Diagnosis and endovascular treatment of proximal endograft instability after thoracic endografting

Stehr, A. and Steinbauer, Markus and Pfister, K. and Toepel, I. and Herold, T. and Zorger, N. and Kasprzak, P. M. (2007) Diagnosis and endovascular treatment of proximal endograft instability after thoracic endografting. ZENTRALBLATT FUR CHIRURGIE, 132 (3). pp. 211-215. ISSN 0044-409X,

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Abstract

Four cases of proximal endostent instability after endovascular tube graft treatment of thoracic aortic disease using the TAG Gore system are reported. This potentially hazardous complication is characterized by a lack of attachment of the device to the small curvature of the aortic arch. Towering up against the hemodynamic forces in this area, the endograft could collapse and occlude the aorta. To identify this complication we recommend to perform an early postinterventional CT-scan with parasagittal reconstrution and an observation of the proximal endograft by fluorography. Endovascular solutions for the treatment of this complication may be either a proximal extension by another endograft or fixation of the proximal endograft by a balloon expandable Palmaz stent.

Item Type: Article
Uncontrolled Keywords: STENT-GRAFT REPAIR; DISSECTION; ANEURYSM; thoracic endograft; proximal endograft instability; enclograft; collapse; complication
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 09 Dec 2020 09:49
Last Modified: 09 Dec 2020 09:49
URI: https://pred.uni-regensburg.de/id/eprint/32750

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