Endovascular treatment of acute and chronic aortic dissection: Midterm results from the Talent Thoracic Retrospective Registry Stephan Kische, MD, Marek.

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Presentation transcript:

Endovascular treatment of acute and chronic aortic dissection: Midterm results from the Talent Thoracic Retrospective Registry Stephan Kische, MD, Marek P. Ehrlich, MD, Christoph A. Nienaber, MD, Hervé Rousseau, MD, Robin Heijmen, MD, Philippe Piquet, MD, Hüseyin Ince, MD, Jean-Paul Beregi, MD, Rossella Fattori, MD The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 1, Pages 115-124 (July 2009) DOI: 10.1016/j.jtcvs.2008.07.074 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Overall survival and freedom from rupture after stent graft repair in thoracic aortic dissection. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 115-124DOI: (10.1016/j.jtcvs.2008.07.074) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Freedom from secondary open and endoluminal aortic procedures. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 115-124DOI: (10.1016/j.jtcvs.2008.07.074) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Survival after stent graft treatment in thoracic emergencies versus an elective setting. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 115-124DOI: (10.1016/j.jtcvs.2008.07.074) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Contrast-enhanced CT of acute type B dissection (A) and comparable CT scans 1 week (B) and 9 months (C) after thoracic stent graft placement demonstrating complete obliteration and progressive resolution of the false lumen down to the level of celiac trunk (aortic remodeling). The Journal of Thoracic and Cardiovascular Surgery 2009 138, 115-124DOI: (10.1016/j.jtcvs.2008.07.074) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Serial CT imaging study demonstrating rapid false lumen enlargement within 3 months after the index hospitalization for acute type B dissection (A and B). Stent graft placement within chronic stage of disease enabled complete restoration of compressed true lumen and abolition of false lumen flow (C). The Journal of Thoracic and Cardiovascular Surgery 2009 138, 115-124DOI: (10.1016/j.jtcvs.2008.07.074) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions