| Autor: |
Curti, Tiziano, Stella, Andrea, Rossi, Cristina, Galaverni, Cristina, Saccà, Antonino, Resta, Francesco, D'Addato, Massimo |
| Zdroj: |
Journal of Endovascular Therapy; April 2001, Vol. 8 Issue: 2 p139-143, 5p |
| Abstrakt: |
Purpose: To report our experience with the endovascular repair of iliac aneurysms secondary to aortoiliac bypass grafting.Methods: Thirteen patients (12 men; age range 62–86 years) with histories of aortoiliac reconstructions were treated with endovascular stent-grafts for 11 false and 2 true iliac aneurysms that averaged 5.2 cm in diameter (range 3.0–7.0). Via a percutaneous access and 9-F or 12-F sheaths, Passager or Wallgraft stent-grafts were delivered to exclude the aneurysms.Results: Twelve (92%) of 13 interventions were completed satisfactorily; 1 procedure for a true iliac aneurysm was converted to traditional bypass grafting. Two patients underwent additional surgical procedures. The average hospital stay for the patients with endovascular repairs only was 3 days (range 2–5). After a mean follow-up of 28 months (range 17–40), no complication or endoleak has been detected in any patient, and all endografts are patent.Conclusions: Endovascular repair is an effective treatment for secondary aneurysms arising after aortoiliac surgery. It is less invasive and involves a shorter hospital stay. Endovascular repair should be the first choice treatment for iliac aneurysms. |
| Databáze: |
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