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DOI :10.26650/IUITFD.2019.0058   IUP :10.26650/IUITFD.2019.0058    Full Text (PDF)

STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES

Yılmaz Önal, Cesur Samancı, Bülent Acunaş, Murat Uğurlucan, Ufuk Alpagut

Objective: The aim of this study was to evaluate the long-term results of patients who underwent thoracic stent grafting.

Material and Method: We retrospectively evaluated 25 patients with a mean age of 67.1 (20-82) with thoracic aortic pathology treated with a stent graft or the hybrid method (endovascular intervention after surgery) in our clinic.

Results: 23 patients were treated electively and 2 of them were treated urgently. Type 1A endoleak was observed in 5 patients in control imaging. Additional intervention was performed in 3 of these patients. In one patient, the endoleak spontaneously regressed during follow-up. One patient died on the 6th postoperative day due to MI. A total of 7 patients underwent hybrid procedures. One of the debranching patients developed major complications during endovascular procedure. In the type B dissection patients, neurological complications were observed during post-procedure controls in 1 of the 7 patients who underwent hybrid intervention.

Conclusion: Endovascular thoracic stent grafting is performed with high technical success and survival rates in thoracic aortic pathologies. Hybrid intervention is preferred in patients with non-suitable anatomy for TEVAR alone. 

Keywords: Thoracic Aortic Aneurysm, Stent Graft, Hybrid Intervention
DOI :10.26650/IUITFD.2019.0058   IUP :10.26650/IUITFD.2019.0058    Full Text (PDF)

TORASİK AORT PATOLOJİLİ HASTALARDA STENT GREFT UYGULAMALARI VE SONUÇLARI

Yılmaz Önal, Cesur Samancı, Bülent Acunaş, Murat Uğurlucan, Ufuk Alpagut

Amaç: Bu çalışmada, torasik stent greft uygulanmış hastaların uzun dönem sonuçlarının değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Kliniğimizde sadece stent greft ile ya da hibrid yöntem (cerrahi sonrası endovasküler girişim) ile tedavi edilmiş torasik aort patolojili, yaş ortalaması 67,1 (20-82) olan 25 hastayı retrospektif olarak değerlendirdik.

Bulgular: Hastalardan 23’ü elektif olarak tedavi edilirken, 2’si acil olarak işleme alınmıştır. Kontrol görüntülemelerde 5 hastada tip 1A endoleak izlenmiştir. Bu hastalardan 3’üne ek girişim uygulanmıştır. Hastalardan birisinde endoleak takip sırasında kendiliğinden regrese olmuştur. 1 hastada ise post-op 6. günde MI nedeniyle ex olmuştur. Toplam 7 hastada hibrid işlem uygulanmıştır. Debranching uygulanan hastalardan bir tanesinde endovasküler işlem sırasında majör komplikasyon gelişmiştir. Hibrid girişim uygulanan 7 hastadan 1’i olan tip B diseksiyon hastasında işlem sonrası kontroller sırasında nörolojik komplikasyon izlenmiştir.

Sonuç: Endovasküler torakal stent greft işlemi torakal aort patolojilerinde yüksek teknik başarı ve sağ kalım oranları ile uygulanmaktadır. Tek başına TEVAR’a uygun olmayan anatomiye sahip hastalarda hibrid girişim tercih edilmektedir. 

Keywords: Torasik Aort Anevrizması, Stent Greft, Hibrid Girişim

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APA

Önal, Y., Samancı, C., Acunaş, B., Uğurlucan, M., & Alpagut, U. (2020). STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES. Journal of Istanbul Faculty of Medicine, 83(2), 132-137. https://doi.org/10.26650/IUITFD.2019.0058


AMA

Önal Y, Samancı C, Acunaş B, Uğurlucan M, Alpagut U. STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES. Journal of Istanbul Faculty of Medicine. 2020;83(2):132-137. https://doi.org/10.26650/IUITFD.2019.0058


ABNT

Önal, Y.; Samancı, C.; Acunaş, B.; Uğurlucan, M.; Alpagut, U. STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 83, n. 2, p. 132-137, 2020.


Chicago: Author-Date Style

Önal, Yılmaz, and Cesur Samancı and Bülent Acunaş and Murat Uğurlucan and Ufuk Alpagut. 2020. “STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES.” Journal of Istanbul Faculty of Medicine 83, no. 2: 132-137. https://doi.org/10.26650/IUITFD.2019.0058


Chicago: Humanities Style

Önal, Yılmaz, and Cesur Samancı and Bülent Acunaş and Murat Uğurlucan and Ufuk Alpagut. “STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES.” Journal of Istanbul Faculty of Medicine 83, no. 2 (May. 2024): 132-137. https://doi.org/10.26650/IUITFD.2019.0058


Harvard: Australian Style

Önal, Y & Samancı, C & Acunaş, B & Uğurlucan, M & Alpagut, U 2020, 'STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES', Journal of Istanbul Faculty of Medicine, vol. 83, no. 2, pp. 132-137, viewed 19 May. 2024, https://doi.org/10.26650/IUITFD.2019.0058


Harvard: Author-Date Style

Önal, Y. and Samancı, C. and Acunaş, B. and Uğurlucan, M. and Alpagut, U. (2020) ‘STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES’, Journal of Istanbul Faculty of Medicine, 83(2), pp. 132-137. https://doi.org/10.26650/IUITFD.2019.0058 (19 May. 2024).


MLA

Önal, Yılmaz, and Cesur Samancı and Bülent Acunaş and Murat Uğurlucan and Ufuk Alpagut. “STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES.” Journal of Istanbul Faculty of Medicine, vol. 83, no. 2, 2020, pp. 132-137. [Database Container], https://doi.org/10.26650/IUITFD.2019.0058


Vancouver

Önal Y, Samancı C, Acunaş B, Uğurlucan M, Alpagut U. STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES. Journal of Istanbul Faculty of Medicine [Internet]. 19 May. 2024 [cited 19 May. 2024];83(2):132-137. Available from: https://doi.org/10.26650/IUITFD.2019.0058 doi: 10.26650/IUITFD.2019.0058


ISNAD

Önal, Yılmaz - Samancı, Cesur - Acunaş, Bülent - Uğurlucan, Murat - Alpagut, Ufuk. “STENT GRAFT APPLICATIONS AND RESULTS IN PATIENTS WITH THORACIC AORTIC PATHOLOGIES”. Journal of Istanbul Faculty of Medicine 83/2 (May. 2024): 132-137. https://doi.org/10.26650/IUITFD.2019.0058



TIMELINE


Submitted03.08.2019
Accepted02.01.2020
Published Online24.03.2020

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