Document Detail


Pathophysiology of proximal perigraft endoleak following endovascular repair of abdominal aortic aneurysms: a study using a flow model.
MedLine Citation:
PMID:  11461104     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: to design a flow model to determine whether and why increased proximal neck angulation correlates with increased risk of proximal perigraft endoleak (PPE) flow. METHODS: a tapered stent-graft (Gianturco stent + Dacron) was deployed with proximal and distal necks made of silicone. The amount of PPE was measured over 30-s periods while the angulation of the proximal neck was increased. RESULTS: PPE flow increased significantly for angulations > or =30 degrees. The graft was lifted off the neck wall and gaps between the stent-graft and the neck created. CONCLUSION: greater neck angulation increased PPE flow. The stent-graft was lifted off the neck and subsequent gaps created. This model could be used to compare available stent-grafts and to test new designs that would improve the seal in angulated necks.
Authors:
J N Albertini; J A Macierewicz; S W Yusuf; P W Wenham; B R Hopkinson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  22     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-07-19     Completed Date:  2001-08-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  53-6     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Harcourt Publishers Limited.
Affiliation:
Vascular Surgery Department, Queen's Medical Centre, Nottingham, UK.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects*
Humans
Models, Biological
Prosthesis Design
Regional Blood Flow
Stents

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


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