Endovascular aortic aneurysm repair in patients with narrow aortas using bifurcated stent grafts is safe and effective

Objective Narrowing of the distal aortic bifurcation can result in stent graft compression or arterial disruption during endovascular aortic aneurysm repair (EVAR). The aim of our study was to evaluate results of EVAR in patients with narrow distal aortic bifurcations. Methods We reviewed the clinic...

Full description

Saved in:
Bibliographic Details
Published in:Journal of vascular surgery 2015-11, Vol.62 (5), p.1140-1147.e1
Main Authors: Strajina, Veljko, MD, Oderich, Gustavo S., MD, Fatima, Javairiah, MD, Gloviczki, Peter, MD, Duncan, Audra A., MD, Kalra, Manju, MBBS, Fleming, Mark, MD, Macedo, Thanila A., MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - mortality
Aortic Aneurysm - physiopathology
Aortic Aneurysm - surgery
Aortography - methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Blood Vessel Prosthesis Implantation - mortality
Endovascular Procedures - adverse effects
Endovascular Procedures - instrumentation
Endovascular Procedures - mortality
Female
Humans
Male
Middle Aged
Patient Selection
Postoperative Complications - mortality
Postoperative Complications - physiopathology
Prosthesis Design
Retrospective Studies
Risk Assessment
Risk Factors
Stents
Surgery
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective Narrowing of the distal aortic bifurcation can result in stent graft compression or arterial disruption during endovascular aortic aneurysm repair (EVAR). The aim of our study was to evaluate results of EVAR in patients with narrow distal aortic bifurcations. Methods We reviewed the clinical data of 1070 patients who underwent EVAR between 2000 and 2011. Digital computed tomography angiograms were analyzed using centerline of flow measurements to determine aortic diameters. Patients with a distal aortic bifurcation diameter 
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2015.07.050