Contemporary imaging methods for the follow-up after endovascular abdominal aneurysm repair: a review
Autor: | Adam Lemanowicz, Wojciech Kazimierczak, Przemysław Ratajczak, Zbigniew Serafin, Natalia Kazimierczak, Łukasz Bryl, Waldemar Leszczyński |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment lcsh:Medicine Endovascular aneurysm repair endovascular aneurysm repair abdominal aortic aneurysm aortic stent graft medicine Surgical repair Review Paper business.industry Mortality rate lcsh:R Gastroenterology Obstetrics and Gynecology Perioperative medicine.disease Thrombosis Abdominal aortic aneurysm Surgery cardiovascular system Abdominal aneurysm endovascular abdominal aneurysm repair business Complication |
Zdroj: | Videosurgery and other Miniinvasive Techniques Videosurgery and Other Miniinvasive Techniques, Vol 14, Iss 1, Pp 1-11 (2018) |
ISSN: | 1895-4588 |
Popis: | Abdominal aortic aneurysm (AAA) is defined as a localized enlargement of the aortic cross-section where the diameter is greater than 3 cm or more than 50% larger than the diameter in a normal segment. The most important complication of AAA is rupture, which, if untreated, results in mortality rates of up to 90%. Conventional open surgical repair is associated with significant 30-day mortality. Endovascular aneurysm repair (EVAR) is a significantly less invasive procedure; it is related to a lower early mortality rate and a lower number of perioperative complications. Although EVAR is a minimally invasive technique, lifelong follow-up imaging is necessary due to possible late complications including endoleak, recurrent aneurysm formation, graft infection, migration, kinking and thrombosis. The total rate of complications after EVAR is estimated at approximately 30%, and the rate of complications that require intervention is 2–3%. Early detection and progression analysis of such situations is crucial for proper intervention. |
Databáze: | OpenAIRE |
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