The first 15 months of transluminal abdominal aortic aneurysm management: A single centre experience

To assess the early experience with the transfemorally placed modular endovascular MinTec graft (TPEG) for abdominal aortic aneurysm (AAA). One single centre prospective evaluation of the endograft procedure as well as early postoperative results. An academic teaching hospital. 30 consecutive patien...

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Veröffentlicht in:European journal of vascular and endovascular surgery 1997-07, Vol.14 (1), p.24-32
Hauptverfasser: Kretschmer, G., Hölzenbein, T., Lammer, J., Thurnher, S., Minar, E., Polterauer, P.
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container_end_page 32
container_issue 1
container_start_page 24
container_title European journal of vascular and endovascular surgery
container_volume 14
creator Kretschmer, G.
Hölzenbein, T.
Lammer, J.
Thurnher, S.
Minar, E.
Polterauer, P.
description To assess the early experience with the transfemorally placed modular endovascular MinTec graft (TPEG) for abdominal aortic aneurysm (AAA). One single centre prospective evaluation of the endograft procedure as well as early postoperative results. An academic teaching hospital. 30 consecutive patients treated during a period of 15 months. Peri- and postoperative morbidity and mortality were evaluated according to the recommendations of the Ad Hoc Committee on Reporting Standards. The endograft procedure was successful in 28 patients (93.4%); two patients (6.6%) needed conversion into open conventional y-graft replacement; one patient died 36 days following intervention from multiple organ failure. Another patient died from pancreatitis unrelated to the implantation. Endoleaks were treated by “overstenting” or distal extension of the endografts, but conversions were unnecessary. Five severe adverse events were noted in four patients. TPEG is a feasible but technically demanding procedure, requiring both surgical techniques and catheter skills. The potential for less operative morbidity and simpler aneurysm management compared to conventional open surgery may be present. Close follow-up of patients is necessary to understand the development and treatment of endoleaks.
doi_str_mv 10.1016/S1078-5884(97)80221-3
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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals
subjects Abdominal aortic aneurysm
Aged
Alloys
Aortic Aneurysm, Abdominal - mortality
Aortic Aneurysm, Abdominal - surgery
Blood Vessel Prosthesis - methods
Endoscopy - methods
Endovascular procedure
Female
Femoral Artery
Humans
Male
Middle Aged
Prospective Studies
Stent-grafts
Stents
Survival Analysis
Transfemorally placed endografts
Treatment Outcome
title The first 15 months of transluminal abdominal aortic aneurysm management: A single centre experience
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