Endurant stent-graft for the treatment of abdominal aorta aneurysm
10.3760/cma.j.isan.1007-631X.2011.11.006
- VernacularTitle:Endurant支架血管植入治疗腹主动脉瘤的经验
- Author:
Xin JIA
;
Wei GUO
;
Xiaoping LIU
;
Jiang XIONG
;
Xiaohui MA
;
Hongpeng ZHANG
;
Xin DU
;
Minhong ZHANG
- Publication Type:Journal Article
- Keywords:
Aortic aneurysm,abdominal;
Angioplasty;
Stents
- From:
Chinese Journal of General Surgery
2011;26(11):904-906
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate early results of Endurant stent-graft in the treatment of abdominal aortic aneurysms (AAAs).Methods From July 2010 to June 2011,68 patients (57 men,11 women; mean age 74.3 years) were treated with Endurant stent-graft at our center.26 cases had hostile proximal neck in the anatomy.According to ASA classification,15 cases were class Ⅱ ; 32 cases were class Ⅲ and 21 cases were class Ⅳ.Results Intraoperative immediate technical success was achieved in all cases.At completion angiography,a type Ⅱ endoleak was detected in 18 (26％) of the 68 patients.The mean operation time was (96 ± 29) min,the mean blood loss was (99 ± 68 ) ml,and the mean contrast usage was (122 ± 65) ml.No intraoperative conversion to open surgery,stent migration,types Ⅰ/Ⅲ endoleak,other major complications,or death was encountered.49 patients (72％) had a postimplantation syndrome with fever,leukocytosis,and increase of C-reactive protein levels,which completely resolved within two weeks.The mean follow-up time was (8 ± 5) months.Conclusions Endurant stent-graft seems to be safe and effective in endovascular aneurysm repair,even in patients with hostile aortoiliac anatomy.
