[Exploration on endovascular treatment for disorders of great vessels].
OBJECTIVE
To explore the efficacy and shortcoming of endovascular therapy with mainly endovascular graft in treating disorders occurring in the thoracic or thoracoabdominal aorta.


METHODS
Total 137 cases with great vessel disorders including dissections, aneurysm, pseudoaneurysm, aortic deceleration injury and coarctation were treated by endovascular technique. The lowest lesion located between the celiac and mesenteric arteries.


RESULTS
Two cases underwent emergent surgery due to acute visceral arterial insufficiency. Seven cases had early endoleaks. After a follow-up of 1 - 43 (average of 11) months, 2 late endoleaks were detected; 5 patients died, 4 of them were due to endograft unrelated diseases, one due to a recurrent multiple aneurysms.


CONCLUSIONS
Endovascular treatment is relatively safe and effective for treating high risky patients with lesions occurring in the great vessels and seems to have a prospective future, although the device needs to be further improved and the long-term efficacy should be confirmed.
Wang
Zhong-gao
ZG
Department of Vascular Surgery, First Hospital, Medical College, Zhejiang University, Hangzhou 310003, China.
Li
Ming
M
Zhang
Xiao-ming
XM
Gu
Yong-quan
YQ
Pan
Song-ling
SL
D017130:Angioplasty / Q000379:methods*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011859:Radiography; D016896:Treatment Outcome