open access

Vol 5, No 3 (2003)
Published online: 2003-10-07
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Endovascular treatment of infrarenal aortic aneurysm — three years of experience

Krzysztof Ziaja, Wacław Kuczmik, Damian Ziaja, Jacek Kostyra, Krzysztof Szaniewski
Chirurgia Polska 2003;5(3):129-143.

open access

Vol 5, No 3 (2003)
Published online: 2003-10-07

Abstract

Background: The prospective evaluation of endoluminal infrarenal abdominal aortic aneurysm repair with the use of Zenith, Powerlink and Excluder devices in the Department of General and Vascular Surgery at the Silesian Medical Academy in Katowice.
Material and methods: We evaluated 52 patients (44 males and 8 females in mean age 71 years) scheduled for stent-graft implantation from July 2000 to June 2003. The incidence of early and late complications, as well as aneurysm morphology prior to and following the implantation were analyzed. Radiographic surveillance during the follow-up included ultrasound examination, abdomen X-ray, aortography with calibrated catheter, and angio-CT in order to assess the aneurysm morphology, device migration or endoleak occurrence. The mean follow-up was 13 months. The inclusion criteria for the endovascular procedure covered patients with a high risk of severe systemic complications.
Results: A complication-free and successful endograft deployment was performed in 48 cases. 3 patients required additional surgery and femorofemoral crossover bypass implantation. One patient underwent device thrombectomy with the use of a Fogarty catheter due to a complete graft thrombosis. In another individual, a prosthesis limb was bent and occluded, and this was treated by PTA. Early endoleaks occured in 9 and late ones in 2 patients (type I and II). Late endoleak type I, was caused by a device dislocation. There was no peri-operative mortality, but two cases of myocardial infarction and one case of respiratory failure was observed.
Conclusions: Endovascular repair of an abdominal aortic aneurysm is safe with a minimal risk of early and late complication occurrence. Endovascular treatment of an abdominal aortic aneurysm is a chance for high risk patients.

Abstract

Background: The prospective evaluation of endoluminal infrarenal abdominal aortic aneurysm repair with the use of Zenith, Powerlink and Excluder devices in the Department of General and Vascular Surgery at the Silesian Medical Academy in Katowice.
Material and methods: We evaluated 52 patients (44 males and 8 females in mean age 71 years) scheduled for stent-graft implantation from July 2000 to June 2003. The incidence of early and late complications, as well as aneurysm morphology prior to and following the implantation were analyzed. Radiographic surveillance during the follow-up included ultrasound examination, abdomen X-ray, aortography with calibrated catheter, and angio-CT in order to assess the aneurysm morphology, device migration or endoleak occurrence. The mean follow-up was 13 months. The inclusion criteria for the endovascular procedure covered patients with a high risk of severe systemic complications.
Results: A complication-free and successful endograft deployment was performed in 48 cases. 3 patients required additional surgery and femorofemoral crossover bypass implantation. One patient underwent device thrombectomy with the use of a Fogarty catheter due to a complete graft thrombosis. In another individual, a prosthesis limb was bent and occluded, and this was treated by PTA. Early endoleaks occured in 9 and late ones in 2 patients (type I and II). Late endoleak type I, was caused by a device dislocation. There was no peri-operative mortality, but two cases of myocardial infarction and one case of respiratory failure was observed.
Conclusions: Endovascular repair of an abdominal aortic aneurysm is safe with a minimal risk of early and late complication occurrence. Endovascular treatment of an abdominal aortic aneurysm is a chance for high risk patients.
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Keywords

abdominal aortic aneurysm; endovascular treatment; stent-graft; endoleak

About this article
Title

Endovascular treatment of infrarenal aortic aneurysm — three years of experience

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 5, No 3 (2003)

Pages

129-143

Published online

2003-10-07

Bibliographic record

Chirurgia Polska 2003;5(3):129-143.

Keywords

abdominal aortic aneurysm
endovascular treatment
stent-graft
endoleak

Authors

Krzysztof Ziaja
Wacław Kuczmik
Damian Ziaja
Jacek Kostyra
Krzysztof Szaniewski

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