Experiences on Endovascular Aortouniiliac Repair Combined with Cross-Femoral Bypass Grafting for Abdominal Aortic Aneurysm
- VernacularTitle:联合股-股动脉旁路移植术的单臂支架腔内修复腹主动脉瘤的经验
- Author:
Hongpeng ZHANG
;
Wei GUO
;
Xiaoping LIU
- Publication Type:Journal Article
- Keywords:
Aneurysm;
Endovascular repair;
Bifurcated stent-graft;
Cross-femoral bypass;
Patency
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of endovascular aortouniiliac repair (EVAR) combined with cross-femoral bypass grafting (CFBG) for the treatment of abdominal aortic aneurysm (AAA). Methods From May 1997 to February 2007, 8 patients with AAA, in whom bifurcated stent-graft could not be used because of complex iliac anatomy, were treated with EVAR using AUI stent-graft combined with CFBG. The endoleak, ischemic syndromes,patency of the bypasses, and blood supply of the lower limbs were observed after the operation. Results There were no perioperative mortalities in this series. One patient died of myocardial infarction 15 months after the operation. Three patients developed primary endoleak, and was cure spontaneously 1, 3, and 6 months postoperation. The 8 patients were followed up for a mean of 24 months (3-72 months), during which the patency rate of cross-femoral bypass was 100%. One year after the operation, 1 patient developed mild anastomotic stoma stenosis without ischemia of the lower limbs, but no limb ischemia. Conclusion In patients with complex iliac anatomy unfavorable for bifurcated endografting, EVAR using AUI combined with CFBG is safe and effective.
