Purpose. This study evaluated the safety and technical and clinical success rates of positioning endovascular endografts (EG) in ruptured abdominal aneurysms. Materials and methods. Patients with a ruptured abdominal aortic aneurysm confirmed by contrastenhanced computed tomography angiography (CTA) were eligible for the analysis. Of 67 patients, 42 (62.7%) were treated with EG. Thirteen patients (30.9%) received an aorto-uni-iliac EG (group A) and 29 a bifurcated EG (group B). Patients were divided for comparative analysis according to the configuration of the EG implanted. Results. The primary technical success rate was 100%; the primary clinical success rate was 95% (40/42). There were two intraoperative deaths (4.7%) related to intractable shock. No patient required conversion to open repair. Overall, 12 patients (28.5%) died within 30 days. The inhospital death rate was 30.9% (13/42). Hospital mortality rate was statistically higher in group A; the type of EG and intensive care unit admission were the only independent predictors of hospital mortality. Conclusions. In our experience, a higher mortality rate was observed for the aorto-uni-iliac configuration; shock at admission was confirmed as the most important factor for postoperative survival. © 2012 Springer-Verlag.

Trattamento endovascolare di aneurismi dell'aorta addominale in rottura: Endoprotesi aorto-uniliaca o biforcata? / G. Carrafiello, G. Piffaretti, D. Laganà, F. Fontana, M. Mangini, A.M. Ierardi, F. Piacentino, A. Canì, G. Mariscalco, A. Di Massa, S. Cuffari, P. Castelli, C. Fugazzola. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 117:3(2012), pp. 410-425. [10.1007/s11547-011-0717-2]

Trattamento endovascolare di aneurismi dell'aorta addominale in rottura: Endoprotesi aorto-uniliaca o biforcata?

G. Carrafiello
;
2012

Abstract

Purpose. This study evaluated the safety and technical and clinical success rates of positioning endovascular endografts (EG) in ruptured abdominal aneurysms. Materials and methods. Patients with a ruptured abdominal aortic aneurysm confirmed by contrastenhanced computed tomography angiography (CTA) were eligible for the analysis. Of 67 patients, 42 (62.7%) were treated with EG. Thirteen patients (30.9%) received an aorto-uni-iliac EG (group A) and 29 a bifurcated EG (group B). Patients were divided for comparative analysis according to the configuration of the EG implanted. Results. The primary technical success rate was 100%; the primary clinical success rate was 95% (40/42). There were two intraoperative deaths (4.7%) related to intractable shock. No patient required conversion to open repair. Overall, 12 patients (28.5%) died within 30 days. The inhospital death rate was 30.9% (13/42). Hospital mortality rate was statistically higher in group A; the type of EG and intensive care unit admission were the only independent predictors of hospital mortality. Conclusions. In our experience, a higher mortality rate was observed for the aorto-uni-iliac configuration; shock at admission was confirmed as the most important factor for postoperative survival. © 2012 Springer-Verlag.
Aortic endograft; Endovascular repair; Ruptured abdominal aortic aneurysms; Aortic Aneurysm, Abdominal; Aortic Rupture; Endovascular Procedures; Humans; Tomography, X-Ray Computed; Radiology, Nuclear Medicine and Imaging; Medicine (all)
Settore MED/36 - Diagnostica per Immagini e Radioterapia
2012
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/432151
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