Endovascular Management of Suprarenal Aortic Pseudoaneurysm. Are Custom – Made Devices and Chimps Tecniques Safe and Effective Options for These Complex Lesions?

Abstract

embolization (GroupB). ELIIp incidence was evaluated by CEUS at 6-12-month Results: In P1, AAA-sac coil embolization was performed in 61 cases (M:96.7%;Age:72.2AE8years;AAA diameter:57AE7mm). The mean AAATV and FSV were 156AE60cc and 46AE25cc, respectively. The median number and mean concentration of coils were 4.5AE1.4 and 0.17coil/cc (range:0.02-1.20). Incidence of ELIIp was 29% and 23% at 6 and 12-month, respectively. Fourteen patients (23%) were clustered in Group1 and 47 (77%) in Group2. The results of P1 are summarised in Table I. Cutoff of CCoil¼0.17coil/cm 3 was identified by Roc-Curve [Area¼.758(.639-.877), p¼.001]. ELIIp was significantly related to the presence of CCoil<0.17coil/cc (100%vs68%, Group1 e Group2 respectively, p¼.014). In P2, there were 40 patients (29%) in GroupA, and 98 (71%) in GroupB. GroupA had significantly higher number of coils implanted than GroupB (10.3AE3.4 vs 4.6AE1.4 respectively, p£.001). ELIIp were significantly reduced in GroupA compared with GroupB at 6-12-month (5%vs23.5%, p¼.01 and 5%vs20.6%, p¼.02, respectively).