Traitement endovasculaire des anévrysmes de l’aorte thoracique descendante

Abstract : Degenerative aneurysms of the thoracic aorta are increasing in prevalence. The recognition of the decreased morbidity of this approach compared with open repair was readily apparent, as it avoided left thoracotomy, aortic cross-clamping, and left heart bypass. Repair of isolated descending thoracic aortic aneurysms using stent grafts was introduced in 1995, and in an anatomically suitable subgroup of patients with thoracic aortic aneurysm, repair with endovascular stent graft provides favorable outcomes, with decreased perioperative morbidity and mortality relative to open repair. The cornerstones of successful thoracic endovascular aneurysm repair are appropriate patient selection, thorough preprocedural planning, and cautious procedural execution. Since then, TEVAR is increasingly being used for other aortic pathologies such as complicated type B dissection, traumatic aortic transection, and aneurysmal disease extending into the arch or visceral segment, requiring debranching procedures.
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Soumis le : mardi 7 janvier 2020 - 09:50:11
Dernière modification le : lundi 13 janvier 2020 - 11:02:16


2018 Canaud et al., Traitement...
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Ludovic Canaud, Pierre Alric. Traitement endovasculaire des anévrysmes de l’aorte thoracique descendante. La Presse Médicale, Elsevier Masson, 2018, 47 (2), pp.153 - 160. ⟨10.1016/j.lpm.2017.12.004⟩. ⟨hal-01839258⟩



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