| Results of endovascular abdominal aortic aneurysm repair with selective use of the Gore Excluder. | |
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MedLine Citation:
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PMID: 19329912 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To evaluate single center results with selective use of the Gore Excluder stent-graft for elective abdominal aortic aneurysm repair. METHODS: Retrospective analysis of a prospective data base. Primary endpoints were technical success, all-cause and aneurysm-related mortality and aneurysm rupture. Secondary endpoints were late complications including migration, endoleak, aneurysm growth, limb occlusion, and re-intervention. RESULTS: The Gore Excluder stent-graft was used in 92 elective cases, mainly in cases with difficult iliac anatomy. There were 81 (88%) male patients. Mean age was 70.4+/-7.5 (range, 53-87). Primary assisted technical success rate was 98.9% (91/92 patients). Thirty-day mortality was 0%. Median follow-up was 35.7 months (range, 2-99). Overall survival was 95.2+/-2.4% at 1 year, 89.2+/-3.7% at 2 years, 83.9+/-4.5% at 3 years and 70.2+/-6.8% at 5 years. During follow-up there were 3 (3.3%) Type I endoleaks and 20 (21.7%) Type II endoleaks. Proximal migration of more than 5 mm without endoleak occurred in two patients. In total 13 re-interventions were performed in 12 (13%) patients. No graft limb occlusion occurred. No aneurysm ruptured during follow-up. CONCLUSIONS: Selective use of the Gore Excluder demonstrates excellent short- and long-term results. Despite being used in challenging iliac anatomy no graft limbs occluded. |
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Authors:
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W T G J Bos; I F J Tielliu; J J A M Van Den Dungen; C J Zeebregts; A O Sondakh; T R Prins; E L G Verhoeven |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 50 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-30 Completed Date: 2009-07-31 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: Italy |
Other Details:
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Languages: eng Pagination: 159-64 Citation Subset: IM |
Affiliation:
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Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aortic Aneurysm, Abdominal / mortality, radiography, surgery* Aortic Rupture / etiology Aortography / methods Blood Vessel Prosthesis* Blood Vessel Prosthesis Implantation / adverse effects, instrumentation*, mortality Female Foreign-Body Migration / etiology Humans Male Middle Aged Prosthesis Design Prosthesis Failure Reoperation Retrospective Studies Stents* Time Factors Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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