© 2003 by BMJ Publishing Group & British Cardiac Society
EDITORIAL
Endovascular treatment of thoracic aortic disease
1 Department of Vascular Surgery, Guy’s & St Thomas’ Hospital, London, UK
2 Department of Radiology, Guy’s & St Thomas’ Hospital
Correspondence to:
Correspondence to:
Dr John F Reidy, Department of Radiology, Guy’s & St Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH, UK;
john.reidy@gstt.sthames.nhs.uk
Endoluminal repair is now a realistic alternative to open surgery for the treatment of thoracic aortic disease
Keywords: thoracic aneurysm; aortic dissection; stent graft; endoluminal repair
| The first 150 words of the full text of this article appear below. |
Since Volodos and colleagues performed the first endoluminal repair of a thoracic aneurysm, the technique has been used to treat descending thoracic aneurysms, type B (Stanford) aortic dissection, false aneurysms, penetrating ulcers, and aortic transection.1,2 This minimally invasive approach has many advantages over conventional surgery as it avoids open thoracotomy, single lung ventilation, and aortic cross clamping.
The main criticism of endoluminal repair is poor durability of the stent grafts. The first published series from Stanford used home made stent grafts and reported a primary success rate of 73%.3 However, there were problems associated with the large introducer catheters and rigidity of these devices. The now commercially available stent grafts are more flexible with smaller delivery systems and have improved deployment mechanisms. Notably, stent graft failure has been reported with the early home made grafts and more recently the Gore Excluder (WL Gore Associates, Inc, Flagstaff, Arizona, USA) has been
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