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Tratamiento del aneurisma aórtico abdominal por vía endovascular: experiencia inicial / Endovascular treatment of abdominal aortic aneurysm: initial experience
Rev. méd. Chile ; 126(10): 1206-15, oct. 1998. ilus, tab
Article en Es | LILACS | ID: lil-242705
Biblioteca responsable: CL1.1
ABSTRACT

Background:

Thirty day mortality of current surgical treatment of abdominal aortic aneurysm is 0.7 to 5 percent. Coronary artery disease is the main risk factor in this elderly population. An alternative procedure based on the transfemoral deployment of self expandable prostheses to exclude the aneurysm, avoids a laparotomy and major surgical trauma, reducing the risks of the conventional operation.

Aim:

To report our experience on endovascular repair of abdominal aortic aneurysms. Patients and

methods:

Nine consecutive patients aged 66 to 82 years old, possible candidates for the procedure, were studied.

Results:

Only four patients fulfilled the requirements for the procedure, which was technically successful in three. One patient was converted to an open surgical repair. Patients were discharged 72-96 hours after graft implantation. The postoperative CAT scan confirmed total exclusion of the aneurysm by the endovascular graft. All nine patients are alive at the time of this report.

Conclusions:

Given certain anatomical conditions, endovascular treatment of abdominal aortic aneurysms is an attractive alternative for high risk patients
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Bases de datos: LILACS Asunto principal: Prótesis Vascular / Aneurisma de la Aorta Abdominal Tipo de estudio: Risk_factors_studies Límite: Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Asunto de la revista: MEDICINA Año: 1998 Tipo del documento: Article
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Bases de datos: LILACS Asunto principal: Prótesis Vascular / Aneurisma de la Aorta Abdominal Tipo de estudio: Risk_factors_studies Límite: Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Asunto de la revista: MEDICINA Año: 1998 Tipo del documento: Article