Endovascular Repair of Abdominal and Thoracic Aortic Aneurysms

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Endovascular Repair of Abdominal and Thoracic Aortic Aneurysms

Aortic aneurysms remain a challenging problem for patients and physicians. There have been major advances in the treatment of large-vessel aneurysms during the past 10 years. The surgical armamentarium used to treat these aneurysms now includes an endovascular approach that allows the insertion of a graft to exclude the aneurysm sac from blood flow. The endovascular repair of abdominal and thor...

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Endovascular repair of thoracic aortic aneurysms.

A thoracic aortic aneurysm is a potentially life-threatening condition that involves a structural weakness of the aortic wall, which can lead to aneurysm, rupture, or dissection. Optimal treatment strategies for lesions of the thoracic aorta are still controversial. Open surgery is complex and is associated with significant morbidity and mortality. Endovascular stenting has emerged as an altern...

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Endovascular Repair of Ruptured Abdominal Aortic Aneurysms

Ruptured abdominal aortic aneurysms (AAAs) are catastrophic events with dismal outcomes. Even in the modern era, the overall mortality rate reaches 90%. Most ruptured aneurysms worldwide are repaired by conventional open surgery with a high operative mortality despite major medical advancements in diagnostic imaging and intensive care delivery. Over the past two decades, the in-hospital mortali...

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Endovascular repair of abdominal aortic aneurysms.

In September 1999, the Food and Drug Administration approved two devices for the endovascular repair of abdominal aortic aneurysms. The endografts are placed from within the arteries using fluoroscopic guidance. The minimally invasive technique is performed using bilateral femoral artery cut-downs and has significant advantages over open surgical repair, including a reduction in morbidity, hosp...

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Repair of Ruptured Descending Thoracic Aortic Aneurysms (rDTAA) remains a challenging surgical undertaking. Although rupture is rare, when it occurs it is often a lethal event. Traditionally the standard of repair for rDTAA has been open surgical repair requiring thoracotomy, aortic cross-clamping, and cardiopulmonary bypass. However, while the standard, these open procedures are accompanied by...

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ژورنال

عنوان ژورنال: Circulation

سال: 2005

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.105.541284