Endovascular aortic repair of abdominal aortic aneurysm of short neck with Endurant stent graft
10.3760/cma.j.issn.0529-5815.2017.06.010
- VernacularTitle: Endurant支架治疗短瘤颈腹主动脉瘤临床疗效分析
- Author:
Yonggang WANG
1
;
Zhenyu SHI
;
Weiguo FU
;
Daqiao GUO
;
Xin XU
;
Bin CHEN
;
Junhao JIANG
;
Jue YANG
;
Ting ZHU
;
Zhihui DONG
;
Yun SHI
;
Lixin WANG
;
Xiao TANG
;
Jianing YUE
Author Information
1. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200023, China
- Publication Type:Journal Article
- Keywords:
Aortic aneurysm, abdominal;
Angioplasty, balloon;
Stents
- From:
Chinese Journal of Surgery
2017;55(6):451-454
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and effectiveness of the Endurant stent graft for abdominal aortic aneurysm cases with proximal neck length <10 mm.
Methods:This study was a retrospective analysis. From January 2010 to May 2015, 22 consecutive abdominal aortic aneurysm patients with proximal neck length <10 mm were treated with endovascular aortic repair by Endurant stent graft in Department of Vascular Surgery, Zhongshan Hospital, Fudan University. There were 19 (86.3%) male cases, aging from 57 to 84 years. All patients underwent preoperative CT angiography and the anatomic parameters of abdominal aortic aneurysm were measured. All patients performed standard endovascular aortic repair first and if there was obvious proximal typeⅠ endoleak, the CUFF or the chimney technology were applied to observed the perioperative technical and the clinical success rate. During follow-up, the incidence of adverse events and the reintervention rate were observed.
Results:These 22 cases had proximal neck length 5 to 9 mm with the average of (7.2±1.4) mm. Immediate endoleak occurred in 5 patients with 4 cases of proximal typeⅠ endoleak, 3 cases were implanted proximal CUFF, 1 case implanted CUFF and left renal artery chimney. One case died perioperatively, the clinical success rate was 95.4%, the technical success rate was 77.3%. During the follow-up of 6 to 54 months, there was 1 case with delayed proximal type-1 endoleak, during operation the patient had no endoleak, but disappeared 6 months later without further intervention. So the incidence of adverse event was 4.5% and reintervention rate was 0.
Conclusion:The Endurant stent graft for abdominal aortic aneurysm cases with proximal neck length < 10 mm is safe and effective.
