Key result
Endoluminal treatment of abdominal aortic aneurysms resulted in a 28.4% postoperative complication rate, 13.4% conversion rate, and 1.4% 30-day lethality, indicating a need for stricter selection.
Observational (n=67)
No
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High complication and conversion rates in this single-center experience suggest that endovascular treatment of abdominal aortic aneurysms requires strict patient selection.
Between September 1996 and February 2000 five female and 62 male patients with an abdominal aortic aneurysm, requiring therapy, underwent endoluminal treatment. Their age ranged from 51 to 81 years (mean 72 years). Preoperative evaluation was done with spiral computed tomography (CT) and angiography. All procedures were performed under general anesthesia in a radiologically adapted operating room. Postoperative complications occurred in 28.4%. The total conversion rate was 13.4%, the 30-day lethality rate was 1.4%. During the mean follow-up of 15.1 months 19 secondary interventions were necessary in 13 patients. The results presented in this study do not justify the wide use of this method and indicate a stricter form of patient selection.
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Tiesenhausen et al. (2000) conducted an observational in Abdominal aortic aneurysm (n=67). Endoluminal treatment was evaluated on Postoperative complications. Endoluminal treatment of abdominal aortic aneurysms resulted in a 28.4% postoperative complication rate, 13.4% conversion rate, and 1.4% 30-day lethality, indicating a need for stricter selection.
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