Systematic and exclusive use of intravascular ultrasound for endovascular aneurysm repair - the Lausanne experience.

Détails

ID Serval
serval:BIB_B9F9D2527A81
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Systematic and exclusive use of intravascular ultrasound for endovascular aneurysm repair - the Lausanne experience.
Périodique
Interactive cardiovascular and thoracic surgery
Auteur⸱e⸱s
Marty B., Tozzi P., Ruchat P., Haesler E., von Segesser L.K.
ISSN
1569-9285[electronic]
Statut éditorial
Publié
Date de publication
2005
Volume
4
Numéro
3
Pages
275-9
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish
Résumé
Five years of experience with endovascular infrarenal aneurysm repair at our institution is reviewed. Implantation of endoprostheses in 88 patients has been performed by surgeons using exclusively intravascular ultrasound (IVUS) and fluoroscopy. IVUS identified the target site of deployment in all cases. In-hospital morbidity was 22% (19/88). Two percent mortality (2/88) and 5% early conversion (4/88) as a consequence of type I endoleaks were noted only in the first 53 patients with early devices (NS). Early endoleaks were present in 36% (32/88) including twenty-two type I, five type II and five type III endoleaks. Proximal endoleaks were associated with early devices (P<0.001), and technical difficulties with deployment. Tube grafts used in the beginning, performed poorly with 54% (7/13) type I endoleaks. Endoleaks diminished to 10% (9/88) by spontaneous closure and secondary endovascular procedures that were necessary in 24% (21/88) and consisted of coil embolization/cuff extension (9), late conversion (6), and limb recanalization or femoral cross-over bypass (6). Endovascular aneurysm repair using IVUS is a valid alternative technique. Improved devices and systematic use of bifurcated endoprostheses for infrarenal aneurysms reduce the occurrence of type I endoleaks.
Pubmed
Open Access
Oui
Création de la notice
29/01/2008 8:56
Dernière modification de la notice
20/08/2019 15:28
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