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Thoracic Aortic Diseases pp 199–207Cite as

The Use of Endografts to Treat Chronic Descending Thoracic Aortic Dissections

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20.8 Summary

Although further follow-up is mandatory, endografting for the treatment of chronic type B aortic dissection is seemingly a superior alternative to surgical graft replacement in terms of short and midterm results, even if first-generation endografts are used. To expand indication more sophisticated devices such as branched or fenestrated endografts should be necessary.

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References

  1. Acute aortic dissection. Lancet 1998; 2:827–828.

    Google Scholar 

  2. Blum U, Voshage G, Lammer J, Beyersdorf F, Tollner D, Kretschmer G, Spillner G, Polterauer P. Endoluminal stent-grafts for infrarenal abdominal aortic aneurysms. N Engl J Med 1997; 336:13–20.

    Article  PubMed  CAS  Google Scholar 

  3. Coselli J, LeMaire S, Schmittling Z, Köksoy C. Cerebrospinal fluid drainage in thoracoabdominal aortic surgery. Semin Vase Surg 2000; 13:308–314.

    CAS  Google Scholar 

  4. Dake MD, Miller DC, Mitchell RS, Semba CP, Moore KA, Sakai T. The “first generation” of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta. J Thorac Cardiovasc Surg 1998; 116:689–704.

    Article  PubMed  CAS  Google Scholar 

  5. Dake MD, Kato N, Mitchell RS, Semba CP, Razavi MK, Shimono T, Hirano T, Takeda K, Yada I, Miller DC. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med 1999; 340:1546–1552.

    Article  PubMed  CAS  Google Scholar 

  6. DeBakey ME, McCollum CH, Crawford ES, Morris GC, Howell J, Noon GP, Lawrie G. Dissection and dissecting aneurysms of the aorta: Twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery 1982; 92:1118–1134.

    PubMed  CAS  Google Scholar 

  7. DeSanctis RW, Doroghazi RM, Austen WG, Buckley ML. Aortic dissection. N Engl J Med 1987; 317:1060–1067.

    Article  PubMed  CAS  Google Scholar 

  8. Elefteriades JA, Hartleroad J, Gusberg RJ, Salazar AM, Black HR, Kopf GS, Baldwin JC, Hammond GL. Long-term experience with descending aortic dissection: The complication-specific approach. Ann Thorac Surg 1992; 53:11–21.

    Article  PubMed  CAS  Google Scholar 

  9. Fann JI, Miller DC. Aortic dissection. Ann Vase Surg 1995; 9:311–323.

    Article  CAS  Google Scholar 

  10. Fleck T, Hutschala D, Weissl M, Wolner E, Grabenwöger M. Cerebrospinal fluid drainage as a useful treatment option to relieve paraplegia after stent-graft implantation for acute aortic dissection type B. J Thorac Cardiovasc Surg 2002; 123:1003–1005.

    Article  PubMed  Google Scholar 

  11. Glower DD, Fann JI, Speier RH, Morrison L, White WD, Smith LR, Rankin JS, Miller DC, Wolfe WG. Comparison of medical and surgical therapy for uncomplicated descending aortic dissection. Circulation 1990; 82(Suppl IV): IV39–46.

    PubMed  CAS  Google Scholar 

  12. Glower DD, Speier RH, White WD, Smith LR, Rankin JS, Wolfe WG. Management and long-term outcome of aortic dissection. Ann Surg 1991; 214:31–41.

    PubMed  CAS  Google Scholar 

  13. Hagan PG, Nienaber CA, Isselbacher EM, et al. The international registry of acute aortic dissection (IRAD). JAMA 2000; 283:897–903.

    Article  PubMed  CAS  Google Scholar 

  14. Huynh D, Miller C, Safi H. Delayed onset of neurologic deficit: significance and management. Semin Vase Surg 2000; 13:340–344.

    CAS  Google Scholar 

  15. Inoue K, Hosokawa H, Iwase T, Sato M, Yoshida Y, Ueno K, Tsubokawa A, Tanaka T, Tamaki S, Suzuki T. Aortic arch reconstruction by transluminally placed endovascular branched stent graft. Circulation 1999; 100(Suppl II):II316–321.

    PubMed  CAS  Google Scholar 

  16. Ishida M, Kato N, Hirano T, Shimono T, Takeda K. Endovascular stent-graft treatment for thoracic aortic aneurysms: short-to midterm results. J Vase Interv Radiol 2004; 15:361–367.

    Google Scholar 

  17. Juvonen T, Ergin MA, Galla JD, Lansman SL, McCullough JN, Nguyen K, Bodian CA, Ehrlich MP, Spielvogel D, Klein JJ, Griepp RB. Risk factors for rupture of chronic type B dissections. J Thorac Cardiovasc Surg 1999; 117:776–786.

    Article  PubMed  CAS  Google Scholar 

  18. Kato M, Bai H, Sato K, Kawamoto S, Kaneko M, Ueda T, Kishi D, Ohnishi K. Determining surgical indications for acute type B dissection based on enlargement of aortic diameter during the chronic phase. Circulation 1995; 92(Suppl II):II107–112.

    PubMed  CAS  Google Scholar 

  19. Kato N, Hirano T, Shimono T, Ishida M, Takano K, Nishide Y, Kawaguchi T, Yada I, Takeda K. Treatment of chronic aortic dissection by transluminal endovascular stent-graft placement: preliminary results. J Vase Intervent Radiol 2001; 12:835–840.

    CAS  Google Scholar 

  20. Kato N, Hirano T, Kawaguchi T, Ishida M, Shimono T, Yada I, Takeda K. Aneurysmal degeneration of the aorta after stent-graft repair of acute aortic dissection. J Vase Surg 2001; 34:513–518.

