Transrenal versus Infrarenal Endograft Fixation: Influence on Type I Endoleaks
The purpose of this study was to compare the rate of proximal type I endoleaks in patients undergoing endoluminal repair of infrarenal abdominal aortic aneurysms with endografts having either transrenal or infrarenal fixation. From September 1998 to May 2000,42 patients received endoluminal aortic g...
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Veröffentlicht in: | Annals of vascular surgery 2002-09, Vol.16 (5), p.556-561 |
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creator | Shames, Murray Betros, Fred Dennien, Bruce Gray-Weale, Anthony Lippey, Eric Thursby, Peter Lusby, Robert |
description | The purpose of this study was to compare the rate of proximal type I endoleaks in patients undergoing endoluminal repair of infrarenal abdominal aortic aneurysms with endografts having either transrenal or infrarenal fixation. From September 1998 to May 2000,42 patients received endoluminal aortic grafts for the treatment of infrarenal abdominal aortic aneurysms. Patients received either transrenal or infrarenal devices, based on the surgeon's preference. All patients had infrarenal aortic neck lengths measuring at least 1.5 cm and proximal neck angulation of |
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From September 1998 to May 2000,42 patients received endoluminal aortic grafts for the treatment of infrarenal abdominal aortic aneurysms. Patients received either transrenal or infrarenal devices, based on the surgeon's preference. All patients had infrarenal aortic neck lengths measuring at least 1.5 cm and proximal neck angulation of <60°. The endoluminal grafts were oversized by 10–20% relative to the diameter of the infrarenal aorta. The presence of endoleaks was determined at the initial procedure by contrast angiography and during subsequent follow-up at 1 month and 3 months by CT scan or duplex ultrasound. No significant differences in the rate of proximal type I endoleaks can be demonstrated between transrenal and infrarenal device types in this small cohort. Proper patient selection is more important than type of proximal fixation in preventing endoleaks.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1007/s10016-001-0276-4</identifier><identifier>PMID: 12183780</identifier><identifier>CODEN: AVSUEV</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - complications ; Aortic Aneurysm, Abdominal - epidemiology ; Aortic Aneurysm, Abdominal - surgery ; Australia - epidemiology ; Blood Vessel Prosthesis Implantation ; Creatinine - blood ; Device Removal ; Elective Surgical Procedures ; Equipment Design ; Female ; Follow-Up Studies ; Hospital Mortality ; Humans ; Incidence ; Length of Stay ; Male ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - therapy ; Risk Factors ; Stents ; Treatment Outcome</subject><ispartof>Annals of vascular surgery, 2002-09, Vol.16 (5), p.556-561</ispartof><rights>2002 Annals of Vascular Surgery, Inc.</rights><rights>Annals of Vascular Surgery Inc 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-9e9bd1d698ad23698864c03cb8cf4c70bf08fecc8e7c32468ab2f5fed33bc8df3</citedby><cites>FETCH-LOGICAL-c376t-9e9bd1d698ad23698864c03cb8cf4c70bf08fecc8e7c32468ab2f5fed33bc8df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1007/s10016-001-0276-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12183780$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shames, Murray</creatorcontrib><creatorcontrib>Betros, Fred</creatorcontrib><creatorcontrib>Dennien, Bruce</creatorcontrib><creatorcontrib>Gray-Weale, Anthony</creatorcontrib><creatorcontrib>Lippey, Eric</creatorcontrib><creatorcontrib>Thursby, Peter</creatorcontrib><creatorcontrib>Lusby, Robert</creatorcontrib><title>Transrenal versus Infrarenal Endograft Fixation: Influence on Type I Endoleaks</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>The purpose of this study was to compare the rate of proximal type I endoleaks in patients undergoing endoluminal repair of infrarenal abdominal aortic aneurysms with endografts having either transrenal or infrarenal fixation. 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Proper patient selection is more important than type of proximal fixation in preventing endoleaks.