Treatment of descending and abdominal aortic pseudoaneurysm with stent-graft: a report of 13 cases.
- Author:
Lian YUAN
1
;
Xiao-ming ZHANG
;
Chen-yang SHEN
;
Xue-min ZHANG
;
Wei LI
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aneurysm, False; surgery; Angioplasty; instrumentation; methods; Aortic Aneurysm; surgery; Aortic Aneurysm, Abdominal; surgery; Blood Vessel Prosthesis Implantation; Female; Follow-Up Studies; Humans; Male; Middle Aged; Retrospective Studies; Stents; Treatment Outcome
- From: Chinese Journal of Surgery 2006;44(11):751-753
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the effects of stent-graft on treating descending and abdominal aortic pseudoaneurysms.
METHODSSeven cases of descending and 6 cases of abdominal aortic pseudoaneurysms were treated with stent-graft, aging from 28 to 72 years, average 59 years.
RESULTSEight cases of aortic pseudoaneurysms were completely excluded after the procedure. Slight leakages were found in 5 cases. Leakages disappeared through balloon dilatation in 2 cases, and one more stent-graft cuff implanted in 1 case. Slight leakages were still presented after dilatation in the other 2 cases, however, the leakages disappeared 3 months later. Eleven cases were followed up from 4 to 30 months with a mean of 18.6 months. One case died of massive hemorrhage from upper digestive tract 5 months after operation. The stent-grafts of other cases maintained patent, and no migration occurred. The diameter of the pseudoaneurysm of all cases did not increased.
CONCLUSIONSIt is safe, effective and mini-invasive to use stent-graft in the treatment of descending and abdominal aortic pseudoaneurysm, however, the long-term investigation is needed.