Reporting mid- and long-term results of endovascular grafting for abdominal aortic aneurysms using the aortomonoiliac configuration.
Title | Reporting mid- and long-term results of endovascular grafting for abdominal aortic aneurysms using the aortomonoiliac configuration. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Lazaridis, J., Melas N., Saratzis A., Saratzis N., Sarris K., Fasoulas K., & Kiskinis D. |
Journal | J Vasc Surg |
Volume | 50 |
Issue | 1 |
Pagination | 8-14 |
Date Published | 2009 Jul |
ISSN | 1097-6809 |
Keywords | Aged, Aged, 80 and over, Aorta, Aortic Aneurysm, Abdominal, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Feasibility Studies, Female, Follow-Up Studies, Humans, Iliac Artery, Male, Retrospective Studies, Treatment Outcome |
Abstract | PURPOSE: This study evaluated the feasibility, efficacy, and durability of a specific aortomonoiliac endograft for the treatment of abdominal aortic aneurysm (AAA) during a midterm follow-up.METHODS: From January 2002 until November 2008, 106 patients (6 women; mean age, 73.37 +/- 7.39 years) were treated for an AAA using an EndoFit aortomonoiliac graft (LeMaitre Vascular, Burlington, Mass). All procedures were elective.RESULTS: Mean follow-up was 34.9 months (SD, 20.08; range, 2-81 months). Long-term data (follow-up >60 months) were available for nine patients, none of which reported any vascular or procedure related complications. Three of the 106 patients (2.83%) died during early follow-up (<30 days); eight died during late follow-up (7.54%). Endograft infection developed in two patients (1.88%), and an aortoduodenal fistula developed in two (1.88%). Also observed were 15 type II (14.15%) and three type I (2.83%) endoleaks. Femorofemoral bypass thrombosis was detected in two patients (1.88%).CONCLUSION: In this retrospective analysis, the aortomonoiliac configuration for elective AAA repair was proven to be safe and efficacious. Midterm and long-term follow-up results in this series compare well with previously reported results for AAA endografting using both bifurcated and aortomonoiliac endoprostheses. |
DOI | 10.1016/j.jvs.2008.12.054 |
Alternate Journal | J. Vasc. Surg. |
PubMed ID | 19563949 |