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2011, Number 4

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Anales de Radiología México 2011; 10 (4)

Endovascular repair of aneurisms of the abdominal aorta. Experience in the Hospital San Jose Tec de Monterrey Interventional Radiology Department

Puente GFE, Álvarez ADM, Carrillo MMA
Full text How to cite this article

Language: Spanish
References: 8
Page: 303-307
PDF size: 255.49 Kb.


Key words:

aneurism of the abdominal aorta, interventional radiology, endovascular prosthesis.

ABSTRACT

Purpose. Report cases of patients with aneurism of the abdominal aorta (AAA) treated with endovascular therapy in the Hospital San Jose TEC de Monterrey Interventional Radiology service. Identify the characteristics of aneurisms, the prostheses used, and the results obtained.
Material and methods. Using the Hospital’s RIS-PACS system, we conducted a systematic review of cases of aneurism of the abdominal aorta treated with endovascular methods: size of aneurysmatic sac, characteristics of neck and damage to other arteries, endoprostheses used, and treatment outcomes.
Results. Eight 8 patients were treated using different prostheses (3 Excluder® Gore, 3 Endologix® Powerlink, 1 Zenith® Cook, and 1 Talent® Medtronic). We present an analysis of all the fundamental variables considered in planning an endovascular procedure and the outcome following placement of prostheses.
Conclusion. Endovascular treatment of aneurisms of the abdominal aorta is feasible and safe in experienced hands, although some cases present unfavorable anatomical features.


REFERENCES

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  2. Nordon I, Hinchliffe R, Loftus I, Thompson M. Pathophysiology and epidemiology of abdominal aortic aneurysms, Nat Rev Cardiol 2011;8:92-102.

  3. Zarins CK, Hill BB, Wolf YG. Aneurysmal vascular disease. In: Townsend CM Jr, Beauchamp DR, Evers MB, Mattox KL, Sabiston DC, eds. Sabiston textbook of surgery, 16th ed. Philadelphia, PA: Saunders 2001. pp: 1357–1372.

  4. Sun Z. Endovascular stent graft repair of abdominal aortic aneurysms: Current status and future directions World J Radiol. 2009;1:63–71.

  5. Thorsten A. Bley TA, Chase PJ, Reeder SB, et al. Endovascular abdominal aortic aneurysm repair: Nonenhanced volumetric CT for Follow up. Radiology 2009;253:253-262.

  6. Adriaensen M, Bosch J, Halpern E, Hunink, M, Gazelle S. Elective Endovascular versus Open Surgical Repair of Abdominal Aortic Aneurysms: Systematic Review of Short-term Results. Radiology 2002;224:739–747.

  7. Schwartz S, Taljanovic M, Smyth S, O’Brien M, Rogers L. CT Findings of Rupture, Impending Rupture, and Contained Rupture of Abdominal Aortic Aneurysms. AJR 2007;188:57–62.

  8. Siegel GL, Cohan RH. CT of Abdominal Aortic Aneurysm. AJR 1994;163:17-29.




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Anales de Radiología México. 2011;10