Transfemoral insertion of a bifurcated endovascular graft for aortic aneurysm repair: The first 22 patients

Chuter T.A.M., Wendt G., Hopkinson B.R., Scott R.A.P., Risberg B., Walker P.J. and White G. (1995) Transfemoral insertion of a bifurcated endovascular graft for aortic aneurysm repair: The first 22 patients. Vascular, 3 2: 121-128. doi:10.1177/096721099500300206


Author Chuter T.A.M.
Wendt G.
Hopkinson B.R.
Scott R.A.P.
Risberg B.
Walker P.J.
White G.
Title Transfemoral insertion of a bifurcated endovascular graft for aortic aneurysm repair: The first 22 patients
Journal name Vascular   Check publisher's open access policy
ISSN 1708-539x
Publication date 1995-01-01
Sub-type Article (original research)
DOI 10.1177/096721099500300206
Open Access Status Not yet assessed
Volume 3
Issue 2
Start page 121
End page 128
Total pages 8
Language eng
Subject 2746 Surgery
2741 Radiology Nuclear Medicine and imaging
2705 Cardiology and Cardiovascular Medicine
Abstract The purpose of this study was to evaluate and optimize a system of transfemoral bifurcated graft insertion for endovascular repair of infrarenal aortic aneurysm. Grafts were inserted through bilateral femoral arteriotomies in 22 patients. Placement was guided by fluoroscopy. Results were assessed by completion angiography, with computed tomography scanning or duplex ultrasonography at 1, 3 and 6 months. The first 11 insertions were complicated by failed insertion in two cases, proximal leakage in one, graft limb thrombosis in five and wound infection in one. The second 11 insertions were complicated by retrograde leakage around the distal graft orifice in two patients. One of these was associated with aneurysm rupture, leading to the sole mortality of the series. There were no instances of graft migration or embolism. In conclusion, the lessons learned during the first 11 insertions were responsible for the improved results apparent in the second 11 insertions. When applied in properly selected patients, transfemoral insertion of a bifurcated graft is a reliable method of isolating an aortic aneurysm from the circulation.
Keyword aneurysm
aorta
bifurcated
endovascular
transfemoral
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import - Archived
 
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Created: Tue, 04 Jul 2017, 00:05:13 EST by System User