Journal article
The experience of an academic medical center with endovascular treatment of abdominal aortic aneurysms
The American journal of surgery, v 176(2), pp 198-202
01 Aug 1998
PMID: 9737632
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Endovascular repair of abdominal aortic aneurysms (AAA) is gaining momentum although it is not yet approved in the United States by regulatory agencies. The Endovascular Grafting System (EGS), the first device to enter clinical trials in 1993, is now in phase III testing.
Methods: We reviewed the first 50 patients to undergo an EGS repair of AAA over 24 months at our institution. Results were compared with 69 patients who underwent open repair during the same time period by the same surgeon.
Results: Devices were successfully implanted in 47 of 50 (94%) patients. Three were converted to standard repair. Although length of stay was shorter, costs were similar. Follow-up was 3 to 24 months. Perigraft flow was noted in 33% at discharge; 73% of those stopped either spontaneously or with coiling. Three graft limbs occluded, requiring thrombolytic therapy.
Conclusions: The EGS repair of AAA is feasible and effective. Cooperation between surgery and radiology is important for the success of a new endovascular program.
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Details
- Title
- The experience of an academic medical center with endovascular treatment of abdominal aortic aneurysms
- Creators
- Michel Makaroun - University of Pittsburgh Medical CenterAlbert Zajko - University of Pittsburgh Medical CenterPhilip Orons - University of Pittsburgh Medical CenterSatish Muluk - University of Pittsburgh Medical CenterRobert Rhee - University of Pittsburgh Medical CenterDavid Steed - University of Pittsburgh Medical CenterMarshall Webster - University of Pittsburgh Medical Center
- Publication Details
- The American journal of surgery, v 176(2), pp 198-202
- Publisher
- Elsevier
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Cardiothoracic Surgery
- Web of Science ID
- WOS:000075737200024
- Scopus ID
- 2-s2.0-17744418807
- Other Identifier
- 991021944129504721
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- Web of Science research areas
- Surgery