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Titolo:
Treatment of iliac artery aneurysms by percutaneous implantation of stent grafts
Autore:
Scheinert, D; Schroder, M; Steinkamp, H; Ludwig, J; Biamino, G;
Indirizzi:
Univ Erlangen Nurnberg, Med Klin & Poliklin 2, Dept Med 2, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany D-91054 -91054 Erlangen, Germany Humboldt Univ, Klinikum Rudolf Virchow, Dept Med, Berlin, Germany HumboldtUniv Berlin Germany Rudolf Virchow, Dept Med, Berlin, Germany Humboldt Univ, Klinikum Rudolf Virchow, Dept Radiol, Berlin, Germany Humboldt Univ Berlin Germany dolf Virchow, Dept Radiol, Berlin, Germany Ctr Cardiol & Vasc Intervent, Hamburg, Germany Ctr Cardiol & Vasc Intervent Hamburg Germany ntervent, Hamburg, Germany
Titolo Testata:
CIRCULATION
fascicolo: 19, volume: 102, anno: 2000, supplemento:, S
pagine: 253 - 258
SICI:
0009-7322(20001107)102:19<253:TOIAAB>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSLUMINAL ANGIOPLASTY; ENDOVASCULAR REPAIR; MANAGEMENT; PLACEMENT; BYPASS;
Keywords:
aneurysm; arteries; stents; peripheral vascular disease; surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Scheinert, D Univ Erlangen Nurnberg, Med Klin & Poliklin 2, Dept Med 2, Ostliche Stadtmauerstr 29, D-91054 Erlangen, Germany Univ Erlangen Nurnberg Ostliche Stadtmauerstr 29 Erlangen Germany D-91054
Citazione:
D. Scheinert et al., "Treatment of iliac artery aneurysms by percutaneous implantation of stent grafts", CIRCULATION, 102(19), 2000, pp. 253-258

Abstract

Background-Iliac artery aneurysms have traditionally been treated by direct surgical reconstruction. Endovascular stent grafts have been developed toprovide an effective but less invasive treatment option for patients with peripheral arterial aneurysms. Methods and Results-In 48 patients, a total of 53 endoprostheses (mean length 7,3 cm, mean diameter 8.1 mm) were implanted into the iliac arteries (common iliac artery n=29, external iliac artery n=19) for percutaneous exclusion of aneurysmal lesions. The technical success of complete exclusion of the aneurysm was achieved in 47 of 48 cases (97.9%). In I case, persistent perfusion through a collateral branch was detected; however, this aneurysm thrombosed spontaneously within weeks. In all patients, graft patency was monitored by clinical examination, which included the standardized treadmilltest with calculation of the ankle-brachial Doppler index and color-coded duplex ultrasound. Forty-two of the 48 patients (87.5%) underwent follow-upangiography. According to Kaplan-Meier life-table calculations, primary patency rates were 100% after 1 year, 97.9% after 2 years, 94.9% after 3 years, and 87.6% after 4 years. Serial contrast-enhanced spiral CT scans were performed to rule out late procedural failures and to assess growth progression of the lesions. No secondary leaks were observed. Furthermore, the aneurysm diameter had reduced from 24.8+/-8.0 mm to 23.1+/-6.6 mm at the last follow-up (P=NS). Conclusions-Stent grafts are a safe and effective treatment option for iliac artery aneurysms and provide good long-term patency of the graft.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 19:18:20