Complications in endovascular repair of abdominal aortic aneurysms: treatment and prevention / 中华外科杂志
Zhonghua Wai Ke Za Zhi
; (12): 888-892, 2011.
Article
de Zh
| WPRIM
| ID: wpr-285626
Bibliothèque responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To review the prevention and treatment strategies in the complications after endovascular repair (EVAR) of abdominal aortic aneurysms, retrospectively in a single medical center.</p><p><b>METHODS</b>From January 2003 to December 2010, clinical data of 344 EVAR cases were analyzed retrospectively, including postoperative period and long-term results. There were 302 male and 42 female patients, with a mean age of (69 ± 8) years. Patients were followed up at 3 months, 6 months, and then every year with abdominal x-ray and spiral CT angiography.</p><p><b>RESULTS</b>The surgical success rate was 99.7% (343/344). The mortality with elective and emergency surgery was 0.30% (1/334) and 1/10 respectively. The average follow-up time was 3 to 84 months with a mean of 32.9 months. The follow-up rate was 81.8% (279/341). The mortality was 1.1% (3/279), the re-intervention rate was 10.4% (29/279) and the overall complication rate was 12.9% (36/279), including endoleak 5.7% (16/279), stent-graft migration 1.1% (3/279), aneurysm expansion or rupture 5.4% (15/279), limb occlusion 2.5% (7/279) and stent-graft infection 1.4% (4/279).</p><p><b>CONCLUSION</b>EVAR has allowed a minimally invasive approach to aortic pathology. A careful preoperative assessment is the key for EVAR. Endoleak continues to be the major long-term complication of the endoluminal grafting technique, and the major cause for re-intervention. Life-long follow-up is an integral part of EVAR.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Complications postopératoires
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Chirurgie générale
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Endoprothèses
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Études rétrospectives
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Anévrysme de l'aorte abdominale
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Implantation de prothèses vasculaires
/
Endofuite
Type d'étude:
Observational_studies
Limites du sujet:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
langue:
Zh
Texte intégral:
Zhonghua Wai Ke Za Zhi
Année:
2011
Type:
Article