[Endoluminal treatment of peripheral aneurysm with covered endoprosthesis].
OBJECTIVE
To evaluate the feasibility and middle term patency results, for endovascular treatment of peripheral aneurysms, using covered stents.


METHODS
Between December 1993 and may 2000 25 peripheral aneurysms on 24 patients, mean age 67.8 years (42-81), were treated with covered stents (Cragg EndoPro system or passenger, hemobahn, Word Medical). Aneurysm locations were: 17 iliac, 4 popliteal, 1 femoral, 1 subclavian, 1 carotid. The follow-up range from 1 to 75 months (mean 30.1 months).


RESULTS
Successful aneurysm exclusion was achieved in all patients, while maintaining good lower extremity perfusion. All but one stent remained patent during the early follow-up period. At one year 94.4% stents were patent, at two years 90.2.


CONCLUSIONS
Treatment of peripheral aneurysms with covered stents has a high rate of immediate procedural and clinical success. At middle term follow-up patency is encouraging except with popliteal procedure, however long term follow-up and larger series is warranted to assess the place of this procedure as an alternative to the surgery.
Calvet
P
P
Service de radiologie, Pr Joffre, Hôpital de Rangueil, 1 avenue Jean Poulhès, 31403 Toulouse.
Chabbert
V
V
Chemla
P
P
Moussouni
S
S
Bouchard
L
L
Joffre
F
F
Rousseau
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000628:therapy*; D017546:Angioscopy; D020099:Coated Materials, Biocompatible; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D015607:Stents; D014654:Vascular Patency
D020099:Coated Materials, Biocompatible
Traitement par voie endoluminale des anévrismes périphériques par endoprothèse couverte.