| Assessment of feasibility for endovascular prosthetic tube correction of aortic aneurysm. | |
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MedLine Citation:
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PMID: 7648108 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Abdominal aortic aneurysm (AAA) can now be corrected by perfemoral introduction of a prosthetic tube graft with fixation using expandable metal stents. This technique requires a satisfactory iliac system, through which the graft can reach its destination, and suitable lengths of non-aneurysmal aorta below the renal arteries and above the aortic bifurcation for stent attachment. The feasibility for placement of endovascular grafts was assessed in 44 consecutive patients admitted for transabdominal AAA repair. The proximal and distal aneurysmal necks and the iliac arteries were assessed before operation by colour flow Doppler ultrasonography (duplex scanning), computed tomography and intravenous digital subtraction angiography, using intraoperative measurements as the 'gold standard'. At operation 32 of 44 patients had a suitable proximal neck and five of 44 a suitable distal neck for endovascular grafting. Duplex scanning was the most accurate modality for preoperative assessment of the aneurysm necks. According to this technique 32 of 44 patients had a satisfactory iliac system for introduction of an endovascular graft. Overall only four of 44 patients were considered suitable for endovascular correction of AAA using a tube graft-stent combination. |
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Authors:
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S M Andrews; R Cuming; S T Macsweeney; N K Barrett; R M Greenhalgh; D M Nott |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The British journal of surgery Volume: 82 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 1995 Jul |
Date Detail:
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Created Date: 1995-09-26 Completed Date: 1995-09-26 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 917-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Charing Cross and Westminster Medical School, London, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aorta, Abdominal Aortic Aneurysm, Abdominal / radiography, surgery*, ultrasonography Blood Vessel Prosthesis / methods* Feasibility Studies Female Femoral Artery Humans Iliac Artery Male Middle Aged Patient Selection* Prospective Studies Sensitivity and Specificity Stents* Tomography, X-Ray Computed Ultrasonography, Doppler, Color |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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