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분지형 스텐트 이식편을 이용한 복부대동맥류의 치료

Other Titles
 Endovascular Treatment of Abdominal Aortic Aneurysm by Bifurcated Stent Graft 
 고흥규  ;  이도연  ;  심원흠  ;  장병철  ;  윤치순  ;  원제환  ;  원종윤  ;  강병철 
 Journal of the Korean Radiologist Society (대한방사선의학회지), Vol.41(5) : 909-914, 1999 
Journal Title
 Journal of the Korean Radiologist Society (대한방사선의학회지) 
Issue Date
Aneurysm ; aortic ; Aneurysm ; therapy ; Stents and prostheses
PURPOSE: To evaluate the effectiveness and safety of endoluminal bifurcated stent graft for the treatment of AAA. MATERIALS AND METHODS: Between August 1997 and August 1998, 20 patients with AAA underwent treatment involving the use of a bifurcated stent graft. Fourteen in whom the aneurysm involved only bifurcation and six patients in whom the common iliac arteries were involved. For one patient, a stent with a short proximal neck measuring 12 mm was used. The stent graft was inserted by means of a unilateral surgical femoral arteriotomy. After the procedure, follow up involving CT and aortography was performed between month 3 and month 12. RESULTS: The primary success rate with the first trial was 79 percent (15 of 19 patients), and the overall success rate was 84 percent; one perigraft leak was successfully corrected. In one case, technical failure occurred due to a tortuous iliac vessel and spasm. Procedure-related complications occurred in 16% of patients (3 of 19), one of whom died due to acute renal failure following a contrast overdose. CONCLUSION: Endovascular treatment of infrarenal AAA by means of a bifurcated stent graft was effective and safe. In particular, if the proximal neck measured more than 1cm, any AAA could be treated using bifurcated stent graft. Further investigation of the outcome and complications arising during long-term follow-up are needed, however.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Ko, Heung Kyu(고흥규)
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