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master's thesis
Tehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR
2013. urn:nbn:hr:171:378127
Šolić, Ela
University of Split
School of Medicine

Cite this document

Šolić, E. (2013). Tehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:378127

Šolić, Ela. "Tehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR." Master's thesis, University of Split, School of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:171:378127

Šolić, Ela. "Tehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR." Master's thesis, University of Split, School of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:171:378127

Šolić, E. (2013). 'Tehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR', Master's thesis, University of Split, School of Medicine, accessed 24 December 2024, https://urn.nsk.hr/urn:nbn:hr:171:378127

Šolić E. Tehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR [Master's thesis]. Split: University of Split, School of Medicine; 2013 [cited 2024 December 24] Available at: https://urn.nsk.hr/urn:nbn:hr:171:378127

E. Šolić, "Tehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR", Master's thesis, University of Split, School of Medicine, Split, 2013. Available at: https://urn.nsk.hr/urn:nbn:hr:171:378127

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Metadata
TitleTehnički uspjeh i dugoročne mjere ishoda endovaskularnog liječenja torakalne aorte TEVAR
Title (english)Techical success and long-term outcomes of endovascular treatment of thoracic aorta-TEVAR
AuthorEla Šolić
MentorLiana Cambj Sapunar (mentor)
GranterUniversity of Split
School of Medicine
Split
Defense date and country2013, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Cilj istraživanja: Ovim istraživanjem želimo pokazati da je endovaskularno liječenje torakalne aorte (TEVAR) sigurna metoda liječenja, koja ima malo intraoperacijskih i poslijeoperacijskih komplikacija, te dobre dugoročne rezultate. Ishod liječenja, između ostalog, ovisi o dobi pacijenta i bolesti aorte, pa želimo pokazati njihov odnos. Materijali i metode: U istraživanju sudjeluje 20 ispitanika kojima je u razdoblju od 2004.-2011. godine napravljeno endovaskularno liječenje torakalne aorte na Kliničkom zavodu za dijagnostičku i intervencijsku radiologiju Kliničkog bolničkog centra Split. S obzirom na liječenu bolest aorte, ispitanici su podijeljeni u tri skupine: spontana disekcija, traumatska aorta i kronična aneurizma. Rezultati: U skupini s traumatski oštećenim torakalnim aortama nalaze se najmlađi pacijenti, raspona godina od 36 do 46 (prosječna dob 40), pacijenti sa spontanim disekcijama su generalno stariji, raspona godina od 39-64 (prosječna dob 52), dok su pacijenti s kroničnim aneurizmama najstariji s rasponom godina od 63 do 70 (prosječna dob 66). Najčešća komplikacija je endoleak. Od ukupno 20 pacijenata, endoleak tip IV (poroznost materijala stent grafta) bio zabilježen kod 5 pacijenta, a endoleak tip ll kod 1 pacijenta. Kasne postooperativne komplikacije uglavnom nisu zabilježene u pacijenata kod kojih smo imali uvid u kasnije kontrole. Dugoročne rezultate imamo za 14 pacijenata. U dva pacijenta praćenje je bilo moguće samo po godinu dana, u tri pacijenta po dvije godine, a u ostalih od tri do osam godina. Na kontrolama nisu zabilježene komplikacije koje bi zahtijevale invazivno liječenje. Zaključak: Postoje značajne dobne razlike među pacijentima liječenim zbog spontane disekcije, traumatske disekcije i kronične aneurizme torakalne aorte. Najčešća komplikacija je endoleak, ali učestalost intraoperacijskih i postoperativnih komplikacija TEVAR-a je mala. TEVAR je sigurna metoda, ali potrebna su daljnja istraživanja dugoročnih rezultata.
Abstract (english)
Objectives: We wanted to show that endovascular treatment of thoracic aorta (TEVAR) is a safe method which has few intraoperative and postoperative complications and good long-term results. Result of treatment among others depends on patients age and aortic defect so we wanted to show their correlation. Material and Methods: The study included 20 patients who underwent endovascular thoracic aortic treatment on Clinical Unit of Diagnostic and Interventional Radiologyin the period from 2004. to 2011. There are three groups of patients in this study: patients with spontaneous dissection of thoracic aorta, traumatic injury of the aorta and chronic aneurysm. Results: The group with traumatic injury of thoracic aorta had the youngest patients (age 36 to 46, mean age 40), patients with spontaneous dissections were generally older (age 39 to 64, mean age 52) and the oldest were patients with chronic aneurysms (age 63 to 70, mean age 66). The most common complication was endoleak. 5 patients had endoleak type IV (graft material porosity) and 1 patient had endoleak type ll. There were no late postoperative complications in patients with sufficient medical documentation. Long-term outcomes were registered for 14 patients. During the follow-up, 2 patients had medical documentation after one year, 3 patients after two years and the rest of patients from three to eight years. There were no significant complications that required additional treatment. Conclusion: There are significant age differences between patients with spontaneous dissection, traumatic injury and chronical aneurysm of thoracic aorta. Intraoperative and postooperative complications of TEVAR are low, however the most common complication was endoleak. TEVAR is a safe method but more close follow-up studies are needed for the evaluation of long-term results.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:378127
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2016-05-02 07:30:48