Challenges of endovascular tube graft repair of thoracic aortic aneurysm: midterm follow-up and lessons learned Sharif H Ellozy, MD, Alfio Carroccio,

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Presentation transcript:

Challenges of endovascular tube graft repair of thoracic aortic aneurysm: midterm follow-up and lessons learned Sharif H Ellozy, MD, Alfio Carroccio, MD, Michael Minor, MD, Tikva Jacobs, MD, Kristina Chae, BA, Andrew Cha, BA, Gautam Agarwal, MD, Bethany Goldstein, MD, Nicholas Morrissey, MD, David Spielvogel, MD, Robert A Lookstein, MD, Victoria Teodorescu, MD, Larry H Hollier, MD, Michael L Marin, MD Journal of Vascular Surgery Volume 38, Issue 4, Pages 676-683 (October 2003) DOI: 10.1016/S0741-5214(03)00934-0

Fig 1 A, Gore TAG thoracic endovascular stent graft. B, Talent thoracic endovascular stent graft. Journal of Vascular Surgery 2003 38, 676-683DOI: (10.1016/S0741-5214(03)00934-0)

Fig 2 A, Talent stent graft. Note stent fracture (arrow). B, Gore stent graft. Note longitudinal wire fracture (arrows). Journal of Vascular Surgery 2003 38, 676-683DOI: (10.1016/S0741-5214(03)00934-0)

Fig 3 A, CT scan at 2 years shows no endoleak. B, CT scan at 32 months shows new type III endoleak and rupture. Journal of Vascular Surgery 2003 38, 676-683DOI: (10.1016/S0741-5214(03)00934-0)

Fig 4 A, Preoperative angiogram shows penetrating ulcer. B, Preoperative CT scan. C, Completion angiogram shows aneurysm exclusion. D, CT angiogram shows extent of stent-graft coverage. E, CT scan shows proximal graft covered portion of stent graft. Note hematoma around the aorta. F, CT scan shows midportion of the stent graft, with no evidence of endoleak. Journal of Vascular Surgery 2003 38, 676-683DOI: (10.1016/S0741-5214(03)00934-0)

Fig 4 A, Preoperative angiogram shows penetrating ulcer. B, Preoperative CT scan. C, Completion angiogram shows aneurysm exclusion. D, CT angiogram shows extent of stent-graft coverage. E, CT scan shows proximal graft covered portion of stent graft. Note hematoma around the aorta. F, CT scan shows midportion of the stent graft, with no evidence of endoleak. Journal of Vascular Surgery 2003 38, 676-683DOI: (10.1016/S0741-5214(03)00934-0)

Fig 5 Kaplan-Meier curve depicts overall survival of patient cohort. Journal of Vascular Surgery 2003 38, 676-683DOI: (10.1016/S0741-5214(03)00934-0)

Fig 6 Kaplan-Meier curve depicts survival free of aneurysm-related event, that is, rupture, type I endoleak, type III endoleak, or conversion to open repair. Journal of Vascular Surgery 2003 38, 676-683DOI: (10.1016/S0741-5214(03)00934-0)