Change of Common Iliac Artery after Abdominal Aortic Aneurysm Repair Using a Tube Graft / 대한혈관외과학회지
Journal of the Korean Society for Vascular Surgery
;
: 19-23, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-726621
ABSTRACT
PURPOSE:
It remains controversial whether to use a tube graft or a bifurcated graft during open abdominal aortic aneurysm (AAA) repair, due to the potential for progression or development of a common iliac artery (CIA) aneurysm. This study evaluated the fate of CIA after tubular AAA repair.METHODS:
On a retrospective basis, we reviewed 61 patients who underwent open AAA repair with a tube graft, between March 2000 and December 2009. Fifty-seven patients were included in this study; we excluded 4 cases in which the patients died in-hospital. Of those enrolled, 24 patients underwent follow-up computed tomography at least 1-year after surgery. CIAs were categorized into 3 groups normal (< or =12 mm), ectasia (range, 13 to 18 mm), and aneurysm (range, 19 to 25 mm). The incidence of CIA aneurysm rupture was investigated, and the expansion rate of CIA was calculated.RESULTS:
Mean patient age was 64 years and 73% of patients were male. Preoperatively, 8 patients had 2 normal CIAs, 14 patients had one CIA aneurysm at least, 27 patients had one CIA ectasia, and 8 patients were unknown. There was a mean follow-up of 51 months; no deaths were caused by rupture of CIA aneurysm, and no patient underwent invasive treatment for a CIA aneurysm. The mean follow-up for 24 patients with 48 CIAs was 45 months. The mean expansion rate of CIA was 0.5 mm/y.CONCLUSION:
AAA repair using a tube graft was a safe and durable procedure. However, a bifurcated graft should be considered when patients are young and there is the expectation of a long life expectancy is anticipated allowing for a CIA expansion rate of 0.5 mm/y.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Rotura
/
Incidencia
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Esperanza de Vida
/
Aneurisma de la Aorta Abdominal
/
Trasplantes
/
Dilatación Patológica
/
Arteria Ilíaca
/
Aneurisma
Tipo de estudio:
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Society for Vascular Surgery
Año:
2012
Tipo del documento:
Artículo
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