Poster électronique

Traitement endovasculaire des pathologies des gros vaisseaux par stents cheatham-platinum
C. Mesmann (1), D. Gamondès (2), F. Sassolas (1), P. Douek (1), D. Revel (1) - (1) Lyon - France, (2) Bron - France
Congrès 2011
Résumé
Objectifs
Evaluer les résultats à court et moyen terme de l'implantation des CP stents dans les gros vaisseaux.
Matériels et méthodes
Entre juillet 2009 et décembre 2010, 10 patients (5 hommes, 5 femmes) âgés de 15 à 44 ans ont bénéficié de l'implantation de CP stents. Les pathologies prises en charge étaient trois coarctations aortiques résiduelles, cinq coarctations natives, une rupture traumatique de la veine cave inférieure (VCI) et un faux anévrysme de l'aorte descendante après chirurgie de Bentall.
Résultats
11 stents couverts et 1 non-couvert ont été implantés. Excellents résultats des CP stents dans la coarctation aortique avec diminution significative du gradient isthmique et de la pression artérielle. Couverture satisfaisante de la rupture de la VCI sans obstruction des veines sus-hépatiques. Echec du traitement du faux anévrysme aortique liéà une sous-estimation de la longueur du stent. Pas de complication majeure à court ou moyen terme.
Conclusion
Notre série confirme l'efficacité et la sécurité de l'utilisation des CP stents dans la coarctation aortique. Ils semblent également prometteurs dans d'autres pathologies des gros vaisseaux nécessitant une couverture courte et précise.
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