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- W2053240110 abstract "This editorial refers to ‘Endovascular stent-graft treatment of aortic dissection: determinants of post-interventional outcome’† by H. Eggebrecht et al. , on page 489 Eggebrecht and colleagues,1 report their single centre experience with the interventional use of endovascular stent-grafts in the setting of both chronic and acute thoracic aortic dissection, referred to or recruited by a group of cardiologists and followed up for between 1 and 57 months. The group at the West German Heart Centre in Essen confirm the reported feasibility and report a high technical success rate for endovascular stent-grafting in the hands of skilled practitioners,2–5 associated, however, with an 11% non-fatal periprocedural complication rate.Interestingly, though not surprisingly, multivariate analysis of their 38 cases revealed only parameters such as advanced age and poor health status due to comorbidities, to be predictors of mortality after successful stent-graft placement, while the mixed bag of ‘accepted indications’ for stent-graft placement, such as contained rupture, refractory hypertension from renal malperfusion, branch vessel compromise and progressive enlargement of more than 1 cm/year of a patent false lumen,5–7 were not among those predictive variables with significant impact. The reported results, although derived from a limited number of patients, may shed new light on an ongoing conflict which closely accompanies any new and potentially helpful interventional technology, … *Corresponding author. Tel: +49 381 494 77 00; fax: +49 381 494 77 02. E-mail address : christoph.nienaber{at}med.uni-rostock.de" @default.
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- W2053240110 date "2005-02-04" @default.
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- W2053240110 title "To stent or not to stent aortic dissection: good news for a chosen few, but who?" @default.
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- W2053240110 doi "https://doi.org/10.1093/eurheartj/ehi119" @default.
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