Prevention and management of frequent complications after endovascular repair of infrarenal abdominal aortic aneurysm / 中华外科杂志
Chinese Journal of Surgery
;
(12): 495-498, 2003.
Article
Dans Chinois
| WPRIM
| ID: wpr-300004
ABSTRACT
<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>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Complications postopératoires
/
Pronostic
/
Chirurgie générale
/
Thérapeutique
/
Endoprothèses
/
Études rétrospectives
/
Études de suivi
/
Fistule vasculaire
/
Résultat thérapeutique
/
Anévrysme de l'aorte abdominale
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
langue:
Chinois
Texte intégral:
Chinese Journal of Surgery
Année:
2003
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS