کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5958402 1575455 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Elective Stent-graft Treatment for the Management of Thoracic Aorta Mural Thrombus
ترجمه فارسی عنوان
استنت گرافت انتخابی برای مدیریت ترومبوز روده ای آئورت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundOptimal management of aorta mural thrombus (AMT) continues to be controversial. The aim of this study was to describe the management of AMT in the thoracic aorta with either conservative or stentgraft treatment and to analyze the role of morphological characteristics of thrombus in the selection of suitable candidates for intervention.MethodsA retrospective review was conducted of all patients admitted for thoracic AMT. Clinical data, treatment used, and outcomes were recorded. Patients were divided in two groups according to the treatment used: either conservative or stentgraft. Morphological features of thrombus, including size, sessile or pedunculated aspect and mobility, were compared between the two groups.ResultsFrom January 2006 to March 2013, 13 consecutive patients (nine male, mean age 53, range 37-76) were admitted for symptomatic (n = 8) or asymptomatic AMT (n = 5). All patients received unfractionated heparin. Management of primary aortic thrombus required stentgraft in seven patients, aortic thrombectomy in one, and anticoagulation therapy alone in five. Indications for intervention were recurrent embolism (n = 4), occurrence of embolism under heparin (n = 1), or persistent thrombus (n = 2). Endovascular exclusion of AMT was successful in all cases, with no complications or deaths at 30 days and no recurrence at midterm. Analysis of the morphological features of the thrombus identified solely the high degree mobility as associated with adverse outcome (p = .048).ConclusionIn our experience, stentgraft exclusion of AMT is an effective approach. Systematic evaluation of thrombus mobility by a real-time imaging study can be helpful to better define the indications for radical treatment of the aortic lesion.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 47, Issue 4, April 2014, Pages 335-341
نویسندگان
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