Clinical experience with a bifurcated endovascular graft for abdominal aortic aneurysm repair

Chuter, Timothy A.M.; Risberg, Bo; Hopkinson, Brian R.; Wendt, G.; Scott, R. A. P.; Walker, Philip J.; Viscomi, Salvatore; White, Geoffrey H.

doi:10.1016/s0741-5214(96)70082-4

Cited by 163 publications

(81 citation statements)

References 9 publications

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“…[4][5][6][7][8] On the other hand, the incidence of TPEG thrombosis is relatively high at 6.3%-10%. [7][8][9] Brewster et al 10 reported that the TPEG procedure induces more local vascular complications but less systemic Fig. 2A.…”

Section: Discussionmentioning

confidence: 99%

Fatal Diffuse Atheromatous Embolization Following Endovascular Grafting for an Abdominal Aortic Aneurysm: Report of a Case

et al. 2001

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A 78-year-old woman with an abdominal aortic aneurysm, 57 mm in diameter, was admitted to our hospital for endovascular grafting. Preoperative computed tomography and angiography showed friable mural thrombus in the suprarenal and infrarenal aorta, and a diagnosis of shaggy aorta was made. Postoperatively, the patient suffered cerebral infarction, and disseminated intravascular coagulopathy with multiple organ failure developed, resulting in early death on the third day after surgery. An autopsy revealed diffuse atheromatous embolization into the celiac, superior mesenteric, bilateral renal, bilateral hypogastric (trash buttock), and peripheral arteries. This case report serves to demonstrate that an abdominal aortic aneurysm with a shaggy aorta in the proximal neck is a contraindication to endovascular grafting, and that predicting the possibility of diffuse atheromatous embolization by detecting a shaggy aorta is the best way to prevent this catastrophic complication.

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Section: Discussionmentioning

confidence: 99%

Fatal Diffuse Atheromatous Embolization Following Endovascular Grafting for an Abdominal Aortic Aneurysm: Report of a Case

et al. 2001

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“…[16][17][18][19][20][21][22][23][24][25][26][27][28] EVG repair can be performed through small incisions in the groin and so the postoperative discomfort, length of hospital stay and the time to recover may be lessened substantially. In addition, it is hoped that EVG repair will decrease the morbidity and mortality rates in high-risk patients.…”

Section: New Horizons: Endovascular Graft Repairmentioning

confidence: 99%

Standard and New Treatments for Abdominal Aortic Aneurysms

Ohki

Veith

1999

Jpn Circ J

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“…Complications Although complication rates for endovascular repair may be comparable to those for standard repair, the complications are less severe. Complications unique to endovascular repair are endoleak, postimplantation syndrome, and arterial rupture [16- 18,19•, [20][21][22][23][24][25][26]. An endoleak indicates that the aneurysm is not completely excluded from the arterial circulation and that the risk for subsequent rupture remains.…”

Section: Emerging Therapymentioning

confidence: 99%

Abdominal aortic aneurysms

Ohki

Veith

1999

Curr Treat Options Cardio Med

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The mortality rate after the rupture of an abdominal aortic aneurysm is 80% to 90%; therefore, the main goal of treatment is to prevent rupture. Patients with abdominal aortic aneurysms smaller than 5 cm in diameter should be managed conservatively under close surveillance with either computed tomography or sonography every 3 to 12 months. Patients should be informed that most aneurysms continue to enlarge at an average rate of 2 to 4 mm per year and that there is a 1% to 5% annual risk for sudden rupture. Treatment of the aneurysm is generally recommended if it is larger than 5 cm in diameter, and the only effective treatment is replacement of the aneurysm with a prosthetic graft. This can be performed through a laparotomy or a groin incision using an endovascular graft. Open surgical repair carries a mortality rate of 2% to 8% and requires a hospital stay of 7 to 10 days. Patients receiving endovascular grafts can be discharged within 1 to 3 days. Long-term durability has yet to be proven, however.

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Clinical experience with a bifurcated endovascular graft for abdominal aortic aneurysm repair

Abstract: Aneurysm exclusion with a bifurcated endovascular graft was feasible in a wide range of patients, but when the aneurysm was not entirely excluded from the circulation, the risk of rupture persisted.

Cited by 163 publications

References 9 publications

Fatal Diffuse Atheromatous Embolization Following Endovascular Grafting for an Abdominal Aortic Aneurysm: Report of a Case

Fatal Diffuse Atheromatous Embolization Following Endovascular Grafting for an Abdominal Aortic Aneurysm: Report of a Case

Standard and New Treatments for Abdominal Aortic Aneurysms

Abdominal aortic aneurysms

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