scholarly journals Elective endovascular repair of abdominal aortic aneurysms in elderly with Endologix AFX® endograft: Our short-term and one-year results

2019 ◽  
Vol 28 (1) ◽  
pp. 36-41
Author(s):  
Onur Karahasanoğlu
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Short Term ◽  
Abdominal Aortic ◽  
One Year

Endovascular Repair of Ruptured Abdominal Aortic Aneurysms: Logistics and Short-Term Results

2003 ◽  
Vol 10 (3) ◽  
pp. 440-446 ◽  
Author(s):  
Timothy Resch ◽  
Martin Malina ◽  
Bengt Lindblad ◽  
Nuno V. Dias ◽  
Björn Sonesson ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Open Repair ◽  
Operating Time ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Short Term ◽  
Duration Of Symptoms ◽  
Abdominal Aortic ◽  
Significant Difference ◽  
Ruptured Abdominal Aortic Aneurysms

Purpose: To report our experience in establishing a treatment protocol for endovascular aneurysm repair (EVAR) of ruptured abdominal aortic aneurysms (rAAA), including an investigation of the reasons for patient exclusion and a report of our short-term results. Methods: Between 1997 and July 2002, 21 patients with rAAA underwent endovascular repair according to our protocol and were followed prospectively. A retrospective analysis was also conducted of 23 rAAA patients treated with open repair from January 2001 through June 2002. Procedural and clinical data from this sample were compared to 14 contemporaneous emergent EVAR cases and analyzed to determine why the open repair patients were not treated with an endovascular approach. Results: Among the 21 patients treated with emergent EVAR since the beginning of this protocol, 6 (29%) procedures were performed under local anesthesia and 6 were performed percutaneously. Thirty-day mortality was 19%. In the comparison of 14 emergent EVAR cases to 23 open rAAA repairs, the mean duration of symptoms prior to intervention was 12 hours for the EVAR patients and <1 hour for OR patients. No significant difference was found in operating time, but the EVAR group had significantly less blood loss (p=0.0001) and transfusion needs (p=0.02); duration of intensive care unit stay was significantly shorter in the EVAR group (p=0.02). Thirty-day mortality was 29% (4/14) for EVAR and 35% for OR (8/23) (p>0.05). Reasons for not performing EVAR were unavailability of adequate equipment (n=11) or trained staff (n=7), hemodynamically unstable patient (n=2), mycotic aneurysm (n=2), and unfavorable anatomy in a 60-year old patient with a <5-mm-long, sharply angled infrarenal neck. Conclusions: Endovascular repair of ruptured aortic aneurysms is feasible, and short-term results are promising. Good logistics, adequate training of physicians and staff in an elective setting, and versatile endografts are prerequisites for this type of treatment program.

Stents for the Treatment of Aortic Aneurysms

1999 ◽  
Vol 82 (S 01) ◽  
pp. 171-175 ◽  
Author(s):  
D. Ebert ◽  
M. Langer ◽  
P. Uhrmeister
Keyword(s):  
Endovascular Treatment ◽  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Imaging Modalities ◽  
Exclusion Criteria ◽  
Multicenter Studies ◽  
Abdominal Aortic ◽  
First Results

SummaryThe endovascular treatment of abdominal aortic aneurysms has generated a great deal of interest since the early 1990s, and many different devices are currently available. The procedure of endovascular repair has been evaluated in many institutions and the different devices are compared. The first results were encouraging, but complications like endoleak, dislocation or thrombosis of the graft occurred. By the available devices the stent application is only promising, if the known exclusion criteria are strictly respected. Therefore a careful preinterventional assessment of the patient by different imaging modalities is necessary. As the available results up to now are preliminary and the durability of the devices has to be controlled, multicenter studies are required to improve the devices and observe their long- term success in the exclusion of abdominal aortic aneurysms.

The Clinical and Fiscal Impact of Endovascular Repair of Abdominal Aortic Aneurysms

2004 ◽  
Vol 7 (5) ◽  
pp. E503-E507 ◽  
Author(s):  
Daniel R. Watson ◽  
Thomas Tan ◽  
Lori Wiseman ◽  
Gary M. Ansel ◽  
Chip Botti ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Fiscal Impact ◽  
Abdominal Aortic

Oblique Groin Incision for Endovascular Repair of Abdominal Aortic Aneurysms

2004 ◽  
Vol 7 (5) ◽  
pp. E515-E518 ◽  
Author(s):  
Daniel R. Watson ◽  
Thomas Tan ◽  
Lori Wiseman ◽  
Gary M. Ansel ◽  
Chip Botti ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic

Renal Complications Following Endovascular Repair of Abdominal Aortic Aneurysms

1998 ◽  
Vol 5 (4) ◽  
pp. 318-322 ◽  
Author(s):  
Stuart R. Walker ◽  
S. Waquar Yusuf ◽  
Peter W. Wenham ◽  
Brian R. Hopkinson
Keyword(s):  
Endovascular Repair ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Renal Complications ◽  
Abdominal Aortic
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