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

Details

Serval ID
serval:BIB_D26E40B256D0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Routine use of intravascular ultrasound for endovascular aneurysm repair: angiography is not necessary.
Journal
European Journal of Vascular and Endovascular Surgery
Author(s)
von Segesser L.K., Marty B., Ruchat P., Bogen M., Gallino A.
ISSN
1078-5884
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
23
Number
6
Pages
537-542
Language
english
Notes
Publication types: Comparative Study ; Journal Article - Publication Status: ppublish
Abstract
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.
Keywords
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
Yes
Create date
28/01/2008 9:39
Last modification date
20/08/2019 15:52
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