Endoluminal repair of abdominal aortic aneurysms: Strengths and weaknesses of various prostheses observed in a 4.5-year experience

J. May*, G. H. White, W. Yu, R. Waugh, M. S. Stephen, K. Sieunarine, X. Chaufour, J. P. Harris

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    56 Citations (Scopus)

    Abstract

    Purpose: To summarize the results of endovascular abdominal aortic aneurysm (AAA) treatment using several endograft designs over a 4.5-year experience and offer comparisons on the various devices. Methods: From May 1992 to August 1996, 121 AAA patients meeting the criteria for an endoluminal repair were treated with 1 of 5 endograft designs in three configurations. The endografts were implanted in the operating room under fluoroscopic control. Follow-up included contrast-enhanced computed tomography within 10 days of operation, 6 months postoperatively, and annually thereafter. Results: Endografts were successfully deployed in 106 patients (88%). Fifteen cases were converted to open repair. Six procedure-related deaths occurred within 30 days owing to myocardial infarction (3), combined renal failure and septicemia (2), and multisystem failure (1). There were 36 local/vascular complications (30%) and 18 systemic/remote complications (15%). Of the 121 patients undergoing endoluminal AAA repair, 93 (77%) are currently alive and well with their AAAs excluded from the circulation. Conclusions: Trends in endoluminal AAA repair and prosthetic design point toward simpler devices and earlier treatment of smaller aneurysms once the long-term outcome of aortic endografting has been determined.

    Original languageEnglish
    Pages (from-to)147-151
    Number of pages5
    JournalJournal of Endovascular Surgery
    Volume4
    Issue number2
    DOIs
    Publication statusPublished - 1997

    Keywords

    • Complications
    • Endografts
    • Endoleaks
    • Endovascular grafting
    • Outcome

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