medigraphic.com
SPANISH

Revista Cubana de Angiología y Cirugía Vascular

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 2

<< Back Next >>

Revista Cubana de Angiología y Cirugía Vascular 2020; 21 (2)

Endovascular treatment of abdominal aortic aneurysm with percutaneous endoprosthesis in Cuban patients

Vázquez LF, Jordán GJ, Simón AA, Hernández SA, Janero MK, Jaime CZ, González EC
Full text How to cite this article

Language: Spanish
References: 17
Page: 1-14
PDF size: 379.17 Kb.


Key words:

aneurysms, endoprosthesis, AFX 2 model.

ABSTRACT

Introduction: Abdominal aortic aneurysms are arterial dilations in that level. Their rupture is one of the main risks and it causes death in patients; that is why the importance of treating them early. Among the current treatment options are open surgery and endovascular aneurismal reparation, being the last one in the first line of treatment since it is a minimal invasive technique with low rates of morbidity and mortality.
Objective: To evaluate the endovascular treatment of abdominal aortic aneurysm with percutaneous endoprosthesis in Cuban patients.
Methods: It was conducted from January to April 2018 a retrospective, descriptive and qualitative study in 6 male patients with aneurysm of the abdominal aorta, selected randomly and who met the criteria of vascular endoprosthesis use and agreed with the performance of the procedure. Six devices were placed in an angiography room and it was used general anaesthetic and fluoroscopic guidance.
Results: It was possible in a satisfactory way the endovascular treatment by percutaneous way in the six patients selected; just one presented a minor complication and he was discharged after 72 hours; and the rest were discharged in less than 24 hours. It was implemented for the first time in the country without complications the system of percutaneous closure called Proglide.
Conclusions: Endovascular treatment by percutaneous way of abdominal aortic aneurysms with vascular endoprosthesis is an efficient alternative for conventional surgery in patients that met the criteria of use of the device.


REFERENCES

  1. Lorentz MN, Boni CL, Soares RR. Anestesia para intervenção cirúrgica endovascular na aorta abdominal. Rev Bras Anestesiol. 2008;58:525-32. DOI: https://dx.doi.org/10.1590/S0034-70942008000500010

  2. Aggarwal S, Malik D. Clinical impact of USPSTF screening recommendations for abdominal aortic aneurysm: analysis of Nationwide Inpatient Sample data. Int J Cardiol. 2015 [acceso 15/09/2019];195:77-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26025862

  3. Thompson SG, Asthon HA, Gao L, Buxton MJ, Scott RA. Final follow-up of the Multicentre Aneurysm Screening Study (MASS) randomized trial of abdominal aortic aneurysm screening. Br J Surg. 2012 [acceso 15/09/2019];99:1649-56. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23034729

  4. Søgaard R, Laustsen J, Lindholt JS. Cost effectiveness of abdominal aortic aneurysm screening and rescreening in men in a modern context: evaluation of a hypothetical cohort using a decision analytical model. BMJ 2012 [acceso 15/09/2019];345:e4276. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22767630

  5. Schermerhorn ML, O'Malley AJ, Jhaveri A, Cotterill, Pomposelli F, Landon BE. Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population. N Engl J Med. 2008 [acceso 15/09/2019];358:464-74. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/18234751

  6. Elisha S, Nagelhout J, Heiner J, Gabot M. Anesthesia case management for endovascular aortic aneurysm repair. AANA J. 2014 [acceso 15/09/2019];82:145-52. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24902458

  7. Kristensen SD, Knuuti J, Saraste A, Anker S, Botker HE, De Hert S, et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management. Kardiol Pol. 2014 [acceso 15/09/2019];72:857-918. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25086026

  8. Sternbergh WC, Money SR. Hospital cost of endovascular versus open repair of abdominal aortic aneurysms:a multicenter study. J Vasc Surg. 2000 [acceso 15/09/2019];31(2):237-44. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/10664492

  9. Código Internacional de Ética Médica. III Asamblea General de la Asociación Médica Mundial. Londres: Asamblea Médica Mundial; 1949 Oct [acceso 15/09/2019]. Disponible en: https://www.wma.net/s/policy/pdf/17a.pdf

  10. Declaración de Helsinki. Principios éticos para las investigaciones médicas en seres humanos. Edimburgo: Asociación Médica Mundial; 2000 [acceso 15/09/2019]. Disponible en: http://www.wma.net/s/helsinki.html

  11. Kulig P, Lewandowski K, Banaś B, Piekorz P, Kostka A, Zaniewski M. Short-term outcomes of endovascular repair of abdominal aortic aneurysm, including ruptured cases. Wideochir Inne Tech Maloinwazyjne. 2018;13(2):243-9. DOI: https://doi.org/10.5114/wiitm.2018.73358

  12. Deery SE, Schermerhorn ML. Open versus endovascular abdominal aortic aneurysm repair in medicare beneficiaries. Surgery. 2017;162(4):721-31. DOI: https://doi.org/10.1016/j.surg.2017.01.022

  13. Chang D, Parina R, Wilson S. Survival after endovascular vs open aortic aneurysm repairs. JAMA Surg. 2015 [acceso 20/10/2019];150:1160-6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26331571

  14. Tomic IM, Vasin DD, Loncar Z, Fatic N, Davidovic L. Seat-belt abdominal aortic Injury-treatment modalities. Ann Vasc Surg. 2018 [acceso 12/10/2019];53:270.e13-270.e16. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S089050961830548X

  15. Hadro NC, Norris MA, Won S, Marvin R, Morris E. The progression of billowing of Endologix AFX 2® abdominal aortic aneurysm device as a precursor for the rupture of an abdominal aortic aneurysm. Ann of Vasc Surg. 2019;54:335.e11-335.e14. DOI: https://doi.org/10.1016/j.avsg.2018.06.019

  16. Melas N, Stavridis K, Saratzis A, Lazarides J, Gitas C, Saratzis N. Active proximal sealing in the endovascular repair of abdominal aortic aneurysms: early results with a new stent-graft. J Endovasc Ther. 2015 [acceso 15/09/2019];22(2):174-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25809356

  17. Brooks M. FDA issues safety alert for Endologix AAA duraply repair Grafts. Medscape. 2019 Oct 28 [acceso 02/11/2019]. Disponible en: https://www.medscape.com/viewarticle/920490




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Cubana de Angiología y Cirugía Vascular. 2020;21