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Date Published: 26/01/2021
Abstract Views: 104
Views PDF: 95
DOI: https://doi.org/10.47972/vjcts.v29i.465
Issue
Vol. 29
Section
Research Article
How to Cite
Vo, T. A., Nguyen, T. H. N., & Nguyen, H. D. (2021). Roles of endovascular treatment in aortic intramural hematoma. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 29, 68-75. https://doi.org/10.47972/vjcts.v29i.465

Roles of endovascular treatment in aortic intramural hematoma

Tuan Anh Vo, Thoi Hai Nguyen Nguyen, Hoang Dinh Nguyen

Main Article Content

Abstract

Background – Objectives: Intramural hematoma (IMH) is a part of the acute aortic syndrome. Treatment of this disease remains controversial, including optimal medical treatment, surgery and endovascular surgery. Each modality has their advantages and disadvantages. The study aimed for the the early result of endovascular treatment in acute intral mural hematoma in our center. Method: We restrospective reviewed patients underwent aortic endovascular repair for IMHpatients at the University Medical Center at Ho Chi Minh City from 12/2017 to 06/2019. 1 Results: 27 patients with IMH was recorded during this time, 11 patients were treated medically and 6 patients underwent surgical or and 10 received endovascular treatment. In these 16 patients, 9 are type A IMH and 7 type B IMH. 3 type A IMHs were chosen for stent grafting. 3 patients in type B IMH group required partial debranching. No early mortality recorded, no stroke and conversion to classic dissection was seen in this group. 1 femoral artery stenosis required reconstruction. 90% of patients had total resolution of the hematoma after 6 months follow-up.


Conclusions: In our experiences with endovascular for IMH, the short term outcomes are satisfactory with no mortality and low morbidity. This treatment might be safe and feasible, bigger cohorts and long term follow-up are needed.


 

Article Details

Keywords

Intramural hematoma, acute aortic syndrome, endovascular treatment

References

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