TY  - CHAP
M1  - Book, Section
TI  - Endovascular Repair of Thoracic Aortic Pathology
A1  - George, Timothy J.
A1  - Black, James H.
A2  - Yuh, David D.
A2  - Vricella, Luca A.
A2  - Yang, Stephen C.
A2  - Doty, John R.
PY  - 2014
T2  - Johns Hopkins Textbook of Cardiothoracic Surgery
AB  - Traditional  open  surgical  repair  of  thoracic  aortic  disease  is  associated  with  significant  morbidity  and  mortality.Endovascular  stent-graft  therapies  have  emerged  as  a  minimally  invasive  approach  to  treating  thoracic  aortic  pathologies.Stent-graft  devices  consist  of  membrane  material  mounted  on  an  expandable  metal  stented  framework.Although  several  imaging  modalities  have  proved  useful  in  planning  and  executing  stent-graft  deployment,  computed  tomography  has  emerged  as  the  dominant  imaging  modality  because  of  its  wide  availability,  high  resolution,  and  ability  to  obtain  a  variety  of  three-dimensional  reconstructions  of  the  thoracic  and  abdominal  aorta.Endovascular  stent  grafts  are  deployed  through  sheaths  placed  in  the  common  femoral  or  iliac  artery.  It  is  often  useful  to  obtain  vascular  access  through  an  extension  conduit  anastomosed  to  the  common  iliac  artery  via  a  retroperitoneal  approach.There  are  four  types  of  “endoleaks,”  or  seepage  of  blood  between  the  walls  of  the  aorta  and/or  from  graft  material.Endovascular  stent  grafts  have  been  used  to  repair  aortic  aneurysms,  Stanford  type  B  aortic  dissections,  penetrating  atherosclerotic  ulcers,  and  traumatic  aortic  transections.  The  results  of  these  repairs  are  promising  but  still  are  accumulating.Complications  of  endovascular  stent-graft  repairs  of  the  thoracic  aorta  include  spinal  cord  ischemic  injury,  retrograde  aortic  dissection,  and  iliofemoral  arterial  injury.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1104591697
ER  -