+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Long-term results of aortouniiliac stent grafts for the endovascular repair of abdominal aortic aneurysms

, : Long-term results of aortouniiliac stent grafts for the endovascular repair of abdominal aortic aneurysms. Annals of Vascular Surgery 28(5): 1258-1265

Long-term follow-up of patients with aortouniiliac (AUI) grafts is lacking in the current literature. The purpose of this study was to review the outcomes of endovascular aneurysm repair (EVAR) using commercially available AUI devices with femorofemoral bypass in patients whose aortoiliac anatomy was unfavorable for bifurcated repair. A retrospective review of 35 patients from September 2000 to February 2012, who underwent EVAR with commercially manufactured AUI devices, was performed. These comprised 35 of 372 (9.4%) patients who underwent EVAR during that period. Patient records were reviewed to determine morbidity, mortality, and survival after AUI repair. Patients were followed at 1-, 3-, 6-, and 12-month intervals with computed tomography (CT) scans during each visit. Median follow-up was 40 months (range: 2-135 months). Median age at surgery was 76 years (range: 60-93). The median preoperative aneurysm diameter was 57 mm (range: 45-71) and the median postoperative diameter was 53 mm (range: 29-80). Two type II endoleaks occurred on 1-month CT, whereas 10 endoleaks (type I [3], II [6], and III [1]) occurred during follow-up after 1 month. Migration of the stent graft occurred in 9% (n=3). Secondary procedures were required in 26% (n=9), whereas tertiary procedures were required in 3% (n=1). One patient required treatment for thrombosis of the iliac extension and 2 required treatment for thrombosis of the femorofemoral component. Mortality over the follow-up period was 34% (n=12) with no deaths occurring within 30 days. High-risk patients who present with aortoiliac anatomy unsuitable for bifurcated stent graft placement should be offered AUI graft placement as a potential alternative to open repair.


PMID: 24517992

DOI: 10.1016/j.avsg.2013.12.026

Other references

Rhodes J.W.; Garcia P.V.; Glickman R.D., 1989: Macular damage in rhesus monkeys without acuity loss. Investigative Ophthalmology & Visual Science 30(3 SUPPL): 460

Mason D.; Asp C.W., 1976: The relationship between speech discrimination ability and self assessed hearing handicap of adults with sensori neural hearing losses as a function of reverberation and noise. Journal of the Acoustical Society of America 60(SUPPL 1): S124

Matsushima, S., 1989: The present conception of rice and the yields of first and second rank villages and towns. The present-day yields of rice are considered with special reference to conditions in the town of Ina and the village of Minami Minowa in Nagano Prefecture. The introduction of new rice cultivars during the period 1972-88 showed that for some cult...

Tomita, M.; Fukuwatari, Y.; Kitazawa, T.; Nojiri, M.; Kawaura, S., 1991: Milk-protein hydrolyzates and compositions for use as hair and skin treating agent. A milk protein hydrolysate or salts thereof with the following properties is described: (a) the hydrolysate is a mixture of peptides with an MW of <1000; (b) 90% by wt or more of the whole aromatic amino acids included in the hydrolysate are fr...

Lang, S.; Rösch, J.; Gölitz, P.; Kloska, S.; Struffert, T.; Doerfler, A., 2015: Comparison of Intracranial Aneurysms Treated by 2-D Versus 3-D Coils: A Matched-Pairs Analysis. Knowledge on the influence of 2D and 3D coils to occlude intracranial aneurysms is poor. Therefore, aim of our analysis was to evaluate whether the use of 3-D versus 2-D coils alone may improve the efficacy of endovascular aneurysm treatment. We p...

Fodor J., 1975: Changes in the peripheral leukemic lymphocytes during radio therapy and the clinical symptoms produced by the indirect effects of irradiation. Strahlentherapie 149(2): 162-165

E.Ashmawy, SH., 1990: Karyotype of two Egyptian biotypes of spiny mice Acomys cahirinus and their hybrids. Egyptian Journal of Genetics and Cytology. July; 192: 189-194

Sato, T.; Sakuma, N.; Ikeda, O.; Ishida, H., 1979: Umbrella-type dynamic-focusing mirror system. The property that the bimorph deformation is generated along a quadratic curve is used to form a variable quadratic mirror surface so that an effective dynamic-focusing mirror system is realized. The effectiveness and the limitations of the method...

Law, J.Eugene, 1926: Green-tailed towhee qualifies in intelligence test. Feeding habits of several individuals of Oberholseria chlorura at Bluff Lake, California. Quick learning of new sources of supply, preferences for certain foods and relative behavior of adults and young are described.

Shenai, R.; Wallis, M., 1979: Biosynthesis and degradation of prolactin in the rat anterior pituitary gland. Time course of incorporation of label in vitro and evidence for rapid degradation. Biosynthesis of prolactin was studied in anterior pituitary glands from female rats, incubated in vitro. In this system [3H]leucine was incorporated into pituitary proteins, including somatotropin (growth hormone) and prolactin. The rate of uptake...