[Is endovascular treatment of acute thoracic aortic disease possible in centers where extracorporal circulation is not available?].
OBJECTIVE
To determine whether access to extra-corporal circulation (ECC) is necessary to treat acute descending thoracic aorta disease.


METHODS
From January 2004 to May 2006, 16 patients underwent endovascular stent-graft repair of the descending thoracic aorta, among them 13 (81%) were treated in an emergency setting (nine men, mean age: 75.4 years, range 30-94 years). The indication was traumatic aortic rupture (n=3, 23%), complicated acute type B dissection (n=4; 31%), symptomatic or ruptured thoracic aortic aneurysm (n=4; 31%), aorto-esophageal fistula (n=1; 7,5%) and aortic intramural haematoma (n=1; 7,5%). Computed tomography showed hemomediastin and/or hemothorax in five patients (38%). Transesophageal echocardiography and angiography were performed in two (15%) and one patients respectively. Cerebrospinal fluid drainage was performed for two patients (15%).


RESULTS
Endovascular repair was successfully completed in 92.3% of cases. The 30-day mortality was 7.5% (n=1). There was one case (7.5%) of delayed paraplegia. Follow-up ranged between two and 24 months (mean 10.2), no rupture occurred. Three type I endoleaks were detected and only two were treated. Two none related additional mortalities were observed. None of these patients has needed ECC.


CONCLUSIONS
The unavailability of ECC does not seem to be a compromising factor in the management of thoracic aorta disease, however a good experience in endovascular techniques is required.
Boufi
M
M
Service de chirurgie vasculaire, hôpital Nord, chemin des Bourrelly, 13915 Marseille cedex 20, France.
Hartung
O
O
Dona
B
B
Di Pasquale
F
F
Hakam
Z
Z
Marani
I
I
Alimi
Y S
YS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D004638:Emergency Treatment; D005112:Extracorporeal Circulation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods*