Mid-long term complications of endovascular repair in aortic diseases and its secondary interventional strategies / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1604-1607, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-338103
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the methods and effects of secondary intervention for mid-long term complications of endovascular repair (EVR) in aortic diseases.</p><p><b>METHODS</b>From May 1999 to Jun 2007, 21 patients with mid-long term complications after EVR were treated in our center. Of these cases, 15 cases received first EVR for abdominal aortic aneurysm (AAA), 3 cases for thoracic aortic aneurysm (TAA) and 3 cases for aortic dissection (TAD). The mid-long term complications included 11 cases of type I endoleak, 4 cases of type II endoleak, 2 cases of type III endoleak and 4 cases of migration of stent grafts. Proximal or distal extensions were used for type I and III endoleak in 9 cases. Fenestrated, scallop and bifurcated stent grafts were used to reconstruct the aortic arch in 3 cases. Emboli technique was used in treating type II endoleak. Thrombectomy and bypass technique were used in 4 cases with stent graft limb occlusion. One ruptured AAA accepted open surgery.</p><p><b>RESULTS</b>Secondary endovascular technique were undergone in 20 (95.2%) cases. One case died in 30 days after the secondary intervention and endoleak remained after the secondary operation in 5 cases. Three cases died of the secondary intervention.</p><p><b>CONCLUSIONS</b>Endoleak and limb occlusion were the chief mid-long complications after EVR. Secondary endovascular technique can be used in most cases and carries great challenges in aortic arch lesions.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aortic Diseases
/
Postoperative Complications
/
General Surgery
/
Therapeutics
/
Stents
/
Retrospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Blood Vessel Prosthesis Implantation
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article
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