Mid-term results of endovascular abdominal aortic aneurysm repair: Is it possible to predict sac shrinkage? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-12

AUTHORS

Hiroyuki Ishibashi, Tsuneo Ishiguchi, Takashi Ohta, Ikuo Sugimoto, Hirohide Iwata, Tetsuya Yamada, Masao Tadakoshi, Noriyuki Hida, Yuki Orimoto, Seiji Kamei

ABSTRACT

PURPOSE: To evaluate the mid-term results of endovascular repair of abdominal aortic aneurysms and to predict subsequent sac shrinkage. METHODS: From December 2006 to April 2010, 114 abdominal aortic aneurysms were treated with stent grafts. The intraoperative sac pressure was measured by a microcatheter. Correlations between the diameter change and relevant factors were determined by a logistic regression analysis. RESULTS: Stent grafts were deployed successfully in all patients. Type-2 endoleaks were noted in 25 patients (22%); there were no type-1 or type-3 endoleaks at discharge. The clinical success rate was 99%. The diameter was reduced in 40 patients (56%) but remained unchanged in 32 (44%). There were no aneurysms that increased in diameter. At 2 years after the repair the rate of cumulative survival was 87% and freedom from secondary intervention was 95%. The sac pressure index after stent grafting with a reduced diameter was 0.56 ± 0.11 and that of patients with an unchanged diameter was 0.52 ± 0.14. There were no significant differences between the two groups. Persistent type-2 endoleaks had a slightly negative effect on sac shrinkage (P = 0.052). CONCLUSIONS: The mid-term results of endovascular aneurysm repair were satisfactory. Although it was difficult to predict the fate of a sac after stent grafting, persistent type-2 endoleaks were observed to have a slightly negative impact on sac shrinkage. More... »

PAGES

1605

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-011-4531-1

DOI

http://dx.doi.org/10.1007/s00595-011-4531-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1008774848

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21969192


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