Journal of Vascular Surgery
Volume 48, Issue 6 , Pages 1361-1368 , December 2008

Early and midterm results after endovascular stent graft repair of penetrating aortic ulcers

  • Philipp Geisbüsch, MD

      Affiliations

    • Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Heidelberg, Germany
    • Corresponding Author InformationReprint requests: Philipp Geisbüsch, MD, Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Heidelberg, Germany, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany
    • ,
  • Drosos Kotelis, MD

      Affiliations

    • Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Heidelberg, Germany
    • ,
  • Tim F. Weber, MD

      Affiliations

    • Department of Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
    • ,
  • Alexander Hyhlik-Dürr, MD

      Affiliations

    • Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Heidelberg, Germany
    • ,
  • Hans-Ulrich Kauczor, MD, PhD

      Affiliations

    • Department of Radiodiagnostics and Interventional Radiology, Ruprecht-Karls University Heidelberg, Germany
    • ,
  • Dittmar Böckler, MD, PhD

      Affiliations

    • Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Heidelberg, Germany

Received 16 May 2008 ,Accepted 16 July 2008.

References 

  1. Shumacker HB, King H. Surgical management of rapidly expanding intrathoracic pulsating hematomas. Surg Gynecol Obstet. 1959;109:155–164
  2. Stanson AW, Kazmier FJ, Hollier LH, Edwards WD, Pairolero PC, Sheedy PF, et al. Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlations. Ann Vasc Surg. 1986;1:15–23
  3. Hussain S, Glover JL, Bree R, Bendick PJ. Penetrating atherosclerotic ulcers of the thoracic aorta. J Vasc Surg. 1989;9:710–717
  4. 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
  5. Vilacosta I, Roman JA. Acute aortic syndrome. Heart. 2001;85:365–368
  6. Coady MA, Rizzo JA, Hammond GL, Pierce JG, Kopf GS, Elefteriades JA. Penetrating ulcer of the thoracic aorta: what is it? How do we recognize it? How do we manage it?. J Vasc Surg. 1998;27:1006–1015discussion 1015-6
  7. Ganaha F, Miller DC, Sugimoto K, Do YS, Minamiguchi H, Saito H, et al. Prognosis of aortic intramural hematoma with and without penetrating atherosclerotic ulcer: a clinical and radiological analysis. Circulation. 2002;106:342–348
  8. Tittle SL, Lynch RJ, Cole PE, Singh HS, Rizzo JA, Kopf GS, et al. Midterm follow-up of penetrating ulcer and intramural hematoma of the aorta. J Thorac Cardiovasc Surg. 2002;123:1051–1059
  9. Quint LE, Williams DM, Francis IR, Monaghan HM, Sonnad SS, Patel S, et al. Ulcer-like lesions of the aorta: imaging features and natural history. Radiology. 2001;218:719–723
  10. Harris JA, Bis KG, Glover JL, Bendick PJ, Shetty A, Brown OW. Penetrating atherosclerotic ulcers of the aorta. J Vasc Surg. 1994;19:90–98discussion 98-9
  11. Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg. 2008;85:S1–S41
  12. Eggebrecht H, Herold U, Schmermund A, Lind AY, Kuhnt O, Martini S, et al. Endovascular stent-graft treatment of penetrating aortic ulcer: results over a median follow-up of 27 months. Am Heart J. 2006;151:530–536
  13. Demers P, Miller DC, Mitchell RS, Kee ST, Chagonjian L, Dake MD. Stent-graft repair of penetrating atherosclerotic ulcers in the descending thoracic aorta: mid-term results. Ann Thorac Surg. 2004;77:81–86
  14. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999;16:9–13
  15. Michel P, Roques F, Nashef SA. Logistic or additive EuroSCORE for high-risk patients?. Eur J Cardiothorac Surg. 2003;23:684–687discussion 687
  16. Schumacher H, Von Tengg-Kobligk H, Ostovic M, Henninger V, Ockert S, Bockler D, et al. Hybrid aortic procedures for endoluminal arch replacement in thoracic aneurysms and type B dissections. J Cardiovasc Surg (Torino). 2006;47:509–517
  17. Bockler D, Kotelis D, Geisbusch P, Hyhlik-Durr A, Klemm K, von Tengg-Kobligk H, et al. Hybrid procedures for thoracoabdominal aortic aneurysms and chronic aortic dissections - a single center experience in 28 patients. J Vasc Surg. 2008;47:724–732
  18. Bockler D, Schumacher H, Ganten M, von Tengg-Kobligk H, Schwarzbach M, Fink C, et al. Complications after endovascular repair of acute symptomatic and chronic expanding Stanford type B aortic dissections. J Thorac Cardiovasc Surg. 2006;132:361–368
  19. Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM, et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35:1048–1060
  20. White GH, Yu W, May J, Chaufour X, Stephen MS. Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management. J Endovasc Surg. 1997;4:152–168
  21. Mitchell RS, Ishimaru S, Ehrlich MP, Iwase T, Lauterjung L, Shimono T, et al. First International Summit on Thoracic Aortic Endografting: roundtable on thoracic aortic dissection as an indication for endografting. J Endovasc Ther. 2002;9(Suppl 2):II98–II105
  22. Gottardi R, Zimpfer D, Funovics M, Schoder M, Lammer J, Wolner E, et al. Mid-term results after endovascular stent-graft placement due to penetrating atherosclerotic ulcers of the thoracic aorta. Eur J Cardiothorac Surg. 2008;33:1019–1024
  23. Pauls S, Orend KH, Sunder-Plassmann L, Kick J, Schelzig H. Endovascular repair of symptomatic penetrating atherosclerotic ulcer of the thoracic aorta. Eur J Vasc Endovasc Surg. 2007;34:66–73
  24. Piffaretti G, Tozzi M, Lomazzi C, Rivolta N, Caronno R, Castelli P. Endovascular repair of abdominal infrarenal penetrating aortic ulcers: a prospective observational study. Int J Surg. 2007;5:172–175
  25. Botta L, Buttazzi K, Russo V, Parlapiano M, Gostoli V, Di Bartolomeo R, et al. Endovascular repair for penetrating atherosclerotic ulcers of the descending thoracic aorta: early and mid-term results. Ann Thorac Surg. 2008;85:987–992
  26. Batt M, Haudebourg P, Planchard PF, Ferrari E, Hassen-Khodja R, Bouillanne PJ. Penetrating atherosclerotic ulcers of the infrarenal aorta: life-threatening lesions. Eur J Vasc Endovasc Surg. 2005;29:35–42
  27. Cho KR, Stanson AW, Potter DD, Cherry KJ, Schaff HV, Sundt TM. Penetrating atherosclerotic ulcer of the descending thoracic aorta and arch. J Thorac Cardiovasc Surg. 2004;127:1393–1399discussion 1399-401
  28. Brown KE, Eskandari MK, Matsumura JS, Rodriguez H, Morasch MD. Short and midterm results with minimally invasive endovascular repair of acute and chronic thoracic aortic pathology. J Vasc Surg. 2008;47:714–722Discussion 722-3

 Competition of interest: none.

PII: S0741-5214(08)01205-6

doi: 10.1016/j.jvs.2008.07.058

Journal of Vascular Surgery
Volume 48, Issue 6 , Pages 1361-1368 , December 2008

Article Tools

* Image Usage & Resolution