Routine use of intravascular ultrasound for endovascular aneurysm repair: angiography is not necessary.

Détails

ID Serval
serval:BIB_D26E40B256D0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Routine use of intravascular ultrasound for endovascular aneurysm repair: angiography is not necessary.
Périodique
European Journal of Vascular and Endovascular Surgery
Auteur⸱e⸱s
von Segesser L.K., Marty B., Ruchat P., Bogen M., Gallino A.
ISSN
1078-5884
Statut éditorial
Publié
Date de publication
2002
Peer-reviewed
Oui
Volume
23
Numéro
6
Pages
537-542
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article - Publication Status: ppublish
Résumé
INTRODUCTION: to assess the outcome of endovascular aortic aneurysm repair (EVAR) using intravascular ultrasound (IVUS) without angiography. MATERIALS/METHODS: eighty consecutive patients (median age 69 years (range 25-90): male 72 (90%), female 8 (10%)) underwent endovascular aneurysm repair (AAA 68 (85%), TAA 12 (15%)) using either angiography in 31/80 patients (39%) or IVUS in 49/80 patients (61%) in accordance to the surgeons preference. RESULTS: hospital mortality was 2/80 (3%), 1/68 for AAA (2%), 1/12 for TAA (8%), 2/31 for angiography (7%), and 0/49 for IVUS (0.0%: NS). Median quantity of contrast medium was 190 ml (range: 20-350) for angiography versus 0 ml for IVUS (p<0.01). Median X-ray exposure time 24 min (range 9-65 min) versus 8 min (range 0-60 min) for IVUS (p<0.05). No coverage of renal or suprarenal artery orifices occurred in either group. Conversion to open surgery was necessary in 4/80 patients (5%), 1/31 for angiography (3%) and 3/49 patients for IVUS (6%: NS). Early endoleaks were observed in 13/80 patients (16%): 8/31 patients for angiography (26%) versus 5/49 for IVUS (10%: p<0.05): 5/13 endoleaks resolved spontaneously (39%) whereas 8/13 (61%) required additional procedures. CONCLUSIONS: IVUS is a reliable tool for EVAR. In most cases, perprocedural angiography is not necessary.
Mots-clé
Adult, Aged, Aged, 80 and over, Angiography, Aortic Aneurysm, Abdominal, Aortic Aneurysm, Thoracic, Female, Humans, Male, Middle Aged, Perioperative Care, Stents, Tomography, X-Ray Computed, Treatment Outcome, Ultrasonography, Interventional, Vascular Surgical Procedures
Pubmed
Web of science
Open Access
Oui
Création de la notice
28/01/2008 10:39
Dernière modification de la notice
20/08/2019 16:52
Données d'usage