Incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos

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Background: endovascular aneurysm repair (EVAR) reduces morbidity and hospital stay compaired with open surgical repair. Endoleak is a common complication of the procedure. The resulting increase of pressure within the sac may expand the aneurysm with the following risk of rupture. The aim of this s...

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Autores principales: Baez, Julio, Cura, Angela Bettiana, Figueroa, Adolfo, Paulazo, Carolina, Castro Pizarro, Rodolfo, Garcia Brasca, Daniela, Castrillon, Maria Elena, Pieroni, Mario
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2013
Materias:
aneurisma aórtico abdominal
endovascular
cierre arterial percutáneo
endoleak
vascular prosthesis implantation
aortic aneurysm
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/20280
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
institution_str I-10
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container_title_str Revistas de la UNC
language Español
format Artículo revista
topic aneurisma aórtico abdominal
endovascular
cierre arterial percutáneo
endoleak
vascular prosthesis implantation
aortic aneurysm
spellingShingle aneurisma aórtico abdominal
endovascular
cierre arterial percutáneo
endoleak
vascular prosthesis implantation
aortic aneurysm
Baez, Julio
Cura, Angela Bettiana
Figueroa, Adolfo
Paulazo, Carolina
Castro Pizarro, Rodolfo
Garcia Brasca, Daniela
Castrillon, Maria Elena
Pieroni, Mario
Incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos
topic_facet aneurisma aórtico abdominal
endovascular
cierre arterial percutáneo
endoleak
vascular prosthesis implantation
aortic aneurysm
author Baez, Julio
Cura, Angela Bettiana
Figueroa, Adolfo
Paulazo, Carolina
Castro Pizarro, Rodolfo
Garcia Brasca, Daniela
Castrillon, Maria Elena
Pieroni, Mario
author_facet Baez, Julio
Cura, Angela Bettiana
Figueroa, Adolfo
Paulazo, Carolina
Castro Pizarro, Rodolfo
Garcia Brasca, Daniela
Castrillon, Maria Elena
Pieroni, Mario
author_sort Baez, Julio
title Incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos
title_short Incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos
title_full Incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos
title_fullStr Incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos
title_full_unstemmed Incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos
title_sort incidencia y factores de riesgo de endofugas en el tratamiento endovascular de los aneurismas aorticos
description Background: endovascular aneurysm repair (EVAR) reduces morbidity and hospital stay compaired with open surgical repair. Endoleak is a common complication of the procedure. The resulting increase of pressure within the sac may expand the aneurysm with the following risk of rupture. The aim of this study was to recognize the incidence of endoleak in tomographic controls of the patients who underwent endovascular repair at our hospital as well as identify the risk factors associated with this complication. Methods: all consecutive patients who underwent endovascular aneurysm repair at our hospital between 2008, February until 2012, February were restrospectively enrolled in the study, excluding those who were lost at follow-up. 43 patients were included, aged 70,5 ± 6 (men: 88%). The endpoint was endoleak incidence at 1, 6, 12th months after the intervention in the control tomography, and its association with underlying risk factors: hypertension, Smoking, chronic obstructive pulmonary desease and the diameter of the aneurysm.Results: eleven (11%) patients developed endoleak (type I 9%, type III 2%). All were infrarrenal aortic aneurysms. The anteroposterior diameter of the aneurysm (more than 60mm) showed a trend toward statistical significance as a risk factor (30% vs. 6%; p:0,073). No relationship was found with gender, age, COPD, smoking or hypertension. Conclusion: endoleak after endovascular aneurysm repair is a common complication. The size of the aneurysm might be a risk factor of the event. 
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2013
url https://revistas.unc.edu.ar/index.php/med/article/view/20280
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