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Titolo:
ANATOMICAL SUITABILITY OF ABDOMINAL AORTIC-ANEURYSMS FOR ENDOVASCULARREPAIR
Autore:
ARMON MP; YUSUF SW; LATIEF K; WHITAKER SC; GREGSON RHS; WENHAM PW; HOPKINSON BR;
Indirizzi:
UNIV NOTTINGHAM HOSP,DEPT VASC SURG,E FLOOR,W BLOCK NOTTINGHAM NG7 2UH ENGLAND UNIV NOTTINGHAM HOSP,DEPT RADIOL NOTTINGHAM NG7 2UH ENGLAND
Titolo Testata:
British Journal of Surgery
fascicolo: 2, volume: 84, anno: 1997,
pagine: 178 - 180
SICI:
0007-1323(1997)84:2<178:ASOAAF>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPIRAL CT-ANGIOGRAPHY; GRAFTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
9
Recensione:
Indirizzi per estratti:
Citazione:
M.P. Armon et al., "ANATOMICAL SUITABILITY OF ABDOMINAL AORTIC-ANEURYSMS FOR ENDOVASCULARREPAIR", British Journal of Surgery, 84(2), 1997, pp. 178-180

Abstract

Background Aortic aneurysm anatomy is crucial when considering patients for endovascular repair. The aim of this study was to determine theproportion of patients with aortic aneurysm suitable for endovascularrepair with three different graft-stent systems. Methods Spiral computed tomographic angiography was used to assess the anatomy of 154 abdominal aortic aneurysms. Measurements were made of aneurysm neck lengthand diameter, renal artery to aortic bifurcation length, common iliacartery diameter and length, and external iliac artery diameter. Aneurysms were assessed for anatomical suitability for currently available aortoaortic, aortobi-iliac and aortouni-iliac devices. Results Six patients (4 per cent) had a distal aortic neck suitable for implantation of a straight aortic graft. Fifteen patients (10 per cent) had arterial anatomy suitable for implantation of a bifurcated graft and 85 (55 per cent) patients were suitable for endovascular repair with an aortouni-iliac graft. The primary reasons for unsuitability were: proximal neck length less than 1.5 cm (44 patients), proximal neck diameter greater than 3.0 cm (12), and angulation of the proximal neck (three). A further ten patients were considered unsuitable for an aortouni-iliac graft because of bilateral common iliac artery aneurysms (four), tortuous iliac arteries (four) and narrow external iliac arteries (two). Conclusion The aortouni-iliac device has the widest applicability of the currently available endo vascular systems but open repair remains the only option for a large proportion of patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 09:00:54