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Midterm outcomes of physician-modified endovascular stent grafts for the treatment of complex abdominal aortic aneurysms in Korea: a retrospective study.
Kim, Hyo Jun; Jo, Eun-Ah; Park, Hyung Sub; Lee, Taeseung; Han, Sukgu.
Afiliación
  • Kim HJ; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Jo EA; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Park HS; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • Lee T; Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • Han S; Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
Ann Surg Treat Res ; 106(2): 106-114, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38318093
ABSTRACT

Purpose:

Physician-modified endovascular stent grafts (PMEG) are a good treatment option for complex abdominal aortic aneurysms (AAAs), especially in high-risk patients not amenable to open repair, and when commercial fenestrated devices are not available. We report our single-center experience with PMEG for the treatment of complex AAAs.

Methods:

We retrospectively reviewed patients who underwent PMEG repair for AAA from November 2016 to September 2020 at our institution. Demographic data, anatomic characteristics, perioperative and postoperative outcomes, major adverse events, and 30-day mortality were analyzed.

Results:

We identified 12 patients who underwent PMEG for complex AAA. The mean age was 74 years and the mean maximal AAA diameter was 58.1 mm. Indications for treatment included 4 impending or contained ruptures, 2 mycotic aneurysms, and 6 symptomatic cases. The technical success rate was 91.7%. Aneurysm sac regression was observed in 7 patients (58.3%), including 2 cases of complete regression. There was 1 aneurysm-related mortality at 3 months due to mycotic aneurysm. Also, there was 1 postoperative complication case of transient renal failure requiring temporary dialysis. At 1 year, there was 1 branch occlusion from the initial failed cannulation case and 2 type 1A endoleaks, and there was 1 case of open explantation.

Conclusion:

PMEG showed a low technical failure rate and acceptable midterm stent durability and sac stability, comparable to conventional endovascular aneurysm repair. Despite the small number of cases, there was a tendency for a high sac regression rate, although longer follow-up is needed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Ann Surg Treat Res Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Ann Surg Treat Res Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur