EARLY RESULTS AFTER ENDOVASCULAR REPAIR TO TREAT THORACIC AORTIC ANEURYSM

Lâm Triều Phát1,, Trần Quyết Tiến1, Nguyễn Trường Giang2, Tống Đức Minh2
1 Cho Ray Hospital
2 Vietnam Military Medical Academy

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Abstract

Objectives:  To evaluate the early results after treatment of thoracic aortic aneurysm using endovascular repair at Cho Ray Hospital. Objects and methods: A descriptive-prospective study on 80 patients with thoracic aortic aneurysms treated with endovascular interventions under the guidance of a DSA or C-arm machine at Cho Ray hospital, from August 2013 to September 2018. Results: 72.50% of patients required 1 stent graft for each patient; and 27.50% of patients, one needed 2 to 3 stent grafts. No complications related to the structure of the stent graft during the intervention have been witnessed. There were 3 cases of early death (3.75%), 2 cases of postoperative bleeding requiring surgery (2.50%), 4 cases of stroke (5,0%), and 2 case of kidney failure requiring hemodialysis (2.50%). After a prolonged period of follow-up,there were 2 cases of endoleak type IA, 1 case ofendoleak type IB, 3 cases of endoleak type II. There were no differences between the two groups in mortality, accidents, and early complications. Conclusion: The majority of cases required 1 stent graft forendovascular. Complications after the endovascular had a low rate.

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References

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