Fenestrated and branched grafts for para-anastomotic aortic aneurysm repair.
J Endovasc Ther
; 14(4): 513-9, 2007 Aug.
Article
in En
| MEDLINE
| ID: mdl-17696626
ABSTRACT
PURPOSE:
To investigate the use of fenestration and branch artery stenting during endovascular stent-graft repair of para-anastomotic aneurysms (PAA).METHODS:
A retrospective review was conducted of 9 patients (all men; mean age 71 years, range 60-80) who received custom-designed fenestrated endoprostheses for PAA repair. Eight tubular fenestrated devices and 1 composite device (fenestrated tube plus modular bifurcated body) with a total of 31 fenestrations were used.RESULTS:
The mean operating time was 318+/-93 minutes (range 220-485); the mean fluoroscopy time was 77+/-38 minutes (range 39-158), during which a mean 121+/-81 mL (range 33-300) of contrast was used. Technical success was achieved in all cases. Over a mean follow-up of 12+/-5.5 months (range 6-24), 1 secondary intervention was carried out due to a break in a side branch stent-graft; 2 transient renal impairments and 1 permanent renal insufficiency unrelated to renal artery patency were observed. So far, no vessel loss has emerged.CONCLUSION:
Conventional repair of PAA has been a standard procedure for many years, though it carries high surgical risk as well as perioperative mortality. Fenestrated endografts may be a promising alternative in selected patients.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Vessel Prosthesis
/
Stents
/
Aortic Aneurysm, Abdominal
/
Blood Vessel Prosthesis Implantation
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Endovasc Ther
Journal subject:
ANGIOLOGIA
Year:
2007
Document type:
Article
Affiliation country:
Germany