Pararenal abdominal aortic pseudoaneurysm endovascular repair: a report of 5 cases

VernacularTitle:体外开窗主动脉腔内修复术治疗近肾型腹主动脉假性动脉瘤
Author: Mingzhe CUI ; Kai LIANG ; Heng LIU ; Heng WANG ; Weixiao LI ; Kewei ZHANG ; Shuiting ZHAI
From: Chinese Journal of General Surgery 2021;36(1):20-24
CountryChina
Language:Chinese
Abstract: Objective:To investigate the application of in vitro fenestration endovascular aortic repair(fEVAR) in the juxtarenal abdominal aortic pseudoaneurysm and its up to mid-term results.Methods:The clinical data of 5 cases of juxtarenal abdominal aortic pseudoaneurysm from Oct 2016 to Jul 2019 at the Department of Vascular Surgery, Henan Provincial People′s Hospital was retrospectively analyzed, including therapy options, accesses, techniques of fenestration, bundle of the stent-graft, near to medium-term effects.Results:All patients were treated with fEVAR, the technical success rate was 100%. Stent modify time ranged from 50 to120 minutes, fEVAR time ranged from 75 to 210 minutes. The follow-up period was 15~42 months. All of the stents are in good position, there is no stent-related complications, and no deaths. Primary diseases are well controlled.Conclusion:The treatment for juxtarenal abdominal aortic pseudoaneurysms with fEVAR , as a full-intraluminal method, is of minimal invasion, few perioperative complications, low mortality. Result of up to mid-term follow up is satisfactory.