R Sarkar, W S Moore, W J Quiñones-Baldrich, A S Gomes
{"title":"使用EVT装置进行腹主动脉瘤的血管内修复:随着分叉移植的可用性,应用的增加有限。","authors":"R Sarkar, W S Moore, W J Quiñones-Baldrich, A S Gomes","doi":"10.1583/1074-6218(1999)006<0131:EROAAA>2.0.CO;2","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To determine if the availability of a bifurcated graft would increase the percentage of patients eligible for endovascular repair of abdominal aortic aneurysms (AAAs).</p><p><strong>Methods: </strong>One hundred eighty-five consecutive patients were evaluated prospectively for endovascular AAA repair at a university referral center. Data were collected on eligibility for tube or bifurcated endovascular grafts, reasons for exclusion, aneurysm morphology, and the interventions performed.</p><p><strong>Results: </strong>Forty-six (25%) patients were eligible for endovascular treatment using the first-generation Endovascular Technologies (EVT) system: 19 (10%) for a tube graft and 27 (15%) for a bifurcated device. An unsuitable proximal neck was the reason for exclusion in 48% of patients (excess diameter in 27%, inadequate length in 21%). Unsuitable iliac configuration was present in 41% of those excluded; 29% of the common iliac arteries were enlarged or aneurysmal, while 12% were small or tortuous.</p><p><strong>Conclusions: </strong>Although a bifurcated graft more than doubles the eligibility of AAA patients for endovascular repair, the configuration of the proximal neck and iliac disease excluded the majority of AAA patients from endovascular therapy using the first generation EVT device.</p>","PeriodicalId":79443,"journal":{"name":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"12","resultStr":"{\"title\":\"Endovascular repair of abdominal aortic aneurysm using the EVT device: limited increased utilization with availability of a bifurcated graft.\",\"authors\":\"R Sarkar, W S Moore, W J Quiñones-Baldrich, A S Gomes\",\"doi\":\"10.1583/1074-6218(1999)006<0131:EROAAA>2.0.CO;2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To determine if the availability of a bifurcated graft would increase the percentage of patients eligible for endovascular repair of abdominal aortic aneurysms (AAAs).</p><p><strong>Methods: </strong>One hundred eighty-five consecutive patients were evaluated prospectively for endovascular AAA repair at a university referral center. Data were collected on eligibility for tube or bifurcated endovascular grafts, reasons for exclusion, aneurysm morphology, and the interventions performed.</p><p><strong>Results: </strong>Forty-six (25%) patients were eligible for endovascular treatment using the first-generation Endovascular Technologies (EVT) system: 19 (10%) for a tube graft and 27 (15%) for a bifurcated device. An unsuitable proximal neck was the reason for exclusion in 48% of patients (excess diameter in 27%, inadequate length in 21%). Unsuitable iliac configuration was present in 41% of those excluded; 29% of the common iliac arteries were enlarged or aneurysmal, while 12% were small or tortuous.</p><p><strong>Conclusions: </strong>Although a bifurcated graft more than doubles the eligibility of AAA patients for endovascular repair, the configuration of the proximal neck and iliac disease excluded the majority of AAA patients from endovascular therapy using the first generation EVT device.</p>\",\"PeriodicalId\":79443,\"journal\":{\"name\":\"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1999-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"12\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1583/1074-6218(1999)006<0131:EROAAA>2.0.CO;2\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1583/1074-6218(1999)006<0131:EROAAA>2.0.CO;2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Endovascular repair of abdominal aortic aneurysm using the EVT device: limited increased utilization with availability of a bifurcated graft.
Purpose: To determine if the availability of a bifurcated graft would increase the percentage of patients eligible for endovascular repair of abdominal aortic aneurysms (AAAs).
Methods: One hundred eighty-five consecutive patients were evaluated prospectively for endovascular AAA repair at a university referral center. Data were collected on eligibility for tube or bifurcated endovascular grafts, reasons for exclusion, aneurysm morphology, and the interventions performed.
Results: Forty-six (25%) patients were eligible for endovascular treatment using the first-generation Endovascular Technologies (EVT) system: 19 (10%) for a tube graft and 27 (15%) for a bifurcated device. An unsuitable proximal neck was the reason for exclusion in 48% of patients (excess diameter in 27%, inadequate length in 21%). Unsuitable iliac configuration was present in 41% of those excluded; 29% of the common iliac arteries were enlarged or aneurysmal, while 12% were small or tortuous.
Conclusions: Although a bifurcated graft more than doubles the eligibility of AAA patients for endovascular repair, the configuration of the proximal neck and iliac disease excluded the majority of AAA patients from endovascular therapy using the first generation EVT device.