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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 1999 March;6(1):23-33
language: English, Italian
Endovascular treatment of infrarenal abdominal aortic aneurysm using modular endovascular grafts. Personal experience
Biasi G. M., Piglionica M. R., Meregaglia D. *, Ferrari S. A.
From the Department of Vascular Surgery * Radiological Unit University of Milan, Italy Ospedale Bassini, Cinisello Balsamo (MI), Italy
Aim and background. The aim of this study was to evaluate the early and late results in a series of patients with abdominal aortic aneurysms undergoing endovascular treatment using a transfemoral approach, with implantation of modular bifurcated Medtronic/AneuRx endovascular grafts.
Methods. Between January 1997 and March 1998, at the Department of Vascular Surgery of the University of Milan – Ospedale Bassini in Cinisello B., a total of 22 Medtronic/AneuRx endovascular grafts were implanted during the treatment of infrarenal abdominal aortic aneurysms with a mean diameter of 50 mm (range 35-67). The mean age of the 23 patients (21 males and 2 females) was 73 years (59-86). The mean operating time was 173 minutes (120-240) with a mean blood loss of 765 ml (100-2000). All patients underwent control CT at 72 hours, 6 and 12 months after surgery.
Results. No early or late complications are reported in 20 patients with correct implantation of the endovascular graft and complete exclusion of the aneurysm. The only death in this series was not correlated to the graft. Complications included a massive embolisation with amputation at the thigh and one case of conversion to open surgery. Three cases of endoleaks are still being monitored.
Conclusions. The preliminary results obtained by this centre using the modular Medtronic/AneuRx endovascular graft system have been satisfactory. The flexibility and modularity of the system enable it to be used in a large number of cases of abdominal aortic aneurysm, with acceptable complication rates. The authors affirm that this system is a valid alternative to traditional surgery for abdominal aortic surgery.