Abdominal Aortic Aneurysm in High-Risk Patients: Short- to Intermediate-term Results of Endovascular Repair
| Autor: | Ernest J. Ring, Robert K. Kerlan, Jean M. LaBerge, Jessie Jean-Claude, Raj Sawhney, Louis M. Messina, Timothy A.M. Chuter, Susan D. Wall, Roy L. Gordon, Linda M. Reilly, Catherine J. Canto |
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| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Normal diet medicine.medical_treatment Prosthesis Design Radiography Interventional Endovascular aneurysm repair Blood Vessel Prosthesis Implantation Aneurysm Risk Factors medicine.artery medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Aged Aged 80 and over Surgical repair business.industry Vascular disease Abdominal aorta Stent Middle Aged medicine.disease Abdominal aortic aneurysm Blood Vessel Prosthesis Surgery Treatment Outcome Female Stents Radiology business Aortic Aneurysm Abdominal |
| Zdroj: | Radiology. 210:361-365 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.210.2.r99ja37361 |
| Popis: | To assess the safety and efficacy of endovascular repair of abdominal aortic aneurysm in high-risk patients during the short to intermediate term.Endovascular aneurysm repair was performed in 50 patients considered too high risk for conventional repair. Stent-grafts were inserted through surgically exposed femoral arteries with fluoroscopic guidance. The anesthetic technique was epidural in 36 patients, general in 12, and local in two. Aortouniiliac stent-grafts were inserted in 42 patients and aortoaortic in eight.There were no deaths and no conversions to open surgical repair. The primary success rate (complete aneurysm exclusion according to CT criteria) was 88% (44 of 50). The secondary, clinical, and continuing success rates were all 98% (49 of 50). Surgical time was 196 minutes +/- 67 (mean +/- SD), blood loss was 284 mL +/- 386, and volume of contrast material administered was 153 mL +/- 64. The time from the end of the surgery to resumption of a normal diet was 0.58 days +/- 0.56, to ambulation was 1.22 days +/- 0.77, and to discharge from the hospital was 3.63 days +/- 1.60. Wound problems accounted for the majority of complications. There were no instances of pulmonary failure, renal failure, stent-graft migration, or late leakage.Endovascular repair of abdominal aortic aneurysm is feasible in two-thirds of high-risk patients, with a low mortality and high success rate during the short to intermediate term. |
| Databáze: | OpenAIRE |
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