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Statements

Subject Item
n2:RIV%2F00216208%3A11150%2F13%3A10139798%21RIV14-MSM-11150___
rdf:type
skos:Concept n13:Vysledek
rdfs:seeAlso
http://dx.doi.org/10.2478/s11536-012-0117-6
dcterms:description
To review single centre experience of endovascular treatment of descending thoracic aorta. Between May 1999 and September 2012, 72 patients were treated overall (53 men, 19 women, mean age 60.1 years) for degenerative aneurysms (n = 5), ruptured aneurysms (n = 4), aortic ulcers (n = 8), infected aneurysms (n = 4), type B aortic dissections (n = 23), and traumatic aortic injuries (n = 28). The technical success rate was 98.6%, 30-day mortality was 8.3%, 1-year mortality was 13.8%, and overall mortality was 22.2%. Mortality caused by the treatment of aortic diseases was 6.9%. Permanent stroke occurred in 1 patient, and paraplegia developed in 1 patient. In a group of 23 patients whose left subclavian artery (LSA) was covered, claudication of the left upper extremity developed in 2 cases. Endovascular therapy offers a very effective and less invasive alternative to the surgical approach for a wide range of the thoracic aortic disease. The main advantage of using TEVAR seems to be in acute conditions when a stent graft stabilizes the aorta and prevents further bleeding and organ ischemia. Regular follow-up is mandatory for early recognition of specific TEVAR complications. To review single centre experience of endovascular treatment of descending thoracic aorta. Between May 1999 and September 2012, 72 patients were treated overall (53 men, 19 women, mean age 60.1 years) for degenerative aneurysms (n = 5), ruptured aneurysms (n = 4), aortic ulcers (n = 8), infected aneurysms (n = 4), type B aortic dissections (n = 23), and traumatic aortic injuries (n = 28). The technical success rate was 98.6%, 30-day mortality was 8.3%, 1-year mortality was 13.8%, and overall mortality was 22.2%. Mortality caused by the treatment of aortic diseases was 6.9%. Permanent stroke occurred in 1 patient, and paraplegia developed in 1 patient. In a group of 23 patients whose left subclavian artery (LSA) was covered, claudication of the left upper extremity developed in 2 cases. Endovascular therapy offers a very effective and less invasive alternative to the surgical approach for a wide range of the thoracic aortic disease. The main advantage of using TEVAR seems to be in acute conditions when a stent graft stabilizes the aorta and prevents further bleeding and organ ischemia. Regular follow-up is mandatory for early recognition of specific TEVAR complications.
dcterms:title
Long-term experience with endovascular therapy of the descending thoracic aorta Long-term experience with endovascular therapy of the descending thoracic aorta
skos:prefLabel
Long-term experience with endovascular therapy of the descending thoracic aorta Long-term experience with endovascular therapy of the descending thoracic aorta
skos:notation
RIV/00216208:11150/13:10139798!RIV14-MSM-11150___
n13:predkladatel
n14:orjk%3A11150
n4:aktivita
n15:I
n4:aktivity
I
n4:cisloPeriodika
2
n4:dodaniDat
n10:2014
n4:domaciTvurceVysledku
n5:2536846 n5:4858077 n5:2577313 n5:4043707 n5:6809774 n5:1380486 n5:8878943 n5:5907942 n5:2549441
n4:druhVysledku
n18:J
n4:duvernostUdaju
n11:S
n4:entitaPredkladatele
n12:predkladatel
n4:idSjednocenehoVysledku
85388
n4:idVysledku
RIV/00216208:11150/13:10139798
n4:jazykVysledku
n19:eng
n4:klicovaSlova
Complications; Stent graft; Aortic trauma; Dissection; Aneurysm; Thoracic aorta
n4:klicoveSlovo
n8:Aortic%20trauma n8:Stent%20graft n8:Complications n8:Thoracic%20aorta n8:Aneurysm n8:Dissection
n4:kodStatuVydavatele
PL - Polská republika
n4:kontrolniKodProRIV
[7EDCC4C6FB05]
n4:nazevZdroje
Central European Journal of Medicine
n4:obor
n7:FP
n4:pocetDomacichTvurcuVysledku
9
n4:pocetTvurcuVysledku
10
n4:rokUplatneniVysledku
n10:2013
n4:svazekPeriodika
8
n4:tvurceVysledku
Raupach, Jan Lojík, Miroslav Hoffmann, Petr Ferko, Alexander Krajina, Antonín Vojáček, Jan Chovanec, Vendelín Harrer, Jan Ryška, Pavel Renc, Ondřej
n4:wos
000313962000022
s:issn
1895-1058
s:numberOfPages
9
n20:doi
10.2478/s11536-012-0117-6
n9:organizacniJednotka
11150