Recenzija, Prikaz slučaja
Our Experience with Endovascular Treatment of Abdominal Aorta Aneurysm with Talent Stent Grafting
Josip Mašković
Stevo Koplić
Tonka Bakotin
Liana Cambi-Sapunar
Vedran Radonić
Tonči Batinić
Teo Borić
Dragan Barić
Željko Grbić
Ratko Opačak
Ivana Štula
Ivo Štambuk
Sažetak
The aim of the study was to evaluate the safety and efficacy of endovascular treatment of abdominal aorta aneurysm (AAA) with Talent stent-graft (TSG). From October 1999 to February 2002, 18 patients (17 male and one female) aged 65-77, with AAA >5 cm in diameter, were treated by bifurcated Talent stent grafting. In all patients, postinterventional CT was performed 24 hours after stent grafting. The sutures were removed on the seventh to ninth day after the procedure, and the patients were released for home care. Regular spiral CT control evaluation was scheduled at 1, 3, 6, 9, 12 and 24 months after stent grafting. The mean follow up time was 11 months. Talent stent grafting procedure was initially successful in all patients. During regular controls, the TSGs were not occluded. In two (11%) patients, Talent stent grafting was preceded by preinterventional embolization. In five (27%) patients, control spiral CT after stent grafting showed a small endoleak. In these patients, systemic heparinization was interrupted and spiral CT was repeated after seven days. Repeat spiral CT after seven days showed absence of endoleak in four of five (80%) patients. A small endoleak in one patient disappeared spontaneously a month after TSG placement. The mean annual reduction in aneurysmal sac diameter was 7.3 (0 to 28) mm. TSG placement is a safe and efficient method of AAA treatment. In patients with accurately determined indication for the procedure, it is today considered a justified alternative to surgery.
Ključne riječi
Hrčak ID:
14766
URI
Datum izdavanja:
10.6.2002.
Posjeta: 2.575 *