INTRALUMINAL BYPASS OF ABDOMINAL AORTIC-ANEURYSM - FEASIBILITY STUDY

被引:159
作者
LABORDE, JC [1 ]
PARODI, JC [1 ]
CLEM, MF [1 ]
TIO, FO [1 ]
BARONE, HD [1 ]
RIVERA, FJ [1 ]
ENCARNACION, CE [1 ]
PALMAZ, JC [1 ]
机构
[1] UNIV TEXAS, HLTH SCI CTR,DEPT RADIOL, CARDIOVASC & SPECIAL INTERVENT SECT, 7703 FLOYD CURL DR, SAN ANTONIO, TX 78284 USA
关键词
ANEURYSM; AORTIC; INTERVENTIONAL PROCEDURES; PROSTHESES;
D O I
10.1148/radiology.184.1.1535160
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
This study evaluated the feasibility of treatment of abdominal aortic aneurysm (AAA) by means of intraluminal bypass. Artificial aortic aneurysms with fusiform Dacron conduits were created at surgery in eight dogs. Six weeks after surgery, a weft-knit Dacron tube with balloon-expandable stents attached at both ends was inserted transfemorally through a 14-F introducer sheath and expanded at the aneurysmal level by means of inflation of a coaxial balloon. The transluminal bypass successfully excluded the aneurysmal lumen immediately after placement. In two dogs, a postplacement aortogram revealed torsion of the graft that caused early occlusion. The six other dogs had a patent bypass at 6 months follow-up. Four of these dogs had evidence of kinking of the graft as a result of shrinkage of the prosthetic aneurysm. Histopathologic studies revealed that endothelialization was complete on the stents and partial on the graft surface. It is concluded that transluminal bypass of AAA is feasible in the dog model.
引用
收藏
页码:185 / 190
页数:6
相关论文
共 31 条
[1]   TRANS-FEMORAL PLACEMENT OF INTRALUMINAL POLYURETHANE PROSTHESIS FOR ABDOMINAL AORTIC-ANEURYSM [J].
BALKO, A ;
PIASECKI, GJ ;
SHAH, DM ;
CARNEY, WI ;
HOPKINS, RW ;
JACKSON, BT .
JOURNAL OF SURGICAL RESEARCH, 1986, 40 (04) :305-309
[2]   HEALING OF ARTERIAL PROSTHESES IN MAN - ITS INCOMPLETENESS [J].
BERGER, K ;
WOOD, SJ ;
SAUVAGE, LR ;
RAO, AM .
ANNALS OF SURGERY, 1972, 175 (01) :118-&
[3]  
BERGUER R, 1978, SURGERY, V84, P425
[4]   LIGATION TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM [J].
BLAISDELL, FW ;
HALL, AD ;
THOMAS, AN .
AMERICAN JOURNAL OF SURGERY, 1965, 109 (05) :560-+
[5]  
BROWN OW, 1981, ARCH SURG-CHICAGO, V116, P1484
[6]  
BUDDEN J, 1989, SURG CLIN N AM, V69, P837
[7]  
CHO SI, 1982, ARCH SURG-CHICAGO, V117, P1214
[8]   ENDO-ANEURYSMORRHAPHY AND TREATMENT OF AORTIC ANEURYSM [J].
CREECH, O .
ANNALS OF SURGERY, 1966, 164 (06) :935-+
[9]   TRANSLUMINALLY-PLACED COILSPRING ENDARTERIAL TUBE GRAFTS - LONG-TERM PATENCY IN CANINE POPLITEAL ARTERY [J].
DOTTER, CT .
INVESTIGATIVE RADIOLOGY, 1969, 4 (05) :329-+
[10]   RESECTION OF AN ANEURYSM OF THE ABDOMINAL AORTA - REESTABLISHMENT OF THE CONTINUITY BY A PRESERVED HUMAN ARTERIAL GRAFT, WITH RESULT AFTER 5 MONTHS [J].
DUBOST, C ;
ALLARY, M ;
OECONOMOS, N .
AMA ARCHIVES OF SURGERY, 1952, 64 (03) :405-408