[Therapy of an abdominal aortic aneurysm using transfemoral endovascular implantation of a bifurcation prosthesis].
Transfemoral intraluminal placement of a woven-dacron bifurcation prosthesis was undertaken to bridge an infrarenal aortic aneurysm (4.6 cm diameter) in a 65-year-old man with chronic coronary heart disease. The Chuter-Gianturco introducing system was used via the right femoral artery to anchor the prosthesis immediately below the origins of the renal arteries. After fixing the right branch of the prosthesis the left one was secured via the left femoral artery. No leakage was demonstrated on the 7th post-operative day and the aneurysm was satisfactorily bridged. Regular follow-up tests showed a normal circulation. Spiral computed tomography after 18 months confirmed complete thrombosis of the aneurysm.--This case shows that the described method is a promising alternative in the treatment of abdominal aneurysm.
Wendt
G
G
Klinik für Thorax-, Herz- und Gefässchirurgie sowie Klinik für Radiologische Diagnostik, Technischen Hochschule Aachen.
Chuter
T
T
Donayre
C
C
Vorwerk
D
D
Messmer
B
B
D000368:Aged; D015901:Angiography, Digital Subtraction; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates; D014057:Tomography, X-Ray Computed / Q000379:methods
D011093:Polyethylene Terephthalates
Therapie eines Bauchaortenaneurysmas durch transfemorale endovaskuläre Implantation einer Bifurkationsprothese.