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Abstract:

Vascular surgeons are increasingly encountering older patients with large aneurysms associated with severe comorbid conditions. This situation can increase operative morbidity and elevate the mortality rate of aortic surgery over 60%. With some frequency many patients will represent a prohibitive risk for conventional graft replacement. The endoluminal treatment of 110 patients has proved to be feasible and may represent an alternative solution. One hundred six of the patients had an abdominal aortic aneurysm and in four patients, the thoracic aorta was involved. All of them underwent endoluminal repair for the aortic pathology using the combination of stents and grafts in aorto-aortic or aorto-iliac position, with straight, tapered, or bifurcated stent-graft devices. The results are as follows: Initial success was 84% in aorto-aortic abdominal devices and 100% in aorto-aortic thoracic devices. In aortoiliac devices, initial success was 75%. Late success rates were 62% of the initial group and 80% of the initially successful group.

Registro:

Documento: Artículo
Título:Endovascular stent graft repair of aortic aneurysms
Autor:Parodi, J.C.
Filiación:Inst. Cardiovascular de Buenos Aires, Blanco Encalada 1543, (1428) Capital Federal, Buenos Aires, Argentina
Palabras clave:abdominal aorta aneurysm; adult; aged; aorta graft; aorta surgery; female; human; major clinical study; male; morbidity; mortality; priority journal; review; risk; stent; thoracic aorta aneurysm; treatment outcome; Aged; Aorta, Abdominal; Aorta, Thoracic; Aortic Aneurysm, Abdominal; Aortic Aneurysm, Thoracic; Balloon Dilatation; Blood Vessel Prosthesis; Female; Humans; Iliac Artery; Male; Middle Aged; Reproducibility of Results; Stents
Año:1997
Volumen:12
Número:4
Página de inicio:396
Página de fin:405
Título revista:Current Opinion in Cardiology
Título revista abreviado:CURR. OPIN. CARDIOL.
ISSN:02684705
CODEN:COPCE
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02684705_v12_n4_p396_Parodi

Referencias:

  • Melton, N.J., Bickerstaff, L.K., Hollier, L.H., Changing incidence of abdominal aortic aneurysms: A population-based study (1984) Am J Epidemiol, 120, pp. 379-386
  • McCombs, R.P., Roberts, B., Acute renal failure after resection of abdominal aortic aneurysm (1979) Surg Gynecol Obstet, 148, pp. 175-179
  • Brown, O.W., Hollier, L.H., Pairolero, P.C., Abdominal aortic aneurysm and coronary artery disease: A reassessment (1981) Arch Surg, 116, pp. 1484-1488
  • Karmody, A.L., Leather, R.P., Goldman, M., The current position of nonresection treatment for abdominal aortic aneurysms (1983) Surgery, 94, pp. 591-597
  • Chuter, T., Bifurcated endovascular graft insertion for abdominal aortic aneurysms Vascular and Endovascular Surgical Techniques, p. 92. , Edited by Greenhalgh RM. Philadelphia: WB Saunders
  • Cavaye, D.M., White, R.A., Intraluminal ultrasound and the management of peripheral vascular disease (1993) Advances in Vascular Surgery, 1, pp. 137-156. , St Louis, Mosby Year Book
  • He, C.M., Roach, M.R., The composition and mechanical properties of abdominal aortic aneurysms (1994) J Vasc Surg, 20, pp. 6-13
  • Parodi, J.C., Treatment of blue toe syndrome with intra-arterial injections of prostaglandin-E The Ischemic Extremity: Advances in Treatment, pp. 325-331. , Edited by Yao J. Norwalk, CT: Appletin and Lange

Citas:

---------- APA ----------
(1997) . Endovascular stent graft repair of aortic aneurysms. Current Opinion in Cardiology, 12(4), 396-405.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02684705_v12_n4_p396_Parodi [ ]
---------- CHICAGO ----------
Parodi, J.C. "Endovascular stent graft repair of aortic aneurysms" . Current Opinion in Cardiology 12, no. 4 (1997) : 396-405.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02684705_v12_n4_p396_Parodi [ ]
---------- MLA ----------
Parodi, J.C. "Endovascular stent graft repair of aortic aneurysms" . Current Opinion in Cardiology, vol. 12, no. 4, 1997, pp. 396-405.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02684705_v12_n4_p396_Parodi [ ]
---------- VANCOUVER ----------
Parodi, J.C. Endovascular stent graft repair of aortic aneurysms. CURR. OPIN. CARDIOL. 1997;12(4):396-405.
Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_02684705_v12_n4_p396_Parodi [ ]