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Chinese Journal of Surgery ; (12): 495-498, 2003.
Artigo em Chinês | WPRIM | ID: wpr-300004

RESUMO

<p><b>OBJECTIVE</b>To prevent and manage frequent complications after endovascular repair of infrarenal abdominal aortic aneurysm (AAA).</p><p><b>METHODS</b>The data of 71 cases of infrarenal abdominal aortic aneurysm (AAA) treated by endovascular repair were analysed retrospectively. The reasons, managements, results and prognosis of frequent complications were investigated.</p><p><b>RESULTS</b>Seventy-one cases of infrarenal AAA were treated by endovascular repair with 100% success rate. There was no surgical conversion to open aneurysm repair. There were 8 cases of primary endoleak, 1 case of nervous complication and acute thrombosis. An average follow-up period was 26 +/- 5 months. Three persistent endoleaks and 4 secondary endoleaks were found during the follow-up period. The endoleak rate was 9.8% (7/71) within 1 month postoperatively and mortality rate was 1.3% (1/71). Total mortality rate was 4.2% (3/71). Two patients died from acute myocardial infarction and one from acute heart failure.</p><p><b>CONCLUSIONS</b>Endovascular treatment of abdominal aortic aneurysm is technically feasible and can effectively exclude aortic aneurysms from the circulation. Endoleak is a chief complication after endovascular repair of infrarenal AAA.Additional procedures and follow up are very important. Endoleak with enlarged aneurysm should be treated actively.</p>


Assuntos
Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Aneurisma da Aorta Abdominal , Cirurgia Geral , Implante de Prótese Vascular , Métodos , Seguimentos , Complicações Pós-Operatórias , Terapêutica , Prognóstico , Estudos Retrospectivos , Stents , Resultado do Tratamento , Fístula Vascular , Terapêutica
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