Document Detail


Endovascular grafts for noninfected aortoiliac anastomotic aneurysms.
MedLine Citation:
PMID:  9279307     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This report describes our experience with endovascular repair of aortic and iliac anastomotic aneurysms.
METHODS: Between June 1994 and March 1996, 12 noninfected aortic or iliac anastomotic aneurysms in 10 patients who had serious comorbid medical conditions that precluded or made difficult standard operative repair were treated using endovascular grafts. No patient in this study had a history of fever, leukocytosis, or computed tomographic evidence of a periprosthetic fluid collection that was suggestive of infection of the original graft. Endovascular grafts composed of polytetrafluoroethylene and balloon-expandable stents were introduced through a femoral arteriotomy and were placed using over-the-wire techniques under C-arm fluoroscopic guidance.
RESULTS: Endovascular grafts were successfully inserted in all patients with aortic or iliac anastomotic aneurysms. There were no procedure-related deaths, and complications included one postprocedure wound hematoma and one perioperative myocardial infarction. Graft patency has been maintained for a mean of 16.1 months, with no computed tomographic evidence of aneurysmal enlargement or perigraft leakage.
CONCLUSIONS: Endovascular grafts appear to be a safe and effective technique for excluding some noninfected aortoiliac anastomotic aneurysms in high-risk patients and may become a treatment option in all patients who have clinically significant lesions.
Authors:
J G Yuan; M L Marin; F J Veith; T Ohki; L A Sanchez; W D Suggs; J Cynamon; R T Lyon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  26     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-09-17     Completed Date:  1997-09-17     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  210-21     Citation Subset:  IM    
Affiliation:
Department of Surgery, Montefiore Medical Center, University Hospital for the Albert Einstein College of Medicine, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anastomosis, Surgical / adverse effects
Angiography
Aortic Aneurysm, Abdominal / etiology,  radiography,  surgery*
Blood Vessel Prosthesis / adverse effects,  instrumentation*,  methods
Female
Humans
Iliac Aneurysm / etiology,  radiography,  surgery*
Male
Middle Aged
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency
Grant Support
ID/Acronym/Agency:
HL 02990-03/HL/NHLBI NIH HHS

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