The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 1 , Pages 115-124 , July 2009

Endovascular treatment of acute and chronic aortic dissection: Midterm results from the Talent Thoracic Retrospective Registry

  • Stephan Kische, MD

      Affiliations

    • Department of Cardiology, Division of Cardiology, University Hospital Rostock, Germany
    • ,
  • Marek P. Ehrlich, MD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Vienna, Austria
    • ,
  • Christoph A. Nienaber, MD

      Affiliations

    • Department of Cardiology, Division of Cardiology, University Hospital Rostock, Germany
    • Corresponding Author InformationAddress for reprints: Christoph A. Nienaber, MD, Department of Cardiology, University of Rostock, D-18057 Rostock, Germany.
    • ,
  • Hervé Rousseau, MD

      Affiliations

    • Department of Radiology, Centre Hospitalier Universitaire, Hopital de Rangueil, Toulouse, France
    • ,
  • Robin Heijmen, MD

      Affiliations

    • Department of Cardiothoracic Surgery, St Antonius Hospital, Nieuwegein, The Netherlands
    • ,
  • Philippe Piquet, MD

      Affiliations

    • Centre Hospitalier Universitaire, Hopital Sainte Marguerite, Marseille, France
    • ,
  • Hüseyin Ince, MD

      Affiliations

    • Department of Cardiology, Division of Cardiology, University Hospital Rostock, Germany
    • ,
  • Jean-Paul Beregi, MD

      Affiliations

    • Radiologie Vasculaire, Hopital Cardiologique CHRU de Lille, Lille, France
    • ,
  • Rossella Fattori, MD

      Affiliations

    • Cardiovascular Radiology, University Hospital S. Orsola, Bologna, Italy

Received 9 May 2008 ,Revised 11 July 2008 ,Accepted 26 July 2008.

