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    Endovascular repair of para-anastomotic aortoiliac aneurysms.

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    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
    Issue Date
    2009-11
    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
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    Citation
    Endovascular repair of para-anastomotic aortoiliac aneurysms. 2009, 32 (6):1165-70 Cardiovasc Intervent Radiol
    Journal
    Cardiovascular and interventional radiology
    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
    ISSN
    1432-086X
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00270-009-9653-0
    Scopus Count
    Collections
    Beaumont Hospital

    entitlement

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