Endovascular Grafts in the Treatment of Thoracic Aortic Aneurysms and Pseudoaneurysms |
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Authors: | Thamrongroj Temudom Marcus D'Ayala Michael L. Marin Larry H. Hollier Richard Parsons Victoria Teodorescu Harold Mitty Jiyong Ahn Abigail Falk Ronald Kahn Randall Griepp |
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Affiliation: | (1) Department of Surgery, The Mount Sinai Medical Center, New York, NY, US;(2) Department of Radiology, The Mount Sinai Medical Center, New York, NY, US;(3) Department of Anesthesiology, The Mount Sinai Medical Center, New York, NY, US;(4) Department of Cardiothoracic Surgery, The Mount Sinai Medical Center, New York, NY, US |
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Abstract: | The purpose of this study was to describe our experience with balloon and self-expanding endovascular grafts for the management of thoracic aortic lesions. Between February 1997 and June 1998, 20 endovascular grafts were implanted in 14 patients for the treatment of thoracic aortic aneurysms and pseudoaneurysms. Endovascular procedures were performed using one of four different devices: (1) Dacron-covered balloon-expandable Palmaztrade mark stent, (2) balloon-expandable Palmaz stent-PTFE graft prosthesis (BE-PS), (3) self-expanding internally supported Nitinol Dacron prosthesis (Vanguardtrade mark SE-V), and (4) self-expanding externally supported Nitinol PTFE prosthesis (Excludertrade mark SE-E). The results show that endovascular grafting represents a potentially important alternative therapy to open repair of the thoracic aorta. Self-expanding devices were, in our experience, easier to use and more accurately deployed. |
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