Mid-long term complications of endovascular repair in aortic diseases and its secondary interventional strategies / 中华外科杂志
Chinese Journal of Surgery
; (12): 1604-1607, 2007.
Article
em Zh
| WPRIM
| ID: wpr-338103
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the methods and effects of secondary intervention for mid-long term complications of endovascular repair (EVR) in aortic diseases.</p><p><b>METHODS</b>From May 1999 to Jun 2007, 21 patients with mid-long term complications after EVR were treated in our center. Of these cases, 15 cases received first EVR for abdominal aortic aneurysm (AAA), 3 cases for thoracic aortic aneurysm (TAA) and 3 cases for aortic dissection (TAD). The mid-long term complications included 11 cases of type I endoleak, 4 cases of type II endoleak, 2 cases of type III endoleak and 4 cases of migration of stent grafts. Proximal or distal extensions were used for type I and III endoleak in 9 cases. Fenestrated, scallop and bifurcated stent grafts were used to reconstruct the aortic arch in 3 cases. Emboli technique was used in treating type II endoleak. Thrombectomy and bypass technique were used in 4 cases with stent graft limb occlusion. One ruptured AAA accepted open surgery.</p><p><b>RESULTS</b>Secondary endovascular technique were undergone in 20 (95.2%) cases. One case died in 30 days after the secondary intervention and endoleak remained after the secondary operation in 5 cases. Three cases died of the secondary intervention.</p><p><b>CONCLUSIONS</b>Endoleak and limb occlusion were the chief mid-long complications after EVR. Secondary endovascular technique can be used in most cases and carries great challenges in aortic arch lesions.</p>
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Doenças da Aorta
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Complicações Pós-Operatórias
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Cirurgia Geral
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Terapêutica
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Stents
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Estudos Retrospectivos
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Seguimentos
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Resultado do Tratamento
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Implante de Prótese Vascular
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
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
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2007
Tipo de documento:
Article