Prevention and management of frequent complications after endovascular repair of infrarenal abdominal aortic aneurysm.
- Author:
Qing-long KONG
1
;
Wei GUO
;
Xiao-ping LIU
;
Guo-hua ZHANG
;
Fa-qi LIANG
;
Rong LI
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Aortic Aneurysm, Abdominal; surgery; Blood Vessel Prosthesis Implantation; adverse effects; methods; Female; Follow-Up Studies; Humans; Male; Middle Aged; Postoperative Complications; etiology; prevention & control; therapy; Prognosis; Retrospective Studies; Stents; Treatment Outcome; Vascular Fistula; etiology; prevention & control; therapy
- From: Chinese Journal of Surgery 2003;41(7):495-498
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo prevent and manage frequent complications after endovascular repair of infrarenal abdominal aortic aneurysm (AAA).
METHODSThe data of 71 cases of infrarenal abdominal aortic aneurysm (AAA) treated by endovascular repair were analysed retrospectively. The reasons, managements, results and prognosis of frequent complications were investigated.
RESULTSSeventy-one cases of infrarenal AAA were treated by endovascular repair with 100% success rate. There was no surgical conversion to open aneurysm repair. There were 8 cases of primary endoleak, 1 case of nervous complication and acute thrombosis. An average follow-up period was 26 +/- 5 months. Three persistent endoleaks and 4 secondary endoleaks were found during the follow-up period. The endoleak rate was 9.8% (7/71) within 1 month postoperatively and mortality rate was 1.3% (1/71). Total mortality rate was 4.2% (3/71). Two patients died from acute myocardial infarction and one from acute heart failure.
CONCLUSIONSEndovascular treatment of abdominal aortic aneurysm is technically feasible and can effectively exclude aortic aneurysms from the circulation. Endoleak is a chief complication after endovascular repair of infrarenal AAA.Additional procedures and follow up are very important. Endoleak with enlarged aneurysm should be treated actively.
