دورية أكاديمية
Treatment of post-implantation aneurysm growth by laparoscopic sac fenestration: long-term results.
| العنوان: | Treatment of post-implantation aneurysm growth by laparoscopic sac fenestration: long-term results. |
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| المؤلفون: | Voûte MT; Department of Vascular Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands., Bastos Gonçalves FM, Hendriks JM, Metz R, van Sambeek MR, Muhs BE, Verhagen HJ |
| المصدر: | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2012 Jul; Vol. 44 (1), pp. 40-4. Date of Electronic Publication: 2012 May 22. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: England NLM ID: 9512728 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2165 (Electronic) Linking ISSN: 10785884 NLM ISO Abbreviation: Eur J Vasc Endovasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2002-: London : Elsevier Original Publication: London, UK : W.B. Saunders Co. Ltd., c1995- |
| مواضيع طبية MeSH: | Blood Vessel Prosthesis*, Aortic Aneurysm, Abdominal/*surgery , Blood Vessel Prosthesis Implantation/*adverse effects , Endoleak/*surgery , Laparoscopy/*methods, Aged ; Angiography/methods ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/etiology ; Disease Progression ; Endoleak/complications ; Endoleak/diagnostic imaging ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Prosthesis Design ; Prosthesis Failure ; Reoperation/methods ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome |
| مستخلص: | Objectives: Sac growth after endovascular aneurysm repair (EVAR) is an important finding, which may influence prognosis. In case of a type II endoleak or endotension, clipping of side branches and subsequent sac fenestration has been presented as a therapeutic alternative. The long-term clinical efficacy of this procedure is unknown. Methods: The study included eight patients who underwent laparoscopic aortic collateral clipping and sac fenestration for enlarging aneurysms following EVAR. Secondary interventions and clinical outcome were retrieved from hospital records. Sac behaviour was evaluated measuring volumes on periodical computed tomography angiography (CTA) imaging using dedicated software. Results: Follow-up had a median length of 6.6 (range 0.6-8.6) years. During this time, only three patients successfully achieved durable aneurysm shrinkage (n = 2) or stability (n = 1). The remaining patients suffered persistent (n = 2) or recurrent sac growth (n = 3), all regarded as failure of fenestration. A total of six additional interventions were performed, comprising open conversion (n = 2), relining (n = 1) and implantation of iliac extensions (n = 3). All additional interventions were successful at arresting further sac growth during the remainder of follow-up. Conclusions: Despite being a less invasive alternative to conversion and open repair, the long-term outcome of sac fenestration is unpredictable and additional major procedures were often necessary to arrest sac growth. (Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20120525 Date Completed: 20120830 Latest Revision: 20161125 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.ejvs.2012.04.022 |
| PMID: | 22621978 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-2165 |
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| DOI: | 10.1016/j.ejvs.2012.04.022 |