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Aortic endovascular stenting in patients with systemic connective tissue disorders: does the prohibitive dogma still stand tall?
Endovascular repair of thoracic aortic diseases can provide satisfactory outcomes in elective and certain emergency cases involving the descending thoracic and aortic arch. However, open repair remains the gold standard method of aortic root pathologies and certain aortic arch pathologies, such as e...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579328/ https://www.ncbi.nlm.nih.gov/pubmed/31354092 http://dx.doi.org/10.1177/0300060519863963 |
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author | Harky, Amer Iqbal, Rizwan Giordano, Vincenzo Al-Adhami, Ahmed |
author_facet | Harky, Amer Iqbal, Rizwan Giordano, Vincenzo Al-Adhami, Ahmed |
author_sort | Harky, Amer |
collection | PubMed |
description | Endovascular repair of thoracic aortic diseases can provide satisfactory outcomes in elective and certain emergency cases involving the descending thoracic and aortic arch. However, open repair remains the gold standard method of aortic root pathologies and certain aortic arch pathologies, such as extended dissection. Nevertheless, the use of endovascular stenting in patients with connective tissue disorders has not been fully explored because the aortic tissues are fragile and the likelihood of keeping the stent in place is low because of its progressive dilatation and subsequent requirement for open repair at a later stage when the stent graft fails. Our brief review focuses on current evidence of the use of stents in patients with connective tissue disorders and whether such practice can be expanded further. |
format | Online Article Text |
id | pubmed-7579328 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-75793282020-10-29 Aortic endovascular stenting in patients with systemic connective tissue disorders: does the prohibitive dogma still stand tall? Harky, Amer Iqbal, Rizwan Giordano, Vincenzo Al-Adhami, Ahmed J Int Med Res Special Issue: Current Trends in Open and Endovascular Approachto Thoracic Aortic Disease Endovascular repair of thoracic aortic diseases can provide satisfactory outcomes in elective and certain emergency cases involving the descending thoracic and aortic arch. However, open repair remains the gold standard method of aortic root pathologies and certain aortic arch pathologies, such as extended dissection. Nevertheless, the use of endovascular stenting in patients with connective tissue disorders has not been fully explored because the aortic tissues are fragile and the likelihood of keeping the stent in place is low because of its progressive dilatation and subsequent requirement for open repair at a later stage when the stent graft fails. Our brief review focuses on current evidence of the use of stents in patients with connective tissue disorders and whether such practice can be expanded further. SAGE Publications 2019-07-29 /pmc/articles/PMC7579328/ /pubmed/31354092 http://dx.doi.org/10.1177/0300060519863963 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Special Issue: Current Trends in Open and Endovascular Approachto Thoracic Aortic Disease Harky, Amer Iqbal, Rizwan Giordano, Vincenzo Al-Adhami, Ahmed Aortic endovascular stenting in patients with systemic connective tissue disorders: does the prohibitive dogma still stand tall? |
title | Aortic endovascular stenting in patients with systemic
connective tissue disorders: does the prohibitive dogma still stand
tall? |
title_full | Aortic endovascular stenting in patients with systemic
connective tissue disorders: does the prohibitive dogma still stand
tall? |
title_fullStr | Aortic endovascular stenting in patients with systemic
connective tissue disorders: does the prohibitive dogma still stand
tall? |
title_full_unstemmed | Aortic endovascular stenting in patients with systemic
connective tissue disorders: does the prohibitive dogma still stand
tall? |
title_short | Aortic endovascular stenting in patients with systemic
connective tissue disorders: does the prohibitive dogma still stand
tall? |
title_sort | aortic endovascular stenting in patients with systemic
connective tissue disorders: does the prohibitive dogma still stand
tall? |
topic | Special Issue: Current Trends in Open and Endovascular Approachto Thoracic Aortic Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579328/ https://www.ncbi.nlm.nih.gov/pubmed/31354092 http://dx.doi.org/10.1177/0300060519863963 |
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