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Aneurysm, Abdominal - epidemiology</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Australia - epidemiology</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Creatinine - blood</subject><subject>Device Removal</subject><subject>Elective Surgical Procedures</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Incidence</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - therapy</subject><subject>Risk Factors</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFLwzAYhoMobk5_gBcpHrxVk6ZNUj3J2HQw9DLPIU2-SGfXzqQd7t-b2oHgwcv7QfJ8L3wPQpcE3xKM-Z0PSVgcIsYJZ3F6hMaEkSzO8pQfozEWOY4znLMROvN-HbhEpOIUjUhCBOUCj9HLyqnaO6hVFe3A-c5Hi9o6NbzMatO8O2XbaF5-qbZs6vv-u-qg1hA1dbTabyFa_HAVqA9_jk6sqjxcHOYEvc1nq-lzvHx9Wkwfl7GmnLVxDnlhiGG5UCahYQiWakx1IbRNNceFxcKC1gK4pknKhCoSm1kwlBZaGEsn6Gbo3brmswPfyk3pNVSVqqHpvOQJx-H6PIDXf8B107lwm5cJSTNBGKMBIgOkXeODDCu3rtwot5cEy960HEzLELI3LdOwc3Uo7ooNmN-Ng9oAPAwABA-7Epz0uuy9mdKBbqVpyn_qvwGt44yH</recordid><startdate>20020901</startdate><enddate>20020901</enddate><creator>Shames, Murray</creator><creator>Betros, Fred</creator><creator>Dennien, Bruce</creator><creator>Gray-Weale, Anthony</creator><creator>Lippey, Eric</creator><creator>Thursby, Peter</creator><creator>Lusby, Robert</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20020901</creationdate><title>Transrenal versus Infrarenal Endograft Fixation: Influence on Type I Endoleaks</title><author>Shames, Murray ; Betros, Fred ; Dennien, Bruce ; Gray-Weale, Anthony ; Lippey, Eric ; Thursby, Peter ; Lusby, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-9e9bd1d698ad23698864c03cb8cf4c70bf08fecc8e7c32468ab2f5fed33bc8df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - complications</topic><topic>Aortic Aneurysm, Abdominal - epidemiology</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Australia - epidemiology</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>Creatinine - blood</topic><topic>Device Removal</topic><topic>Elective Surgical Procedures</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Incidence</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - therapy</topic><topic>Risk Factors</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shames, Murray</creatorcontrib><creatorcontrib>Betros, Fred</creatorcontrib><creatorcontrib>Dennien, Bruce</creatorcontrib><creatorcontrib>Gray-Weale, Anthony</creatorcontrib><creatorcontrib>Lippey, Eric</creatorcontrib><creatorcontrib>Thursby, Peter</creatorcontrib><creatorcontrib>Lusby, Robert</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shames, Murray</au><au>Betros, Fred</au><au>Dennien, Bruce</au><au>Gray-Weale, Anthony</au><au>Lippey, Eric</au><au>Thursby, Peter</au><au>Lusby, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transrenal versus Infrarenal Endograft Fixation: Influence on Type I Endoleaks</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2002-09-01</date><risdate>2002</risdate><volume>16</volume><issue>5</issue><spage>556</spage><epage>561</epage><pages>556-561</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><coden>AVSUEV</coden><abstract>The purpose of this study was to compare the rate of proximal type I endoleaks in patients undergoing endoluminal repair of infrarenal abdominal aortic aneurysms with endografts having either transrenal or infrarenal fixation. From September 1998 to May 2000,42 patients received endoluminal aortic grafts for the treatment of infrarenal abdominal aortic aneurysms. Patients received either transrenal or infrarenal devices, based on the surgeon's preference. All patients had infrarenal aortic neck lengths measuring at least 1.5 cm and proximal neck angulation of <60°. The endoluminal grafts were oversized by 10–20% relative to the diameter of the infrarenal aorta. The presence of endoleaks was determined at the initial procedure by contrast angiography and during subsequent follow-up at 1 month and 3 months by CT scan or duplex ultrasound. No significant differences in the rate of proximal type I endoleaks can be demonstrated between transrenal and infrarenal device types in this small cohort. 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subjects | Aged Aged, 80 and over Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - epidemiology Aortic Aneurysm, Abdominal - surgery Australia - epidemiology Blood Vessel Prosthesis Implantation Creatinine - blood Device Removal Elective Surgical Procedures Equipment Design Female Follow-Up Studies Hospital Mortality Humans Incidence Length of Stay Male Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - therapy Risk Factors Stents Treatment Outcome |
title | Transrenal versus Infrarenal Endograft Fixation: Influence on Type I Endoleaks |
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