[Diagnosis and endovascular treatment of thoracic aortic diseases].
Recent years have seen the emergence of non-invasive imaging techniques for the morphological assessment of the thoracic aorta. This evolution results in an important reduction of the role of diagnostic angiography. Simultaneously, thanks to a tremendous technologic development, endovascular treatment techniques concern nowadays some pathologic conditions of the descending aorta. A number of reports using a variety of devices have been published in the literature concerning the treatment of dissection and aortic aneurysm. Based on mid-term results, endoluminal repair with use of stent-grafts is a feasible and safe alternative to surgery with a low rate of morbidity and mortality. In type B dissections with end-organ involvement, interventional radiology can be used either to fenestrate the flap or to stent the flap in branch arteries. Proper selection of patients by non-invasive imaging is fundamental for successful endoluminal treatment. However, there is still major concern with respect to long term results of these new treatments.
Rousseau
H
H
Service de radiologie, CHU Rangueil, Toulouse, France. rxrang@cict.fr
Otal
P
P
Soula
P
P
Colombier
D
D
Joffre
F
F
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D000792:Angiography; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D001017:Aortic Coarctation / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D001161:Arteriosclerosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed