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. 1998;25(1):44–48.

A novel method for endoluminal treatment of abdominal aortic aneurysms. With bare-metal Wallstent endoprostheses and endovascular coils.

A Achari 1, Z Krajcer 1
PMCID: PMC325501  PMID: 9566063

Abstract

The established therapy for symptomatic, expanding abdominal aortic aneurysms is open surgical replacement with an artificial graft. Over the last several years, there has been increasing enthusiasm for the use of endoluminal graft prostheses to exclude abdominal aortic aneurysms. However, even with rapid advances in stent graft technology, certain problems (i.e., large profile of the devices, risk of thromboembolism, poor flexibility, endoleak formation, and side-branch occlusion) have yet to be overcome. We present the case of an 85-year-old woman with multiple comorbid illnesses who underwent endoluminal repair of her expanding abdominal aortic aneurysms. We used bare-metal Wallstent endoprostheses (Schneider, Inc.; Minneapolis, Minn) in combination with endovascular coils (Cook, Inc.; Bloomington, Ind). The bare-metal Wallstent endoprostheses were used because the patient had severely narrowed iliac arteries and a large side branch originating from the aneurysm. The procedure was technically successful, and there was no significant morbidity. Follow-up angiographic evaluation at 6 months revealed no evidence of vascular enlargement; it also revealed preservation of important side branches, and spontaneous thrombosis of the aneurysms.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bengtsson H., Bergqvist D., Ekberg O., Janzon L. A population based screening of abdominal aortic aneurysms (AAA). Eur J Vasc Surg. 1991 Feb;5(1):53–57. doi: 10.1016/s0950-821x(05)80927-2. [DOI] [PubMed] [Google Scholar]
  2. Bengtsson H., Bergqvist D., Sternby N. H. Increasing prevalence of abdominal aortic aneurysms. A necropsy study. Eur J Surg. 1992 Jan;158(1):19–23. [PubMed] [Google Scholar]
  3. Bickerstaff L. K., Hollier L. H., Van Peenen H. J., Melton L. J., 3rd, Pairolero P. C., Cherry K. J. Abdominal aortic aneurysms: the changing natural history. J Vasc Surg. 1984 Jan;1(1):6–12. [PubMed] [Google Scholar]
  4. Chandra KS, Venkateshwarlu J, Tripathy MP, Rao BH, Gopichand M. Non-Surgical Repair of Abdominal Aortic Aneurysm. J Invasive Cardiol. 1996 Nov;8(9):443–446. [PubMed] [Google Scholar]
  5. Ernst C. B. Abdominal aortic aneurysm. N Engl J Med. 1993 Apr 22;328(16):1167–1172. doi: 10.1056/NEJM199304223281607. [DOI] [PubMed] [Google Scholar]
  6. Ingoldby C. J., Wujanto R., Mitchell J. E. Impact of vascular surgery on community mortality from ruptured aortic aneurysms. Br J Surg. 1986 Jul;73(7):551–553. doi: 10.1002/bjs.1800730711. [DOI] [PubMed] [Google Scholar]
  7. Johnston K. W., Rutherford R. B., Tilson M. D., Shah D. M., Hollier L., Stanley J. C. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg. 1991 Mar;13(3):452–458. doi: 10.1067/mva.1991.26737. [DOI] [PubMed] [Google Scholar]
  8. May J., White G. H., Yu W., Waugh R., Stephen M. S., Sieunarine K., Chaufour X., Harris J. P. Endoluminal repair of abdominal aortic aneurysms: strengths and weaknesses of various prostheses observed in a 4.5-year experience. J Endovasc Surg. 1997 May;4(2):147–151. doi: 10.1583/1074-6218(1997)004<0147:EROAAA>2.0.CO;2. [DOI] [PubMed] [Google Scholar]
  9. McCombs P. R., Roberts B. Acute renal failure following resection of abdominal aortic aneurysm. Surg Gynecol Obstet. 1979 Feb;148(2):175–178. [PubMed] [Google Scholar]
  10. Nevitt M. P., Ballard D. J., Hallett J. W., Jr Prognosis of abdominal aortic aneurysms. A population-based study. N Engl J Med. 1989 Oct 12;321(15):1009–1014. doi: 10.1056/NEJM198910123211504. [DOI] [PubMed] [Google Scholar]
  11. Parodi J. C., Barone A., Piraino R., Schonholz C. Endovascular treatment of abdominal aortic aneurysms: lessons learned. J Endovasc Surg. 1997 May;4(2):102–110. doi: 10.1583/1074-6218(1997)004<0102:ETOAAA>2.0.CO;2. [DOI] [PubMed] [Google Scholar]
  12. Parodi J. C., Palmaz J. C., Barone H. D. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991 Nov;5(6):491–499. doi: 10.1007/BF02015271. [DOI] [PubMed] [Google Scholar]
  13. Rozenblit A., Marin M. L., Veith F. J., Cynamon J., Wahl S. I., Bakal C. W. Endovascular repair of abdominal aortic aneurysm: value of postoperative follow-up with helical CT. AJR Am J Roentgenol. 1995 Dec;165(6):1473–1479. doi: 10.2214/ajr.165.6.7484590. [DOI] [PubMed] [Google Scholar]
  14. Ruiz C. E., Zhang H. P., Douglas J. T., Zuppan C. W., Kean C. J. A novel method for treatment of abdominal aortic aneurysms using percutaneous implantation of a newly designed endovascular device. Circulation. 1995 May 1;91(9):2470–2477. doi: 10.1161/01.cir.91.9.2470. [DOI] [PubMed] [Google Scholar]
  15. Sayers R. D., Thompson M. M., Bell P. R. Endovascular stenting of abdominal aortic aneurysms. Eur J Vasc Surg. 1993 May;7(3):225–227. doi: 10.1016/s0950-821x(05)80001-5. [DOI] [PubMed] [Google Scholar]

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