Kết quả can thiệp cấp cứu đặt stent graft điều trị bệnh lý động mạch chủ tại khoa phẫu thuật mạch máu, bệnh viện Chợ Rẫy

Abstract

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 reintervention) and 1 case of secondary aortoesophageal fistula died due to sepsis. Endograft therapy for emergency aortic disease is safe, efficient, less invasive with high success and low complication rate. .