Unit:
Διακρατικό ΠΜΣ Ενδαγγειακές ΤεχνικέςLibrary of the School of Health Sciences
Supervisors info:
Γεώργιος Γερουλάκος, Καθηγητής,Ιατρική, ΕΚΠΑ
Αχιλλέας Χατζηιωάννου, Καθηγητής,Ιατρική,ΕΚΠΑ
Κακίσης Ιωάννης, Αν. Καθηγητής,Ιατρική, ΕΚΠΑ
Original Title:
Αναδρομική και προοπτική καταγραφή διαχωρισμών τύπου Α για πιθανή ενδοαγγειακή αποκατάσταση
Translated title:
Retrospective and prospective register of dissection type A for possible intravascular repair
Summary:
Abstract
Introduction: Acute type A aortic dissection is a potentially lethal condition which requires immediate diagnostic and therapeutic intervention. Open surgical repair remains the standard of care as survival rates continue to improve in the modern surgical era. Unfortunately, up to twenty percent of patients are denied surgical therapy because they are deemed medically unfit to undergo open repair. The application of thoracic endovascular aortic repair (TEVAR) has changed the treatment paradigm for aortic disease involving the descending thoracic aorta and may be a viable rescue option for patients with type A dissection who are not eligible for open surgical repair. New endovascular devices and advanced image-guided procedures are continually evolving.
Material and Methods: A study of the international literature took part regarding trials investigating for thoracic endovascular aortic repair (TEVAR) the ascending aorta . Afterwards a comparison was done among these trials and a retrospective study that took part at the Cardio Thoracic department of General Hospital “Evaggelismos” , which included data of all patients presenting with Acute type A aortic dissection between January 2014 and October 2017. Along with demographics – medical history and Computed Tomography Angiography –CTA why try to find the group of patients for probable endovascular repair.
Results: after a careful study of a publication of thoracic endovascular aortic repair (TEVAR) ascending aorta and our statistical analysis, we conclude that open surgical repair remains the standard of care but there is one group of high-risk patient TEVAR offers an alternative treatment option.
Conclusions: The current endovascular stent graft technology offers an alternative treatment option in selected high-risk patients with acute type A dissection who are unfit for surgical repair. Since there are still many technical issues that need to be resolved, future innovations will provide more disease-specific devices and solutions to support physicians in expanding the indications for TEVAR.
Main subject category:
Health Sciences
Keywords:
Acute,Dissection,Type A,Endovascular ,Thoracic aorta
