Document Detail


Endovascular aortic aneurysm repair with the talent stent-graft: outcomes in patients with large iliac arteries.
MedLine Citation:
PMID:  18340484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study is to report outcomes following endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA) in patients with ectatic common iliac arteries (CIAs). Of 117 AAA patients treated by EVAR between 1998 and 2005, 87 (74%) had CIAs diameters <18 mm and 30 (26%) patients had one or more CIA diameters >18 but <25 mm. All patients were treated with Talent stent-grafts, 114 bifurcated and 3 AUI devices. Departmental databases and patient records were reviewed to assess outcomes. Technical success, iliac-related outcome, and iliac-related reintervention (IRSI) were analyzed. Patients with EVAR extending into the external iliac artery were excluded. Median (range) follow-up for the study group was 24 (1-84) months. Initial technical success was 98% for CIAs <18 mm and 100% for CIAs >/=18 mm (p = 0.551). There were three distal type I endoleaks (two in the ectatic group) and six iliac limb occlusions (one in an ectatic patient); there were no statistically significant differences between groups (p = 0.4). There were nine IRSIs (three stent-graft extensions, six femorofemoral crossover grafts); three of these patients had one or both CIAs >/=18 mm (p = 0.232). One-year freedom from IRSI was 92% +/- 3% and 84% +/- 9% for the <18-mm and >/=18-mm CIA groups, respectively (p = 0.232). We conclude that the treatment of AAA by EVAR in patients with CIAs 18-24 mm appears to be safe and effective, however, it may be associated with more frequent reinterventions.
Authors:
Andrew England; John S Butterfield; Charles N McCollum; Raymond J Ashleigh
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-03-14
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  31     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-08-08     Completed Date:  2008-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  723-7     Citation Subset:  IM    
Affiliation:
Department of Medical Imaging & Radiotherapy, University of Liverpool, Johnston Building, Quadrangle, Brownlow Hill, Liverpool, L69 3GB, UK. a.england@liv.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiography / methods
Angioplasty / methods*,  mortality
Aortic Aneurysm, Abdominal / mortality,  radiography,  surgery*
Blood Vessel Prosthesis Implantation / methods*,  mortality
Cohort Studies
Dilatation, Pathologic / radiography,  surgery
Female
Follow-Up Studies
Hospital Mortality / trends
Humans
Iliac Artery / pathology*,  radiography
Kaplan-Meiers Estimate
Male
Probability
Radiography, Interventional / methods*
Retrospective Studies
Risk Assessment
Severity of Illness Index
Stents*
Survival Analysis
Tomography, X-Ray Computed / methods
Treatment Outcome

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


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