title: Endovascular grafts in the treatment of thoracic aortic aneurysms and pseudoaneurysms.
abstract: The purpose of this study was to describe our experience with balloon and self-expanding endovascular grafts for the management of thoracic aortic lesions. Between February 1997 and June 1998, 20 endovascular grafts were implanted in 14 patients for the treatment of thoracic aortic aneurysms and pseudoaneurysms. Endovascular procedures were performed using one of four different devices: (1) Dacron-covered balloon-expandable Palmaztrade mark stent, (2) balloon-expandable Palmaz stent-PTFE graft prosthesis (BE-PS), (3) self-expanding internally supported Nitinol Dacron prosthesis (Vanguardtrade mark SE-V), and (4) self-expanding externally supported Nitinol PTFE prosthesis (Excludertrade mark SE-E). The results show that endovascular grafting represents a potentially important alternative therapy to open repair of the thoracic aorta. Self-expanding devices were, in our experience, easier to use and more accurately deployed.
authors.affiliation: Department of Surgery, The Mount Sinai Medical Center, New York, NY 10029, USA.
authors.forename: T
authors.initials: T
authors.lastname: Temudom
authors.forename: M
authors.initials: M
authors.lastname: D'Ayala
authors.forename: M L
authors.initials: ML
authors.lastname: Marin
authors.forename: L H
authors.initials: LH
authors.lastname: Hollier
authors.forename: R
authors.initials: R
authors.lastname: Parsons
authors.forename: V
authors.initials: V
authors.lastname: Teodorescu
authors.forename: H
authors.initials: H
authors.lastname: Mitty
authors.forename: J
authors.initials: J
authors.lastname: Ahn
authors.forename: A
authors.initials: A
authors.lastname: Falk
authors.forename: R
authors.initials: R
authors.lastname: Kahn
authors.forename: R
authors.initials: R
authors.lastname: Griepp
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D012189:Retrospective Studies; D015607:Stents