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, ...Continue Reading
Initial experience with transluminally placed endovascular grafts for the treatment of complex vascular lesions
Early results of endovascular aortic aneurysm surgery with aortouniiliac graft, contralateral iliac occlusion, and femorofemoral bypass
Changing aneurysmal morphology after endovascular grafting: relation to leakage or persistent perfusion
Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/International Society for Cardiovascular Surgery
Endoleak as a complication of endoluminal grafting of abdominal aortic aneurysms: classification, incidence, diagnosis, and management
Treatment of abdominal aortic aneurysms with transfemoral placement of stent-grafts: complications and secondary radiologic intervention
Nocturnal hypoxaemia and respiratory function after endovascular and conventional abdominal aortic aneurysm repair
Transluminal endovascular stent grafting of aortic dissections and aneurysms: a concise review of the major trials
Endovascular repair of localized pathological lesions of the descending thoracic aorta: midterm results
Epidural analgesia in patients with chronic obstructive pulmonary disease undergoing transperitoneal abdominal aortic aneurysmorraphy--a multi-institutional analysis
Need for secondary interventions after endovascular repair of abdominal aortic aneurysms. Intermediate-term follow-up results of a European collaborative registry (EUROSTAR)
Prediction of aortoiliac stent graft length: comparison of a semiautomated computed tomography angiography method and calibrated aortography
Frequency and significance of lumbar and inferior mesenteric artery perfusion after endovascular repair of abdominal aortic aneurysms
Does chronic oral anticoagulation with warfarin affect durability of endovascular aortic aneurysm exclusion in a midterm follow-up?
Computerized modeling based on spiral CT data for noninvasive determination of aortic stent-graft length
Adjunctive procedures for the treatment of proximal type I endoleak: the role of peri-aortic ligatures and Palmaz stenting
Clinical significance of endoleak detected on follow-up CT after endovascular repair of abdominal aortic aneurysm
Elective endovascular versus open surgical repair of abdominal aortic aneurysms: systematic review of short-term results
Imaging techniques for detection and management of endoleaks after endovascular aortic aneurysm repair
Complications of endovascular repair for thoracic and abdominal aortic aneurysm: an imaging spectrum
Application of duplex US for characterization of endoleaks in abdominal aortic stent-grafts: report of five cases
Type 1 collagen as an endovascular stent-graft material for small-diameter vessels: a biocompatibility study
Dr. Gary J. Becker young investigator award: comparison of small-diameter type 1 collagen stent-grafts and PTFE stent-grafts in a canine model--work in progress
Is cross-femoral bypass grafting a disadvantage of aortomonoiliac endovascular aortic aneurysm repair?
Suprarenal fixation of endovascular aortic stent grafts: assessment of medium-term to long-term renal function by analysis of juxtarenal stent morphology
Transluminal repair of abdominal aortic aneurysm: a call for selective use, careful surveillance, new device design, and systematic study of transrenal fixation
Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience. European Collaborators on Stent/graft techniques for aortic aneurysm repair
An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.
Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.