

Martin Czerny, Jürg Schmidli, Sabine Adler … (2019)

0 comments Cited 59 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Presentation, complications, and natural history of penetrating atherosclerotic ulcer disease.

Derek Nathan, William W Boonn, Eric Lai … (2012)

Increased utilization of computed tomography angiography (CTA) has increased the radiologic diagnosis of penetrating atherosclerotic ulcers (PAUs), which are defined as the ulceration of atherosclerotic plaque through the internal elastic lamina into the aortic media. However, the presentation, treatment indications, and natural history of this disease process remain unclear. The radiology database at a single university hospital was searched retrospectively for the CTA diagnosis of PAU from January 2003 to June 2009. All scans were interpreted by a cardiovascular radiologist. Information on PAU characteristics and need for surgical repair due to PAU disease was collected. PAU stability or progression was assessed by follow-up CTA, if available. Only PAUs in the aortic arch, descending thoracic aorta, and abdominal aorta were included. Three hundred eighty-eight PAUs were diagnosed by CTA interpretation. PAU location was in the aortic arch in 27 (6.8%) cases, the descending thoracic aorta in 243 (61.2%) cases, and the abdominal aorta in 118 (29.7%) cases. Two hundred twenty-four (57.7%) PAUs were isolated (without saccular aneurysm or intramural hematoma); 108 (27.8%) PAUs had associated saccular aneurysms; and 56 (14.4%) PAUs had associated intramural hematoma. Rupture was present in 16 (4.1%) cases. Fifty (12.9%) PAUs underwent repair with thoracic endovascular aortic repair (TEVAR) (n = 30), endovascular aneurysm repair (EVAR) (n = 10), or open surgery (n = 10); primary indications for repair were saccular aneurysm (n = 26), rupture (n = 16), and persistent or recurrent symptoms (n = 8). Even if initially treated conservatively with resolution of pain, symptomatic PAU disease was more likely to require repair than asymptomatic PAU disease (36.2% vs 7.8%, P < .001). Follow-up CTA was available for 87 PAUs, 20 (23.0%) of which demonstrated radiographic disease progression at a mean follow-up of 8.4 ± 10.3 months. Symptomatic PAU disease was more likely to progress than asymptomatic disease (42.9% vs 16.7%, P = .029). For PAUs diagnosed on CTA at a single institution, 4.1% were ruptured and 12.9% underwent repair. Close follow-up imaging appears to be indicated for PAUs, particularly in the case of symptomatic disease, which is more likely to require repair and to undergo radiographic progression. Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.