Early experience of endovascular aneurysm repair with Endurant stent-graft
10.3760/cma.j.issn.1007-631X.2012.03.001
- VernacularTitle:新型覆膜支架在腹主动脉瘤腔内修复中的应用
- Author:
Wei YE
;
Changwei LIU
;
Rong ZENG
;
Yongjun LI
;
Bao LIU
;
Weiwei WU
- Publication Type:Journal Article
- Keywords:
Aortic aneurysm,abdominal;
Blood vessel prosthesis;
Angioplasty;
Endoleak
- From:
Chinese Journal of General Surgery
2012;27(3):177-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report experience of endovascular aneurysm repair (EVAR) with Endurant stent-graft for abdominal aortic aneyrysm. Methods Between May,2010 and May,2011,19 patients underwent EVAR with Endurant stent-graft at Department of Vascular Surgery,Peking Union Medical College Hospital. Clinical and morphological characteristics, operative result, peri-operative complications and follow-up data were reported. Results Procedures were successful in all these 19 cases,among those 9 were with complicated anatomical alterations.There were no type Ⅰ,Ⅲ and Ⅳ endoleak found immediately after procedure,while 4 cases were found with type Ⅱ endoleak. Major adverse event during the 30-days after operation included:consumption coagulopathy,myocardial infarction combined with heart failure,wound infection or hematoma.All cases were followed-up from 1 to 12 months. No death occurred.Eight cases had at least one CT angiography.Five cases showed aneurysm shrink,the remaining 3 cases showed aneurysm diameter did not change.One case suffered from occlusion of unilateral iliac limb artery obliteration,and was treated by fem-fem graft bypass.One case had secondary type Ⅰ B endoleak,without increase of aneurysm diameter. Conclusions EVAR with Endurant stent-graft is safe and effective.Some complicated anatomic cases could be treated successfully with Endurant stent-graft.
