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Date Published: 01/02/2021
Abstract Views: 430
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DOI: https://doi.org/10.47972/vjcts.v31i.495
Issue
Vol. 31
Section
Research Article
How to Cite
Tien, T. Q., & Kien, P. D. (2021). Results of emergency intervention with stent graft for aortic disease at vascular surgery department, Cho Ray hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 31, 5-11. https://doi.org/10.47972/vjcts.v31i.495

Results of emergency intervention with stent graft for aortic disease at vascular surgery department, Cho Ray hospital

Trần Quyết Tiến, Phan Duy Kiên

Main Article Content

Abstract

Background: Emergency aortic disease is dangerous with many severe complications and high mortality if untreated. Endovascular is currently considered as an efficent, less invasive treatment in many worldwide vascular surgery centers.


Objective: Evaluating efficacy of stent graft treatment in patients with emergency aortic disease at Vascular Surgery department, Cho Ray hospital.


Methods: Case series with 35 patients with emergency aortic disease treated by stent graft at Vascular Surgery department, Cho Ray hospital from 05/2012 to 01/2018.


Results: 35 patients were treated with stent graft for rupture descending thoracic aneurysm (14), acute complicated thoracic dissection (13), rupture abdominal aneurysm (5), and traumatic rupture of aortic isthmus (3). The mean age was 63,8 ± 19,2, 80% were men, mean follow-up time was 12,1 months. The rate of patients needed aortic arch and visceral debranching to have sufficent sealing zone was 5,7 %. 31,4 % of patients had subclavian arterial coverage. The rate of local anesthesia was 57,1%. Perioperative and mid-term mortality rates were 14,2% and 20,0 %. 97,1 % cases were successfully deployed, 1 case converted to open surgery. Technical related complications were type II endoleak (6 cases but none of that needed to re-intervention) and 1 case of secondary aorto-esophageal fistula died due to sepsis.


Conclusion: Endograft therapy for emergency aortic disease is safe, efficient, less invasive with high success and low complication rate.

Article Details

Keywords

stent graft, aortic disease, emergency intervention

References

1.Bos, W. T. (2007). Emergency endovascular stent grafting for thoracic aortic pathology. The international society for vascular surgery , 15, 12-17.
2.Hogendoorn. (2014). Surgical and anesthetic considerations for the endovascular treatment of ruptured descending thoracic aortic aneurysm. Curr Opin Anaesthesiol , 27, 12-20.
3.Michael, D. (1994). Transluminal placement of endovascular stent-grafts for the treament of descending thoracic aneurysm. N Englan J Med , 331, 1725-1734.
4.Mitchell, M. (2011). Emergency procedures on the descending thoracic aorta in the endovascular era. J Vasc Surg , 54, 1298-302.
5.Patterson. (2014). management of the left subclavian artery and neurologic complications after thoracic endovascular aortic repair. J Vasc Surg , 60, 1491-1497.
6.Reimerink, J. (2013). Endovascular repair versus open repair of ruptured abdominal aortic aneurysms. Annals of surgery , 258, 248-256.
7.Schermerhorn. (2008). Population - based outcomes of open descending thoracic aortic aneurysm repair. J vasc surg , 48, 821-827.
8.Weidemann, D. (2014). Emergency endovascula stent grafting in acute complicated type B dissection. J vasc Surg , 60, 1204-08.
9.Xi E, Z. J. (2014). secondary aortoesophageal fistula after thoracic aortic aneurysm endovascular repair. 7, 3244-3252.
10.Zamor. (2015). Outcomes of thoracic endovascular aortic repair and subclavian revascularization techniques. J Am Coll Surg , 5, 1-5.