Endovascular treatment of the aortic aneurysm in patients with high cardiologic risk
Journal Title: Postępy Nauk Medycznych - Year 2010, Vol 23, Issue 8
Abstract
Introduction: Significant increase in frequency of diagnosing aortic aneurysm has led to the development of techniques of its treatment. The endovascular technique is the alternative to the classic treatment bearing a high risk of cardiologic complications. Materials and methods: In the years 2007-2009 187 patients suffering from aortic aneurysm with a diameter above 5.5 cm or below 5.5 cm with traces of the wall disintegration were treated by means of the endovascular method. Doppler untrasonography is considered the basic examination in the aortic aneurysm diagnostics, further supplemented by aortic and illiac arteries angiotomography. Patients are operated under lumbar anaesthesia.Results: The following stentgrafts were implanted: Zenith – in 21 patients, Talent – in 61, Endurant – in 26, Excluder – in 63, unilateral grafts are implanted in 5 patients. Average time of operation amounted to 136 min, on the average patients lost 300 ml blood, average time of hospitalisation was 5 days. Postoperative mortality was 2.6%, mortality after 30 days was 3.7%. There was no case where a conversion to the classical operation would be necessary. Conclusions: 1. Endovascular treatment is a method of choice in patients having a high risk of cardiologic complications. 2. A thorough preoperative assessment of anatomic conditions of graft choice and implantation possibilities is the main condition of the successful operation. 3. It is necessary to quickly revise the existing method of vascular surgery training with an emphasis on endovascular methods.
Authors and Affiliations
Walerian Staszkiewicz, Włodzimierz Hendiger, Zbigniew Kwietniak, Andrzej Gabrusiewicz
Keywords
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