Own experience endovascular prosthetic repair of abdominal aortic aneurysms

Chupin A.V.¹, KolosovR.V.², Kalinin A.A.¹, Zaitsev M.V.¹, Parshin P.Yu.¹, Orekhov P.Yu.¹, Kemezh Yu.V.¹, Terekhin S.A.²

1) Department of Vascular Surgery of Clinical Hospital No83 under the Russian Federal Biomedical Agency,
2) State Federal Facility Endocrinological Scientific Centre, Moscow, Russia

Endovascular prosthetic repair has increasingly been used over the last several decades. This type of intervention is indicated for patients running a high surgical and anaesthesiological risk of an open surgical procedure. The experience gained in endovascular prosthetic repair of abdominal aortic aneurysms makes it possible to extend the indications for its practical application. The authors describe herein their experience gained in a total of 20 procedures of endovascular prosthetic repair of abdominal aortic aneurysms using the Gore Excluder endograft device in patients running a high risk of an open surgical intervention. There were neither short -nor long-term lethal outcomes. Three patients after endovascular prosthetic repair were found to have type 1 endoleak and two appeared to have type 2 endoleak. Type 1 endoleaks were coped with intraoperationally. Dynamic follow-up (at 1, 6, 12 months after surgery) of patients including computed tomography showed no complications whatsoever (i. e., no endoleaks, endograft migration, nor increase in the aneurysm’s diameter). After endografting of abdominal aortic aneurysms there were neither cardiac nor respiratory complications in the immediate postoperative period. Hence, endografting of an abdominal aortic aneurysm is a method of choice for high-risk patients.

KEY WORDS: endografting, abdominal aortic aneurysm, endoleak, short- and long-term results.

P. 86

« Back