| Custom bifurcated stent-graft for abdominal aortic aneurysms: initial experience. | |
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MedLine Citation:
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PMID: 10496714 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe a custom bifurcated stent-graft for possible treatment of abdominal aortic aneurysm (AAA). MATERIALS AND METHODS: Five male patients (mean age, 76 +/- 6 years), who had AAA (mean diameter, 4.7 +/- 0.4 cm) and who were considered to be at high risk for conventional surgery, were treated with a custom modular bifurcated stent-graft constructed with bifurcated 24-mm x 12-mm (upper body diameter x iliac limb diameter) Cooley Veri-Soft Woven polyester grafts and Gianturco-Rösch Z stents. The stent-graft body was delivered through 20-22-F sheaths, and the contralateral iliac limb was delivered through a 16-F sheath by means of surgical exposure of the common femoral arteries. A flared distal limb extender (12 mm to 14 mm) was created for one patient to accommodate a large common iliac artery. RESULTS: Stent-grafts were successfully deployed without complications in all five patients. There were no proximal or distal leaks. A lumbar-to-inferior mesenteric artery leak was seen in one patient at 24 hours. At 6-month follow-up, all devices were intact, with complete exclusion and shrinkage of the aneurysm in four of five patients. Aneurysm size remained stable in the one patient with a lumbar-to-inferior mesenteric artery leak. CONCLUSION: A custom, bifurcated stent-graft was utilized for endovascular treatment of AAA. Long-term follow-up is necessary for the device. |
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Authors:
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J A Kaufman; D C Brewster; S C Geller; C M Fan; R P Cambria; W A Abbott; A C Waltman |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 10 ISSN: 1051-0443 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 1999 Sep |
Date Detail:
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Created Date: 1999-10-19 Completed Date: 1999-10-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1099-106 Citation Subset: IM |
Affiliation:
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Department of Radiology, Massachusetts General Hospital, Boston 02114, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anastomosis, Surgical Angiography Aorta, Abdominal / radiography, surgery Aortic Aneurysm, Abdominal / radiography, surgery* Biocompatible Materials* Blood Vessel Prosthesis* Blood Vessel Prosthesis Implantation Humans Iliac Artery / radiography, surgery Male Polyesters Prosthesis Design Stents* Tomography, X-Ray Computed Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Biocompatible Materials; 0/Polyesters |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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