Endovascular Repair For Thoracic Disease Viable Alternative |
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Endovascular Repair For Thoracic Disease Viable AlternativeA new study from Northwestern University's Feinberg School of Medicine in Chicago reveals that use of minimally invasive endovascular stent grafts for treatment of thoracic aortic disease is a viable alternative for patients who mightn't be able to survive open surgery. " Traditional, open surgical management of thoracic aortic disease is a highly morbid, and often mortal process, especially when we treat very elderly or patients with other pre existing illnesses, " said co-author Mark D. Morasch, MD, Associate Professor in Division of Vascular Surgery. " New, minimally invasive endovascular techniques that use stent-grafts to treat these aortic problems have been developed as alternatives to these highly morbid open operations. ' In this study, the authors reviewed the early and mid-term results of these minimally invasive procedures in a high risk group of patients who were treated at one academic medical center. One hundred fifteen patients were followed after treatment of a number of different types of aortic diseases including aneurysms, vessel tears from trauma, intramural hematomas and dissections. The patients were followed closely for an average of 15 months ( range 1 to 78 months ) after the endograft was placed. Thirty-five percent of endografts were placed under emergent circumstances, including aneurysm rupture or acute aortic tear, where open surgery is known to be extremely risky. In 24 percent of cases, one or more major aortic branch had to be moved or bypassed with an additional small operation prior to delivering endograft to prevent compromise to important circulation. Five percent of patients treated in this study died following surgery, which compares very favorably with historic results from similar high-risk patients who undergo open an open operation. Despite minimally invasive nature of the procedure, many patients still had some type of complication related to the treatment and in a few cases, repeat treatments were required to keep patients safe. " These advances in endovascular technology have allowed many patients to undergo much-needed life saving procedures who otherwise mayn't have survived treatment, " said Morasch. " On the other hand, some elderly and infirmed mayn't fare well even with a 'minimally invasive' therapy. ' Morasch added, " Unlike with open surgical repair, long term durability of these minimally invasive therapies remains to be seen making long-term imaging surveillance necessary to monitor for a need for repeat intervention. Overall, the use of endografts for treatment of thoracic aortic pathology is safe, effective and clearly a positive step forward but it does still carry risk in complex patient population who come for endovascular repair. ' Full details of the researchers' findings are available in the April issue of the Journal of Vascular Surgery. About Journal of Vascular Surgery Journal of Vascular Surgery provides vascular, cardiothoracic and general surgeons with most recent information in vascular surgery. Original, peer-reviewed articles cover clinical and experimental studies, noninvasive diagnostic techniques, processes and vascular substitutes, microvascular surgical techniques, angiography and endovascular management. Special issues publish papers presented at annual meeting of the Journal's sponsoring society, Society for Vascular Surgery. Visit the Journal web site at http: //www. jvascsurg. org. About Society for Vascular Surgery The Society for Vascular Surgery ( SVS ) is a not-for-profit society that seeks to advance excellence and innovation in vascular health through education, advocacy, research and public awareness. SVS is national advocate for 2, 400 vascular surgeons dedicated to prevention and cure of vascular disease. Visit website at http: //www. VascularWeb. org. Society for Vascular Surgery 633 N. St. Clair, 24th Fl. Chicago, IL 60611 United States http: //www. vascularweb. org Healthcare recommendations for woman and man |
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Endovascular Repair For Thoracic Disease Viable Alternative Why Avandia? Avandia with worldwide shipping New Era Recall Includes More Canned Vegetables. FDA is alerting consumers, food service operators, and food retailers that for a third time New Era Canning Company is broadening its nationwide recall of canned vegetable products Healthcare recommendations for woman and man |