Document Detail


Are intrasac pressure measurements useful after endovascular repair of abdominal aortic aneurysms?
MedLine Citation:
PMID:  21276500     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Few would argue with the need for long-term follow-up after endovascular repair of abdominal aortic aneurysms. A small risk of reintervention persists and the challenge remains to identify those patients that will require additional procedures to prevent subsequent complications. The ideal follow-up regimen remains elusive. Up until this point, most regimens have consisted of radiologic imaging, with either computed tomography (CT) scans or ultrasonography to identify continued aneurysm perfusion (endoleaks) and document sac dynamics, either shrinkage, growth, or stability. However, aneurysm sac growth or shrinkage serves only as a surrogate measurement for pressurization, and although it is uniformly believed that attachment site endoleaks require treatment, it remains controversial as to how to determine which type II endoleaks pressurize an aneurysm sufficiently to require therapy. In response to these difficulties, several manufacturers have developed pressure sensors that can be implanted at the time of the initial repair. They have been shown capable of measuring intrasac pressures that have appropriately responded to reinterventions for endoleaks. However, are they the answer we are looking for? Are they ready for widespread use? Do they offer a reliable and consistent measure of intrasac pressure that can be trusted to determine the need, or lack of need, for further therapy? Our debaters will try to convince us one way or another.
Authors:
Ross Milner; Paola De Rango; Fabio Verzini; Piergiorgio Cao
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  53     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-03-10     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  534-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Vascular Surgery and Endovascular Therapy, Loyola University, Stritch School of Medicine, Maywood, Ill, USA. rmilner@lumc.edu
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / physiopathology,  surgery*
Blood Vessel Prosthesis*
Endoleak / diagnosis*,  etiology,  physiopathology,  surgery
Endovascular Procedures / adverse effects,  instrumentation*
Equipment Design
Humans
Monitoring, Ambulatory* / instrumentation
Predictive Value of Tests
Pressure
Prosthesis Design
Prosthesis Failure*
Reoperation
Time Factors
Transducers, Pressure
Treatment Outcome
Vascular Surgical Procedures / adverse effects,  instrumentation*
Comments/Corrections
Comment In:
J Vasc Surg. 2011 Feb;53(2):539   [PMID:  21276501 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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