Tratamiento del aneurisma aórtico abdominal por vía endovascular: experiencia inicial / Endovascular treatment of abdominal aortic aneurysm: initial experience
Valdés Echeñique, Francisco; Seitz Castillo, Juan Enrique; Fava Peirano, Mario; Kramer Schumacher, Albrecht; Mertens Martin, Renato; Espíndola S., Manuel; Canessa B., Roberto; Sacco C., Carla; Vergara G., Jeanette; Loyola Z., María Soledad; Ríos Olsen, Guillermo; Soffia S., Pablo.
Rev. méd. Chile
; 126(10): 1206-15, oct. 1998. ilus, tab
Artículo
en Español
| LILACS | ID: lil-242705
Background:
Thirty day mortality of current surgical treatment of abdominal aortic aneurysm is 0.7 to 5 percent. Coronary artery disease is the main risk factor in this elderly population. An alternative procedure based on the transfemoral deployment of self expandable prostheses to exclude the aneurysm, avoids a laparotomy and major surgical trauma, reducing the risks of the conventional operation.Aim:
To report our experience on endovascular repair of abdominal aortic aneurysms. Patients andmethods:
Nine consecutive patients aged 66 to 82 years old, possible candidates for the procedure, were studied.Results:
Only four patients fulfilled the requirements for the procedure, which was technically successful in three. One patient was converted to an open surgical repair. Patients were discharged 72-96 hours after graft implantation. The postoperative CAT scan confirmed total exclusion of the aneurysm by the endovascular graft. All nine patients are alive at the time of this report.Conclusions:
Given certain anatomical conditions, endovascular treatment of abdominal aortic aneurysms is an attractive alternative for high risk patients
Biblioteca responsable:
CL1.1
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