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Role of Aggressive Aneurysm Sac Embolization Before Endovascular Abdominal Aneurysm Repair in Preventing Type II Endoleak and Sac Expansion.
Yoshikawa, Yasushi; Kishimoto, Satoru; Takasugi, Shohei; Kishimoto, Yuichiro; Onohara, Takeshi; Kumagai, Kunitaka; Nii, Rikuto; Kishimoto, Nozomi; Yoshikawa, Yuki; Yata, Shinsaku; Fujii, Shinya; Nishimura, Motonobu.
Afiliación
  • Yoshikawa Y; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Kishimoto S; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Takasugi S; Department of Radiology, School of medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
  • Kishimoto Y; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Onohara T; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Kumagai K; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Nii R; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Kishimoto N; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Yoshikawa Y; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
  • Yata S; Department of Radiology, School of medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
  • Fujii S; Department of Radiology, School of medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
  • Nishimura M; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan and.
Yonago Acta Med ; 66(2): 232-238, 2023 May.
Article en En | MEDLINE | ID: mdl-37229377
Background: This study aimed to evaluate the effect of aggressive embolization of side branches arising from the aneurysmal sac before endovascular aneurysm repair. Methods: This retrospective study included 95 patients who underwent endovascular infrarenal abdominal aortic aneurysm repair at Tottori University Hospital between October 2016 and January 2021. Of these, 54 underwent standard endovascular aneurysm repair (conventional group), and 41 underwent coiling of the inferior mesenteric and lumbar arteries before undergoing endovascular aneurysm repair (embolization group). The occurrence of type II endoleak, change in aneurysmal sac diameter, and reintervention rate due to type II endoleak during follow-up were evaluated. Results: Compared to the conventional group, the embolization group had a significantly lower incidence of type II endoleak, more frequent aneurysmal sac shrinkage, and lower aneurysmal sac growth related to type II endoleak. Conclusion: Our results demonstrated the effectiveness of aggressive aneurysmal sac embolization before endovascular aneurysm repair to prevent type II endoleak and the consequent long-term aneurysmal sac enlargement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Yonago Acta Med Año: 2023 Tipo del documento: Article Pais de publicación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Yonago Acta Med Año: 2023 Tipo del documento: Article Pais de publicación: Japón