Az ersebészet uj fejezete: az aorta aneurysmák endoluminalis "stentgraft" kezelése.

Translated title of the contribution: New chapter of vascular surgery; stent-graft placement in the treatment of aortic aneurysm

A. Nemes, Csaba Dzsinich, Kálmán Hüttl, G. Acsády

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

INTRODUCTION AND AIM: This paper deals with a novel chapter of aneurysm surgery, the stent-graft implantation. The interdisciplinary cooperation between angio-radiology and surgery made available a much less invasive therapeutic option. The new technique was first applied in 1991.The authors present the technique, conditions and results of the procedure and also give a survey on the domestic situation. METHOD: In general anaesthesia using inguinal approach a self-expanding stent-graft (diameter: 8 mm) equipped with barbs was inserted in the aorta and deployed into the aneurysm under X-ray guidance. Vanguard (Boston-Scientific Co.), Talent (Medtronic Co.) and Exluder (Gore-Tex Co.) instruments were used. RESULTS: In 40 patients (29 men and 11 women, mean age: 59.7 years) 55 stent-grafts were implanted. Thirty-one thoracic and 9 infrarenal aneurysms were treated. In 3 patients ruptured aneurysm, in 3 other instances covered ruptured aneurysm, and in 3 persons symptomatic aortic aneurysm were treated. Thirty-one patients underwent elective procedures. Two deaths occurred in the early, and 4 in the late postoperative period (at months 3, 6, 7 and 36 postoperatively). In 9 patients adjunctive vascular surgery interventions were performed in 13 instances. Primary endoleak occurred in 3, whereas secondary endoleak was observed in 4 instances. All of these healed spontaneously. The authors compared the domestic results with internationally published data. This included 1120 traditional aneurysm resections and 110 stent-graft implantations performed in Hungary and 2283 surgical and 3843 endovascular procedures published in international scientific journals. CONCLUSIONS: The indications for this new procedure are still being formed. Despite the higher incidence of complications, this less traumatic intervention can be applied with benefit for patients. Nevertheless, at the time being, financial considerations may prevent the more widespread use in the practice. In Hungary the conditions are already available for this endovascular treatment and the authors support its employment.

Original languageHungarian
Pages (from-to)2075-2083
Number of pages9
JournalOrvosi Hetilap
Volume145
Issue number41
Publication statusPublished - Oct 10 2004

Fingerprint

Aortic Aneurysm
Stents
Blood Vessels
Aneurysm
Transplants
Endoleak
Ruptured Aneurysm
Hungary
Therapeutics
Endovascular Procedures
Aptitude
Groin
Postoperative Period
Radiology
General Anesthesia
Aorta
Thorax
X-Rays
Incidence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Az ersebészet uj fejezete : az aorta aneurysmák endoluminalis "stentgraft" kezelése. / Nemes, A.; Dzsinich, Csaba; Hüttl, Kálmán; Acsády, G.

In: Orvosi Hetilap, Vol. 145, No. 41, 10.10.2004, p. 2075-2083.

Research output: Contribution to journalArticle

Nemes, A. ; Dzsinich, Csaba ; Hüttl, Kálmán ; Acsády, G. / Az ersebészet uj fejezete : az aorta aneurysmák endoluminalis "stentgraft" kezelése. In: Orvosi Hetilap. 2004 ; Vol. 145, No. 41. pp. 2075-2083.
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