Document Detail

Complications of endovascular repair for thoracic and abdominal aortic aneurysm: an imaging spectrum.
MedLine Citation:
PMID:  10992017     Owner:  NLM     Status:  MEDLINE    
Endovascular stent-graft implantation is an alternative to conventional open surgery for the treatment of aortic aneurysm. Forty-nine consecutive patients with aortic aneurysm (thoracic, n = 17; infrarenal, n = 32) were treated with endovascular stent-graft implantation. Complications occurred in 25 patients (two patients had two complications): endoleak (n = 13), graft thrombosis (n = 5), graft kinking (n = 2), pseudoaneurysm caused by graft infection (n = 1), graft occlusion (n = 1), shower embolism (n = 1), perforation of mural thrombus by means of inadvertent penetration of delivery system (n = 1), colon necrosis (n = 1), aortic dissection (n = 1), and hematoma at the arteriotomy site (n = 1). Imaging findings were analyzed for spiral computed tomography, plain abdominal radiography, transesophageal echocardiography, and digital subtraction angiography. Since some of these complications are fatal, radiologists need to instantly and accurately recognize them. Awareness and understanding of possible complications should help ensure a safe, successful procedure.
T Mita; T Arita; N Matsunaga; M Furukawa; N Zempo; K Esato; M Matsuzaki
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  20     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:    2000 Sep-Oct
Date Detail:
Created Date:  2000-10-19     Completed Date:  2000-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1263-78     Citation Subset:  IM    
Department of Radiology, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi 755-8505, Japan.
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MeSH Terms
Aged, 80 and over
Angiography, Digital Subtraction
Aortic Aneurysm, Abdominal / radiography,  surgery*,  ultrasonography
Aortic Aneurysm, Thoracic / radiography,  surgery*,  ultrasonography
Blood Vessel Prosthesis Implantation / adverse effects*
Diagnosis, Differential
Echocardiography, Transesophageal
Middle Aged
Postoperative Complications* / radiography,  ultrasonography
Prosthesis Failure
Reproducibility of Results
Retrospective Studies
Tomography, X-Ray Computed*

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

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