Thoracic aortic lesions treated with the Zenith TX1 and TX2 thoracic devices: Intermediate- and long-term outcomes Jose P. Morales, MD, Roy K. Greenberg,

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Presentation transcript:

Thoracic aortic lesions treated with the Zenith TX1 and TX2 thoracic devices: Intermediate- and long-term outcomes Jose P. Morales, MD, Roy K. Greenberg, MD, Catherine A. Morales, BS, Marcelo Cury, MD, Adrian V. Hernandez, MD, PhD, Sean P. Lyden, MD, Daniel Clair, MD Journal of Vascular Surgery Volume 48, Issue 1, Pages 54-63 (July 2008) DOI: 10.1016/j.jvs.2008.02.028 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Overall mortality (thick line) and aneurysm-related morality (thin line) were assessed using a Kaplan-Meier analysis, and the error bars denote the 95% confidence intervals (CI). Journal of Vascular Surgery 2008 48, 54-63DOI: (10.1016/j.jvs.2008.02.028) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 Freedom from secondary intervention is shown in 160 patients with >72 months of follow-up. Journal of Vascular Surgery 2008 48, 54-63DOI: (10.1016/j.jvs.2008.02.028) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, Kaplan-Meier life-table analysis shows of freedom from primary endoleak and (B) secondary endoleaks. Journal of Vascular Surgery 2008 48, 54-63DOI: (10.1016/j.jvs.2008.02.028) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 A, A three-dimensional (3D) reconstruction of a computed tomography (CT) scan demonstrates an endovascular completion of an elephant trunk graft. The pacer wire attached near the distal end of the elephant trunk graft is indicated by the small arrow. Distally, the device was deployed into an aneurysmal segment that had been wrapped with a polyester strip to create a landing zone in a patient deemed unable to tolerate an open thoracoabdominal repair (large arrow). B, Same patient, 3D reconstruction CT scan at the 6-month follow-up demonstrates a stable proximal dense position (arrow) enlargement of the wrapped segment, distal endoleak, and proximal migration (circle) of the distal stent through the wrap and into the aneurysm. Note, no barbs were used on the distal fixation system for fear of injury to the abnormal aorta below the level of the stent graft. C, Magnified view of previous image demonstrates scratches on the external aortic wall (arrows) caused by migration of the device. Journal of Vascular Surgery 2008 48, 54-63DOI: (10.1016/j.jvs.2008.02.028) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 5 A and B, Radiographs in different projections demonstrate a single barb fracture (circle and arrow) first noticed at 2 years follow up. Journal of Vascular Surgery 2008 48, 54-63DOI: (10.1016/j.jvs.2008.02.028) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions