Document Detail

Endovascular repair of abdominal infrarenal penetrating aortic ulcers: a prospective observational study.
MedLine Citation:
PMID:  17509499     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Penetrating atherosclerotic ulcer generally occurs in elderly patients with systemic atherosclerosis, predominantly in the descending thoracic aorta, and it is uncommon in the infrarenal aorta. We reviewed our experience of endovascular treatment of penetrating aortic ulcer in the infrarenal aorta. METHODS: In the last 4 years, out of 348 patients who underwent abdominal aortic procedures, a total of 13 patients (12 men and 1 woman) were found to have an abdominal penetrating aortic ulcer, corresponding to an incidence of 3.7%. Mean age was 73+/-7 years. All patients had hypertension. Three lesions were discovered incidentally and 10 were symptomatic. All patients underwent endovascular treatment in the operating room. Follow-up included CT-A control at 1, 4 and 12 months after the intervention, and yearly thereafter. RESULTS: Primary technical success was 100%. No postoperative death was observed. Mean operative time was 100+/-29 min. Mean blood loss was 168+/-133 ml. No patient required intensive care unit stay. We observed one major complication (transient ischemic attack). Mean hospital stay was 4+/-1 days. During a mean follow-up period of 26 months no endoleak, aneurysm evolution or stent graft failure was recognized in any patient. One patient died 24 months after the intervention after a stroke. CONCLUSIONS: In our experience, endovascular or repair of infrarenal aortic ulcer appears feasible, and midterm results satisfactory.
Gabriele Piffaretti; Matteo Tozzi; Chiara Lomazzi; Nicola Rivolta; Roberto Caronno; Patrizio Castelli
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Publication Detail:
Type:  Journal Article     Date:  2006-07-12
Journal Detail:
Title:  International journal of surgery (London, England)     Volume:  5     ISSN:  1743-9159     ISO Abbreviation:  -     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-18     Completed Date:  2007-05-23     Revised Date:  2008-04-16    
Medline Journal Info:
Nlm Unique ID:  101228232     Medline TA:  Int J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  172-5     Citation Subset:  IM    
Vascular Surgery, University of Insubria, Varese, Italy. <>
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MeSH Terms
Aged, 80 and over
Aorta, Abdominal / surgery
Aortic Diseases / surgery*
Atherosclerosis / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / methods*
Follow-Up Studies
Middle Aged
Prospective Studies
Risk Factors
Ulcer / surgery
Comment In:
Int J Surg. 2008 Feb;6(1):84   [PMID:  18359466 ]

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

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