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Titolo:
Early vascular complications after endovascular repair of aortoiliac aneurysms
Autore:
Aljabri, B; Obrand, DI; Montreuil, B; MacKenzie, KS; Steinmetz, OK;
Indirizzi:
McGill Univ, Dept Surg, Div Vasc Surg, Montreal, PQ H3A 2T5, Canada McGillUniv Montreal PQ Canada H3A 2T5 Surg, Montreal, PQ H3A 2T5, Canada
Titolo Testata:
ANNALS OF VASCULAR SURGERY
fascicolo: 6, volume: 15, anno: 2001,
pagine: 608 - 614
SICI:
0890-5096(200111)15:6<608:EVCAER>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
ABDOMINAL AORTIC-ANEURYSMS; 3-YEAR EXPERIENCE; GRAFT; REGISTRY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Steinmetz, OK Royal Victoria Hosp, Suite S10-18,687 Ave Pins Oust, Montreal, PQ H3A 1A1,Canada Royal Victoria Hosp Suite S10-18,687 Ave Pins Oust Montreal PQ Canada H3A 1A1
Citazione:
B. Aljabri et al., "Early vascular complications after endovascular repair of aortoiliac aneurysms", ANN VASC S, 15(6), 2001, pp. 608-614

Abstract

The purpose of this study was to estimate the frequency of and review the treatment options for intraoperative endograft access-related vascular complications and early postoperative vascular complications of endovascular repair for aortoiliac aneuryms (EVAR). Between February 1998 and April 2000, 53 patients (46 males, 7 females) with aneurysms of the abdominal aorta (AAA) and iliac arteries were treated with endovascular grafts (48 AAA, and 5 iliac aneurysms). All procedures were performed using open exposure of the femoral arteries. One patient with an AAA was converted to open repair (primary technical success, 98.1 %). We recorded the need for adjunctive vascular procedures or intervention to the access arteries (iliofemoral) or the endograft because of thrombosis or distal embolization. Events were classified as either intraoperative, early postoperative (< 30 postoperative days),or late postoperative. Their etiology and treatment were recorded. The results were compared to those from other series reported in the literature and to published registry data. From our results we concluded that the need for adjunctive vascular procedures to the iliofemoral arteries at the time of EVAR is significant. These procedures are necessary to either repair damage to the access arteries from the delivery system or provide a conduit forgraft delivery in cases where the access arteries are inadequate. Early postoperative vascular complications are due to technical factors resulting in residual graft limb stenoses. Both intraoperative and early postoperativevascular complications after EVAR are more common in female patients. These complications can be effectively treated with a variety of open surgical and transfemoral endovascular techniques.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 13:19:17