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Percutaneous Modular Stent-Grafts in the Treatment of Abdominal Aortic Aneurysms

Authors
 Do Yun Lee  ;  Sung-Gwon Kang  ;  Ho-Young Song  ;  Eun Sang Kim  ;  Chang Won Kim  ;  Jae Whan Won  ;  Byung Suk Roh  ;  Munehiro Maeda  ;  Gwang Hoon Lee  ;  Donghoon Choi 
Citation
 JOURNAL OF ENDOVASCULAR THERAPY, Vol.10(4) : 752-759, 2003 
Journal Title
 JOURNAL OF ENDOVASCULAR THERAPY 
ISSN
 1526-6028 
Issue Date
2003
MeSH
Aged ; Alloys ; Aortic Aneurysm, Abdominal/therapy* ; Blood Vessel Prosthesis Implantation* ; Female ; Humans ; Male ; Middle Aged ; Polyesters ; Polytetrafluoroethylene ; Prosthesis Design ; Stents* ; Treatment Outcome
Keywords
abdominal aortic aneurysm ; endovascular repair ; stent-graft ; nitinol ; polyester graft ; percutaneous delivery ; modular endograft
Abstract
PURPOSE: To describe a newly designed bifurcated modular stent-graft and assess the feasibility and safety of its use in the treatment of abdominal aortic aneurysms (AAA). METHODS: Thirteen patients (10 men; mean age 61.2+/-16 years, range 57-78) with AAAs underwent treatment with a bifurcated stent-graft consisting of 4 components: an unsupported bifurcated stent-graft, an inner bare stent, and 2 stent-grafts. The system was placed sequentially through a percutaneously introduced 12-F sheath; the preloaded bifurcated main body of the stent-graft was deployed first, followed by the inner bare stent and individual stent-graft limbs through separate 10-F sheaths. Spiral computed tomography (CT) was performed before treatment and at 1 week, 3 months, and then at 6-month intervals. RESULTS: The stent-grafts were successfully deployed in all patients, although 3 types of procedure-related adverse events occurred: left limb kinking in 1, postimplantation syndrome (fever, leukocytosis, and decreased platelet count) in 5, and a small access site arteriovenous fistula in 1. Postprocedural angiography and 1-week follow-up CT scanning did not identify any endoleaks. At a mean 9.2+/-4.6-month follow-up, all devices were intact, with complete exclusion of the aneurysms and no endoleaks. CONCLUSIONS: This newly designed bifurcated modular stent-graft appears to be effective for percutaneous AAA repair; further investigation is warranted.
Full Text
http://jevtonline.org/doi/abs/10.1583/1545-1550(2003)010%3C0752:PMSITT%3E2.0.CO;2
DOI
10.1177/152660280301000411
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Kwang Hun(이광훈)
Lee, Do Yun(이도연)
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113329
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