References 

  1. Umana JP, Miller DC, Mitchell RS. What is the best treatment for patients with acute type B aortic dissections—medical, surgical, or endovascular stent-grafting?. Ann Thorac Surg. 2002;74:S1840–S1843discussion S1857-63
  2. Fattori R, Nienaber CA, Rousseau H, Beregi JP, Heijmen R, Grabenwöger M, et al. Results of endovascular repair of the thoracic aorta with the Talent Thoracic stent graft: the Talent Thoracic Retrospective Registry. J Thorac Cardiovasc Surg. 2006;132:332–339
  3. Leurs LJ, Bell R, Degrieck Y, Hobo R, Lundbom J. EUROSTAR; UK Thoracic Endograft Registry collaborators. Endovascular treatment of thoracic aortic diseases: combined experience from the EUROSTAR and United Kingdom Thoracic Endograft registries. J Vasc Surg. 2004;40:670–679discussion 679-80
  4. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897–903
  5. Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, et al. Diagnosis and management of aortic dissection. Eur Heart J. 2001;22:1642–1681
  6. Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management. Part II: therapeutic management and follow-up. Circulation. 2003;108:772–778
  7. Brandt M, Hussel K, Walluscheck KP, Böning A, Rahimi A, Cremer J. Early and long-term results of replacement of the descending aorta. Eur J Vasc Endovasc Surg. 2005;30:365–369
  8. Tsai TT, Fattori R, Trimarchi S, Isselbacher E, Myrmel T, Evangelista A, et al. Long-term survival in patients presenting with type B acute aortic dissection: insights from the International Registry of Acute Aortic Dissection. Circulation. 2006;114:2226–2231
  9. Estrera AL, Miller CC, Safi HJ, Goodrick JS, Keyhani A, Porat EE, et al. Outcomes of medical management of acute type B aortic dissection. Circulation. 2006;114(1 Suppl):I384–I389
  10. Bernard Y, Zimmermann H, Chocron S, Litzler JF, Kastler B, Etievent JP, et al. False lumen patency as a predictor of late outcome in aortic dissection. Am J Cardiol. 2001;87:1378–1382
  11. Juvonen T, Ergin MA, Galla JD, Lansman SL, McCullough JN, Nguyen K, et al. Risk factors for rupture of chronic type B dissections. J Thorac Cardiovasc Surg. 1999;117:776–786
  12. Nienaber CA, Fattori R, Lund G, Dieckmann C, Wolf W, von Kodolitsch Y, et al. Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement. N Engl J Med. 1999;340:1539–1545
  13. Dake MD, Kato N, Mitchell RS, Semba CP, Razavi MK, Shimono T, et al. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med. 1999;340:1546–1552
  14. Duebener LF, Lorenzen P, Richardt G, et al. Emergency endovascular stent-grafting for life-threatening acute type B aortic dissections. Ann Thorac Surg. Oct 2004;78(4):1261–1266discussion 1266-17
  15. Nathanson DR, Rodriguez-Lopez JA, Ramaiah VG, Misfeld M, Nötzold A, Hartmann F, et al. Endoluminal stent-graft stabilization for thoracic aortic dissection. J Endovasc Ther. 2005;12:354–359
  16. Scheinert D, Krankenberg H, Schmidt A, Gummert JF, Nitzsche S, Scheinert S, et al. Endoluminal stent-graft placement for acute rupture of the descending thoracic aorta. Eur Heart J. 2004;25:694–700
  17. Nienaber CA, Zannetti S, Barbieri B, Kische S, Schareck W, Rehders TC. INSTEAD study collaborators. INvestigation of STEnt grafts in patients with type B Aortic Dissection: design of the INSTEAD trial—a prospective, multicenter, European randomized trial. Am Heart J. 2005;149:592–599
  18. Greenberg R. Treatment of aortic dissections with endovascular stent grafts. Semin Vasc Surg. 2002;15:122–127
  19. Nienaber CA, Kische S, Zeller T, Rehders TC, Schneider H, Lorenzen B, et al. Provisional extension to induce complete attachment after stent-graft placement in type B aortic dissection: the PETTICOAT concept. J Endovasc Ther. 2006;13:738–746
  20. Eggebrecht H, Nienaber CA, Neuhauser M, Baumgart D, Kische S, Schmermund A, et al. Endovascular stent-graft placement in aortic dissection: a meta-analysis. Eur Heart J. 2006;27:489–498
  21. Nienaber CA, Kische S, Ince H. Thoracic aortic stent-graft devices: problems, failure modes, and applicability. Semin Vasc Surg. 2007;20:81–89
  22. Shimono T, Kato N, Yasuda F, Suzuki T, Yuasa U, Onoda K, et al. Transluminal stent-graft placements for the treatments of acute onset and chronic aortic dissections. Circulation. 2002;106(12 Suppl. 1):I241–I247
  23. Eggebrecht H, Herold U, Kuhnt O, Schmermund A, Bartel T, Martini S, et al. Endovascular stent-graft treatment of aortic dissection: determinants of post-interventional outcome. Eur Heart J. 2005;26:489–497
  24. Fattori R, Napoli G, Lovato L, Grazia C, Piva T, Rocchi G, et al. Descending thoracic aortic diseases: stent-graft repair. Radiology. 2003;229:176–183
  25. Wheatley GH, Gurbuz AT, Rodriguez-Lopez JA, Ramaiah VG, Olsen D, Williams J, et al. Midterm outcome in 158 consecutive Gore TAG thoracic endoprostheses: single center experience. Ann Thorac Surg. 2006;81:1570–1577discussion 1577
  26. Rehders TC, Petzsch M, Ince H, Kische S, Korber T, Koschyk DH, et al. Intentional occlusion of the left subclavian artery during stent-graft implantation in the thoracic aorta: risk and relevance. J Endovasc Ther. 2004;11:659–666
  27. Fattori R, Lovato L, Buttazzi K, Di Bartolomeo R, Gavelli G. Extension of dissection in stent-graft treatment of type B aortic dissection: lessons learned from endovascular experience. J Endovasc Ther. 2005;12(3):306–311
  28. Ince H, Rehders TC, Petzsch M, et al. Stent-grafts in patients with marfan syndrome. J Endovasc Ther. Feb 2005;12:82–88
  29. Gaxotte V, Thony F, Rousseau H, Lions C, Otal P, Willoteaux S, et al. Midterm results of aortic diameter outcomes after thoracic stent-graft implantation for aortic dissection: a multicenter study. J Endovasc Ther. 2006;13:127–138

 Read at the Eighty-eighth Annual Meeting of The American Association for Thoracic Surgery, San Diego, Calif, May 10–14, 2008.

PII: S0022-5223(09)00523-6

doi: 10.1016/j.jtcvs.2008.07.074

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 1 , Pages 115-124 , July 2009

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