Document Detail


Incidence and management of complications after branched and fenestrated endografting.
MedLine Citation:
PMID:  20081766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endovascular treatment of complex aortic aneurysms with fenestrated and branched stentgrafts is in rapid development. Early and midterm results from centers of excellence are very promising but the technique is still in its infancy. With the introduction of EVAR for complex aneurysms a new set of failure modes have also been introduced. These relate both to the specific deployment techniques of the devices and to their intrinsic design characteristics. Procedural planning is of utmost importance for success. Failure to accomplish this may result in disastrous and uncorrectable perioperative failure. The endograft must be correctly tailored to the patient with regards to branch and fenestration positioning and design. Migration of stent-graft components, target vessel occlusions due to branch compression or dislocation and fenestration malpositioning must be recognized during follow up and treated accordingly. The clinical consequences of complex aneurysm repair include spinal cord ischemia and peripheral embolisation and strategies to handle this must be present.
Authors:
T Resch; B Sonesson; M Malina
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  51     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-18     Completed Date:  2010-05-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  105-13     Citation Subset:  IM    
Affiliation:
Vascular Center Malm?-Lund, Malm? University Hospital, Malm?, Sweden. timothyresch@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm / mortality,  radiography,  surgery*
Aortography / methods
Arterial Occlusive Diseases / etiology
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation*,  mortality
Constriction, Pathologic
Foreign-Body Migration / etiology
Humans
Prosthesis Design
Prosthesis Failure
Spinal Cord Ischemia / etiology
Stents*
Tomography, X-Ray Computed
Treatment Outcome

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


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