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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2008, Number 3

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Rev Mex Angiol 2008; 36 (3)

Estado actual del tratamiento endovascular de la aorta torácica

Morales GLG, Rodríguez TJM, Rodríguez RN, Escotto SI, Marquina RME, Espinosa APA

Language: Spanish
References: 26
Page: 98-109
PDF size: 441.67 Kb.


ABSTRACT

The thoracic aortic pathology is always a difficult sector for every vascular surgeon because its high complexity and the few options for treatment. The operative mortality for open procedures in specialized centers has been reported between 8 to 20% and 60% for emergency surgery. The postoperative mobility has been report up to 50% in relation to renal or intestinal failure, as well as medular ischemia. Since the first case of endovascular treatment in the thoracic sector in 1994 by Dake, et al. the disponibility of new devices and the training of medical staff is nowadays a priority. The advantages of the endovascular procedures in comparison to de open ones, are a short surgical time, lower dosage of anesthetics, no aortic clamping and avoiding the use of cardiopulmonar bypass, as well as no use of thoracoabdominal incisions, less postoperative pain and faster recovery. This article reviews the indications, surgical techniques, and complication of the endovascular aortic thoracic procedures based on the international publications and the experience acquired in our hospital.


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