Endovascular stent graft repair of aortic aneurysms

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 ri...

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Autor principal: Parodi, J.C.
Formato: JOUR
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Acceso en línea:http://hdl.handle.net/20.500.12110/paper_02684705_v12_n4_p396_Parodi
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spelling todo:paper_02684705_v12_n4_p396_Parodi2023-10-03T15:14:00Z Endovascular stent graft repair of aortic aneurysms Parodi, J.C. 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 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. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_02684705_v12_n4_p396_Parodi
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic 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
spellingShingle 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
Parodi, J.C.
Endovascular stent graft repair of aortic aneurysms
topic_facet 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
description 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.
format JOUR
author Parodi, J.C.
author_facet Parodi, J.C.
author_sort Parodi, J.C.
title Endovascular stent graft repair of aortic aneurysms
title_short Endovascular stent graft repair of aortic aneurysms
title_full Endovascular stent graft repair of aortic aneurysms
title_fullStr Endovascular stent graft repair of aortic aneurysms
title_full_unstemmed Endovascular stent graft repair of aortic aneurysms
title_sort endovascular stent graft repair of aortic aneurysms
url http://hdl.handle.net/20.500.12110/paper_02684705_v12_n4_p396_Parodi
work_keys_str_mv AT parodijc endovascularstentgraftrepairofaorticaneurysms
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