Assessment of feasibility for endovascular prosthetic tube correction of aortic aneurysm
| Autor: | S. T. R. Macsweeney, D.M. Nott, S.M. Andrews, N. K. Barrett, R. Cuming, Roger M. Greenhalgh |
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| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Prosthesis Iliac Artery Sensitivity and Specificity Duplex scanning Aortic aneurysm Aneurysm medicine.artery medicine Humans cardiovascular diseases Aorta Abdominal Prospective Studies Ultrasonography Doppler Color Aged Aged 80 and over Aorta business.industry Patient Selection Stent Aortic bifurcation Middle Aged medicine.disease Abdominal aortic aneurysm Surgery Blood Vessel Prosthesis Femoral Artery surgical procedures operative medicine.anatomical_structure cardiovascular system Feasibility Studies Female Stents Radiology business Tomography X-Ray Computed Aortic Aneurysm Abdominal |
| Zdroj: | The British journal of surgery. 82(7) |
| ISSN: | 0007-1323 |
| Popis: | Abdominal aortic aneurysm (AAA) can now be corrected by perfemoral introduction of a prosthetic tube graft with fixation using expandable metal stents. This technique requires a satisfactory iliac system, through which the graft can reach its destination, and suitable lengths of non-aneurysmal aorta below the renal arteries and above the aortic bifurcation for stent attachment. The feasibility for placement of endovascular grafts was assessed in 44 consecutive patients admitted for transabdominal AAA repair. The proximal and distal aneurysmal necks and the iliac arteries were assessed before operation by colour flow Doppler ultrasonography (duplex scanning), computed tomography and intravenous digital subtraction angiography, using intraoperative measurements as the ‘gold standard’. At operation 32 of 44 patients had a suitable proximal neck and five of 44 a suitable distal neck for endovascular grafting. Duplex scanning was the most accurate modality for preoperative assessment of the aneurysm necks. According to this technique 32 of 44 patients had a satisfactory iliac system for introduction of an endovascular graft. Overall only four of 44 patients were considered suitable for endovascular correction of AAA using a tube graft-stent combination. |
| Databáze: | OpenAIRE |
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