title: Long-term results of endovascular aneurysm repair with aortouni-iliac custom-made stent grafts.
abstract: The purpose of this study was to review the outcome of endovascular abdominal aortic aneurysm repair (EVAR) using custom-made aortouni-iliac (AUI) devices with femorofemoral bypass. Between June 1999 and March 2001, 23 consecutive patients (1 female, 22 male) at high risk of open aortic aneurysm repair underwent EVAR with custom devices in an AUI configuration. The mean follow-up was 37 months (range 2-72 months), and the mean age was 76.8 years (range 67.5-88.7 years). Increased surgical risk was evidenced by 92% and 69% of patients with significant pulmonary or cardiac disease, respectively. The preoperative mean aneurysm diameter (n = 23) 62 +/- 8.2 mm was significantly greater than the postoperative diameter, (n = 23) 54 +/- 16.4 mm. Ten endoleaks occurred. Migration of the stent graft occurred in 9% (n = 2). Secondary interventions were necessary in 23%, whereas tertiary interventions were required in 9%. Patients at high risk of open aneurysm repair received sufficient protection from aneurysm rupture with custom-made AUI devices.
authors.affiliation: Department of Vascular Surgery, Mayo Clinic, Jacksonville, FL, USA. Hakaim.albert@mayo.edu
authors.forename: Albert G
authors.initials: AG
authors.lastname: Hakaim
authors.forename: W Andrew
authors.initials: WA
authors.lastname: Oldenburg
authors.forename: Ricardo
authors.initials: R
authors.lastname: Paz-Fumagalli
authors.forename: J Mark
authors.initials: JM
authors.lastname: McKinney
authors.forename: Louis
authors.initials: L
authors.lastname: Lau
authors.forename: Matthias
authors.initials: M
authors.lastname: Biebl
authors.forename: Josef
authors.initials: J
authors.lastname: Klocker
authors.forename: Beate
authors.initials: B
authors.lastname: Neuhauser
authors.forename: Beate
authors.initials: B
authors.lastname: Hugl
authors.forename: Jergen
authors.initials: J
authors.lastname: Falkensammer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D015607:Stents; D016019:Survival Analysis; D016896:Treatment Outcome