Endovascular Treatment of Abdominal Aortic Aneurysm by Bifurcated Stent Graft
Journal of the Korean Radiological Society
;
: 909-914, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-145545
ABSTRACT
PURPOSE:
To evaluate the effectiveness and safety of endoluminal bifurcated stent graft for the treatment of AAA. MATERIALS ANDMETHODS:
Between August 1997 and August 1998, 20 patients with AAA underwent treatment involving the use of a bifurcated stent graft. Fourteen in whom the aneurysm involved only bifurcation and six patients in whom the common iliac arteries were involved. For one patient, a stent with a short proximal neck measuring 12 mm was used. The stent graft was inserted by means of a unilateral surgical femoral arteriotomy. After the procedure, follow up involving CT and aortography was performed between month 3 and month 12.RESULTS:
The primary success rate with the first trial was 79 percent (15 of 19 patients), and the overall success rate was 84 percent; one perigraft leak was successfully corrected. In one case, technical failure occurred due to a tortuous iliac vessel and spasm. Procedure-related complications occurred in 16% of patients (3 of 19), one of whom died due to acute renal failure following a contrast overdose.CONCLUSION:
Endovascular treatment of infrarenal AAA by means of a bifurcated stent graft was effective and safe. In particular, if the proximal neck measured more than 1cm, any AAA could be treated using bifurcated stent graft. Further investigation of the outcome and complications arising during long-term follow-up are needed, however.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aneurisma Aórtico
/
Espasmo
/
Prótese Vascular
/
Aortografia
/
Stents
/
Seguimentos
/
Aneurisma da Aorta Abdominal
/
Injúria Renal Aguda
/
Endoleak
/
Artéria Ilíaca
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Radiological Society
Ano de publicação:
1999
Tipo de documento:
Artigo
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