Endovascular Repair of Aortic Aneurysms: Treatment of Complications
| Autor: | Johannes Görich, R. Scharrer-Pamler, Ansgar Schütz, Stefan Krämer, Martin Bartel, Norbert Rilinger, J. Söldner, Roman Sokiranski, Karl-Heinz Orend, Ludger Sunder-Plassmann |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Physical examination 030204 cardiovascular system & hematology Aortography 030218 nuclear medicine & medical imaging Blood Vessel Prosthesis Implantation 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine.artery Occlusion medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aorta Aortic Aneurysm Thoracic medicine.diagnostic_test business.industry Middle Aged medicine.disease Internal iliac artery Thrombosis Abdominal aortic aneurysm Blood Vessel Prosthesis Prosthesis Failure Surgery Survival Rate Angiography Access site Female Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | Journal of Endovascular Surgery. 6:136-146 |
| ISSN: | 1074-6218 |
| DOI: | 10.1583/1074-6218(1999)006<0136:eroaat>2.0.co;2 |
| Popis: | Purpose: To evaluate the use of interventional procedures for treating complications following endovascular repair of aortic aneurysms. Methods: Fifty-five patients (49 men; mean age 67.5 years) underwent endoluminal stent-graft repair of traumatic (n = 4) or arteriosclerotic (n = 51) aortic aneurysms in the thoracic (n = 3) or infrarenal (n = 52) aorta. Follow-up of therapeutic success included periodic clinical examination, angiography, and spiral computed tomography. Results: Discounting the 25 (45%) cases of postimplantation syndrome that did not require treatment, there were 22 complications observed in 20 (36%) patients over a mean 10-month follow-up (range 1 to 27). There were 2 transrenal endograft maldeployments, 1 case of twisted graft limbs, 2 access site problems (1 patient), 12 endoleaks (11 patients), 1 late graft limb thrombosis, 1 symptomatic internal iliac artery occlusion, 2 myocardial infarctions, and 1 transient psychosis. Seven (13%) patients did not undergo specific therapy, while 4 (7%) required operation (2 crossover bypass grafts, 1 suture revision, and 1 graft replacement). Among 9 (16%) patients treated with interventional techniques, 7 underwent percutaneous coil embolization for 8 endoleaks (7 successfully resolved). One late stent-graft disconnection required an additional stent-graft, and 1 of the 2 malpositioned endografts was repositioned. All patients remain alive with no increase in the diameter of the aneurysm in any patient. Conclusions: Technical problems resulting from the endovascular repair of aortic aneurysms often respond to interventional treatment. |
| Databáze: | OpenAIRE |
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