Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair: A 35-year experience

D. Calcagno, J. W. Hallett, D. J. Ballard, James M Naessens, K. J. Cherry, P. Gloviczki, P. C. Pairolero

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Controversy continues over whether patients treated with straight Dacron aortic tube grafts for an abdominal aortic aneurysm remain at significant risk for subsequent development of iliac aneurysm or occlusive disease. To address this issue, the authors performed a population-based analysis of 432 patients who had an abdominal aortic aneurysm diagnosed between 1951 and 1984. Aneurysm repair was performed eventually in 206 patients (48%). To ascertain differences in late development of graft-related complications, iliac aneurysms, and arterial occlusions, the authors compared all tube-graft patients with similar numbers of bifurcated-graft patients matched for age and year of operation. In the tube-graft group, no subsequent clinically evident or autopsy-proven iliac aneurysms or iliac occlusive disease were noted. Over a mean follow-up of 6 years (range, 4 to 18 years), new aortic aneurysms occurred in the proximal aorta in both tube and bifurcated-graft patients (5.0% and 2.5%, respectively). In contrast the cumulative incidence of graft-related complications was higher with a bifurcated prosthesis (12.8%) compared with a straight graft (5.0%) (p = 0.15). These problems generally occurred 5 to 15 years postoperatively and emphasize the need for long-term graft surveillance. The authors conclude that straight tube-grafts for repair of abdominal aortic aneurysms provide excellent late patency with minimal risk of subsequent iliac aneurysm development.

Original languageEnglish (US)
Pages (from-to)733-736
Number of pages4
JournalAnnals of Surgery
Volume214
Issue number6
StatePublished - 1991

Fingerprint

Iliac Aneurysm
Aortic Diseases
Iliac Artery
Abdominal Aortic Aneurysm
Transplants
Polyethylene Terephthalates
Aortic Aneurysm
Prostheses and Implants
Aneurysm
Aorta
Autopsy

ASJC Scopus subject areas

  • Surgery

Cite this

Calcagno, D., Hallett, J. W., Ballard, D. J., Naessens, J. M., Cherry, K. J., Gloviczki, P., & Pairolero, P. C. (1991). Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair: A 35-year experience. Annals of Surgery, 214(6), 733-736.

Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair : A 35-year experience. / Calcagno, D.; Hallett, J. W.; Ballard, D. J.; Naessens, James M; Cherry, K. J.; Gloviczki, P.; Pairolero, P. C.

In: Annals of Surgery, Vol. 214, No. 6, 1991, p. 733-736.

Research output: Contribution to journalArticle

Calcagno, D, Hallett, JW, Ballard, DJ, Naessens, JM, Cherry, KJ, Gloviczki, P & Pairolero, PC 1991, 'Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair: A 35-year experience', Annals of Surgery, vol. 214, no. 6, pp. 733-736.
Calcagno, D. ; Hallett, J. W. ; Ballard, D. J. ; Naessens, James M ; Cherry, K. J. ; Gloviczki, P. ; Pairolero, P. C. / Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair : A 35-year experience. In: Annals of Surgery. 1991 ; Vol. 214, No. 6. pp. 733-736.
@article{6e380ca394fb4557a700585d34646109,
title = "Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair: A 35-year experience",
abstract = "Controversy continues over whether patients treated with straight Dacron aortic tube grafts for an abdominal aortic aneurysm remain at significant risk for subsequent development of iliac aneurysm or occlusive disease. To address this issue, the authors performed a population-based analysis of 432 patients who had an abdominal aortic aneurysm diagnosed between 1951 and 1984. Aneurysm repair was performed eventually in 206 patients (48{\%}). To ascertain differences in late development of graft-related complications, iliac aneurysms, and arterial occlusions, the authors compared all tube-graft patients with similar numbers of bifurcated-graft patients matched for age and year of operation. In the tube-graft group, no subsequent clinically evident or autopsy-proven iliac aneurysms or iliac occlusive disease were noted. Over a mean follow-up of 6 years (range, 4 to 18 years), new aortic aneurysms occurred in the proximal aorta in both tube and bifurcated-graft patients (5.0{\%} and 2.5{\%}, respectively). In contrast the cumulative incidence of graft-related complications was higher with a bifurcated prosthesis (12.8{\%}) compared with a straight graft (5.0{\%}) (p = 0.15). These problems generally occurred 5 to 15 years postoperatively and emphasize the need for long-term graft surveillance. The authors conclude that straight tube-grafts for repair of abdominal aortic aneurysms provide excellent late patency with minimal risk of subsequent iliac aneurysm development.",
author = "D. Calcagno and Hallett, {J. W.} and Ballard, {D. J.} and Naessens, {James M} and Cherry, {K. J.} and P. Gloviczki and Pairolero, {P. C.}",
year = "1991",
language = "English (US)",
volume = "214",
pages = "733--736",
journal = "Annals of Surgery",
issn = "0003-4932",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair

