Current treatment of descending thoracic aortic aneurysms
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2009, Vol 26, Issue 2
Abstract
Vascular diseases occur very often in Greece, as in all countries of the western world, and their incidence is expected to increase as life expectancy increases. The incidence of thoracic aortic aneurysms is calculated at 5.9 for 100,000 population, and descending thoracic aortic aneurysm disease affects 1 in 1,000 elderly persons. Recently, significant improvement in the management of descending thoracic aortic aneurysms has been achieved. Anatomic studies in primates and particularly in human cadavers have elucidated the specific anatomy of the vasculature of the spinal cord, including the anatomy and the role of the anterior spinal artery, and its relationship with the great anterior radiculomedullary artery, the so-called artery of Adamkiewicz. Various strategies have been elaborated for the prevention of spinal cord injury and for reducing the need for open surgical treatment. Additionally, endovascular treatment of the disease has further reduced perioperative morbidity and mortality, while continuous improvements in endoprosthetic material are expected to improve the outcome even more. The aim of this study was to review the literature on the most recent progress in the management of descending thoracic aortic aneurysms. The management of the more complex thoracoabdominal aneurysms, and those that involve the aortic arch or left aortic hemiarch, are beyond the purpose of this review.
Authors and Affiliations
I. DALAINAS
Keywords
Related Articles
- EP ID EP160115
- DOI -
- Views 94
- Downloads 0
Hepatic tuberculoma
No abstract available
Αplastic anemia in children: Pathogenetic mechanisms and current therapy
Aplastic anemia (AA) is a severe, acquired hematological disease, which is usually idiopathic. There are two peaks of incidence, at 15–25 years and above 60 years. In children under the age of 15 years, there are 1–3 cas...
Allocation of point of care testing analyzers to rural primary hospitals. A report on allocation planning
OBJECTIVE Laboratory investigation plays important roles in the management of diabetes mellitus (DM). The use of point of care testing analyzers (POCTs) can provide a solution for the rural local primary care hospital th...
Depression in the elderly and its management with electroconvulsive therapy
OBJECTIVE The aim of the study was to evaluate the effectiveness and safety of electroconvulsive therapy (ECT) in the management of depression in the elderly, and the compliance of the patients in its application. MET...
Transplant renal artery stenosis
No abstract available