Endoluminal repair of infrarenal abdominal aortic aneurysms using a modular stent-graft: one-year clinical results from a European multicentre trial

A Narrow-Waisted Abdominal Aortic Aneurysm Complicating Endovascular Repair

“…6 To increase the number of eligible patients, modular bifurcated endovascular prostheses are being evaluated in clinical trials. 4,5 Basic anatomical requirements for application of bifurcated prostheses include adequate length and diameter, without excessive angulation, of the proximal aortic neck and iliac arteries, respectively. 3 Moreover, extensive mural thrombus and calcification in the proximal endograft attachment zone may force patient exclusion.…”

“…Because the aneurysm anatomy met the inclusion criteria for our protocol, 4 the patient was accepted for endovascular treatment with a self-expanding modular bifurcated stent-graft (Medtronic AneuRx, Inc., Cupertino, CA, USA). 4,5 At the time of inter- vention, intravascular ultrasound was used to obtain definitive aortic and iliac dimensions. Under fluoroscopic guidance, a 28-mm-diameter bifurcated stent-graft segment with a 16-mm iliac limb was inserted and deployed uneventfully in the aorta and right common iliac artery, respectively.…”

“…There was no excessive aortic angulation or iliac tortuosity. Because the aneurysm anatomy met the inclusion criteria for our protocol, 4 the patient was accepted for endovascular treatment with a self-expanding modular bifurcated stent-graft (Medtronic AneuRx, Inc., Cupertino, CA, USA). 4,5 At the time of inter- vention, intravascular ultrasound was used to obtain definitive aortic and iliac dimensions.…”

Reflections on the Pathogenesis of Abdominal Aortic Aneurysms

“…By the early 1990s, elective aneurysm repair was regularly carried out with mortality rates less than 5% [2]. The pace of progress accelerated even further with the advent of endoluminal approaches to aneurysm repair, beginning in 1991 [3]., The minimal morbidity associated with these techniques has dramatically changed our management approach to aortic aneurysm disease, and endoluminal repair of AAAs may already be considered commonplace [4][5][6][7][8][9]. It is therefore timely to consider how 0';1r approach to AAAs is likely to change even further In the near future.…”

O uso do agente embolizante Onyx(R) na oclusão de vazamentos pós-tratamento endovascular de aneurisma da aorta abdominal: estudo experimental.

“…Similarmente como o que ocorre na cirurgia convencional, complicações neurológicas após o tratamento endovascular de AAA é uma situação rara. A incidência na literatura varia de 0 -1% (BLUM, 1998;MACHAN, 1998;NOLTHENIUS, 1999;ZARINS, 1999;BUTH, 2000). Da mesma forma com que ocorre na cirurgia convencional no tratamento de AAA, o implante de endoprótese também, usualmente, preserva pelo menos uma artéria ilíaca interna.…”