A change in the treatment of abdominal aortic aneurysms
OBJECTIVE: One of the most exciting potential applications of percutaneous therapy is the treatment of abdominal aneurysms. METHODS: Of 230 patients treated with a self-expanding polyester-lined stent-graft for different aortic pathologies at our institution, we selected 80 abdominal aneurysm cases...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Cardiologia (SBC)
2003-11-01
|
Series: | Arquivos Brasileiros de Cardiologia |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001300008 |
id |
doaj-e1d5f5ce7c7b461e822a57b0e446a5fc |
---|---|
record_format |
Article |
spelling |
doaj-e1d5f5ce7c7b461e822a57b0e446a5fc2020-11-25T02:02:32ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702003-11-0181552252510.1590/S0066-782X2003001300008A change in the treatment of abdominal aortic aneurysmsJosé Honório PalmaAbner Moreira SampaioFausto MirandaClaudia Maria Rodrigues AlvesJosé Augusto de Marcondes SouzaEnio BuffoloOBJECTIVE: One of the most exciting potential applications of percutaneous therapy is the treatment of abdominal aneurysms. METHODS: Of 230 patients treated with a self-expanding polyester-lined stent-graft for different aortic pathologies at our institution, we selected 80 abdominal aneurysm cases undergoing treatment (from May 1997 to December 2002). The stent was introduced through the femoral artery, in the hemodynamic laboratory, with the patient under general anesthesia, with systemic heparinization, and induced hypotension. RESULTS: The procedure was successful in 70 (92.9%) cases; 10 patients with exclusion of abdominal aortic aneurysms were documented immediately within the hemodynamic room and 5 patients persisted with a residual leak. Two surgical conversions were necessary. Additional stent-grafts had to be inserted in 3 (3.7%) cases. In the follow-up, 91.4% of patients were alive at a mean follow-up of 15.8 months. CONCLUSION: We believe that stent-grafts are an important tool in improving the treatment of abdominal aneurysms, and this new policy may change the conventional medical management of these patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001300008abdominal aneurysmself-expanding stent-graft |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
José Honório Palma Abner Moreira Sampaio Fausto Miranda Claudia Maria Rodrigues Alves José Augusto de Marcondes Souza Enio Buffolo |
spellingShingle |
José Honório Palma Abner Moreira Sampaio Fausto Miranda Claudia Maria Rodrigues Alves José Augusto de Marcondes Souza Enio Buffolo A change in the treatment of abdominal aortic aneurysms Arquivos Brasileiros de Cardiologia abdominal aneurysm self-expanding stent-graft |
author_facet |
José Honório Palma Abner Moreira Sampaio Fausto Miranda Claudia Maria Rodrigues Alves José Augusto de Marcondes Souza Enio Buffolo |
author_sort |
José Honório Palma |
title |
A change in the treatment of abdominal aortic aneurysms |
title_short |
A change in the treatment of abdominal aortic aneurysms |
title_full |
A change in the treatment of abdominal aortic aneurysms |
title_fullStr |
A change in the treatment of abdominal aortic aneurysms |
title_full_unstemmed |
A change in the treatment of abdominal aortic aneurysms |
title_sort |
change in the treatment of abdominal aortic aneurysms |
publisher |
Sociedade Brasileira de Cardiologia (SBC) |
series |
Arquivos Brasileiros de Cardiologia |
issn |
0066-782X 1678-4170 |
publishDate |
2003-11-01 |
description |
OBJECTIVE: One of the most exciting potential applications of percutaneous therapy is the treatment of abdominal aneurysms. METHODS: Of 230 patients treated with a self-expanding polyester-lined stent-graft for different aortic pathologies at our institution, we selected 80 abdominal aneurysm cases undergoing treatment (from May 1997 to December 2002). The stent was introduced through the femoral artery, in the hemodynamic laboratory, with the patient under general anesthesia, with systemic heparinization, and induced hypotension. RESULTS: The procedure was successful in 70 (92.9%) cases; 10 patients with exclusion of abdominal aortic aneurysms were documented immediately within the hemodynamic room and 5 patients persisted with a residual leak. Two surgical conversions were necessary. Additional stent-grafts had to be inserted in 3 (3.7%) cases. In the follow-up, 91.4% of patients were alive at a mean follow-up of 15.8 months. CONCLUSION: We believe that stent-grafts are an important tool in improving the treatment of abdominal aneurysms, and this new policy may change the conventional medical management of these patients. |
topic |
abdominal aneurysm self-expanding stent-graft |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001300008 |
work_keys_str_mv |
AT josehonoriopalma achangeinthetreatmentofabdominalaorticaneurysms AT abnermoreirasampaio achangeinthetreatmentofabdominalaorticaneurysms AT faustomiranda achangeinthetreatmentofabdominalaorticaneurysms AT claudiamariarodriguesalves achangeinthetreatmentofabdominalaorticaneurysms AT joseaugustodemarcondessouza achangeinthetreatmentofabdominalaorticaneurysms AT eniobuffolo achangeinthetreatmentofabdominalaorticaneurysms AT josehonoriopalma changeinthetreatmentofabdominalaorticaneurysms AT abnermoreirasampaio changeinthetreatmentofabdominalaorticaneurysms AT faustomiranda changeinthetreatmentofabdominalaorticaneurysms AT claudiamariarodriguesalves changeinthetreatmentofabdominalaorticaneurysms AT joseaugustodemarcondessouza changeinthetreatmentofabdominalaorticaneurysms AT eniobuffolo changeinthetreatmentofabdominalaorticaneurysms |
_version_ |
1724952242027495424 |