Document Detail

Custom bifurcated stent-graft for abdominal aortic aneurysms: initial experience.
MedLine Citation:
PMID:  10496714     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  1999-10-19     Completed Date:  1999-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1099-106     Citation Subset:  IM    
Department of Radiology, Massachusetts General Hospital, Boston 02114, USA.
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MeSH Terms
Anastomosis, Surgical
Aorta, Abdominal / radiography,  surgery
Aortic Aneurysm, Abdominal / radiography,  surgery*
Biocompatible Materials*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation
Iliac Artery / radiography,  surgery
Prosthesis Design
Tomography, X-Ray Computed
Treatment Outcome
Reg. No./Substance:
0/Biocompatible Materials; 0/Polyesters

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

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