Development of a new intravascular low-profile device for exclusion of aortic aneurysm: an experimental pilot study.
Cardiovasc Intervent Radiol
; 27(3): 243-50, 2004.
Article
em En
| MEDLINE
| ID: mdl-15037952
ABSTRACT
PURPOSE:
To present a new intravascular device for the treatment of aorto-iliac aneurysms.METHODS:
This new device was tested in five dogs with abdominal aortic aneurysm created experimentally by over-dilation of a balloon-expandable stent with a 16 or 18 mm wide PTA balloon catheter. The design of the device is based on a self-expanding aortic stent which consists of two stretchable circular frames filled with a textile Dacron mesh membrane that is suspended horizontally into the infrarenal abdominal aorta proximally to the aneurysm. The frames are part of a preshaped double helical structure that is introduced longitudinally through a catheter in a parallel fashion and forming the desired shape at the vessel site to be occluded. Two iliac stent-grafts are introduced in a low-profile status through the membrane sealing the aneurysm sac and holding the stent-grafts in place. After stent-graft expansion, a new bifurcation located more proximally than the natural one is created. The follow-up of the dogs was performed clinically and angiographically, and specimens were evaluated histomorphologically.RESULTS:
The membrane device can be introduced through a 9 Fr vascular sheath. Technical success was achieved in four of five dogs. Nine of ten stent-grafts could be fixed securely within the membrane, thus preventing dislocation. Aneurysms were excluded immediately, and blood flow to the external iliac arteries was restored by the stent-grafts. At 6-9 months follow-up of technically successful implanted devices, there were no endoleaks, no migration, no stenoses at contact sites between the implant material and vascular wall, and no stenosis or occlusion of the stent-grafts. At microscopic evaluation, the interspace between the membranes was filled with thrombotic material, thus ensuring exclusion of the aneurysm.CONCLUSION:
This new device was found to be flexible, low profile and useful in excluding abdominal aortic aneurysm in the experimental setting.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Stents
/
Aneurisma da Aorta Abdominal
/
Oclusão com Balão
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Animals
Idioma:
En
Revista:
Cardiovasc Intervent Radiol
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Alemanha