PERCUTANEONS ENDOLUMINAL PLACEMENT OF STENT-GRAFTS FOR THE TREATMENT OF ISOLATED ILIAC ARTERY ANEURYSMS

被引:121
作者
RAZAVI, MK
DAKE, MD
SEMBA, CP
NYMAN, URO
LIDDELL, RP
机构
[1] Sect. Cardiovasc. Interventional R., Department of Radiology, Stanford University Hospital, Stanford, CA 94305
关键词
ANEURYSM; ILIAC; THERAPY; ARTERIES; GRAFTS AND PROSTHESES; INTERVENTIONAL PROCEDURES;
D O I
10.1148/radiology.197.3.7480759
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To evaluate the feasibility of stent-grafts for treatment of isolated MATERIALS AND METHODS: Nine IAAs in eight patients were treated with transluminally placed endovascular stent-grafts. All patients were men (median age, 72 years). In three, the aneurysm involved both the common and internal iliac arteries. In one, common and external iliac arteries were involved. The other aneurysms involved only the common iliac artery. Two aneurysms were treated with balloon-expandable stents covered with polytetrafluoroethylene (PTFE) graft material, three were treated with self-expanding Z-stents covered with a woven polyester graft, and four were treated with self-expanding Z-stents covered with PTFE. RESULTS: Transluminal placement of the stents was successful in all patients with thrombosis of the aneurysms. There were no distal thromboembolic events, deaths, or infections. The median follow-up period was 8.5 months. CONCLUSION: Initial results suggest that transluminal stent-graft placement for treating isolated IAAs is a safe and effective alternative to surgery in selected patients. Long-term follow-up data are needed before this approach can be recommended for the primary treatment of IAAs.
引用
收藏
页码:801 / 804
页数:4
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