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Titolo:
EARLY RESULTS OF ENDOVASCULAR AORTIC-ANEURYSM SURGERY WITH AORTOUNIILIAC GRAFT, CONTRALATERAL ILIAC OCCLUSION, AND FEMOROFEMORAL BYPASS
Autore:
YUSUF SW; WHITAKER SC; CHUTER TAM; IVANCEV K; BAKER DM; GREGSON RHS; TENNANT WG; WENHAM PW; HOPKINSON BR;
Indirizzi:
UNIV NOTTINGHAM HOSP,DEPT VASC SURG NOTTINGHAM NG7 2UH ENGLAND UNIV NOTTINGHAM HOSP,DEPT RADIOL NOTTINGHAM NG7 2UH ENGLAND MALMO UNIV HOSP MALMO SWEDEN
Titolo Testata:
Journal of vascular surgery
fascicolo: 1, volume: 25, anno: 1997,
pagine: 165 - 172
SICI:
0741-5214(1997)25:1<165:EROEAS>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR VASCULAR-SURGERY; CARDIAC RISK; ENDOLUMINAL REPAIR; INDEX;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
S.W. Yusuf et al., "EARLY RESULTS OF ENDOVASCULAR AORTIC-ANEURYSM SURGERY WITH AORTOUNIILIAC GRAFT, CONTRALATERAL ILIAC OCCLUSION, AND FEMOROFEMORAL BYPASS", Journal of vascular surgery, 25(1), 1997, pp. 165-172

Abstract

Purpose: The aim of this study was to evaluate the feasibility of endovascular aortic aneurysm repair with use of an aortouniiliac graft secured with self-expanding (Gianturco) stents. Methods: Thirty patientswith a median age of 72 years (age range, 52 to 86 years) and aneurysm diameter of 6.0 cm (range, 4.0 to 9.0 cm) were treated with an aortouniiliac endovascular graft. Of these 30 procedures, 28 were carried out electively and two as emergencies for leaking aneurysm. Of the 30 patients, 21 (70%) were considered to be at high risk for open surgery. A modified Gianturco stent, Dacron graft, and Wallstent were used forthese procedures. Results: Endovascular repair was successfully carried out in 25 of 30 (83.3%) patients. All these patients were mobile and had resumed a normal diet within 48 hours of the procedure. The overall 30-day mortality rate was two in 30 (6.6%), but it was one in 28 (3.5%) for the elective cases; all deaths occurred in the group at highrisk for surgery. Other complications encountered within 30 days of procedure included myocardial infarction in one patient, pneumonia in two patients, homonymous quadrantanopia in one patient, and colonic ischemia in one patient, giving an overall morbidity rate of four in 30 (13.3%). At a median follow-up of 4 months (range, 1 to 13 months), 27 of 30 (90%) patients remain alive and well. Conclusion: Endovascular aortouniiliac repair of abdominal aortic aneurysm with Gianturco stent is feasible in both elective and emergency situations. It appears to be minimally traumatic, and the majority of patients deemed to be at high risk for open surgery can safely undergo endovascular repair. However, data on more patients with longer follow-up is required to determine its role in the management of abdominal aortic aneurysm.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 07:46:00