Endovascular repair during complex thoracic aortic dissection using a micropore stent graft: Midterm follow-up

Zhe Wang1, Cheng Wang1, Fenghe Li1

  • 1Department of Vascular Surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Abstract

Insights

Micropore stent grafts (MSG) offer a safe and effective endovascular repair for thoracic aortic dissection (TAD), demonstrating excellent midterm outcomes. This approach promotes aortic remodeling and preserves vital organ branches with no major adverse events reported.

Area of Science:

  • Cardiovascular Surgery
  • Medical Devices
  • Vascular Biology

Background:

  • Thoracic aortic dissection (TAD) poses significant risks.
  • Endovascular repair aims to improve outcomes and minimize invasiveness.
  • Aortic remodeling and branch vessel preservation are key challenges in TAD treatment.

Purpose of the Study:

  • To evaluate the clinical efficacy and hemodynamic effects of micropore stent grafts (MSG) in patients with DeBakey types I and III TAD.
  • To assess the potential of MSG to promote aortic remodeling and preserve organ branches.

Main Methods:

  • Retrospective analysis of 26 patients with DeBakey types I and III TAD treated with MSG.
  • Follow-up included assessment of rupture, mortality, reintervention, branch patency, and hemodynamic effects at 12 months.

Main Results:

  • Zero rates for dissection rupture, conversion to open repair, and secondary reintervention at 12 months.
  • High rates of false lumen thrombosis (91.7% complete, 8.3% partial) and 100% branch vessel patency.
  • Post-operative reduction in aortic lumen pressure fluctuations and unstable blood flow.

Conclusions:

  • Endovascular treatment with MSG is a safe and effective option for DeBakey type I and III TAD.
  • MSG demonstrates good midterm outcomes, including aortic remodeling and branch vessel preservation.
  • Hemodynamic improvements suggest favorable aortic lumen conditions post-treatment.

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