Program details
Aortic Diseases - Stent Graft Treatment【Kishiwada Tokushukai Hospital】
surgery
Kishiwada Tokushukai Hospital（Kinki/Osaka）
Prompt Response to Aortic Diseases
Safe Stent Treatment
At our hospital, we provide stent graft treatment for aortic aneurysms and aortic dissections, leveraging extensive clinical experience. We offer minimally invasive and safe treatment, with 24/7 availability for emergency surgeries.
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- Department
- Disease
- Examination Items/Treatments/Surgical method
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- Program Summary
- Aortic Diseases - Stent Graft Treatment
Aortic diseases can be categorized into aortic aneurysms, characterized by bulging blood vessels, and aortic dissections, where the arterial wall tears.
Aortic Aneurysms
There are two primary treatments for aortic aneurysms: artificial vessel replacement surgery and stent grafting.
1. Artificial Vessel Replacement Surgery
This procedure involves opening the chest or abdomen to replace the affected section of the artery with an artificial vessel.
2. Stent Grafting
This minimally invasive technique requires a 3–4 cm incision near the groin. A catheter containing a stent graft (a metal-reinforced artificial vessel) is inserted into the artery and deployed at the site of the aneurysm. This strengthens the arterial wall from within.
The suitability of stent graft treatment depends on the shape and location of the aneurysm. While artificial vessel replacement surgery can address all types of aneurysms, it places a greater physical burden on the patient. Treatment decisions are made based on the patient’s surgical tolerance, the aneurysm’s location, and its shape.
Our hospital has extensive experience with both procedures, which are performed by the same team of specialists. This allows us to propose treatment plans rooted in practical clinical expertise.
Aortic Dissections
For Type A acute aortic dissections, we offer 24/7 emergency surgical care. In cases of Type B acute aortic dissections, emergency surgery may also be required if complications such as perfusion abnormalities are present.
Our hospital is fully equipped to perform emergency surgeries immediately and has a strong track record in terms of case volume and treatment outcomes. Additionally, during the subacute phase, we actively perform stent graft treatments to prevent the progression to chronic dissecting aortic aneurysms.
We also emphasize outpatient follow-up to ensure stable, long-term treatment outcomes.
- Medical Institutions
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Kishiwada Tokushukai Hospital
〒596-0042
4-27-1 Kamoricho, Kishiwada City
- Examination Items
- Setup Date
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- Eligibility Criteria/Exclusions for Treatment
- 1. Medical Information:
- Diagnosis (e.g., aortic aneurysm, aortic dissection)
- Detailed symptoms (e.g., presence of chest pain, back pain, abdominal pain)
- Test results from other hospitals (e.g., CT, MRI, echocardiography, catheter examinations)
- Size of the aneurysm, location, and progression of the dissection
2. Treatment History:
- History of previous aortic surgeries (e.g., stent grafting, artificial vessel replacement)
- Current medications (e.g., anticoagulants, antihypertensive drugs)
- Effectiveness and side effects of prior treatments
3. Age and Physical Condition:
- Patient’s age and overall health status to assess surgical tolerance
- Underlying conditions and comorbidities (e.g., hypertension, diabetes, kidney disease)
4. Treatment Duration, Hospital Stay, and Time Requirements:
- Estimated hospitalization and postoperative rehabilitation periods
- Surgical duration and urgency
- Outpatient follow-up schedules and frequency of monitoring
5. Other Considerations:
- Need for emergency surgery (e.g., acute aortic dissection)
- Treatment plans tailored to the patient’s lifestyle and preferences
- Special medical considerations (e.g., patients requiring dialysis or with severe obesity)
Based on the above information, we will assess the feasibility of acceptance and develop an appropriate treatment plan.
- Precautions / Contraindications
- 1. Cases Excluded from Surgery:
- Severe comorbidities (e.g., advanced renal failure, liver failure, untreated severe infections) that significantly increase surgical risks
- Anatomical structures or aneurysm shapes unsuitable for stent graft treatment
- Preoperative tests revealing vascular occlusion or fragility
2. Use of Contraindicated Medications:
- Continued use of anticoagulants or antiplatelet agents may increase bleeding risks during surgery, requiring discontinuation prior to the procedure
- Medications or treatments affecting stent grafts or surgery (e.g., immunosuppressants, chemotherapy) necessitate careful evaluation
3. Specific Risks in Certain Cases:
- Elderly patients or those with severe comorbidities face increased risks of complications from surgery or anesthesia
- Patients with a history of coronary artery disease or cerebrovascular disease have a higher risk of myocardial infarction or stroke during or after surgery
Preoperative Instructions to Communicate:
1. Preoperative Preparation:
- Importance of undergoing necessary preoperative tests (e.g., blood tests, electrocardiograms, CT scans)
- Verification of current medications (particularly anticoagulants and antiplatelet agents) and adherence to the required discontinuation period
- Following dietary restrictions and fasting instructions before surgery
2. Risks of Postoperative Complications:
- Explaining potential risks such as bleeding, infections, blood clots, or displacement/blockage of the stent graft or artificial vessel
- Advising immediate contact with a medical institution in case of chest pain, shortness of breath, or fever after surgery
3. Hospitalization and Rehabilitation:
- Overview of the postoperative hospitalization period and required rehabilitation
- Lifestyle restrictions after discharge (e.g., refraining from heavy lifting, driving) and their duration
- Need for regular outpatient follow-ups and their schedules
4. Cost Considerations:
- Providing an estimate of the costs associated with surgery and treatment
5. Emergency Procedures:
- Ensuring patients have contact information for the medical facility or attending physician in case of health issues after surgery or discharge.
