Why the study?
Does endovascular repair using a modular stent-graft safely and effectively treat infrarenal abdominal aortic aneurysms?
Does endovascular repair using a modular stent-graft safely and effectively treat infrarenal abdominal aortic aneurysms?
Endoluminal repair of infrarenal abdominal aortic aneurysms using a modular stent-graft is a safe and efficacious alternative to open repair with excellent early procedural success.
Modular stent-graft endovascular repair may be feasible for infrarenal AAA; leaves open randomized comparisons to open repair.
This is a report of a prospective study to evaluate the safety and efficacy of the Medtronic AneuRx stent-graft. Patients with an infrarenal aneurysm with a proximal neck length of greater than 10 mm and a neck diameter not greater than 26 mm and iliac artery diameters of at least 6 mm were accepted for endovascular repair using the Medtronic AneuRx modular stent-graft. A total of 104 patients were included in the study. Transfemoral placement of the bifurcated stent-graft was successful in 102 of 104 patients. Two conversions were performed. The mean operating time was 148 min (range 75-480) and the mean blood loss was 605 ml (range 100-2900). The mean follow-up was 15 months (range 12-21). Complications were rare and no kinking or migration occurred. At follow-up, four endoleaks persisted after 12 months. The Medtronic AneuRx stent-graft is a safe and efficacious alternative to open abdominal aortic aneurysm repair with excellent early results.
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Rudolf Tutein Nolthenius (1999) studied this question.
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