Mid-term results of endovascular treatment with the Gore TAG device for degenerative descending thoracic aortic aneurysms
In: General Thoracic and Cardiovascular Surgery, Jg. 63 (2014-06-17), S. 38-42
Online
unknown
Zugriff:
To confirm the validity of using Gore TAG for degenerative descending thoracic aneurysm repair, we evaluated the mid-term clinical outcomes in our single-center experience.From May 2008 to April 2011, elective thoracic endovascular aortic repair (TEVAR) with Gore TAG without left subclavian artery (LSA) coverage for a degenerative descending thoracic aneurysm was performed in 36 consecutive cases.The procedural success rate was 100%, and no patient died within 30 days of the operation. We observed no cases of paraplegia or stroke. The mean follow-up was 33.2 ± 13.0 months (the maximum follow-up was 58.0 months). The actuarial survival rate was 100, 97.2 and 94.4% at 1, 2 and 3 years. There was no aorta-related death at 3 years. Two (5.6%) late distal Type I endoleaks were observed. Freedom form aortic events rate was 97.2, 97.2, and 97.2% at 1, 2, and 3 years respectively. In six cases with bird-beak configurations at the 2-year follow-up, the bird-beak length and angle had increased gradually.Elective TEVAR using the Gore TAG for degenerative descending thoracic aortic aneurysms without LSA coverage is effective and provides satisfactory early and mid-term outcomes. However, since the bird-beak configurations progressed, a conformable and flexible device for the next generation of procedures will be needed.
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Mid-term results of endovascular treatment with the Gore TAG device for degenerative descending thoracic aortic aneurysms
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Autor/in / Beteiligte Person: | Shirakawa, Yukitoshi ; Yunoki, Junji ; Sawa, Yoshiki ; Shimamura, Kazuo ; Kin, Keiwa ; Torikai, Kei ; Kuratani, Toru |
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Zeitschrift: | General Thoracic and Cardiovascular Surgery, Jg. 63 (2014-06-17), S. 38-42 |
Veröffentlichung: | Springer Science and Business Media LLC, 2014 |
Medientyp: | unknown |
ISSN: | 1863-6713 (print) ; 1863-6705 (print) |
DOI: | 10.1007/s11748-014-0436-4 |
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