Resultados del tratamiento endovascular de los aneurismas de arteria poplítea / Results of endovascular treatment of popliteal artery aneurysms
Angiología
; 64(2): 69-75, mar.-abr. 2012.
Article
in Spanish
| IBECS
| ID: ibc-101408
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Objetivo:
Evaluar los resultados a largo plazo del tratamiento endovascular de los aneurismas de arteria poplítea (AAP). Pacientes ymétodos:
Análisis retrospectivo de una serie de 27 AAP intervenidos en 24 pacientes entre enero de 2004 y diciembre de 2010. Parámetros a valorar complicaciones, salvamento de extremidad y permeabilidad según el método de Kaplan-Meier.Resultados:
La edad media fue de 69±12 años. El diámetro medio de los AAP era de 29,5±13mm, con salida por 3 troncos distales en la mitad. Seis casos eran sintomáticos. Se utilizó técnica híbrida en 25 casos, mediante abordaje de la arteria femoral superficial proximal, y percutánea en 2. Se emplearon endoprótesis Fluency en 21 casos y Viabahn/Hemobahn en 6. Promedio de endoprótesis por caso 2. Éxito técnico inicial 100%. Morbimortalidad postoperatoria nula. Estancia media 2,6±2 días. Control periódico clínico y ecográfico en todos los casos. Con una media de seguimiento de 51±24 meses se produjeron 9 oclusiones, 7 el primer año. Otras complicaciones 2 migraciones con endoleak tipo I, 2 fracturas y una rotura contenida. Hubo 6 conversiones a cirugía abierta, la mayoría por trombólisis fallida, estando todos los bypass funcionantes. Permeabilidad primaria y secundaria a 4 años 66 y 72%, respectivamente. Salvamento de la extremidad 100%. No hubo pérdidas de seguimiento, durante el cual se produjeron 2 exitus por neoplasia.Conclusiones:
El tratamiento endovascular de los AAP presenta una baja morbimortalidad y puede ser una alternativa terapéutica a la cirugía convencional(AU)ABSTRACT
Objective:
To evaluate the long term results of the endovascular treatment of popliteal aneurysms. Patients andmethods:
A retrospective analysis of 27 popliteal aneurysms in 24 patients operated on between January 2004 and December 2010. Endpoints Complications, limb salvage and patency using the Kaplan-Meier method.Results:
The mean age of the patients was 69±12 years. The mean diameter of aneurysms 29.5±13mm. There were three run-off vessels patency in 52%. Six aneurysms were symptomatic. The technique with dissection of the proximal superficial femoral artery was used in 25 cases, and percutaneous in two. Fluency endografts were used in 21 cases, and Viabahn/Hemobahn in 6. The average number of stent-grafts per case was two. Initial tecnical success was obtained in 100%. There was no postoperative morbidity or mortality. The average in-hospital stay was 2.6±2 days. Clinical and duplex follow-up was possible in all patients. Nine occlusions (seven during the first year) were documented, with an average follow-up of 51±24 months. Other complications two migrations with endoleak type I, two fractures, and one contained rupture. There were six conversions to bypass surgery, most of them due to failed thrombolysis, all remaining patent. Primary and secondary patency at 4 years was 66 and 72%, and limb salvage was 100%. No patient was lost in the follow-up, and two died of neoplasia.Conclusions:
Endovascular treatment of popliteal aneurysms is a feasible and safe therapeutic alternative to conventional bypass surgery, with low morbidity and mortality(AU)
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Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cardiovascular Disease
Database:
IBECS
Main subject:
Vascular Surgical Procedures
/
Aneurysm
Limits:
Humans
Language:
Spanish
Journal:
Angiología
Year:
2012
Document type:
Article
Institution/Affiliation country:
Hospital San Pedro/España