TY - JOUR
T1 - Long-term results of endovascular aneurysm repair with aortouni-iliac custom-made stent grafts
AU - Hakaim, Albert G.
AU - Oldenburg, W. Andrew
AU - Paz-Fumagalli, Ricardo
AU - McKinney, J. Mark
AU - Lau, Louis
AU - Biebl, Matthias
AU - Klocker, Josef
AU - Neuhauser, Beate
AU - Hugl, Beate
AU - Falkensammer, Jergen
PY - 2006/5
Y1 - 2006/5
N2 - The purpose of this study was to review the outcome of endovascular abdominal aortic aneurysm repair (EVAR) using custom-made aortouni-iliac (AUI) devices with femorofemoral bypass. Between June 1999 and March 2001, 23 consecutive patients (1 female, 22 male) at high risk of open aortic aneurysm repair underwent EVAR with custom devices in an AUI configuration. The mean follow-up was 37 months (range 2-72 months), and the mean age was 76.8 years (range 67.5-88.7 years). Increased surgical risk was evidenced by 92% and 69% of patients with significant pulmonary or cardiac disease, respectively. The preoperative mean aneurysm diameter (n = 23) 62 ± 8.2 mm was significantly greater than the postoperative diameter, (n = 23) 54 ± 16.4 mm. Ten endoleaks occurred. Migration of the stent graft occurred in 9% (n = 2). Secondary interventions were necessary in 23%, whereas tertiary interventions were required in 9%. Patients at high risk of open aneurysm repair received sufficient protection from aneurysm rupture with custom-made AUI devices.
AB - The purpose of this study was to review the outcome of endovascular abdominal aortic aneurysm repair (EVAR) using custom-made aortouni-iliac (AUI) devices with femorofemoral bypass. Between June 1999 and March 2001, 23 consecutive patients (1 female, 22 male) at high risk of open aortic aneurysm repair underwent EVAR with custom devices in an AUI configuration. The mean follow-up was 37 months (range 2-72 months), and the mean age was 76.8 years (range 67.5-88.7 years). Increased surgical risk was evidenced by 92% and 69% of patients with significant pulmonary or cardiac disease, respectively. The preoperative mean aneurysm diameter (n = 23) 62 ± 8.2 mm was significantly greater than the postoperative diameter, (n = 23) 54 ± 16.4 mm. Ten endoleaks occurred. Migration of the stent graft occurred in 9% (n = 2). Secondary interventions were necessary in 23%, whereas tertiary interventions were required in 9%. Patients at high risk of open aneurysm repair received sufficient protection from aneurysm rupture with custom-made AUI devices.
KW - Abdominal aortic aneurysm
KW - Femorofemoral bypass
KW - Stent graft
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U2 - 10.2310/6670.2006.00023
DO - 10.2310/6670.2006.00023
M3 - Review article
C2 - 16956485
AN - SCOPUS:33750740751
SN - 1708-5381
VL - 14
SP - 136
EP - 141
JO - Vascular
JF - Vascular
IS - 3
ER -