Tratamiento endovascular de la disección aórtica tipo B mediante endoprótesis

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dc.catalogadorgjm
dc.contributor.authorMertens Martin, Renato
dc.contributor.authorArriagada Jorquera, Ivette Andrea
dc.contributor.authorValdés Echeñique, José Francisco
dc.contributor.authorKramer, Albrecht
dc.contributor.authorMariné M., Leopoldo
dc.contributor.authorBergoeing Reid, Michel Paul
dc.contributor.authorBraun Jones, Sandra
dc.contributor.authorGodoy Jorquera, Iván Esteban
dc.contributor.authorCórdova Alvestegui, Samuel Edmundo
dc.contributor.authorHuete Garín, Álvaro
dc.contributor.authorVergara G., Jeannette
dc.contributor.authorCarvajal Núñez, Claudia
dc.date.accessioned2025-03-17T20:10:56Z
dc.date.available2025-03-17T20:10:56Z
dc.date.issued2008
dc.description.abstractBackground: Dissections that involve the ascending aorta are classified as type A, regardless of the site of the primary intimal tear, and all other dissections as type B. Type B dissections can have fatal ischemic and hemorrhagic complications. In the chronic state, dilatation and rupture can be mortal. Endovascular surgery is a therapeutic alternative, considering the high rate of complications of conventional surgery. Aim: To report the results of endovascular treatment of type B aortic dissection. Material and methods: Report of 36 treated patients (30 males) aged 43 to 87 years, with a type B aortic dissection. Seventy eight percent were hypertensive and 39% smoked. The diagnosis was confirmed by CAT scan. Acute patients were treated for complications and chronic patients, for dilatation. In the operating room, an endoprothesis was placed through the femoral artery, to cover the tear. The tear was located and the lumens were differentiated using angiography and transesophageal echocardiography. Results: All procedures were successful. In 16 acute dissections the indications were malperfusion syndrome or unmanageable hypertension in seven patients and imminent rupture or persistent pain in nine. Twenty chronic patients were operated due to dilatation (mean 6 cm). One patient died due to cardiac failure. One patient had a transient paraparesia and two had pulmonary embolism. No patient died in a follow up period ranging from 2.5 to 74 months. Four patients required a new aortic endovascular procedure due to progressive dilatation or endoleak. Conclusion: Endovascular treatment of type B aortic dissection has good immediate and long term results (Rev Méd Chile 2008; 136: 1431-8).
dc.fechaingreso.objetodigital2025-03-17
dc.format.extent8 páginas
dc.fuente.origenScopus
dc.identifier.doi10.4067/S0034-98872008001100009
dc.identifier.eissn07176163
dc.identifier.issn0034-9887
dc.identifier.pubmedid19301774
dc.identifier.scopusidSCOPUS_ID:63249124809
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872008001100009
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102699
dc.information.autorucEscuela de Medicina; Mertens Martin, Renato; 0000-0001-6929-4850; 75745
dc.information.autorucEscuela de Medicina; Arriagada Jorquera, Ivette Andrea; S/I; 17835
dc.information.autorucEscuela de Medicina; Valdés Echeñique, José Francisco; S/I; 23979
dc.information.autorucEscuela de Medicina; Kramer, Albrecht; S/I; 98256
dc.information.autorucEscuela de Medicina; Mariné M., Leopoldo; 0000-0002-2135-4559; 4085
dc.information.autorucEscuela de Medicina; Bergoeing Reid, Michel Paul; 0000-0002-8900-1645; 92603
dc.information.autorucEscuela de Medicina; Braun Jones, Sandra; S/I; 29789
dc.information.autorucEscuela de Medicina; Godoy Jorquera, Iván Esteban; S/I; 70048
dc.information.autorucEscuela de Medicina; Córdova Alvestegui, Samuel Edmundo; S/I; 96819
dc.information.autorucEscuela de Medicina; Huete Garín, Álvaro; 0000-0002-8746-1111; 731
dc.information.autorucEscuela de Enfermería; Vergara G., Jeannette; S/I; 89344
dc.information.autorucEscuela de Enfermería; Carvajal Núñez, Claudia; S/I; 13620
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final1438
dc.pagina.inicio1431
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 Atribución/Reconocimiento 4.0 Internacional
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAortic aneurism
dc.subjectAortic dissection
dc.subjectStents
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleTratamiento endovascular de la disección aórtica tipo B mediante endoprótesis
dc.title.alternativeEndovascular treatment of type B aortic dissection
dc.typeartículo
dc.volumen136
sipa.codpersvinculados75745
sipa.codpersvinculados17835
sipa.codpersvinculados23979
sipa.codpersvinculados98256
sipa.codpersvinculados4085
sipa.codpersvinculados92603
sipa.codpersvinculados29789
sipa.codpersvinculados70048
sipa.codpersvinculados96819
sipa.codpersvinculados731
sipa.codpersvinculados89344
sipa.codpersvinculados13620
sipa.trazabilidadScopus;12-10-2021
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