Thoracic Aortic Endograft in Nice
Dr. Ilya Khantalin, Vascular Surgeon in the Alpes-Maritimes
Thoracic Aortic Endograft
Dr. Ilya Khantalin in Nice
Dr. Ilya Khantalin, vascular surgeon in Saint-Laurent-du-Var, offers personalized treatment solutions adapted to your condition. Among the most advanced techniques in vascular surgery, thoracic aortic endograft implantation is a modern procedure used to treat serious conditions of the aorta, such as thoracic aortic aneurysm or dissection.
Endovascular techniques are currently the most modern and commonly employed approaches by vascular surgeons, in accordance with the recommendations of the Haute Autorité de Santé and standardized clinical protocols.
Vascular diseases are officially recognized as long-term illnesses (ALD), ensuring 100% coverage by the French national health insurance system.
What is a Thoracic Aortic Endograft?
Vascular Surgeon in Saint-Laurent-du-Var
A thoracic aortic endograft is a medical device used to treat serious aortic diseases, specifically in the thoracic region. It consists of a metal stent covered with synthetic fabric, inserted into the aorta via an endovascular approach.
The graft is introduced through a femoral artery puncture in the groin area. It reinforces the aortic wall and maintains blood flow while reducing the risk of rupture or complications related to aortic dissection or aneurysm. This technique is less invasive than open surgery, offering faster recovery and lower post-operative risk.
Vascular Surgery Specialist in Saint-Laurent-du-Var
Spécialiste de la chirurgie vasculaire à Saint-Laurent-Du-Var
Indications
The implantation of a thoracic aortic endograft is indicated in the following situations:
- Thoracic Aortic Aneurysm
An aneurysm is an abnormal dilation of the aortic wall that can rupture and become life-threatening. When the aneurysm is large or rapidly expanding, endograft placement stabilizes the aorta and prevents severe complications. - Aortic Dissection
An aortic dissection occurs when the inner layer of the aortic wall tears, separating the layers of the vessel wall. This weakens the aorta and increases the risk of rupture. An endograft restores the integrity of the aortic wall and limits the associated risks. - Degenerative Pathologies
Conditions such as atherosclerosis or chronic hypertension can weaken the aortic wall, making it more susceptible to aneurysms or dissections. The endograft strengthens the vessel wall and prevents disease progression. - Post-Surgical Complications
In some cases, after a surgical repair of the thoracic aorta, an endograft may be necessary to reinforce the anastomosis site and prevent complications from failed initial repair.
The Implantation Procedure
The thoracic aortic endograft procedure is performed under general anesthesia. Access to the aorta is obtained via femoral artery puncture (in the groin). A catheter is inserted and guided using imaging (fluoroscopy or ultrasound) to the site of the aneurysm or dissection.
Once in position and confirmed via fluoroscopic control, the endograft is deployed within the aorta. The stent anchors to the vessel wall and forms a stable conduit, restoring normal blood flow and preventing rupture.
The procedure typically lasts between 1 and 3 hours, depending on complexity. Postoperative monitoring in the hospital is required for a few days to detect any early complications.
Post-Implantation Follow-Up
Postoperative monitoring is crucial for ensuring proper graft function and early detection of complications. Dr. Ilya Khantalin provides thorough follow-up care for each patient.
Clinical Follow-Up
Regular check-ups are essential to monitor the patient’s condition. Blood pressure assessments and evaluation for any signs of complications are part of every visit.
Imaging Follow-Up
Scheduled imaging (ultrasound, CT scan, or MRI) helps monitor the integrity of the endograft and aortic condition over time. These tests identify any leaks, infections, or graft migration.
Monitoring Risk Factors
Controlling cardiovascular risk factors—such as hypertension, high cholesterol, smoking, and obesity—is vital for ensuring long-term success. Personalized medical management and preventive care will be implemented.
Rupture Risk Evaluation
A major concern after graft implantation is preventing aortic rupture. Follow-up imaging confirms that the graft is functioning properly and maintaining structural integrity.
Benefits and Limitations of Thoracic Aortic Endografts
Advantages
- Minimally invasive: Unlike open surgery, endovascular procedures are less traumatic and require only small incisions.
- Faster recovery: Hospital stay and recovery time are significantly reduced.
- Reduced rupture risk: The graft reinforces the aortic wall, significantly decreasing the chance of rupture.
Limitations
- Endoleak risk: Blood may leak around the graft, which could necessitate re-intervention.
- Long-term follow-up: Lifelong imaging and monitoring are necessary to ensure ongoing graft function and detect any late complications.
Thoracic aortic endograft implantation is a highly effective and modern solution for treating severe aortic diseases such as aneurysms and dissections. This less invasive procedure, performed by Dr. Ilya Khantalin in Saint-Laurent-du-Var, ensures a faster recovery and reliable stabilization of the aorta. Long-term follow-up remains essential for ensuring the procedure’s success.
If you are affected by an aortic condition, do not hesitate to make an appointment to discuss the best therapeutic options for your case.