Endovascular repair of para-anastomotic aortoiliac aneurysms.

Hdl Handle:
http://hdl.handle.net/10147/127495
Title:
Endovascular repair of para-anastomotic aortoiliac aneurysms.
Authors:
Tsang, Julian S; Naughton, Peter A; Wang, Tim T; Keeling, Aoife N; Moneley, Daragh S; Lee, Michael J; Kelly, Cathal J; Leahy, Austin L
Affiliation:
Department of Vascular Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin 9, Ireland. julianst@yahoo.com
Citation:
Endovascular repair of para-anastomotic aortoiliac aneurysms. 2009, 32 (6):1165-70 Cardiovasc Intervent Radiol
Journal:
Cardiovascular and interventional radiology
Issue Date:
Nov-2009
URI:
http://hdl.handle.net/10147/127495
DOI:
10.1007/s00270-009-9653-0
PubMed ID:
19629588
Abstract:
The purpose of this study is to evaluate the use of endovascular stent grafts in the treatment of para-anastomotic aneurysms (PAAs) as an alternative to high-risk open surgical repair. We identified all patients with previous open aortic aneurysm repair who underwent infrarenal endovascular aneurysm repair (EVAR) at our institution from June 1998 to April 2007. Patient demographics, previous surgery, and operative complications were recorded. One hundred forty-eight patients underwent EVAR during the study period and 11 patients had previous aortic surgery. Of these 11 redo patients, the mean age was 62 years at initial surgery and 71 years at EVAR. All patients were male. Initial open repair was for rupture in five (45%) patients. The average time between initial and subsequent reintervention was 9 years. All patients were ASA Grade III or IV. Fifty-five percent of the PAAs involved the iliac arteries, 36% the abdominal aorta, and 9% were aortoiliac. Ten patients had endovascular stent-grafts inserted electively, and one patient presented with a contained leak. Aorto-uni-iliac stent-grafts were deployed in seven patients, and bifurcated stent-grafts in four patients. A 100% successful deployment rate was achieved. Perioperative mortality was not seen and one patient needed surgical reintervention to correct an endoleak. Endovascular repair of PAAs is safe and feasible. It is a suitable alternative and has probably now become the treatment of choice in the management of PAAs.
Item Type:
Article
Language:
en
MeSH:
Aged; Aged, 80 and over; Anastomosis, Surgical; Aortic Aneurysm, Abdominal; Blood Vessel Prosthesis Implantation; Comorbidity; Female; Fluoroscopy; Humans; Iliac Aneurysm; Male; Middle Aged; Postoperative Complications; Stents; Tomography, X-Ray Computed; Treatment Outcome
ISSN:
1432-086X

Full metadata record

DC FieldValue Language
dc.contributor.authorTsang, Julian Sen
dc.contributor.authorNaughton, Peter Aen
dc.contributor.authorWang, Tim Ten
dc.contributor.authorKeeling, Aoife Nen
dc.contributor.authorMoneley, Daragh Sen
dc.contributor.authorLee, Michael Jen
dc.contributor.authorKelly, Cathal Jen
dc.contributor.authorLeahy, Austin Len
dc.date.accessioned2011-04-06T14:41:34Z-
dc.date.available2011-04-06T14:41:34Z-
dc.date.issued2009-11-
dc.identifier.citationEndovascular repair of para-anastomotic aortoiliac aneurysms. 2009, 32 (6):1165-70 Cardiovasc Intervent Radiolen
dc.identifier.issn1432-086X-
dc.identifier.pmid19629588-
dc.identifier.doi10.1007/s00270-009-9653-0-
dc.identifier.urihttp://hdl.handle.net/10147/127495-
dc.description.abstractThe purpose of this study is to evaluate the use of endovascular stent grafts in the treatment of para-anastomotic aneurysms (PAAs) as an alternative to high-risk open surgical repair. We identified all patients with previous open aortic aneurysm repair who underwent infrarenal endovascular aneurysm repair (EVAR) at our institution from June 1998 to April 2007. Patient demographics, previous surgery, and operative complications were recorded. One hundred forty-eight patients underwent EVAR during the study period and 11 patients had previous aortic surgery. Of these 11 redo patients, the mean age was 62 years at initial surgery and 71 years at EVAR. All patients were male. Initial open repair was for rupture in five (45%) patients. The average time between initial and subsequent reintervention was 9 years. All patients were ASA Grade III or IV. Fifty-five percent of the PAAs involved the iliac arteries, 36% the abdominal aorta, and 9% were aortoiliac. Ten patients had endovascular stent-grafts inserted electively, and one patient presented with a contained leak. Aorto-uni-iliac stent-grafts were deployed in seven patients, and bifurcated stent-grafts in four patients. A 100% successful deployment rate was achieved. Perioperative mortality was not seen and one patient needed surgical reintervention to correct an endoleak. Endovascular repair of PAAs is safe and feasible. It is a suitable alternative and has probably now become the treatment of choice in the management of PAAs.-
dc.language.isoenen
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAnastomosis, Surgical-
dc.subject.meshAortic Aneurysm, Abdominal-
dc.subject.meshBlood Vessel Prosthesis Implantation-
dc.subject.meshComorbidity-
dc.subject.meshFemale-
dc.subject.meshFluoroscopy-
dc.subject.meshHumans-
dc.subject.meshIliac Aneurysm-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPostoperative Complications-
dc.subject.meshStents-
dc.subject.meshTomography, X-Ray Computed-
dc.subject.meshTreatment Outcome-
dc.titleEndovascular repair of para-anastomotic aortoiliac aneurysms.en
dc.typeArticleen
dc.contributor.departmentDepartment of Vascular Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin 9, Ireland. julianst@yahoo.comen
dc.identifier.journalCardiovascular and interventional radiologyen
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.