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Ann Thorac Surg 1995;59:914-915
© 1995 The Society of Thoracic Surgeons

Invited Commentary

INVITED COMMENTARY

Michael D. Dake, MD

Cardiovascular and Interventional Radiology Department of Radiology Stanford University Medical Center 300 Pasteur Dr, H-3647 Stanford, CA 94305-5105

The first 20% of the full text of this article appears below.

See also page 908.

Transluminally placed stent-grafts offer an alternative approach to standard surgical treatments for a variety of vascular pathologies. The clinical feasibility of transluminal endovascular grafting for the treatment of abdominal aortic aneurysm, thoracic aortic aneurysm, subclavian artery aneurysm, arteriovenous fistula, and femoral occlusive disease is well documented. These newer procedures are potentially less invasive and less expensive, with a lower risk than standard operative repair.

Now Kato and colleagues describe their experience with a new transcatheter-placed self-expandable stent-graft for treatment of an experimentally created type B dissection in a canine model. Their report supports the feasibility of this approach in an animal model and corroborates the previously published studies by Kato and associates [1] and Yoshida and colleagues [2] using similar endovascular devices. These authors and others previously demonstrated the limitations of bare metal stents for managing type B dissection and advocated the use of stent-grafts in this setting.

Beyond demonstrating the technical success of their procedure for obliterating an artificially created dissection, Kato and colleagues provide new . . . [Full Text of this Article]


Related Article

Experimental Assessment of Newly Devised Transcatheter Stent-Graft for Aortic Dissection
Masaaki Kato, Takehisa Matsuda, Mitsunori Kaneko, Takashi Ueda, Toru Kuratani, Yasuhiko Yoshioka, and Kenji Ohnishi
Ann. Thorac. Surg. 1995 59: 908-914. [Abstract] [Full Text]





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