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Endovascular repair of abdominal infrarenal penetrating aortic ulcers: A prospective observational study
- Source :
- International Journal of Surgery. 5:172-175
- Publication Year :
- 2007
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2007.
-
Abstract
- Objective Penetrating atherosclerotic ulcer generally occurs in elderly patients with systemic atherosclerosis, predominantly in the descending thoracic aorta, and it is uncommon in the infrarenal aorta. We reviewed our experience of endovascular treatment of penetrating aortic ulcer in the infrarenal aorta. Methods In the last 4years, out of 348 patients who underwent abdominal aortic procedures, a total of 13 patients (12 men and 1 woman) were found to have an abdominal penetrating aortic ulcer, corresponding to an incidence of 3.7%. Mean age was 73±7years. All patients had hypertension. Three lesions were discovered incidentally and 10 were symptomatic. All patients underwent endovascular treatment in the operating room. Follow-up included CT-A control at 1, 4 and 12months after the intervention, and yearly thereafter. Results Primary technical success was 100%. No postoperative death was observed. Mean operative time was 100±29min. Mean blood loss was 168±133ml. No patient required intensive care unit stay. We observed one major complication (transient ischemic attack). Mean hospital stay was 4±1days. During a mean follow-up period of 26months no endoleak, aneurysm evolution or stent graft failure was recognized in any patient. One patient died 24months after the intervention after a stroke. Conclusions In our experience, endovascular or repair of infrarenal aortic ulcer appears feasible, and midterm results satisfactory.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Aortic Diseases
Observation
Comorbidity
law.invention
Blood Vessel Prosthesis Implantation
Aneurysm
Blood loss
Risk Factors
Endovascular repair
Penetrating atherosclerotic ulcer
law
medicine.artery
medicine
Humans
Abdominal penetrating aortic ulcers
Thoracic aorta
Aorta, Abdominal
Prospective Studies
Ulcer
Aged
Aged, 80 and over
business.industry
Incidence (epidemiology)
Stent
General Medicine
Middle Aged
Atherosclerosis
medicine.disease
Intensive care unit
Blood Vessel Prosthesis
Surgery
cardiovascular system
Female
Stents
Observational study
Radiology
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 17439191
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery
- Accession number :
- edsair.doi.dedup.....3bec053c2e983b91eb5edf31839a56fc