T2 - A 35-year experience

AU - Calcagno, D.

AU - Hallett, J. W.

AU - Ballard, D. J.

AU - Naessens, James M

AU - Cherry, K. J.

AU - Gloviczki, P.

AU - Pairolero, P. C.

PY - 1991

Y1 - 1991

N2 - Controversy continues over whether patients treated with straight Dacron aortic tube grafts for an abdominal aortic aneurysm remain at significant risk for subsequent development of iliac aneurysm or occlusive disease. To address this issue, the authors performed a population-based analysis of 432 patients who had an abdominal aortic aneurysm diagnosed between 1951 and 1984. Aneurysm repair was performed eventually in 206 patients (48%). To ascertain differences in late development of graft-related complications, iliac aneurysms, and arterial occlusions, the authors compared all tube-graft patients with similar numbers of bifurcated-graft patients matched for age and year of operation. In the tube-graft group, no subsequent clinically evident or autopsy-proven iliac aneurysms or iliac occlusive disease were noted. Over a mean follow-up of 6 years (range, 4 to 18 years), new aortic aneurysms occurred in the proximal aorta in both tube and bifurcated-graft patients (5.0% and 2.5%, respectively). In contrast the cumulative incidence of graft-related complications was higher with a bifurcated prosthesis (12.8%) compared with a straight graft (5.0%) (p = 0.15). These problems generally occurred 5 to 15 years postoperatively and emphasize the need for long-term graft surveillance. The authors conclude that straight tube-grafts for repair of abdominal aortic aneurysms provide excellent late patency with minimal risk of subsequent iliac aneurysm development.

AB - Controversy continues over whether patients treated with straight Dacron aortic tube grafts for an abdominal aortic aneurysm remain at significant risk for subsequent development of iliac aneurysm or occlusive disease. To address this issue, the authors performed a population-based analysis of 432 patients who had an abdominal aortic aneurysm diagnosed between 1951 and 1984. Aneurysm repair was performed eventually in 206 patients (48%). To ascertain differences in late development of graft-related complications, iliac aneurysms, and arterial occlusions, the authors compared all tube-graft patients with similar numbers of bifurcated-graft patients matched for age and year of operation. In the tube-graft group, no subsequent clinically evident or autopsy-proven iliac aneurysms or iliac occlusive disease were noted. Over a mean follow-up of 6 years (range, 4 to 18 years), new aortic aneurysms occurred in the proximal aorta in both tube and bifurcated-graft patients (5.0% and 2.5%, respectively). In contrast the cumulative incidence of graft-related complications was higher with a bifurcated prosthesis (12.8%) compared with a straight graft (5.0%) (p = 0.15). These problems generally occurred 5 to 15 years postoperatively and emphasize the need for long-term graft surveillance. The authors conclude that straight tube-grafts for repair of abdominal aortic aneurysms provide excellent late patency with minimal risk of subsequent iliac aneurysm development.

UR - http://www.scopus.com/inward/record.url?scp=0026352631&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026352631&partnerID=8YFLogxK

M3 - Article

C2 - 1835832

AN - SCOPUS:0026352631

VL - 214

SP - 733

EP - 736

JO - Annals of Surgery

JF - Annals of Surgery

SN - 0003-4932

IS - 6

ER -