CRIS Current Research Information System
IRIS è la soluzione IT che facilita la raccolta e la gestione dei dati relativi alle attività e ai prodotti della ricerca. Fornisce a ricercatori, amministratori e valutatori gli strumenti per monitorare i risultati della ricerca, aumentarne la visibilità e allocare in modo efficace le risorse disponibili.
EnglishBACKGROUND: Thoraco-abdominal aortic aneurysms (TAAAs) are considered a challenging clinical scenarios. Despite modern intra/perioperative adjuncts, T A A A open repair has not negligible mortality and morbidity rates also in high volume centres. New technologies with the endovascular approach can reduce the complication rate of TAAA treatment. A i m of present work is to evaluate the outcome of endovascular treatment of TAAA in a single centre. METHODS: A retrospective evaluation of the endovascular T A A A treatment in a single center from 2010 to 2017 was performed. The technical success, mortality, morbidity and visceral vessels patency were evaluated at 30-day and during the follow-up. RESULTS: In the study period, an overall of 80 TAAAs (urgent and elective cases) were treated in our centre by FB-EVAR . Five cases were ruptured TAAAs (6.3%). Custom made and off the shelf device were used in 57 (71.2%) and 23 (28.8%) cases for an overall of 289 target visceral vessels (3.6/patient). Technical Success was 92.5%. The postoperative target visceral vessels patency rate was 97.0%. Spinal cord ischemia was 6%. The 30-day mortality was 3.8%. A t a mean follow-up was 18.5- SD 15.0 months the overall survival was 96%, 83%, and 70% at 6, 12 and 24 months. CONCLUSIONS: The total endovascular TAAA repair is technical demanding, time-consuming, and requires a dedicated and advanced knowl¬ edge in the endovascular materials, technologies and a dedicated team for planning. However the results are promising and associated with low mortality and morbidity.
| Titolo: | The impact of new technologies in endovascular repair of thoraco-abdominal aortic aneurysm | |
| Autore/i: | Gallitto E.; Pini R.; Mascoli C.; Dieng M.; Abualhin M.; Ancetti S.; Faggioli G.; Stella A.; Gargiulo M. | |
| Autore/i Unibo: | ||
| Anno: | 2019 | |
| Rivista: | ||
| Digital Object Identifier (DOI): | http://dx.doi.org/10.23736/S1824-4777.18.01387-6 | |
| Abstract: | BACKGROUND: Thoraco-abdominal aortic aneurysms (TAAAs) are considered a challenging clinical scenarios. Despite modern intra/perioperative adjuncts, T A A A open repair has not negligible mortality and morbidity rates also in high volume centres. New technologies with the endovascular approach can reduce the complication rate of TAAA treatment. A i m of present work is to evaluate the outcome of endovascular treatment of TAAA in a single centre. METHODS: A retrospective evaluation of the endovascular T A A A treatment in a single center from 2010 to 2017 was performed. The technical success, mortality, morbidity and visceral vessels patency were evaluated at 30-day and during the follow-up. RESULTS: In the study period, an overall of 80 TAAAs (urgent and elective cases) were treated in our centre by FB-EVAR . Five cases were ruptured TAAAs (6.3%). Custom made and off the shelf device were used in 57 (71.2%) and 23 (28.8%) cases for an overall of 289 target visceral vessels (3.6/patient). Technical Success was 92.5%. The postoperative target visceral vessels patency rate was 97.0%. Spinal cord ischemia was 6%. The 30-day mortality was 3.8%. A t a mean follow-up was 18.5- SD 15.0 months the overall survival was 96%, 83%, and 70% at 6, 12 and 24 months. CONCLUSIONS: The total endovascular TAAA repair is technical demanding, time-consuming, and requires a dedicated and advanced knowl¬ edge in the endovascular materials, technologies and a dedicated team for planning. However the results are promising and associated with low mortality and morbidity. | |
| Data stato definitivo: | 2022-02-26T19:53:13Z | |
| Appare nelle tipologie: | 1.01 Articolo in rivista |
File in questo prodotto:
Copyright © 2022