Endovascular and Hybrid Management of the Thoracic Aorta: A by Edward B. Diethrich, Venkatesh Ramaiah , Jacques Kpodonu,

By Edward B. Diethrich, Venkatesh Ramaiah , Jacques Kpodonu, Julio A. Rodriguez-Lopez

Surgical administration of aortic pathologies has replaced dramatically, and this crucial e-book fills the void with up to date finished info at the topic.Written by way of physicians on the Arizona center Institute, which pioneered using thoracic endoluminal grafts, Endovascular and Hybrid administration of the Thoracic Aorta offers scientific situations in addition to controversies during this interesting and speedily constructing field.Discussing the etiology, diagnostic instruments and administration and therapy of particular pathologies of the aorta, this ebook is perfect for cardiovascular and vascular surgeons from world wide. it's also of curiosity to citizens in vascular and cardiothoracic surgical procedure who've an curiosity in thoracic aortic sickness administration and need to be on the vanguard of endovascular expertise.

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Extra resources for Endovascular and Hybrid Management of the Thoracic Aorta: A Case-based Approach

Sample text

Migration (>10 mm) of the proximal or distal stent was noted in 3 patients (6%) (2 proximal and 1 distal), none of which required treatment or resulted in an adverse event. These authors concluded that acceptable intermediate-term outcomes have been achieved in the treatment of high-risk patients in the setting of both favorable and challenging anatomic situations with these devices. Table 1 Inclusion criteria. Criterion Cook TX2 Age (yr) >18 Women Negative pregnancy test 7 days before treatment Open-surgical candidate Yes Neck length Minimal 3-cm proximal Aneurysm Fusiform DTA at least and distal twice the size of normal thoracic aorta Penetrating ulcer Proximal landing zone 30 mm distal to left CCA location Distal landing zone location 20 mm proximal to celiac axis Landing zone diameter (mm) 24–38 The STARZ trial The STARZ-TX2 trial (Study of Thoracic Aortic Aneurysm Repair with the Zenith TX2 TAA Endovascular Graft) is a North American multicenter, nonrandomized, prospective clinical trial.

It recently was involved in a multicenter trial in the United States. The tube is customized with respect to width, length, and the configuration of each end (as a bare spring or a covered web for optimal conformance with the aorta) and is compressed in a 22–25 F (French) polytetrafluoroethylene sheath. The nitinol rings are interconnected by a longitudinal wire to ensure stabilization and separation of all the rings and to prevent twisting. Case scenario A 44-year-old woman with past medical history significant for hypertension and diabetes mellitus 24 presented to an outside facility with severe chest and lower back pain.

Bloomington, IN) was exchanged through the IVUS catheter. , Bloomington, IN) measuring 36 mm × 152 mm and deployed 2-cm distal to the left subclavian artery with at least a 3-cm proximal neck. A second Cook Zenith device 36 mm × 136 mm was deployed distally with adequate overlap between grafts to a level just above the celiac trunk. A completion angiogram demonstrated satisfactory exclusion of the thoracic aortic aneurysm with no endoleak (Figure 2b). All wires and sheaths were removed. The right common femoral artery was closed in a transverse fashion with restoration of flow.

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