Results of endovascular abdominal aortic aneurysm repair with selective use of the Gore Excluder.

Autor:	Bos WT; Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands., Tielliu IF, Van Den Dungen JJ, Zeebregts CJ, Sondakh AO, Prins TR, Verhoeven EL
Jazyk:	angličtina
Zdroj:	The Journal of cardiovascular surgery [J Cardiovasc Surg (Torino)] 2009 Apr; Vol. 50 (2), pp. 159-64.
Abstrakt:	Aim: To evaluate single center results with selective use of the Gore Excluder stent-graft for elective abdominal aortic aneurysm repair. Methods: Retrospective analysis of a prospective data base. Primary endpoints were technical success, all-cause and aneurysm-related mortality and aneurysm rupture. Secondary endpoints were late complications including migration, endoleak, aneurysm growth, limb occlusion, and re-intervention. Results: The Gore Excluder stent-graft was used in 92 elective cases, mainly in cases with difficult iliac anatomy. There were 81 (88%) male patients. Mean age was 70.4+/-7.5 (range, 53-87). Primary assisted technical success rate was 98.9% (91/92 patients). Thirty-day mortality was 0%. Median follow-up was 35.7 months (range, 2-99). Overall survival was 95.2+/-2.4% at 1 year, 89.2+/-3.7% at 2 years, 83.9+/-4.5% at 3 years and 70.2+/-6.8% at 5 years. During follow-up there were 3 (3.3%) Type I endoleaks and 20 (21.7%) Type II endoleaks. Proximal migration of more than 5 mm without endoleak occurred in two patients. In total 13 re-interventions were performed in 12 (13%) patients. No graft limb occlusion occurred. No aneurysm ruptured during follow-up. Conclusions: Selective use of the Gore Excluder demonstrates excellent short- and long-term results. Despite being used in challenging iliac anatomy no graft limbs occluded.
Databáze:	MEDLINE
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