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Titolo:
Endovascular stent grafts for aneurysmal and occlusive vascular disease
Autore:
Allen, BT; Hovsepian, DM; Reilly, JM; Rubin, BG; Malden, E; Keller, CA; Picus, DD; Sicard, GA;
Indirizzi:
Washington Univ, Sch Med, Vasc Surg Sect, St Louis, MO USA Washington Univ St Louis MO USA ch Med, Vasc Surg Sect, St Louis, MO USA Washington Univ, Sch Med, Sect Intervent Radiol, St Louis, MO USA Washington Univ St Louis MO USA Sect Intervent Radiol, St Louis, MO USA
Titolo Testata:
AMERICAN JOURNAL OF SURGERY
fascicolo: 6, volume: 176, anno: 1998,
pagine: 574 - 579
SICI:
0002-9610(199812)176:6<574:ESGFAA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
ABDOMINAL AORTIC-ANEURYSMS; 3-YEAR EXPERIENCE; REPAIR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Allen, BT 1 Barnes Jewish Hosp Plaza,Suite 5103,Queeny Towe, St Louis, MO 63110 USA 1 Barnes Jewish Hosp Plaza,Suite 5103,Queeny Towe St Louis MO USA 63110
Citazione:
B.T. Allen et al., "Endovascular stent grafts for aneurysmal and occlusive vascular disease", AM J SURG, 176(6), 1998, pp. 574-579

Abstract

BACKGROUND: This report details our initial experience with two types of endovascular grafts-one for the treatment of infrarenal abdominal aortic aneurysms and the other for the treatment of iliac artery occlusive disease. METHODS: An abdominal aortic aneurysm was repaired in 34 patients using 3 different types of Ancure endografts (Menlo Park, California). Control patients (n = 9) had a standard aneurysm repair. Patients with chronic lower extremity ischemia (n = 7) secondary to iliac artery occlusive disease were treated with a Hemobahn endograft (W. L. Gore & Associates, Flagstaff, Arizona). RESULTS: Ancure graft deployment was achieved in 33 of 34 (97.1%) patients. Perioperative mortality for the Ancure and control group patients was 2.9% and 0%, respectively. Periprosthetic leaks were identified within 48 hours of deployment in 6 (18.2%) Ancure graft patients. All but 2 of the leaks resolved on serial follow-up. Additional endovascular procedures were required in 11 (32.4%) Ancure graft patients at the initial procedure or during follow-up to correct graft or arterial stenoses. Patients treated with an endovascular graft had significantly less blood loss and shorter hospital stays than control group patients. For Hemobahn patients, the technical success for graft deployment was 100%. There were no perioperative deaths. The ankle/brachial index increased from a mean of 0.52 preoperatively to 0.86 postoperatively (P = 0.004). One patient required a Wallstent in follow-up tocorrect a graft wrinkle. Angiography at 6 months demonstrated mild intimalhyperplasia in the stent graft in 5 of 6 patients. CONCLUSIONS: These early results support the potential for endovascular grafts in the treatment of aneurysmal and occlusive vascular disease. Furthermodifications in the devices and deployment techniques are necessary to reduce the incidence of periprosthetic leaks, graft limb stenoses, and intimal hyperplasia. Am J Surg. 1998; 176:574-580. (C) 1998 by Excerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 13:40:53