J Korean Surg Soc.  2012 May;82(5):302-305.

Early experience of thoracic endovascular aortic repair: a local single hospital experience

• Kim KY
• Byun SJ
• Yun KH
• Lee SY
• Ryu DW
• Rhee SJ
• So BJ

Abstract

PURPOSE
The purpose of this retrospective study was to evaluate the short- to mid-term results of thoracic endovascular aortic repair (TEVAR) in Wonkwang University School of Medicine & Hospital.
METHODS
Between February 2009 and May 2011, 8 consecutive patients had undergone endovascular stent-grafting for thoracic aortic diseases. Five patients were treated for traumatic thoracic aortic injuries, two patients were treated for thoracic aneurysms and one patient was treated for a pseudoaneurysm due to penetrating aortic ulcers. Attempted stent-graft deployment was performed electively in 6 patients and emergently in 2. Follow-up was performed at 1-month, 6-month, 1-year, and annually thereafter.
RESULTS
Technical success rates were achieved in 87.5% and the 30-day mortality rate was 0%. Mean hospital length of stay after TEVAR was 30 days in traumatic thoracic aortic injuries and 10 days in thoracic aneurismal diseases. Intra-operative Type I endoleak due to migration at deflation was visualized in 1 patient, which was treated by insertion of another stent-graft. During follow-up, a major complication was encountered in one patient who received carotid-subclavian bypass to relieve left arm ischemia. After 5 months he was treated with arch replacement for aortic arch aneurysm with type I endoleak at proximal site after endovascular treatment. The 30-day mortality rate was 0%. However, 1 case of mortality (12.5%) was observed during the follow-up period.
CONCLUSION
The short and mid-term results of endovascular repair of thoracic aortic diseases are promising. TEVAR is an effective procedure in the management of thoracic aortic diseases.

Keyword

Stent graft; TEVAR; Thoracic aneurysm; Traumatic thoracic injury

MeSH Terms

Aneurysm
Aneurysm, False
Aorta, Thoracic
Aortic Diseases
Arm
Endoleak
Follow-Up Studies
Humans
Ischemia
Length of Stay
Retrospective Studies
Ulcer

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