    Article  CAS  Google Scholar 

  21. Kato N, Shimono T, Hirano T, Suzuki T, Ishida M, Sakuma H, Yada I, Takeda K. Mid-term results of stent-graft repair of aortic dissection: comparison between acute and chronic dissection — the complication-specific approach-. J Thorac Cardiovasc Surg 2002; 124:306–312.

    Article  PubMed  Google Scholar 

  22. Kato N, Hirano T, Ishida M, Cheng SH, Shimono T, Takeda K. Stent-graft placement combined with percutaneous fenestration for the treatment of aortic dissection with a risk of renal ischemia. Ann Thorac Surg 2004; 78:1072–5.

    Article  PubMed  Google Scholar 

  23. Kouchoukos NT, Dougenis D. Surgery of the thoracic aorta. N Engl J Med 1997; 336:1876–1888.

    Article  PubMed  CAS  Google Scholar 

  24. Miller DC. Surgical management of aortic dissections: indications, perioperative management, and long-term results. In: Doroghazi RM, Slater EE, editors. Aortic dissection. McGraw-Hill, New York, 1983. pp. 193–243.

    Google Scholar 

  25. Miller DC. The continuing dilemma concerning medical versus surgical management of patients with acute type B dissections. Sem Thorac Cardiovasc Surg 1993; 5:33–46.

    Google Scholar 

  26. Miller DC, Stinson EB, Oyer PE, Rossiter SJ, Reitz BA, Griepp RB, Shumway NE. Operative management of aortic dissections. Experience with 125 patients over a sixteen-year period. J Thorac Cardiovasc Surg 1979; 78:365–382.

    PubMed  CAS  Google Scholar 

  27. Miller DC, Mitchell RS, Oyer PE, Stinson EB, Jamieson SW, Shumway NE. Independent determinants of operative mortality for patients with aortic dissections. Circulation 1984; 70(Suppl I):I153–164.

    PubMed  CAS  Google Scholar 

  28. Neya K, Omoto R, Kyo S, Kimura S, Yokote Y, Takamoto S, Adachi H. Outcome of Stanford type B acute aortic dissection. Circulation 1992; 86(Suppl II): II1–7.

    PubMed  CAS  Google Scholar 

  29. Nienaber CA, Fattori R, Lund G, Dieckmann C, Wolf W, von Kodolitsch Y, Nicolas V, Pierangeli A. Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement. N Engl J Med 1999; 340:1539–1545.

    Article  PubMed  CAS  Google Scholar 

  30. Slonim SM, Nyman URO, Semba CO, Miller DC, Mitchell RS, Dake MD. Aortic dissection: percutaneous management of ischemic complications with endovascular stents and fenestration. J Vase Surg 1996; 23:241–253.

    Article  CAS  Google Scholar 

  31. Slonim SM, Nyman URO, Semba CP, Miller DC, Mitchell RS, Dake MD. True lumen obliteration in complicated aortic dissection: endovascular treatment. Radiology 1996; 201:161–166.

    PubMed  CAS  Google Scholar 

  32. Smith DC, Jang GC. Radiological diagnosis of aortic dissection. In: Doroghazi RM, Slater EE, editors. Aortic dissection. McGraw-Hill, New York, 1983. pp. 193–243.

    Google Scholar 

  33. Sueyoshi E, Matsuoka Y, Sakamoto I, Uetani M, Hayashi K, Narimatsu M. Fate of intramural hematoma of the aorta: CT evaluation. J Comput Assist Tomogr 1997; 21:931–938.

    Article  PubMed  CAS  Google Scholar 

  34. Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Dissection of the aorta and dissecting aortic aneurysms. Circulation 1990; 82(Suppl IV):IV24–38.

    PubMed  CAS  Google Scholar 

  35. Tefera G, Acher C, Wynn M. Clamp and sew techniques in thoracoabdominal aortic surgery using naloxane and CSF drainage. Semin Vase Surg 2000; 13:325–330.

    CAS  Google Scholar 

  36. Wheat MW. Current status of medical therapy of acute dissecting aneurysms of the aorta. World J Surg 1980; 4:563–569.

    Article  PubMed  Google Scholar 

  37. Williams DM, Lee DY, Hamilton BH, Marx MV, Narasimham DL, Kazanjian SN, Prince MR, Andrews JC, Cho KJ, Deeb GM. The dissected aorta: percutaneous treatment of ischemic complications — principles and results. J Vase Interv Radiol 1997; 8:605–625.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Radiology, Mie University Hospital, 2-174 Edobashi Tsu, Mie, 514-8507, Japan

    Noriyuki Kato

  2. Department of Thoracic and Cardiovascular Surgery, Mie University Hospital, 2-174 Edobashi Tsu, Mie, 514-8507, Japan

    Takatsugu Shimono

  3. Department of Radiology, Matsusaka Central General Hospital, 102 Kawai, Matsusaka Mie, 515-8566, Japan

    Tadanori Hirano

Authors
  1. Noriyuki Kato
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  2. Takatsugu Shimono
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  3. Tadanori Hirano
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Editor information

Editors and Affiliations

  1. Department of Radiology, Rangueil University Hospital, 1 av J. Poulhes — TSA 50032, 31059, Toulouse CEDEX 9, France

    Hervé Rousseau

  2. Cardiovascular and Thoracic Surgery Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-Philippe Verhoye

  3. Radiology and Medical Imaging Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-François Heautot

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Kato, N., Shimono, T., Hirano, T. (2006). The Use of Endografts to Treat Chronic Descending Thoracic Aortic Dissections. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_20

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  • DOI: https://doi.org/10.1007/3-540-38309-3_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-25734-9

  • Online ISBN: 978-3-540-38309-3

  • eBook Packages: MedicineMedicine (R0)

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