Long-term outcome after aortic endovascular repair: the Buenos Aires experience.
Long-term (5 years) outcome of 30 patients whose aneurysm was excluded using the Parodi endograft (PE) was assessed. Thirty patients with a mean follow-up of 59 months were the basis of the analysis. Additionally, 100 consecutive patients treated with the Vanguard Endograft (VE) were followed up for 28 months (range, 7 to 56 months). Results were analyzed and both groups compared. There were no late failures related to the loss of the integrity of the device in the PE group. Aorto aortic systems showed distal neck dilatation in high proportion of patients (80%). Aorto-uni-iliac endograft was successful in 80% of the patients. Only one late type I endoleak developed in a patient in whom the proximal stent was placed far from the renal arteries and in contact with thrombus. Also, persistent type II endoleaks were the cause of failure. No neck dilatation was noted. In the VE group, most of the failures were device related.
Parodi
Juan C
JC
Vascular Surgery Department, Instituto Cardiovascular de Buenos Aires, Blanco Encalada 1543, 1428 Capital Federal, Buenos Aires, Argentina.
D000368:Aged; D017130:Angioplasty / Q000009:adverse effects*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001118:Argentina; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011475:Prosthesis Failure; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome