Why the study?
Does endovascular repair using a modular stent-graft provide safe and efficacious treatment in patients with infrarenal abdominal aortic aneurysms?
Does endovascular repair using a modular stent-graft provide safe and efficacious treatment in patients with infrarenal abdominal aortic aneurysms?
Endovascular repair of infrarenal abdominal aortic aneurysms using a modular stent-graft is safe and effective, demonstrating high procedural success and low complication rates at 1-year follow-up.
May support modular stent-graft endovascular repair in infrarenal AAA; leaves open need for randomized confirmation of durability.
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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Nolthenius et al. (1999) studied this question.
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