title: Endovascular repair of abdominal aortic aneurysms and other arterial lesions.
abstract: OBJECTIVE
  This report describes our experience with endovascular stented graft repair of abdominal aortic aneurysms and other arterial lesions.
  
  
  METHODS
  Between September 1990 and April 1994, 57 patients were treated with endovascular stented grafts (50 with abdominal aortic aneurysms or iliac aneurysms; five with traumatic arteriovenous fistulas; one with an infected femoral false aneurysm; and one with a false aneurysm of the proximal right common carotid artery). The devices consist of either a Dacron or an autogenous vein graft sutured to a balloon-expandable stent. The stented grafts are placed through remote arteriotomies, advanced under fluoroscopic guidance to their predetermined sites, and secured into position.
  
  
  RESULTS
  Forty of the 50 endovascular stented graft procedures used to treat abdominal aortic aneurysms or iliac aneurysms were considered successful, even though some secondary treatment was required in six patients (two open operations; four secondary endovascular procedures). The 10 failures include four early procedural deaths, one late procedural death, and five leaks. All five arteriovenous fistulas and the two false aneurysms were successfully treated with endovascular stented grafts.
  
  
  CONCLUSIONS
  Although our experience with endovascular stented grafts has been promising, remaining problems require resolution, and further follow-up is needed. However, the potential advantages of these endovascular grafts warrant their continued evaluation.
authors.affiliation: Department of Vascular Surgery, Instituto Cardiovascular de Buenos, Argentina.
authors.forename: J C
authors.initials: JC
authors.lastname: Parodi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000601:surgery*; D017541:Aneurysm, False / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D002340:Carotid Artery Diseases / Q000601:surgery; D017536:Carotid Artery, Common / Q000601:surgery; D002404:Catheterization / Q000009:adverse effects; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents / Q000009:adverse effects; D017211:Treatment Failure; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates