[Treatment of an infrarenal aortic aneurysm using a transfemorally-placed endoprosthesis: initial results in 9 patients in The Netherlands].
OBJECTIVE
To describe the first experiences with transfemoral aortic endoprostheses for treatment of aortic aneurysms in the Netherlands.


METHODS
University Hospital Utrecht, The Netherlands.


METHODS
Patient selection was based on information presented on CT and angiography films. Only patients with an asymptomatic aneurysm and non-dilated aortic segments both distal from the renal arteries and proximal to the aortic bifurcation were selected. Of 71 patients screened only nine candidates were selected.


RESULTS
The placement of the endoprosthesis was initially successful in all patients. The duration of the operation varied from 60 to 160 min. An intimal lesion of the common femoral artery occurred in one patient. In three cases leakage of contrast material outside the prosthesis but inside the aneurysm was seen on the postoperative CT angiogram. In one patient the endoprosthesis had to be replaced by a conventional aortic tube graft on the second postoperative day. After the procedure the patients stayed in hospital for another 3 to 20 days (median: 5).


CONCLUSIONS
Endovascular treatment of infrarenal abdominal aneurysm is a promising technique. The main advantages to the patient are that laparotomy is not necessary and that the hospital stay is reduced.
Balm
R
R
Afd. Heelkunde, Academisch Ziekenhuis, Utrecht.
Eikelboom
B C
BC
de Smet
A M
AM
Mali
W P
WP
D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis / Q000379:methods*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
Behandeling van een infrarenaal aorta-aneurysma door middel van een transfemoraal ingebrachte endoprothese: eerste ervaringen bij 9 patiënten in Nederland.